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Two novel mutations in the homogentisate-1,2-dioxygenase gene identified in Chinese Han Child with Alkaptonuria

  • Hongying Li , Kaihui Zhang , Qun Xu , Lixia Ma , Xin Lv EMAIL logo and Ruopeng Sun EMAIL logo
Published/Copyright: August 12, 2014

Abstract

Alkaptonuria (AKU) is an autosomal recessive disorder of tyrosine metabolism, which is caused by a defect in the enzyme homogentisate 1,2-dioxygenase (HGD) with subsequent accumulation of homogentisic acid. Presently, more than 100 HGD mutations have been identified as the cause of the inborn error of metabolism across different populations worldwide. However, the HGD mutation is very rarely reported in Asia, especially China. In this study, we present mutational analyses of HGD gene in one Chinese Han child with AKU, which had been identified by gas chromatography-mass spectrometry detection of organic acids in urine samples. PCR and DNA sequencing of the entire coding region as well as exon-intron boundaries of HGD have been performed. Two novel mutations were identified in the HGD gene in this AKU case, a frameshift mutation of c.115delG in exon 3 and the splicing mutation of IVS5+3 A>C, a donor splice site of the exon 5 and exon-intron junction. The identification of these mutations in this study further expands the spectrum of known HGD gene mutations and contributes to prenatal molecular diagnosis of AKU.


Corresponding authors: Ruopeng Sun, Department of Pediatrics, Qilu Hospital of Shandong University, Jinan, China, Phone: +86-531-813-09096, Fax: +86- 531-879-64257, E-mail: ; and Xin Lv, Institute of Pediatric Research, Qilu Children’s Hospital of Shandong University, Jinan, Shandong, China, E-mail:

Acknowledgments

The authors gratefully acknowledge the patient with AKU for their participation and cooperation in this study. This work was supported financially by the Fund for Outstanding Young Scientist in Shandong Province (Project Nos. BS2012YY001) and the Development Plan of Science and Technology in Shandong Province (Project Nos. 2012G0021855).

References

1. Scriver CR. Garrod’s Croonian Lectures (1908) and the charter ‘Inborn Errors of Metabolism’: albinism, alkaptonuria, cystinuria, and pentosuria at age 100 in 2008. J Inherit Metab Dis 2008;31:580–98.10.1007/s10545-008-0984-9Search in Google Scholar

2. Drakoulakis E, Varvitsiotis D, Psarea G, Feroussis J. Ochronotic arthropathy: diagnosis and management: a critical review. Am J Orthop 2012;41:80–3.Search in Google Scholar

3. Fernández-Cañón JM, Peñalva MA. Molecular characterization of a gene encoding a homogentisate dioxygenase from Aspergillus nidulans and identification of its human and plant homologues. J Biol Chem 1995;270:21199–205.10.1074/jbc.270.36.21199Search in Google Scholar

4. Zatkova A. An update on molecular genetics of Alkaptonuria (AKU). J Inherit Metab Dis 2011;34:1127–36.10.1007/s10545-011-9363-zSearch in Google Scholar

5. Wajner M, Coelho Dde M, Ingrassia R, de Oliveira AB, Busanello EN, et al. Selective screening for organic acidemias by urine organic acid GC-MS analysis in Brazil: fifteen-year experience. Clin Chim Acta 2009;400:77–81.10.1016/j.cca.2008.10.007Search in Google Scholar

6. Zatková A, de Bernabé DB, Poláková H, Zvarík M, Feráková E, et al. High frequency of alkaptonuria in Slovakia: evidence for the appearance of multiple mutations in HGO involving different mutational hot spots. Am J Hum Genet 2000;67:1333–9.10.1016/S0002-9297(07)62964-4Search in Google Scholar

7. Ranganath LR, Jarvis JC, Gallagher JA. Recent advances in management of alkaptonuria (invited review; best practice article). J Clin Pathol 2013;66:367–73.10.1136/jclinpath-2012-200877Search in Google Scholar PubMed

8. Fernández-Cañón JM, Granadino B, Beltrán-Valero de Bernabé D, Renedo M, Fernández-Ruiz E, et al. The molecular basis of alkaptonuria. Nat Genet 1996;14:19–24.10.1038/ng0996-19Search in Google Scholar PubMed

9. Müller CR, Fregin A, Srsen S, Srsnova K, Halliger-Keller B, et al. Allelic heterogeneity of alkaptonuria in Central Europe. Eur J Hum Genet 1999;7:645–51.10.1038/sj.ejhg.5200343Search in Google Scholar PubMed

10. Zatkova A, Chmelikova A, Polakova H, Ferakova E, Kadasi L. Rapid detection methods for five HGO gene mutations causing alkaptonuria. Clin Genet 2003;63:145–9.10.1034/j.1399-0004.2003.00027.xSearch in Google Scholar PubMed

11. Abdulrazzaq YM, Ibrahim A, Al-Khayat AI, Nagelkerke N, Ali BR. R58fs mutation in the HGD gene in a family with alkaptonuria in the UAE. Ann Hum Genet 2009;73:125–30.10.1111/j.1469-1809.2008.00485.xSearch in Google Scholar PubMed

12. Yang YJ, Guo JH, Chen WJ, Zhao R, Tang JS, et al. First report of HGD mutations in a Chinese with alkaptonuria. Gene 2013;518:467–9.10.1016/j.gene.2013.01.020Search in Google Scholar PubMed

13. Cox TM. Alkaptonuria: leading to the treasure in exceptions. JIMD Rep 2012;5:49–57.10.1007/8904_2011_93Search in Google Scholar PubMed PubMed Central

Received: 2014-3-16
Accepted: 2014-7-9
Published Online: 2014-8-12
Published in Print: 2015-3-1

©2015 by De Gruyter

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