伊朗疑似遗传性球形红细胞增多症患者的分子研究

Z. Shahab-Movahed, A. Majd, Torbati Es, S. Zeinali
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摘要

简介:遗传性球形红细胞增多症是一种伴有轻度至中度贫血的异质性疾病。本研究的目的是评估伊朗人群中红细胞细胞质紊乱患者的遗传性球形红细胞增多症基因突变。材料与方法:本研究对疑似遗传性球形红细胞增多症患者及其亲属进行全外显子组测序(WES)。结果:先显子及其亲本在ANK1基因(NM_001142446.1:c.127- 2a >G)、SPTB基因(c. 14delC, p. thr5lysfster41)、SPTA1基因(c. 466c >T)、SLC4A1基因(c. 2494c >T)和SLC25A38基因(c. 683g >T, NP_060345.2:p. 060345.2;Gly228Val可能与患者的临床表现有关。结论:在确定致病变异时,特别是在贫血等多基因参与的疾病中,WES的发现符合适当的诊断结果。这是首个使用WES技术对疑似贫血的伊朗患者进行调查的报告。需要进一步的研究来调查基因突变在伊朗红细胞膜疾病患者中的分布
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Molecular Investigation of Iranian Patients Suspected to Hereditary Spherocytosis
Introduction: Hereditary spherocytosis is a heterogeneous disorder with mild to moderate anemia. The aim of this study was to evaluate the inherited spherocytosis gene mutations in patients with RBC cytoplasmic disorders in Iranian population. Materials and Methods: In this study, Whole Exome Sequencing (WES) was performed for patients suspected to hereditary spherocytosis and their relatives. Results: Sequence analysis of the probands and their parents identified variations in ANK1 gene (NM_001142446.1:c.127-2A>G), SPTB (c. 14delC, p.Thr5LysfsTer41), SPTA1 (c.466C>T), SLC4A1 (c.2494C>T) and SLC25A38 gene (c.683G>T, NP_060345.2:p.Gly228Val that could be related to the patients clinical manifestation. Conclusion: Findings are in line with the appropriate diagnostic yield of WES in determining the causative variant especially in those disorders that many genes are involved like anemia. This is the first report of a cohort of Iranian patients with anemia suspected to that were investigated using WES technology. Further studies are needed to investigate the distribution of gene mutations in patients with RBC membrane disorders in Iran
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