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Molecular diagnosis of a Chinese pedigree with α-mannosidosis and identification of a novel missense mutation

  • Xiaoyun Wu , Jingxin Pan , Yibin Guo EMAIL logo , Chunmiao Guo , Weiying Jiang , Rong Li , Jia Tang and Yang Ai
Published/Copyright: December 18, 2013

Abstract

α-Mannosidosis storage disease is a rare autosomal recessive disease that is caused by a deficiency of the lysosomal enzyme α-mannosidase. In this article, a proband in China was preliminarily diagnosed as having α-mannosidosis by clinical symptoms, imaging examination, and enzyme assay. Definitive diagnosis was performed by directly sequencing the MAN2B1 gDNA and cDNA of the peripheral blood leukocyte from the patient. Finally, denaturing high-performance liquid chromatography screening, conservative analysis, and protein secondary structure prediction were used to identify the novel mutation. The results showed that the patient has compound heterozygous mutations in the MAN2B1 gene, c.856G>A (p.E286K, novel) and c.788C>T (p.P263L). Her parents are heterozygote that carry one of these two mutations respectively. Pathogenicity identification of the novel mutation showed that the p.E286K mutation is a disease-causing mutation. Our work enriches the human MAN2B1 gene mutation database. As far as we know, this research is thus far the first gene diagnosis case of a Chinese patient with α-mannosidosis.


Corresponding author: Yibin Guo, Department of Medical Genetics, Zhongshan School of Medicine, Sun Yat-sen University, #74, Zhongshan Road II, Guangzhou, Guangdong 510080, China, Phone: +86 20-87330918-888, E-mail:
aX.Y. Wu and J.X. Pan contributed equally to this work.

Acknowledgments

The authors are grateful to the patients and their families for their participation in this study. We thank Dr. Xiaoyuan Zhao for helping in the enzyme activity assay for the patient. This work was supported by the National Natural Science Foundation of China grant no. 30772069 and Fujian and Guangdong cooperation projects fund no. 7101025.

Conflict of interest

The authors have declared that no conflict of interest exists.

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Received: 2013-8-2
Accepted: 2013-10-30
Published Online: 2013-12-18
Published in Print: 2014-5-1

©2014 by Walter de Gruyter Berlin/Boston

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