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2008 Barcelona - European Society of Human Genetics

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Molecular and biochemical basis <strong>of</strong> disease<br />

morphism (SSCP) techniques were performed for scanning <strong>of</strong> the all<br />

functional-important regions <strong>of</strong> the F9 gene. An abnormal SSCP pr<strong>of</strong>ile<br />

was identified in exon 4 <strong>of</strong> the gene for this patient. Then, direct sequencing<br />

was done by chain termination method .<br />

The deletion <strong>of</strong> 19 nucleotides ( 10503-10521 del ) was detected in<br />

this patient in exon 4<br />

which is not reported in hemophilia B mutation database, previously .<br />

The patient’s mother and his sister were heterozygous for this deletion<br />

.<br />

A novel deletion <strong>of</strong> 19 nucleotides (10503-10521 del ) in exon 4 leading<br />

to frame shift in the epidermal growth factor1( EGF1) domain . Exon<br />

4 encoded a first epidermal growth factor-like domain, which shows<br />

homology to epidermal growth factor (EGF) and, in addition, contains<br />

conserved carboxylate residues including a β-hydroxyaspartate at<br />

amino acid 64. This domain binds an additional Ca2+ with high affinity<br />

. In conclusion, this deletion causes a severe form <strong>of</strong> disease as<br />

observed in this patient .<br />

P05.080<br />

complete maternal isodisomy causing Reduction to<br />

Homozygosity for a Novel LAMB mutation in Herlitz Junctional<br />

Epidermolysis Bullosa<br />

D. Castiglia 1 , M. Castori 1 , G. Floriddia 1 , E. Pisaneschi 2 , C. Covaciu 1 , I. Torrente<br />

2 , G. Zambruno 1 ;<br />

1 IDI-IRCCS, Rome, Italy, 2 CSS-Mendel Institute, Rome, Italy.<br />

Herlitz junctional epidermolysis bullosa (HJEB) is a very rare lethal<br />

genodermatosis characterized by blister formation with tissue separation<br />

within the lamina lucida <strong>of</strong> the basement membrane zone . It is genetically<br />

heterogeneous, being caused by null mutations in the LAMA3<br />

(18q11 .2), LAMB3 (1q32), or LAMC2 (1q25-q31) genes encoding for<br />

the alpha3, beta3 and gamma2 subunits <strong>of</strong> laminin 332 . Although it is<br />

usually inherited in an autosomal recessive fashion, four cases have<br />

been described in which the disease arose from reduction to homozygosity<br />

for a mutant allele caused by uniparental disomy (UPD) . Here,<br />

we report on a baby presenting with multiple blister formation at birth<br />

and who died due to acute respiratory insufficiency secondary to upper<br />

airway obstruction at 1 year <strong>of</strong> age . The diagnosis <strong>of</strong> HJEB was<br />

first confirmed by immunoepitope mapping <strong>of</strong> a skin biopsy. Molecular<br />

analysis identified a novel frameshift mutation at the homozygous<br />

state in LAMB3 . Parental genotyping established the mother as a<br />

healthy carrier, while in the father the mutation was absent . Haplotype<br />

analysis <strong>of</strong> 8 intragenic and 15 extragenic polymorphisms, spanning<br />

the entire chromosome 1, demonstrated that the proband was homozygous<br />

for a single maternal haplotype . The present case represents<br />

the fifth example <strong>of</strong> UPD in HJEB. Based on literature data and our<br />

experience in genotyping 20 HJEB patients from several <strong>European</strong><br />

countries, reduction to homozygosity due to UPD is not exceptional in<br />

this condition and should be considered in sporadic cases in order to<br />

properly counsel the couple .<br />

P05.081<br />

Genetic causes <strong>of</strong> hearing loss in the iranian population a 10<br />

year study<br />

H. Najmabadi 1 , C. Nishimura 2 , K. Kahrizi 1 , N. C. Meyer 2 , N. Bazazzadegan 1 , J.<br />

L. Sorensen 2 , M. Mohseni 1 , Y. Riazalhosseini 1 , M. Malekpour 1 , G. Asaadi Tehrani<br />

1 , A. Daneshi 3 , M. Farhadi 3 , P. Imani 1 , A. Anousheh 1 , A. Nazeri 1 , S. Abedini 1 ,<br />

N. Nikzat 1 , S. Arzhangi 1 , R. J. H. Smith 2 ;<br />

1 <strong>Genetics</strong> Research Center, University <strong>of</strong> Social Welfare and Rehabilitation<br />

Sciences, Tehran, Islamic Republic <strong>of</strong> Iran, 2 Molecular Otolaryngology Research<br />

Laboratories, Department <strong>of</strong> Otolaryngology, University <strong>of</strong> Iowa, Iowa,<br />

IA, United States, 3 Research Center <strong>of</strong> Ear, Nose, Throat, and Head and Neck<br />

Surgery, Iran university <strong>of</strong> Medical sciences, Tehran, Islamic Republic <strong>of</strong> Iran.<br />

Approximately one in 1000 newborns has severe-to-pr<strong>of</strong>ound deafness,<br />

which has a genetic basis in more than half <strong>of</strong> this group . In<br />

~70% <strong>of</strong> congenitally deaf newborns the loss is nonsyndromic .<br />

