Human Molecular Genetics, Vol 5, 981-984, Copyright © 1996 by Oxford University Press
L Warnich, MJ Kotze, IM Groenewald, JZ Groenewald, MG van Brakel, CJ van Heerden, JN de Villiers, WJ van de Ven, EF Schoenmakers, S Taketani and AE Retief
Mutation analysis of genomic DNA samples obtained from 17 unrelated South
African patients with variegate porphyria (VP) revealed three novel
missense mutations in the protoporphyrinogen oxidase (PPOX) gene. A common
C to T transition at nucleotide position 452 (R59W) was identified in 15 of
the patients analysed, while base changes at positions 336 (H20P) and 779
(R168C) were identified in the remaining two patients. Using protein
analysis software we were able to predict that all three mutations have a
similar biophysical effect on the protein, being the disturbance of
amphiphatic regions within the protein, which might result in misfolding of
the protein. Mutation R59W, identified in the majority of South African VP
families, was shown to create a Styl restriction site, while mutation R168C
would abolish a Dsal restriction site in genomic DNA of affected
individuals. As 100% of the index patients analysed were molecularly
characterized, the combined use of restriction enzyme and single-strand
conformation polymorphism (SSCP) analysis now allows a rapid and accurate
diagnosis of VP in South Africa. Mutation R59W was furthermore shown to be
in association with one of four potential haplotypes defined by two newly
described polymorphisms in exon 1 of the PPOX gene. Our molecular data thus
strongly support the founder hypothesis for VP in South Africa.
ARTICLES
Identification of three mutations and associated haplotypes in the protoporphyrinogen oxidase gene in South African families with variegate porphyria
Department of Genetics, University of Stellenbosch, South Africa.
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