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Mutational analyses on X-linked adrenoleukodystrophy reveal a novel cryptic splicing and three missense mutations in the ABCD1 gene.
[x-linked adrenoleukodystrophy]
X-
linked
adrenoleukodystrophy
is
caused
by
a
defective
peroxisomal
membrane
transporter
,
ABCD
1
,
responsible
for
transporting
very
-
long
-chain
fatty
acid
substrate
into
peroxisomes
for
degradation
.
The
main
biochemical
defect
,
which
is
also
one
of
the
major
diagnostic
hallmarks
,
of
X-
linked
adrenoleukodystrophy
is
the
accumulation
of
saturated
very
-
long
-chain
fatty
acids
in
all
tissues
and
body
fluids
.
Direct
and
reverse-transcribed
polymerase
chain
reactions
followed
by
DNA
sequencing-based
mutational
analyses
were
performed
on
one
Taiwanese
and
three
Malaysian
X-
linked
adrenoleukodystrophy
families
.
A
novel
splicing
donor
site
mutation
(
c
.
1272
+
1
g
>
a
)
was
identified
in
a
Taiwanese
X-
linked
adrenoleukodystrophy
patient
,
resulting
in
a
deletion
of
121
Â
bp
and
a
premature
stop
codon
(
p
.
Val
425
fs
*
92
)
in
messenger-
RNA
transcript
.
This
deletion
is
caused
by
the
activation
of
a
cryptic
splicing
donor
site
in
exon
4
of
the
ABCD
1
gene
,
which
is
consistent
with
the
prediction
by
several
online
algorithms
.
In
addition
,
three
previously
described
missense
mutations
(
c
.
965
T
>
C
,
c
.
1978
C
>
T
,
and
c
.
2006
A
>
G
)
,
leading
to
aberrant
ABCD
1
of
p
.
Leu
322
Pro
,
p
.
Arg
660
Trp
,
and
p
.
His
669
Arg
,
were
also
identified
in
Malaysian
probands
.
This
is
the
first
report
to
unveil
unequivocally
that
cryptic
splicing-induced
aberrant
messenger-
RNA
carrying
an
internal
frameshift
deletion
results
from
an
intronic
mutation
in
the
ABCD
1
gene
.
Furthermore
,
a
polymorphism
in
intron
9
(
c
.
1992
-
32
c
/
t
;
refSNP
:
rs
4898368
)
of
the
ABCD
1
gene
was
commonly
observed
in
both
Taiwanese
and
Malaysian
populations
.
Diseases
Validation
Diseases presenting
"previously described missense mutations"
symptom
x-linked adrenoleukodystrophy
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