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Title: Partial duplication and point mutations of the ornithine carbamoyl transferase (OCT) gene in congenital hyperammonaemia

Journal Article · · American Journal of Human Genetics
OSTI ID:134210

ACT deficiency is an enzymopathy of the urea cycle inherited as a partially dominant X-linked trait. Affected males often die during the neonatal period with untractable hyperammonaemic coma but may sometimes present with a late onset disease. Heterozygous females are sometimes symptomatic. Twenty-two unrelated patients (18 males and 4 females) were studied by single strand conformational polymorphism (SSCP) analysis followed by direct sequencing of the OCT exons. Nine of them were found to carry point mutations already reported by others (G50Z, E87K, L88N, R827, R141Z, P225L) or by our group (R277W, 2 patients). A duplication (4 bp) in exon 5 (nt177-XTCACTCAC Xnt178) was found in a male patient with a severe neonatal OCT deficiency. This change led to a frameshift mutation with no in-frame stop codon. To our knowledge, this is the first duplication reported in OCT deficiency. Eight novel missense mutations were found in 12 additional patients: R40H (exon 2, 3 patients), C109S (exon 4, 1 patient), T125M (exon 5, 1 patient), R129Q (exon 5, 3 patients), G188R (exon 6, 1 patient), A209V (exon 6, 1 patient), H302L (exon 9, 2 patients). Four of these mutations occurred in CpG doublets and all of them involved conserved regions of the gene. No such alterations were found in 70 control genes. Phenotype-genotype correlations will be discussed.

OSTI ID:
134210
Report Number(s):
CONF-941009-; ISSN 0002-9297; TRN: 95:005313-0946
Journal Information:
American Journal of Human Genetics, Vol. 55, Issue Suppl.3; Conference: 44. annual meeting of the American Society of Human Genetics, Montreal (Canada), 18-22 Oct 1994; Other Information: PBD: Sep 1994
Country of Publication:
United States
Language:
English