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Targeted Next-generation Sequencing and Bioinformatics Pipeline to Evaluate Genetic Determinants of Constitutional Disease
Published on: April 4, 2018
[Type I hereditary protein C deficiency due to C5498T mutation in protein C gene]
Rong-fu Zhou1, Hong-li Wang, Qi-hua Fu
1Shanghai Institute of Hematology, Ruijin Hospital, Shanghai Second Medical University, Shanghai 200025, China.
Insights
A novel C5498T heterozygous mutation in the protein C gene was identified in a Chinese family with type I hereditary protein C deficiency. This genetic alteration leads to a critical amino acid substitution, causing the deficiency.
Area of Science:
- Genetics
- Molecular Biology
- Hematology
Context:
- Hereditary protein C deficiency is a rare genetic disorder affecting blood coagulation.
- Type I deficiency is characterized by reduced levels of both protein C activity and antigen.
- Identifying specific gene mutations is crucial for understanding disease mechanisms and genetic counseling.
Purpose:
- To identify the causative gene mutation in a Chinese family with type I hereditary protein C deficiency.
- To analyze the protein C gene and its regulatory regions for mutations.
- To correlate the identified mutation with the clinical phenotype.
Summary:
- Plasma protein C activity and antigen levels were measured in 12 family members.
- Direct sequencing of the protein C gene identified a C5498T heterozygous mutation in exon 3 in affected individuals.
- This mutation results in an Arg to Trp substitution at amino acid 15 and was confirmed by restriction enzyme analysis.
Impact:
- This study reports the C5498T heterozygous mutation in the protein C gene for the first time in China.
- The identified mutation is directly linked to type I hereditary protein C deficiency.
- Findings contribute to the genetic understanding of protein C deficiency and may aid in diagnosis and management.
Objective:
To identify the gene mutation in a Chinese pedigree of type I hereditary protein C deficiency.
Methods:
The plasma levels of protein C activity (PC:A), protein C antigen (PC:Ag), protein S activity, and anti-thrombin activity (AT:A) of the propositus, male, aged 7, and 11 members of the pedigree were detected using ELISA and chromogenic assay respectively. All of the nine exons and intron-exon boundaries of protein C gene of the propositus were analyzed by direct sequencing of the corresponding amplified PCR products in DNA from the propositus. Restriction enzyme site analysis was used to confirm the mutation.
Results:
The plasma concentrations of protein C activity and antigen of the propositus were 26% and 1.43 g/L respectively. The PC:Ag and PC:A of his father were normal. Decreased PC:A level was seen in his mother and 4 of his maternal pedigree. PS:A and AT:A were all normal in all of the pedigree members. A C5498T heterozygous mutation in exon 3, resulting in the substitution of Arg for Trp at the 15th amino acid, was identified in the propositus and 8 of his relatives. This mutation was confirmed by restriction enzyme site analysis. Mutations C/T at position 2405, A/G at position 2418, and A/T at position 2583 in the protein C promoter region were confirmed in the propositus and all members of the pedigree.
Conclusion:
C5498T heterozygous mutation in exon 3 of protein C gene, first reported in China, leads to type I hereditary.
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