Molecular analyses of Phenylketonuria in the intellectually disabled children from Faisalabad, Punjab, Pakistan

Habiba Hussain, M. Wasim, Haq Nawaz Khan, Hina Ayesha, Fazli Rabbi Awan
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Abstract

Background: Phenylketonuria (PKU) is a rare inherited metabolic disorder, caused by mutations in the phenylalanine hydroxylase (PAH). It is a treatable disorder if diagnosed earlier in life. The objective was to identify PKU patient(s) in the intellectually disabled children. Methods: Blood samples (n=100) were collected from intellectually disabled children from Faisalabad, Pakistan. Screening was performed on plasma samples through HPLC, and DNA samples were examined for mutational analysis of PAH through direct PCR and SSCP analyses. Results: 85% consanguinity rate, the average BMI (16.15 kg/m2) and head circumference (50.21 cm) was observed. Moreover, through biochemical and genetic analyses, not a single PKU patient was identified. Conclusion: Based on just one previous report and our small dataset it is concluded that either mutations are not common in the hotspot regions or chances of occurrence of PKU might be rare in Pakistan. Moreover, there is a need of more research on large scale to find the incidence of PKU in Pakistan.
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巴基斯坦旁遮普费萨拉巴德智障儿童苯丙酮尿的分子分析
背景:苯丙酮尿症(PKU)是一种罕见的遗传性代谢疾病,由苯丙氨酸羟化酶(PAH)突变引起。如果在生命早期诊断出来,这是一种可以治疗的疾病。目的是在智障儿童中识别PKU患者。方法:采集巴基斯坦费萨拉巴德市智障儿童血样100例。通过HPLC对血浆样本进行筛选,通过直接PCR和SSCP分析对DNA样本进行PAH突变分析。结果:血亲率85%,平均BMI (16.15 kg/m2),头围(50.21 cm)。此外,通过生化和基因分析,没有一个PKU患者被确定。结论:仅基于先前的一份报告和我们的小数据集,我们得出的结论是,突变在热点地区并不常见,或者PKU的发生机会在巴基斯坦可能很少见。此外,还需要更多的大规模研究来了解巴基斯坦的PKU发病率。
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