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1.
Turk J Biol ; 43(5): 326-339, 2019.
Article in English | MEDLINE | ID: mdl-31772498

ABSTRACT

Tagetes patula is used to treat cancer patients in alternative healthcare systems. However, its cytotoxic and genotoxic effects have not been reported. Therefore, themethanol extract of T. patula flower, the ethyl acetate fraction, and the pure compound patuletin were evaluatedusing the Allium test.The methanol extract and fraction contained ~3% and ~36% patuletin, respectively, with ~98% purity. The methanol extract caused inhibition of Allium root growth displaying an IC50 value of ~500 µg/mL, while the fraction and patuletin were more potent by ~2 and ~5 times, respectively. The Allium root tips demonstrated a decline in prophase, metaphase, anaphase, and telophase stages with concomitant decrease in percent mitotic index in the methanol extract (~5.64), fraction, and patuletin (~4) as compared to the control (~7.61). However, in only methanol extract-treated root tips, an increase in metaphase stage was noted. In addition, the methanol extract predominantly induced c-type, misaligned, and multipolar chromosomal abnormalities while the fraction and patuletin displayed fragments and sticky chromosomes. The fraction and patuletin also produced micronuclei (~2%). In conclusion, T. patula flower methanol extract and ethyl acetate fraction are cytotoxicand genotoxic, which most likely could be due to the patuletin. Further preclinical and clinical studies are required to justify its clinical use.

2.
Pak J Pharm Sci ; 31(2): 385-392, 2018 Mar.
Article in English | MEDLINE | ID: mdl-29618425

ABSTRACT

The study was aimed at evaluating various biological actions of widely consumed Areca catechu nut. The nut's ethanolic extract exhibited cytotoxicity (lung cancer cell line), embryotoxicity (chick embryo), phytotoxicity (Lemna minor), insecticidal (Rhyzopertha dominica), anti-bacterial (Pseudomonas aeruginosa), anti-fungal (Microsporum canis) and mitogenic (human blood lymphocytes) actions. The standardization results revealed presence of 1.7 µ g arecoline per mg of extract. In conclusion, the Areca nut is endowed with both harmful and beneficial biological actions. Keeping in view its wide consumption and ease of availability, the aforesaid information should be channelized for health and agricultural benefits.


Subject(s)
Antineoplastic Agents, Phytogenic/pharmacology , Areca/chemistry , Insecticides/pharmacology , Plant Extracts/pharmacology , Animals , Anti-Bacterial Agents/chemistry , Anti-Bacterial Agents/pharmacology , Antifungal Agents/chemistry , Antifungal Agents/pharmacology , Antineoplastic Agents, Phytogenic/chemistry , Araceae/drug effects , Arecoline/analysis , Artemia/drug effects , Cell Line, Tumor , Chick Embryo/drug effects , Drug Evaluation, Preclinical/methods , Ethanol/chemistry , Humans , Insecticides/chemistry , Mitotic Index , Nuts/chemistry , Plant Extracts/chemistry , Plant Extracts/standards
3.
Pak J Pharm Sci ; 30(2): 521-529, 2017 Mar.
Article in English | MEDLINE | ID: mdl-28649079

ABSTRACT

Cuscuta reflexa (Convolvulaceae), is commonly known as amarbel or akashbel. In Bangladesh and Nepal some of the tribes use C. reflexa against edema, body ache, cancer, skin infections and liver disorders. Despite its traditional uses there is no information regarding genotoxic effects of either the plant extract or its pure compounds. Methanolic extract of C. reflexa (MECR) and pure compounds derived from it namely, odoroside H, neritaloside, and strospeside, were evaluated in Allium cepa L. and A. sativum L. for their effects on root growth, root apical meristem mitotic index (MI) , and chromosomal aberrations (CAs). In this study, we adopted a new method of calculating percent change in root length. MECR caused a concentration- and time- dependent inhibition in root length at 100 - 10000µg/ml in A. cepa root. It was accompanied by a subsequent decline in MI which is an indicative of its cytotoxic effect. On the contrary, at low concentrations a significant rise in root length was noticeable. In A. sativum, MECR also reduced the root length having IC50 values ~8 x and 4.3 x lower than A. cepa. A variety of CAs were evident in both Allium systems after treatment with MECR, odoroside H and neritaloside. Thus in MECR, cardenolides glycosides, i.e. odoroside H and neritaloside could be accountable for its genotoxicity.


