A novel ATP7A gross deletion mutation in a Korean patient with Menkes disease

Hyung-Doo Park1, Han-Ku Moon, Jihoon Lee

  • 1Department of Laboratory Medicine & Genetics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Insights

Menkes disease, a fatal X-linked disorder, involves ATP7A gene mutations. This study identified a novel gross deletion in Korean patients, aiding genetic variation understanding.

Area of Science:

  • Genetics
  • Molecular Biology
  • Pediatrics

Background:

  • Menkes disease is a severe X-linked recessive disorder caused by mutations in the ATP7A gene, affecting copper transport.
  • Clinical manifestations include hypotonia, seizures, and failure to thrive, leading to early childhood death.

Observation:

  • Two Korean patients diagnosed with Menkes disease presented with distinct ATP7A gene mutations.
  • Patient 1 had a previously reported missense mutation (c.3943G>A), while Patient 2 harbored a novel gross deletion (c.1544-?_2916+?).

Findings:

  • Genetic analysis confirmed carrier status in both patients' mothers.
  • Prenatal diagnosis in Patient 2's family identified a male fetus with a wild-type genotype.
  • The identified gross deletion represents the first reported mutation of its kind in Korean Menkes disease patients.

Implications:

  • These findings expand the known spectrum of ATP7A mutations in Menkes disease.
  • Understanding genetic variations in the ATP7A gene is crucial for diagnosis and genetic counseling in Korean populations.
  • The identification of a novel mutation highlights the importance of comprehensive genetic screening for rare diseases.