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Mutation analysis of paired box 6 gene in inherited aniridia in northern China.
[aniridia]
Aniridia
is
phenotypically
and
genetically
heterogeneous
.
This
study
is
to
summarize
the
phenotypes
and
identify
the
underlying
genetic
cause
of
the
paired
box
6
(
PAX
6
)
gene
responsible
for
aniridia
in
two
three
-generation
Chinese
families
in
northern
China
.
A
detailed
family
history
and
clinical
data
were
collected
from
patients
during
an
ophthalmologic
examination
.
All
exons
and
flanking
intronic
sequences
of
the
PAX
6
gene
were
amplified
with
PCR
and
screened
for
mutation
with
direct
DNA
sequencing
.
Haplotyping
was
used
to
confirm
the
mutation
sequence
.
Real-time
PCR
was
used
to
determine
the
PAX
6
messenger
ribonucleic
acid
(
mRNA
)
level
in
patients
with
aniridia
and
in
unaffected
family
members
.
The
probands
and
other
patients
in
the
two
families
were
affected
with
aniridia
accompanied
with
or
without
congenital
cataract
.
A
heterozygous
PAX
6
mutation
in
exon
5
(
c
.
112
delC
,
p
.
Arg
38
GlyfsX
16
)
was
identified
in
FAMILY-
1
,
which
was
predicted
to
generate
a
frameshift
and
created
a
premature
termination
codon
.
A
heterozygous
PAX
6
mutation
in
exon
7
(
c
.
362
C
>
T
,
p
.
Ser
121
L
eu
)
was
identified
in
FAMILY-
2
.
Each
mutation
cosegregated
with
the
affected
individuals
in
the
family
and
did
not
exist
in
unaffected
family
members
and
200
unrelated
normal
controls
.
The
PAX
6
messenger
ribonucleic
acid
level
was
about
50
%
lower
in
patients
with
aniridia
than
in
unaffected
family
members
in
FAMILY-
1
.
The
deletion
mutation
(
c
.
112
delC
)
in
the
PAX
6
gene
was
first
identified
in
a
Chinese
family
with
aniridia
,
congenital
progressive
cataract
,
developmental
delay
,
or
the
absence
of
ulna
.
The
mutation
(
c
.
362
C
>
T
,
p
.
Ser
121
L
eu
)
in
the
PAX
6
gene
was
first
identified
in
a
patient
with
aniridia
with
congenital
ptosis
.
We
summarized
the
variable
phenotypes
among
the
patients
,
which
expanded
the
phenotypic
spectrum
of
aniridia
in
a
different
ethnic
background
.
Diseases
Validation
Diseases presenting
"premature termination codon"
symptom
aniridia
dystrophic epidermolysis bullosa
junctional epidermolysis bullosa
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