Subject(s)
Cardenolides/pharmacology , Cardiac Glycosides/pharmacology , Chromosome Aberrations/chemically induced , Cuscuta/chemistry , Garlic/drug effects , Meristem/drug effects , Onions/drug effects , Plant Extracts/pharmacology , Cardenolides/analysis , Cardiac Glycosides/analysis , Dose-Response Relationship, Drug , Meristem/genetics , Methanol/chemistry , Mitotic Index , Plant Extracts/chemistry , Plant Roots/growth & development
4.
J Coll Physicians Surg Pak ; 25(5): 383-5, 2015 May.
Article in English | MEDLINE | ID: mdl-26008671

ABSTRACT

Congenital Constriction Ring (CCR) is a rare malformation which manifests itself in the form of ring-like constrictive bands. Due to its heterogeneous nature, its etiology remains unclear. Here, we present a series of seven independent individuals afflicted with CCR, which primarily involved the digits. The phenotypic manifestations included terminal phalangeal reduction, anonychia, digit hypoplasia, and acrosyndactyly. Mesoaxial digits in hands and preaxial digits in feet were most frequently affected. Camptodactyly and clubfoot were witnessed in four and one subject, respectively. Curiously, mothers of six of these subjects revealed that they consumed copious amounts of Multani mitti(Fuller's clay) and/or Naswar(nonsmoke-tobacco), during their respective pregnancies. Maternal substance use during pregnancy is not an unusual practice, however, its relationship with CCR as pregnancy outcome remains unexplored. Case-control studies are warranted to elucidate the relationship between the exposure to these substances and the etiology of CCR and/or other limb defects in the offspring.


Subject(s)
Constriction, Pathologic/congenital , Fingers/abnormalities , Foot Deformities, Congenital/genetics , Hand Deformities, Congenital/genetics , Substance-Related Disorders/complications , Toes/abnormalities , Amniotic Band Syndrome , Child, Preschool , Female , Humans , Male , Pakistan , Phenotype , Pregnancy , Retrospective Studies
5.
Pak J Pharm Sci ; 27(5): 1255-9, 2014 Sep.
Article in English | MEDLINE | ID: mdl-25176363

ABSTRACT

The identification of chromosomes for routine cytogenetic analysis is based on quality of metaphases and good banding pattern. Fresh slides of human lymphocytes have been shown to produce good bands for the identification of chromosomes morphology. G-bands by Trypsin using Giemsa (GTG) banding of aged slides is generally considered hard to get desired band pattern of chromosomes persistently. The current study is focused on GTG banding of aged slides. A total of 340 subjects including 290 primary infertile and 50 fertile were selected. The blood samples were drawn aseptically for cytogenetic analysis. Lymphocytes were cultured and GTG banding was done on 1440 glass slides. Giemsa trypsin banding of aged slides were done by adjusting average trypsin time for each month according to the slide age and metaphase concentration. Correlation analyses showed a significant and positive correlation between slide ageing and trypsin pre-treatment time. The results of this study suggest that, the fresh and aged human lymphocyte metaphases are equally usable for GTG banding.


Subject(s)
Chromosome Banding/methods , Lymphocytes/ultrastructure , Metaphase , Azure Stains , Cellular Senescence , Humans , Trypsin
6.
Am J Med Genet A ; 158A(8): 2031-5, 2012 Aug.
Article in English | MEDLINE | ID: mdl-22786669

ABSTRACT

Limb malformations are one of the most common types of human congenital malformations. Mutations in the ZRS enhancer of Sonic Hedgehog are thought to be responsible for pre-axial polydactyly in multiple independent families. Here, we describe a large Balochi tribal family from Southern Punjab, Pakistan, with a variable set of limb malformations and a novel ZRS mutation. The family has a limb phenotype characterized by triphalangeal thumb, pre-axial polydactyly, and post-axial polydactyly. There is also a high degree of phenotypic heterogeneity with less common clinical findings in the affected family members that include osseous syndactyly of forth-fifth fingers, clinodactyly, hypoplasia of mesoaxial fingers, and bifid halluces. The presentation in most of the affected patients was bilateral and symmetrical. A heterozygous C>A mutation at position 287 of the ZRS enhancer (chr7:156,584,283; hg19) was detected in all affected subjects and is absent from four unaffected family members, 42 unrelated samples, and multiple databases of human variation. Combined, these results identify a novel ZRS287 C>A mutation which leads to a variable spectrum of limb phenotypes.


