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Molecular characterisation and prenatal diagnosis of Asparto-acylase deficiency (Canavan disease)--report of two novel and two known mutations from the Indian subcontinent.
[canavan disease]
To
establish
a
technique
for
mutation
identification
and
prenatal
screening
in
confirmed
cases
of
Canavan
disease
.
Mutations
in
ASPA
gene
were
identified
by
sequencing
.
Six
exons
of
ASPA
gene
were
amplified
using
intronic
primers
flanking
the
exons
and
then
sequenced
on
ABI
3500
Dx
automated
unit
.
This
technique
was
used
to
identify
mutations
in
three
cases
of
Canavan
disease
.
Prenatal
diagnosis
was
performed
in
two
families
.
Two
reported
mutations
c
.
162
C
 
>
 
A
(
p
.
Asn
54
Lys
)
and
c
.
859
G
 
>
 
A
(
p
.
Ala
287
Thr
)
were
identified
in
two
different
cases
of
Canavan
disease
.
Third
case
was
compound
heterozygous
for
two
novel
mutations
(
c
.
728
T
 
>
 
G
,
p
.
Ile
243
Ser
;
c
.
902
T
 
>
 
C
,
p
.
Leu
301
P
ro
)
.
Prenatal
diagnosis
was
performed
in
three
pregnancies
in
two
families
,
two
affected
fetuses
and
one
unaffected
fetus
were
identified
.
Molecular
characterization
of
Canavan
disease
helps
identify
the
cause
at
genetic
level
,
thus
confirming
diagnosis
and
enabling
identification
of
carriers
in
the
family
.
Though
enzyme
assay
and
NAA
measurement
allows
diagnosis
and
prenatal
diagnosis
of
Canavan
diasease
,
molecular
methods
have
the
advantage
of
bringing
accuracy
in
prenatal
testing
with
an
earlier
result
.
This
is
the
first
case
report
of
mutation
studies
in
Canavan
disease
from
Indian
subcontinent
.
Diseases
Validation
Diseases presenting
"prenatal diagnosis"
symptom
22q11.2 deletion syndrome
achondroplasia
adrenomyeloneuropathy
alexander disease
alpha-thalassemia
aromatase deficiency
benign recurrent intrahepatic cholestasis
cadasil
canavan disease
classical phenylketonuria
cohen syndrome
congenital adrenal hyperplasia
congenital diaphragmatic hernia
congenital toxoplasmosis
cystinuria
dentinogenesis imperfecta
epidermolysis bullosa simplex
harlequin ichthyosis
holt-oram syndrome
homocystinuria without methylmalonic aciduria
hydrocephalus with stenosis of the aqueduct of sylvius
junctional epidermolysis bullosa
kindler syndrome
krabbe disease
lamellar ichthyosis
megacystis-microcolon-intestinal hypoperistalsis syndrome
monosomy 21
neonatal adrenoleukodystrophy
oculocutaneous albinism
omenn syndrome
phenylketonuria
primary hyperoxaluria type 1
pyruvate dehydrogenase deficiency
severe combined immunodeficiency
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
zellweger syndrome
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