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© 1994 Oxford University Press

RESEARCH-ARTICLE

Mutation spectrum in the CHM gene of Danish and Swedish choroideremia patients

Hans van Bokhoven*, Marianne Schwartz1, Sten Andréasson2, José A. J. M. van den Hurk, Liesbeth Bogerd, Marcelle Jay3, Klaus Rüther4, B. Jay3, Ivar H. Pawlowitzki5, Eeva-Marja Sankila6, Alan Wright7, Hans-Hilger Ropers, Thomas Rosenberg8 and Frans P. M. Cremers

Department of Human Genetics, University Hospital Nijmegen PO Box 9101, 6500 HB Nijmegen, The Netherlands 1Section of Clinical Genetics, Department of Paediatrics, Rigshospitalet Copenhagen, Denmark 2Department of Ophthalmology, University Hospital Lund, Sweden 3Institute of Ophthalmology, Moorfields Eye Hospital London, UK 4Universitäts-Augenklinik, Eberhard-Karls-Universität Tubingen 5Institute for Human Genetics, Westfalian Wilhelms University Münster, Germany 6Department of Medical Genetics, University of Helsinki Helsinki, Finland 7Medical Research Council Human Genetics Unit, Western General Hospital Edinburgh, UK 8National Eye Clinic for the Visually Impaired Hellerup, Copenhagen, Denmark

*To whom correspondence should be addressed

Received March 14, 1994; Revised May 6, 1994; Accepted May 6, 1994

The recent isolation of the complete open reading frame of the choroideremia (CHM) gene and the characterization of the exon–intron boundaries has paved the way to mutation detection in patients with classical choroideremia. We have performed mutation screening in patients from 15 Danish and Swedish families by using Southern blot hybridization and the polymerase chain reaction single-strand conformation polymorphism (PCR–SSCP) technique. Causative mutations in the CHM gene were detected in at least 12 families, indicating that a substantial part of the mutations can be identified by this approach. In four of these families deletions of different sizes were found. Thus, in one patient, the deletion resulted in the absence of only one exon, while in another the deletion comprised the entire CHM gene. Mapping of the deletion endpoints in these four patients and in another 11 male patients with sizeable deletions enabled us to construct a very detailed map of intervals 2 and 3 of Xq21. In the remaining 11 Danish and Swedish families at least 8 causative mutations were found by PCR–SSCP analysis and direct sequencing. Interestingly, all CHM gene mutations detected thus far in choroideremia patients give rise to the introduction of a premature stop codon.


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