Subject(s)
Enhancer Elements, Genetic , Hand Deformities, Congenital/genetics , Hedgehog Proteins/genetics , Membrane Proteins/genetics , Mutation , Female , Humans , Male , Pakistan , Pedigree
7.
Anal Sci ; 24(11): 1437-41, 2008.
Article in English | MEDLINE | ID: mdl-18997372

ABSTRACT

The interaction of protonated ferrocene (PF) with chicken blood DNA (CB-DNA) has been investigated in vitro by cyclic voltammetry (CV) and UV-Vis spectroscopy as well as viscosity measurements under stomach pH and body temperature. The peak potentials shift in CV, hyperchromism in UV absorption titration, an increase in the viscosity of DNA and the results of the effect of ionic strength on the binding constant strongly support the intercalation of PF into the DNA double helix. The diffusion coefficients of PF in the presence and absence of DNA were 9.54 x 10(-11) and 1.34 x 10(-10) m2/s, respectively. The binding constant of the PF-DNA complex and the number of binding sites on a DNA molecule were calculated as being 3.07 x 10(2) M(-1) and 2.96, with the help of the Scatchard equation. An expression by Carter et al. was used for determining the binding site size (0.17 bp). The binding constant was also determined by UV absorption titration.


Subject(s)
DNA/metabolism , Ferrous Compounds/chemistry , Intercalating Agents/chemistry , Animals , Binding Sites , Chickens , DNA/blood , Electrochemistry/methods , Metallocenes , Spectrophotometry, Ultraviolet
8.
BMC Med Genet ; 8: 78, 2007 Dec 11.
Article in English | MEDLINE | ID: mdl-18072967

ABSTRACT

BACKGROUND: Type II syndactyly or synpolydactyly (SPD) is clinically very heterogeneous, and genetically three distinct SPD conditions are known and have been designated as SPD1, SPD2 and SPD3, respectively. SPD1 type is associated with expansion mutations in HOXD13, resulting in an addition of > or = 7 alanine residues to the polyalanine repeat. It has been suggested that expansions < or = 6 alanine residues go without medical attention, as no such expansion has ever been reported with the SPD1 phenotype. METHODS: We describe a large Pakistani and an Indian family with SPD. We perform detailed clinical and molecular analyses to identify the genetic basis of this malformation. RESULTS: We have identified four distinct clinical categories for the SPD1 phenotype observed in the affected subjects in both families. Next, we show that a milder foot phenotype, previously described as a separate entity, is in fact a part of the SPD1 phenotypic spectrum. Then, we demonstrate that the phenotype in both families segregates with an identical expansion mutation of 21 bp in HOXD13. Finally, we show that the HOXD13 polyalanine repeat is polymorphic, and the expansion of 2 alanine residues, evident in unaffected subjects of both families, is without clinical consequences. CONCLUSION: It is the first molecular evidence supporting the hypothesis that expansion of < or = 6 alanine residues in the HOXD13 polyalanine repeat is not associated with the SPD1 phenotype.


Subject(s)
Fingers/abnormalities , Homeodomain Proteins/genetics , Mutation/genetics , Syndactyly/genetics , Toes/abnormalities , Transcription Factors/genetics , Trinucleotide Repeat Expansion/genetics , Alanine/genetics , Female , Genotype , Humans , Male , Molecular Sequence Data , Pedigree , Peptides/genetics , Phenotype , Syndactyly/pathology
9.
Arch Dermatol Res ; 297(5): 226-30, 2005 Nov.
Article in English | MEDLINE | ID: mdl-16211417

ABSTRACT

Atrichia with papular lesions (APL) is a rare autosomal recessive form of total alopecia, characterized by hair loss soon after birth and the development of papular lesions of keratin-filled cysts over extensive areas of the body. Mutations in the hairless (hr) gene, a putative single zinc finger transcription factor, have been implicated in the pathogenesis of this disorder. In the present study, we describe two novel deletion mutations in exons 2 and 8 of the human hairless gene leading to frameshift and downstream premature termination codons in two consanguineous Pakistani families affected with atrichia.


