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An ABCD1 Mutation (c.253dupC) Caused Diverse Phenotypes of Adrenoleukodystrophy in an Iranian Consanguineous Pedigree.


ABSTRACT: OBJECTIVES:Current study was the first to report a consanguineous Iranian pedigree with ABCD1 mutation. METHODS:Targeted molecular analysis was initially performed in three affected individuals in one family suspected to have X-ALD due to chronic progressive spasticity. Upon confirmation of genetic diagnosis, further neurologic and genetic evaluation of all family members was done. RESULTS:A mutation in ABCD1 was identified in 35 affected individuals (out 96 pedigree members). The c. 253dup, in exon 1, leads to a frame shift and a premature stop codon at amino acid position 194 (p.Arg85Profs*110). Surprisingly, affected individuals in our cohort show some variability in phenotype, including childhood cerebral ALD, adrenomyeloneuropathy, and addison-only disease phenotypes, expanding the phenotype of X-ALD with p.Arg85Profs*110. CONCLUSION:This report characterizes the clinical spectrum of an expanded Iranian pedigree with X-ALD due to an ABCD1 mutation. Given a high frequency of carriers in this region, we expect the prevalence of X-ALD to be higher, underscoring the importance of genetic counseling through reliable identification of heterozygous as well as homozygote females in consanguineous communities.

SUBMITTER: Mehrpour M 

PROVIDER: S-EPMC4969076 | biostudies-literature | 2016 Jun

REPOSITORIES: biostudies-literature

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An <i>ABCD1</i> Mutation (c.253dupC) Caused Diverse Phenotypes of Adrenoleukodystrophy in an Iranian Consanguineous Pedigree.

Mehrpour Masoud M   Gohari Faeze F   Dizaji Majid Zaki MZ   Ahani Ali A   Malicdan May Christine V MC   Behnam Babak B  

Journal of molecular and genetic medicine : an international journal of biomedical research 20160619 2


<h4>Objectives</h4>Current study was the first to report a consanguineous Iranian pedigree with <i>ABCD1</i> mutation.<h4>Methods</h4>Targeted molecular analysis was initially performed in three affected individuals in one family suspected to have X-ALD due to chronic progressive spasticity. Upon confirmation of genetic diagnosis, further neurologic and genetic evaluation of all family members was done.<h4>Results</h4>A mutation in <i>ABCD1</i> was identified in 35 affected individuals (out 96 p  ...[more]

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