ABSTRACT
Objective@#To screen for potential variants of GCDH gene in 3 patients clinically diagnosed as glutaric aciduria type Ⅰ.@*Methods@#GCDH gene variants was detected by Sanger sequencing among the three children and their family members.@*Results@#Sanger sequencing showed that patient 1 carried compound heterozygosity variants of c. 532G>A (p.Gly178Arg) and c. 655G>A (p.Ala219Thr) of the GCDH gene, while his father and mother respectively carried heterozygous c. 532G>A(p.Gly178Arg) and c. 655G>A (p.Ala219Thr) variants. Patient 2 carried c. 532G>A (p.Gly178Arg) and a novel c. 1060G>T (p.Gly354Cys) compound heterozygous variant, while his father and mother respectively carried heterozygous c. 532G>A (p.Gly178Arg) and c. 1060G>T (p.Gly354Cys) variant. Patient 3 carried homozygous c. 532G>A (p.Gly178Arg) variant of the GCDH gene, for which both of his parents were heterozygous carriers.@*Conclusion@#The GCDH gene variant probably underlie the glutaric aciduria type Ⅰ among the 3 patients. Identifcation of the novel variant has enriched the spectrum of GCDH gene variants.
ABSTRACT
Objective@#To verify the diagnosis of highly suspected glutaric academia type I for the cases found in neonatal screening and conduct related genetic analysis. Methods: In this research the clinical data of the children with glutaric academia type I were collected, and the diagnostic panels of inherited metabolism diseases with gene capture high-throughput sequencing technology were applied to perform genetic diagnosis in suspected cases. Sanger sequencing technology was also used to verify the genes of the members in this family. In addition, we searched a large number of relevant literatures for genetic analysis. @*Methods@#In this research the clinical data of the children with glutaric academia type I were collected, and the diagnostic panels of inherited metabolism diseases with gene capture high-throughput sequencing technology were applied to perform genetic diagnosis in suspected cases. Sanger sequencing technology was also used to verify the genes of the members in this family. In addition, we searched a large number of relevant literatures for genetic analysis. @*Results@#All the 3 cases were found to have complex heterozygous mutation sites of GCDH gene by gene sequencing technology. The mutation sites were c.109_110delCA and c.416C＞G in the first case, c.892G＞A and c.261_506-433delinsATA in the second case and c.1235C＞A and c.1244-2A＞C in the last case. Among them, c.261_506-433delinsATA and c.109_110delCA should be completely newly identified and never reported in literatures. All the mutation sites were verified to be inherited from their parents. @*Conclusion@#Next-generation sequencing technology can contribute to confirming the diagnosis of glutaric academia type I and provide reliable evidence for appropriate treatment and genetic counseling of this disease.