单位:[1]Liver Research Center, Experimental Center, Beijing Friendship Hospital, Capital Medical University, Beijing 100050临床科室国家中心肝病分中心医技科室北京市临床医学研究所实验中心首都医科大学附属北京友谊医院[2]Department of Hepatopancreatobiliary and Splenic Medicine, The Affiliated Hospital of Medical College of Chinese People'sArmed Police Force, Tianjin 300192[3]Artificial Liver Center, Beijing Youan Hospital, Capital Medical University,Beijing 100069[4]Department of Traditional and Western Medical Hepatology, Third Hospital ofHebei Medical University, Shijiazhuang, Hebei 050051, P.R. China
Dubin-Johnson syndrome (DJS) is a rare, autosomal recessive disorder characterized by predominantly conjugated hyperbilirubinemia, caused by a mutation in the adenosine triphosphate-binding cassette subfamily C member 2 (ABCC2) gene coding the multidrug resistance-associated protein 2 (MRP2) protein. ABCC2 mutations have been identified in patients with DJS worldwide; however, the mutation pattern of ABCC2 in China is not well studied. In the present study, the mutation pattern of the ABCC2 gene in Chinese patients with DJS was investigated. A total of 7 clinically confirmed patients with DJS were enrolled, and mutation analysis of the ABCC2 gene was performed by Sanger sequencing of genomic DNA extracted from whole blood. All 32 exons and the adjacent splice junction areas were sequenced. All cases were identified to harbor at least one non-synonymous variant in the ABCC2 gene, including three known mutations in 3 cases and three novel variants (p.G693R, p.G808V and p.E647X) in the other 4 cases, with the known p.R393W and the novel p.G693R and p.E647X variants identified in 2 of the 7 cases (28.6%), respectively. All the identified mutations were heterozygous, and 1 case presented with a compound heterozygous mutation, namely p.G693R/p.G808V, while the other cases carried only one single mutation. The loss of membrane expression of MRP2 caused by the novel nonsense variant, p.E647X, was confirmed by immunohistochemical analysis of liver biopsy. The present study provided the first report on the mutation patterns of the ABCC2 gene in Chinese patients with DJS, and the clinical association of these mutations with the syndrome.
基金:
National Key Technologies R&D Program of ChinaNational Key Technology R&D Program [2015BAI13B09]
第一作者单位:[1]Liver Research Center, Experimental Center, Beijing Friendship Hospital, Capital Medical University, Beijing 100050
通讯作者:
通讯机构:[1]Liver Research Center, Experimental Center, Beijing Friendship Hospital, Capital Medical University, Beijing 100050[*1]Liver Research Center, Experimental Center, Beijing Friendship Hospital, Capital Medical University, 95 Yong-An Road, Beijing 100050, P.R. China
推荐引用方式(GB/T 7714):
Wu Lina,Zhang Wei,Jia Siyu,et al.Mutation analysis of the ABCC2 gene in Chinese patients with Dubin-Johnson syndrome[J].EXPERIMENTAL and THERAPEUTIC MEDICINE.2018,16(5):4201-4206.doi:10.3892/etm.2018.6682.
APA:
Wu, Lina,Zhang, Wei,Jia, Siyu,Zhao, Xinyan,Zhou, Donghu...&Ou, Xiaojuan.(2018).Mutation analysis of the ABCC2 gene in Chinese patients with Dubin-Johnson syndrome.EXPERIMENTAL and THERAPEUTIC MEDICINE,16,(5)
MLA:
Wu, Lina,et al."Mutation analysis of the ABCC2 gene in Chinese patients with Dubin-Johnson syndrome".EXPERIMENTAL and THERAPEUTIC MEDICINE 16..5(2018):4201-4206