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Updated: May 20, 2026

Targeted Next-generation Sequencing and Bioinformatics Pipeline to Evaluate Genetic Determinants of Constitutional Disease
Published on: April 4, 2018
Low prevalence of p.G352fsdelG mutation in phenylketonuria patients from Morocco
Afaf Lamzouri1, Ilham Ratbi, Fatima Z Laarabi
1Centre de Génomique Humaine, Faculté de Médecine et Pharmacie, Université Mohammed V Souissi, Rabat, Morocco.
Objective:
Frameshift mutation p.G352fsdelG in the PAH gene was recently reported as the most common mutation in Moroccan patients with phenylketonuria (PKU). This result, if confirmed, would considerably facilitate genetic counseling and molecular diagnosis of the disease in Morocco. Given that the incidence of PKU in the Mediterranean region is estimated at between 1/4000 and 1/10,000, this mutation would be harbored by many Moroccans. We aimed to estimate the frequency of heterozygotes for the p.G352fsdelG mutation in Moroccan newborns.
Materials And Methods:
In this study, we used a reliable TaqMan(®) real-time polymerase chain reaction to detect the mutation p.G352fsdelG in the PAH gene in 250 unrelated Moroccan newborns. DNA was extracted from umbilical cord blood with maternal consent.
Results:
The supposed recurrent mutation p.G352fsdelG was found in none of the 250 tested newborns. Therefore, the frequency of heterozygotes for this mutation would be less than 1/250, and the incidence of patients with PKU homozygous for this mutation would not exceed 1/100,000.
Conclusion:
The p.G352fsdelG mutation in the PAH gene does not appear to be prevalent in the Moroccan population and would be responsible for only few cases of PKU. The previous report of this anomaly as being responsible for 62.5% of PKU patients in Morocco could be explained by selection bias.
Insights
The p.G352fsdelG mutation is not common in Moroccan newborns with phenylketonuria (PKU). This finding impacts genetic counseling and molecular diagnosis for PKU in Morocco.
Area of Science:
- Genetics
- Molecular Biology
- Public Health
Background:
- Phenylketonuria (PKU) is a genetic disorder.
- A previous study identified the p.G352fsdelG frameshift mutation in the PAH gene as the most common cause of PKU in Morocco.
- This finding could simplify genetic diagnosis and counseling for PKU in the region.
Purpose of the Study:
- To estimate the frequency of heterozygotes for the p.G352fsdelG mutation in Moroccan newborns.
- To validate the prevalence of this mutation in the Moroccan population.
Main Methods:
- DNA was extracted from umbilical cord blood of 250 unrelated Moroccan newborns.
- TaqMan(®) real-time polymerase chain reaction was used to detect the p.G352fsdelG mutation in the PAH gene.
Main Results:
- The p.G352fsdelG mutation was not detected in any of the 250 tested newborns.
- The frequency of heterozygotes for this mutation is less than 1/250.
- The incidence of PKU homozygous for this mutation is estimated to not exceed 1/100,000.
Conclusions:
- The p.G352fsdelG mutation is not prevalent in the Moroccan population.
- This mutation is likely responsible for a small number of PKU cases in Morocco.
- Previous reports of high prevalence may be due to selection bias.
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