The purpose <strong>of</strong> this study has been to determine the cause <strong>of</strong> syndromic<br />

and non-syndromic hearing loss in the Iranian population .<br />

Over a 10 year period, 2434 families segregating deafness have been<br />

referred to <strong>Genetics</strong> Research Center in Tehran . In each <strong>of</strong> these families,<br />

informed consent was obtained . Every family was screened for<br />

mutations in GJB2 and GJB6 . Following this screen, in 300 families<br />

with three and more affected individuals with presumed ARNSHL, we<br />

screened total <strong>of</strong> 22 loci by STR markers . In families in which autozygosity<br />

by descent was not identified at any <strong>of</strong> these loci, a genomewide<br />

screen was completed .<br />

Our data show that 15 .3% <strong>of</strong> the Iranian population with ARNSHL segregate<br />

mutations in GJB2 . The most prevalent mutation in this gene<br />

was 35delG, although more than 20 mutations have been identified,<br />

five <strong>of</strong> which are unique to the Iranian population. We also identified<br />

novel GJB2 mutation in an endogenous population segregating<br />

ADNSHL in village north <strong>of</strong> Iran .<br />

The second and third most prevalent causes <strong>of</strong> ARNSHL were mutations<br />

in SLC26A4 and TECTA . We have also found mutations in PJVK<br />

and TMC1 in one family each .<br />

We have identified a number <strong>of</strong> families segregating syndromic hearing<br />

loss .Totally, we have been able to determine the genetic cause <strong>of</strong><br />

hearing loss in over 30% <strong>of</strong> families referred to our center .<br />

P05.082<br />

the investigation <strong>of</strong> NPHs1 gene in children with Hereditary<br />

Proteinuria syndrome<br />

O. Ryzhkova 1 , N. Poltavets 1 , L. Prihodina 2 , A. Polyakov 1 ;<br />

1 Research Center for Medical <strong>Genetics</strong>, Moscow, Russian Federation, 2 Research<br />

Сenter <strong>of</strong> Pediatrics and Child Surgery, Moscow, Russian Federation.<br />

Hereditary Proteinuria Syndromes (HPS) is a group <strong>of</strong> inherited diseases<br />

in which proteinuria is the primary clinical manifestation . The<br />

genetic cause <strong>of</strong> these diseases is mutations in genes providing the<br />

structure and function <strong>of</strong> filtration barrier.<br />

DNA from 63 children with idiopathic nephrotic syndrome in age are<br />

ranged from 1 to 17 years, consisting <strong>of</strong> 33 boys and 30 girls, have<br />

been analyzed . The disease manifestation had been observed at the<br />

age ranged from 1 month to 16 years . The control group has consisted<br />

from 50 healthy persons . The mutations in NPHS1 gene were investigated<br />

by using SSCP-analysis and consequent sequencing .<br />

No mutations in coding and regulation regions <strong>of</strong> this gene were<br />

found .<br />

At researched patients has been revealed five single nucleotide substitution<br />

(table 1), one <strong>of</strong> which c .605-20 A> C has not been described<br />

earlier. For specification <strong>of</strong> influence <strong>of</strong> this substitution by occurrence<br />

<strong>of</strong> Proteinuria Syndrome, we investigated frequency <strong>of</strong> occurrence in<br />

control sample . Authentic distinctions have not been revealed .<br />

We have not found significant distinctions allele frequency <strong>of</strong> four<br />

others polymorphisms NPHS1 gene between our patients and control<br />

group . We think that contribution <strong>of</strong> these polymorphisms to disease<br />

is unimportant .<br />

Minor allele frequency <strong>of</strong> polymorphisms NPYS1 gene in our patients<br />

and control group (%)<br />

exon polymorphism HPS<br />

group<br />

control<br />

group<br />

Ex3(c .349G>A) c .349A 25 26 0 .87<br />

Ex10(c .1175C>T) c .1175T 2 4 0 .45<br />

Ex10(c .1223G>A) c .1223A 4 3 0 .72<br />

Fisher exact<br />

test (P)<br />

Minor allele frequency <strong>of</strong> polymorphisms NPYS1 gene in our patients<br />

and control group (%)<br />

exon polymorphism HPS<br />

control<br />

group<br />

group<br />

(our<br />

data)<br />

Fisher exact<br />

test (P)<br />

Ex7(c .791C>G) c .791G 1 1 1<br />

Ex6(c .605-20A>C) c .605-20C 1 0 0 .5<br />

P05.083<br />

Analysis <strong>of</strong> SPASTIN in a spanish series shows both recurrent<br />

and novel mutations<br />

M. Zennaro 1 , G. Martinez-Nieto 1 , A. Sesar 2 , M. Arias 2 , I. J. Posada 3 , B. Ares 2 , J.<br />

Pardo 2 , M. Seijo 4 , C. Navarro 5 , C. Andrade 6 , A. Carracedo 1,7,8 , M. J. Sobrido 1,7 ;<br />

1 Fundación Pública Galega de Medicina Xenómica, Santiago de Compostela,<br />

Spain, 2 Department <strong>of</strong> Neurology, Hospital Clínico, Santiago de Compostela,<br />

Spain, 3 Department <strong>of</strong> Neurology, Hospital 12 de Octubre-Universidad Complutense,<br />

Madrid, Spain, 4 Sección de Neurología, Hospital do Salnés, Pontevedra,<br />

Spain, 5 Department <strong>of</strong> Pathology, Hospital do Meixoeiro-CHUVI, Vigo,<br />

Spain, 6 Department <strong>of</strong> Neurology, Hospital Xeral-Cíes, Vigo, Spain, 7 Centro<br />

para Investigación de Enfermedades Raras (CIBERER) ISCIII, Santiago de<br />

Compostela, Spain, 8 Grupo de Medicina Xenómica-Universidad, Santiago de

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