Case Report: Three novel pathogenic ABCC2 mutations identified in two patients with Dubin-Johnson syndrome

Chenyu Zhao1,2, Xiaoliu Shi2, Yonghong Zhang3

  • 1Department of Gastroenterology, The Second Xiangya Hospital, Central South University, Changsha, China.

Frontiers in Genetics
|September 12, 2022
PubMed

Insights

Dubin-Johnson syndrome (DJS), a rare genetic disorder, is caused by novel mutations in the ABCC2 gene. This study identifies three new ABCC2 mutations, aiding in the genetic diagnosis of DJS.

Area of Science:

  • Genetics
  • Molecular Biology
  • Hepatology

Background:

  • Dubin-Johnson syndrome (DJS) is a rare, autosomal recessive genetic disorder.
  • It is characterized by chronic hyperbilirubinemia due to mutations in the ABCC2 gene.

Observation:

  • Two families presented with intermittent, low-grade conjugated hyperbilirubinemia without other symptoms.
  • Clinical diagnosis of DJS was made based on patient presentation.

Findings:

  • Whole-exome sequencing identified three novel pathogenic ABCC2 gene mutations: c.2980delA, c.1834C>T, and c.4465_4473delinsGGCCCACAG.
  • These mutations are strongly associated with DJS in the affected pedigrees.
  • Genetic testing confirmed the DJS diagnosis.

Implications:

  • This research contributes to the precise genetic diagnosis of DJS in the studied patients.
  • The identified novel ABCC2 variants expand the known mutation database for this gene.
  • Enhanced understanding of ABCC2 mutations aids in diagnosing and managing Dubin-Johnson syndrome.

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