A summary of molecular genetic findings in fructose-1, 6-bisphosphatase deficiency with a focus on a common long-range deletion and the role of MLPA analysis. Issue 1 (December 2016)

• Record Type: Journal Article
• Authors: Santer, René; du Moulin, Marcel; Shahinyan, Tatevik; Vater, Inga; Maier, Esther; Muntau, Ania; Steinmann, Beat
• Is Part Of: Orphanet journal of rare diseases. Volume 11:Issue 1(2016)
• Page Start: 1
• Page End: 7
• Publication Date: 2016-12
• Subjects: Fructose bisphosphatase -- FBP1 gene -- MLPA -- Turkey -- Armenia; Rare diseases -- Periodicals; Genetic disorders -- Periodicals; Orphan drugs -- Periodicals; 616
• DOI: 10.1186/s13023-016-0415-1
• Languages: English
• ISSNs: 1750-1172

Abstract

Abstract Background Fructose-1, 6-bisphosphatase deficiency is a rare inborn error of metabolism affecting gluconeogenesis with only sporadic reports on its molecular genetic basis. Results We report our experience with mutation analysis in 14 patients (13 families) with fructose-1, 6-bisphosphatase deficiency using conventional Sanger sequencing and multiplex ligation-dependent probe amplification analysis, and we provide a mutation update for the fructose bisphosphatase-1 gene (FBP1 ). Mutations were found on both chromosomes in all of our 14 patients including 5 novel mutations. Among the novel mutations is a 5412-bp deletion (c.-24-26_170 + 5192del) including the entire coding sequence of exon 2 ofFBP1 that was repeatedly found in patients from Turkey and Armenia which may explain earlier poorly defined findings in patients from this area. This deletion can be detected with specific primers by generation of a junction fragment and by MLPA and SNP array assays. MLPA analysis was able to detect copy number variations in two further patients, one heterozygous for a deletion within exon 8, another heterozygous for a novel deletion of the entireFBP1 gene. Conclusions Based on our update for theFBP1 gene, currently listing 35 mutations worldwide, and knowledge of PCR conditions that allow simple detection of a commonFBP1 deletion in the Armenian and Turkish population, molecular genetic diagnosis has become easier in FBP1 deficiency. Furthermore, MLPA analysis may plays a useful role in patients with this disorder.