Subject(s)
Alopecia/genetics , Consanguinity , Mutation , Skin Diseases, Genetic/genetics , Transcription Factors/genetics , Alopecia/pathology , Female , Humans , Male
10.
J Invest Dermatol ; 124(2): 338-42, 2005 Feb.
Article in English | MEDLINE | ID: mdl-15675952

ABSTRACT

Ectodermal dysplasia (ED) represents a heterogeneous group of genetic disorders characterized by the absence or deformity in two or more of the ectodermal appendages. We have studied an autosomal recessive form of ED in 13 individuals over six generations from an inbred Pakistani family. The clinical features of the affected individuals include highly dystrophic nails and thin hair on scalp, fine eyebrows and eyelashes, and thin body hair. Genome-wide linkage analysis of 390 microsatellite markers mapped the ED gene to the 3.92 cM interval flanked by markers D10S1710 and D10S1741 on chromosome 10q24.32-q25.1. Multipoint linkage analysis generated a maximum logarithm of odds ratio score of 4.79 in the interval D10S1239-D10S1264, which corresponds to 6.35 Mb.


Subject(s)
Chromosomes, Human, Pair 10 , Ectodermal Dysplasia/genetics , Ectodermal Dysplasia/pathology , Female , Genes, Recessive , Genotype , Humans , Lod Score , Male , Microsatellite Repeats , Pakistan , Pedigree
11.
Am J Med Genet A ; 133A(1): 18-22, 2005 Feb 15.
Article in English | MEDLINE | ID: mdl-15641023

ABSTRACT

A consanguineous family with autosomal recessive nonsyndromic hearing impairment (NSHI) was ascertained in Pakistan and displayed significant evidence of linkage to 3q13.31-q22.3. The novel locus (DFNB42) segregating in this kindred, maps to a 21.6 cM region according to a genetic map constructed using data from both the deCode and Marshfield genetic maps. This region of homozygosity is flanked by markers D3S1278 and D3S2453. A maximum multipoint LOD score of 3.72 was obtained at marker D3S4523. DFNB42 represents the third autosomal recessive NSHI locus to map to chromosome 3.


Subject(s)
Chromosomes, Human, Pair 3/genetics , Genes, Recessive/genetics , Hearing Loss/genetics , Audiometry , Chromosome Mapping , Female , Genetic Linkage , Genetic Predisposition to Disease/genetics , Genotype , Hearing Loss/pathology , Humans , Lod Score , Male , Microsatellite Repeats , Pedigree
12.
Am J Med Genet A ; 133A(1): 23-6, 2005 Feb 15.
Article in English | MEDLINE | ID: mdl-15637723

ABSTRACT

Hereditary nonsyndromic deafness (NSD) is extremely heterogeneous. Autosomal recessive (AR) forms account for approximately 75% of genetic cases. To date, over 40 ARNSD loci have been mapped. A novel locus (DFNB46) for ARNSD was mapped to chromosome 18p11.32-p11.31 in a five-generation Pakistani family. A 10 cM genome-wide scan and fine mapping was carried out using microsatellite markers. A maximum multipoint LOD score of 3.8 was obtained at two markers, D18S481 and D18S1370. The three-unit support interval is flanked by markers D18S59 and D18S391, corresponds to a 17.6 cM region according to the deCode genetic map and spans 5.8 Mb on the sequence-based physical map.


Subject(s)
Chromosomes, Human, Pair 18/genetics , Deafness/genetics , Genes, Recessive/genetics , Chromosome Mapping , Deafness/pathology , Female , Genetic Linkage , Genetic Predisposition to Disease/genetics , Genotype , Humans , Lod Score , Male , Microsatellite Repeats , Pedigree
13.
Hum Hered ; 57(4): 195-9, 2004.
Article in English | MEDLINE | ID: mdl-15583425

ABSTRACT

The genetic etiology for many forms of hearing impairment (HI) is very diverse. Non-syndromic HI (NSHI) is one of the most heterogeneous traits known. Autosomal recessive forms of prelingual HI account for approximately 75% of hereditary cases. A novel autosomal recessive NSHI locus, DFNB44, was mapped to a 20.9 cM genetic interval on chromosome 7p14.1-q11.22, according to the Marshfield genetic map, in a consanguineous Pakistani family. Multipoint linkage analysis resulted in a maximum LOD score of 5.0 at marker D7S1818. The 3-unit support interval ranged from marker D7S2209 to marker D7S2435, spanning a 30.1 Mb region on the sequence-based physical map.


