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A Hirono, H Fujii, M Shima and S Miwa
Okinaka Memorial Institute for Medical Research, Tokyo, Japan.
In the course of molecular studies on Japanese glucose-6-phosphate
dehydrogenase (G6PD) variants using single-strand conformation
polymorphisms (SSCP) analysis, we found an unusual class 1 G6PD variant
that had nucleotide deletion in exon 9. The patient showed chronic
nonspherocytic hemolytic anemia associated with frequent episodes of severe
hemolytic attack. The hemolysate exhibited no measurable activity. Although
the partially purified enzyme had detectable activity, we could not perform
kinetic studies because of its extreme instability. Nucleotide sequencing
showed a unique 24 bp deletion at nucleotide 953-976 that predicts an eight
amino acid deletion of TKGYLDDP at residue 319-326. While this is one of
the most drastic structural alterations found in G6PD variants, the region
with the amino acid deletion was distant from both the G6P and NADP+
binding sites and was located in a domain with low sequence homology among
species. The comparatively low functional importance of the deleted region
may have saved the patient from lethal tissue dysfunction.
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| Copyright © 1993 by American Society of Hematology Online ISSN: 1528-0020 | |||||||||