GENETIC LANDSCAPE OF PHENYLKETONURIA IN SERBIA.

Autor: Kristel, Klaassen, Sara, Stanković, Maja, Đorđević Milošević, Božica, Kecman, Marina, Andjelkovic, Anita, Skakić, Vesna, Spasovski, Milena, Ugrin, Jovana, Komazec, Marina, Parezanović, Nikola, Jocić, Nina, Stevanović, Sonja, Pavlovic, Maja, Stojiljković
Předmět:
Zdroj: Genetics & Applications; 2024 Special Issue, p41-41, 1p
Abstrakt: Phenylketonuria (PKU) is the most frequent inborn disorder of amino acid metabolism caused by variants in human phenylalanine hydroxylase gene (PAH). In this study, a total of 109 PKU patients from Serbia were included, who were classified into three phenotypic categories in accordance with pre-treatment plasma phenylalanine level: classic PKU, mild PKU and mild hyperphenylalaninemia. For genetic analyses, we combined Sanger sequencing, MLPA and next generation sequencing to identify disease)causing variants in PAH gene, which were further classified using ACMG classification. Additionally, we used in silico and/or eukaryotic expression studies to assess the effect of novel genetic variants identified in our patients. Disease-causing variants were identified in 217 of 218 alleles, reaching detection rate of 99.5%. We detected a total of 32 different variants, of which 29 previously described and three novel ones: p.Gln226Lys, p.Pro244His and p.Pro416Leu. In silico and/or eukaryotic expression studies confirmed pathogenic effect of all novel genetic variants. The most frequent variant was p.Leu48Ser (31.2%), followed by p.Arg408Trp (13.8%), p.Ile306Val (9.2%). p.Glu390Gly (5%), p.Pro281Leu (4.6%), and p.Arg261Gln (3.2%). All detected disease-causing variants were classified as pathogenic using ACMG classification. Our study brings the updated spectrum of molecular genetic data, variant classification and detailed phenotypic characteristics for PKU patients from Serbia. Therefore, our study contributes to better understanding of molecular landscape of PKU in Europe and to general knowledge on genotype–phenotype correlation in PKU. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index