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Spectrum of PEX6 mutations in Zellweger syndrome spectrum patients.
[zellweger syndrome]
The
autosomal
recessive
Zellweger
syndrome
spectrum
(
ZSS
)
disorders
comprise
a
main
subgroup
of
the
peroxisome
biogenesis
disorders
.
The
ZSS
disorders
can
be
caused
by
mutations
in
any
of
12
different
currently
identified
PEX
genes
resulting
in
severe
,
often
lethal
,
multi-systemic
disorders
.
Defects
in
the
PEX
6
gene
are
the
second
most
common
cause
for
ZSS
disorders
.
The
encoded
protein
PEX
6
belongs
to
the
AAA
ATPase
family
and
contains
two
AAA
cassettes
and
an
AAA
protein
family
signature
.
The
PEX
6
gene
consists
of
17
exons
and
previously
mutations
in
the
PEX
6
gene
were
found
to
be
scattered
over
all
exons
.
We
developed
a
post-
PCR
high
-resolution
melting
(
HRM
)
curve
assay
to
scan
the
PEX
6
gene
for
potential
sequence
variations
followed
by
selective
sequencing
to
identify
these
.
We
analyzed
the
PEX
6
genes
of
75
patients
assigned
to
the
PEX
6
complementation
group
.
We
identified
a
total
of
77
different
mutations
of
which
47
mutations
have
not
been
reported
previously
,
and
14
polymorphic
variants
.
Diseases
Validation
Diseases presenting
"previously mutations"
symptom
zellweger syndrome
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