Efficient detection of factor IX mutations by denaturing high‐performance liquid chromatography in Taiwanese hemophilia B patients, and the identification of two novel mutations
pmid: 24656159
Efficient detection of factor IX mutations by denaturing high‐performance liquid chromatography in Taiwanese hemophilia B patients, and the identification of two novel mutations
AbstractHemophilia B (HB) is an X‐linked recessive disorder characterized by mutations in the clotting factor IX (FIX) gene that result in FIX deficiency. Previous studies have shown a wide variation of FIX gene mutations in HB. Although the quality of life in HB has greatly improved mainly because of prophylactic replacement therapy with FIX concentrates, there exists a significant burden on affected families and the medical care system. Accurate detection of FIX gene mutations is critical for genetic counseling and disease prevention in HB. In this study, we used denaturing high‐performance liquid chromatography (DHPLC), which has proved to be a highly informative and practical means of detecting mutations, for the molecular diagnosis of our patients with HB. Ten Taiwanese families affected by HB were enrolled. We used the DHPLC technique followed by direct sequencing of suspected segments to detect FIX gene mutations. In all, 11 FIX gene mutations (8 point mutations, 2 small deletions/insertions, and 1 large deletion), including two novel mutations (exon6 c.687–695, del 9 mer and c.460–461, ins T) were found. According to the HB pedigrees, 25% and 75% of our patients were defined as familial and sporadic HB cases, respectively. We show that DHPLC is a highly sensitive and cost‐effective method for FIX gene analysis and can be used as a convenient system for disease prevention.
Medicine(all), Male, Medicine (General), Base Sequence, DNA Mutational Analysis, Molecular Sequence Data, Taiwan, Factor IX (FIX), Nucleic Acid Denaturation, Hemophilia B, Factor IX, R5-920, Phenotype, Mutation, Humans, Female, Amino Acid Sequence, Denaturing high-performance liquid chromatography (DHPLC), Chromatography, High Pressure Liquid
Medicine(all), Male, Medicine (General), Base Sequence, DNA Mutational Analysis, Molecular Sequence Data, Taiwan, Factor IX (FIX), Nucleic Acid Denaturation, Hemophilia B, Factor IX, R5-920, Phenotype, Mutation, Humans, Female, Amino Acid Sequence, Denaturing high-performance liquid chromatography (DHPLC), Chromatography, High Pressure Liquid
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