Null Canada : A novel α 1 -antitrypsin allele with in cis variants Glu366Lys and Ile100Asn.
Autor: | Chen S; Department of Pathology and Laboratory Medicine, St. Paul's Hospital, BC, Canada., DeMarco ML; Department of Pathology and Laboratory Medicine, St. Paul's Hospital, BC, Canada; Department of Pathology and Laboratory Medicine, University of British Columbia, BC, Canada; Centre for Heart Lung Innovation, University of British Columbia, BC, Canada., Estey MP; DynaLIFE Medical Labs, AB, Canada; Department of Laboratory Medicine and Pathology, University of Alberta, AB, Canada., Kyle B; DynaLIFE Medical Labs, AB, Canada; Department of Laboratory Medicine and Pathology, University of Alberta, AB, Canada., Parker ML; DynaLIFE Medical Labs, AB, Canada; Department of Laboratory Medicine and Pathology, University of Alberta, AB, Canada., Agbor TA; DynaLIFE Medical Labs, AB, Canada; Department of Laboratory Medicine and Pathology, University of Alberta, AB, Canada., Kawada P; Division of Pediatric Gastroenterology & Nutrition, Department of Pediatrics, University of Alberta, AB, Canada., Speevak M; Department of Laboratory Medicine and Genetics, Trillium Health Partners, ON, Canada., Nelson TN; Department of Pathology and Laboratory Medicine, University of British Columbia, BC, Canada; Department of Pathology and Laboratory Medicine, BC Children's & BC Women's Hospitals, BC, Canada., Mattman A; Department of Pathology and Laboratory Medicine, St. Paul's Hospital, BC, Canada; Department of Pathology and Laboratory Medicine, University of British Columbia, BC, Canada. Electronic address: amattman@providencehealth.bc.ca. |
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Jazyk: | angličtina |
Zdroj: | Clinical biochemistry [Clin Biochem] 2020 May; Vol. 79, pp. 23-27. Date of Electronic Publication: 2020 Feb 19. |
DOI: | 10.1016/j.clinbiochem.2020.02.013 |
Abstrakt: | Background: α Case: An 8 years old patient from Edmonton, Alberta, Canada, was investigated for A1AT deficiency. His A1AT phenotype was determined to be M (wild type)/Null by isoelectric focusing (IEF) but M/Z by targeted genotyping. Gene sequencing revealed two heterozygous variants: Z and Ile100Asn (c.299 T > A). The Ile100Asn substitution is predicted to disrupt the secondary structure of an α-helix in which it resides and the neighbouring tertiary structure, resulting in intracellular degradation of A1AT prior to hepatocyte secretion. Methods: Family testing was conducted to verify potential inheritance of an A1AT allele carrying the two mutations in cis, as this arrangement of the mutations would explain "Z" detection by genotyping but not by IEF. Molecular modeling was used to assess the effect of the variants on A1AT structure and stability. Discussion: Carrier status for a novel variant Null Conclusion: In cis mutations such as Null (Copyright © 2020 The Canadian Society of Clinical Chemists. Published by Elsevier Inc. All rights reserved.) |
Databáze: | MEDLINE |
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