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The mutation spectrum of the phenylalanine hydroxylase (PAH) gene and associated haplotypes reveal ethnic heterogeneity in the Taiwanese population.
[phenylketonuria]
Phenylalanine
hydroxylase
(
PAH
)
deficiency
is
responsible
for
most
cases
of
phenylketonuria
(
PKU
)
.
In
this
study
of
the
PAH
mutation
spectrum
in
the
Taiwanese
population
,
139
alleles
were
identified
including
34
different
mutations
.
The
V
190
G
,
Q
267
R
and
F
3
92
I
mutations
are
first
reported
in
this
study
.
The
most
common
mutations
,
R
241
C
,
R
408
Q
and
Ex
6
-
96
A
>
G
,
account
for
23
.
2
%
,
12
.
0
%
and
9
.
2
%
,
of
the
mutant
alleles
,
respectively
.
Haplotype
analysis
shows
that
R
241
C
and
Ex
6
-
96
A
>
G
are
exclusively
associated
with
haplotype
4
.
3
to
suggest
founder
effects
.
On
the
other
hand
,
R
408
Q
is
found
on
two
distinct
haplotypes
suggesting
recurrent
mutations
.
The
spectrum
of
PAH
mutations
in
Taiwan
shows
various
links
to
those
of
other
Asian
regions
,
yet
remarkable
differences
exist
.
Notably
,
R
408
Q
,
E
286
K
and
-
4173
_
-
407
del
,
accounting
for
21
%
of
all
mutant
alleles
in
Taiwan
,
are
very
rare
or
are
undetected
among
PKU
cohorts
of
other
Asian
regions
to
suggest
local
founder
effects
.
Moreover
,
the
low
homozygosity
value
of
0
.
092
hints
at
a
high
degree
of
ethnic
heterogeneity
within
the
Taiwanese
population
.
Our
study
of
PAH
mutation
spectrum
and
the
associated
haplotypes
is
useful
for
subsequent
study
on
the
origin
and
migration
pattern
via
Taiwan
,
an
island
at
the
historical
crossroad
of
migration
of
ancient
populations
.
Diseases
Validation
Diseases presenting
"high degree"
symptom
alpha-thalassemia
cadasil
carcinoma of the gallbladder
cohen syndrome
congenital diaphragmatic hernia
congenital toxoplasmosis
familial mediterranean fever
gm1 gangliosidosis
harlequin ichthyosis
heparin-induced thrombocytopenia
hodgkin lymphoma, classical
kindler syndrome
oligodontia
phenylketonuria
primary effusion lymphoma
pyomyositis
triple a syndrome
trochlear dysplasia
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