Subject(s)
Chromosomes, Human, Pair 7 , Genes, Recessive , Hearing Loss/genetics , Female , Genetic Linkage , Humans , Lod Score , Male , Pedigree
15.
Am J Med Genet A ; 126A(1): 61-7, 2004 Apr 01.
Article in English | MEDLINE | ID: mdl-15039974

ABSTRACT

Non-syndromic syndactylies have been classified into five major types (I-V), all showing autosomal dominant mode of inheritance. Later, the classification was extended and three additional variants (VI-VIII) were defined. Type VII, the Cenani-Lenz syndactyly, is the only non-syndromic, autosomal recessive type. It is characterized by fusion of all phalanges with metacarpal synostosis, dislocated and dysplastic carpals and infrequently, radio-ulnar fusion. Here, we present a Pakistani family with a novel non-syndromic autosomal recessive syndactyly manifesting a unique combination of clinical features. In both hands, reduction of certain phalanges is evident. Radiological examination shows synostosis of third and fourth metacarpals bearing single phalanges. The first three toes are webbed, with hypoplastic terminal phalanx in all the toes. Besides Cenani-Lenz syndactyly, the phenotype segregating in our family is the second well-documented autosomal recessive, non-syndromic syndactyly. A phenotype similar to our family was described in a Turkish kindred but was considered to be a homozygous expression of type I syndactyly. Since the clinical features in our family had minimal overlap with syndactyly types I, II, and III, we have performed microsatellite marker screening to look for the cosegregation of this phenotype with any of the known loci for these respective types. We show that the phenotype in our family is not linked to chromosomal regions 2q34-q36, 2q31, and 6q22-q23 encompassing loci for syndactyly types I, II, and III.


Subject(s)
Foot Deformities, Congenital/genetics , Genes, Recessive/genetics , Hand Deformities, Congenital/genetics , Syndactyly/genetics , Adult , Biomarkers/analysis , Chromosomes, Human, Pair 2/genetics , Chromosomes, Human, Pair 6/genetics , Consanguinity , Female , Foot Deformities, Congenital/diagnostic imaging , Foot Deformities, Congenital/pathology , Genetic Linkage , Hand Deformities, Congenital/diagnostic imaging , Hand Deformities, Congenital/pathology , Humans , Male , Pakistan , Pedigree , Phenotype , Radiography
16.
Eur J Hum Genet ; 11(10): 812-5, 2003 Oct.
Article in English | MEDLINE | ID: mdl-14512973

ABSTRACT

This article describes the identification of a novel locus (DFNB39) responsible for an autosomal recessive form of hearing loss segregating in a Pakistani consanguineous family. The hearing impaired members of this family present with profound prelingual sensorineural hearing impairment and use sign language for communications. Linkage was established to microsatellite markers located on chromosome 7q with a maximum multipoint lod score of 3.8. The region of homozygosity spans a 19 cM region that is bounded by markers D7S3046 and D7S644.


Subject(s)
Chromosomes, Human, Pair 7 , Genes, Recessive , Hearing Loss, Sensorineural/genetics , Chromosome Mapping , Female , Genetic Linkage , Genetic Markers , Haplotypes , Homozygote , Humans , Lod Score , Male , Pakistan , Pedigree
17.
Hum Hered ; 55(1): 71-4, 2003.
Article in English | MEDLINE | ID: mdl-12890929

ABSTRACT

For autosomal recessive nonsyndromic hearing impairment over 30 loci have been mapped and 19 genes have been identified. DFNB38, a novel locus for autosomal recessive nonsyndromic hearing impairment, was localized in a consanguineous Pakistani kindred to 6q26-q27. The affected family members present with profound prelingual sensorineural hearing impairment and use sign language for communications. Linkage was established to microsatellite markers located on chromosome 6q26-q27 (Multipoint lod score 3.6). The genetic region for DFNB38 spans 10.1 cM according to the Marshfield genetic map and is bounded by markers D6S980 and D6S1719. This genetic region corresponds to 3.4 MB on the sequence-based physical map.


Subject(s)
Chromosomes, Human, Pair 6 , Consanguinity , Deafness/genetics , Genetic Linkage , Chromosome Mapping , Female , Genes, Recessive , Genetic Markers , Homozygote , Humans , Lod Score , Male , Pakistan , Pedigree , Recombination, Genetic
18.
Eur J Hum Genet ; 11(8): 623-8, 2003 Aug.
Article in English | MEDLINE | ID: mdl-12891384

ABSTRACT

Hereditary hypotrichosis is a rare autosomal recessive condition characterized clinically by alopecia. Three consanguineous kindreds with multiple affected individuals were ascertained from different regions of Pakistan. A novel hypotrichosis locus was mapped to a 5.5 cM region on chromosome 18q21.1. A maximum two-point LOD score of 5.25 was obtained at marker D18S36 (theta=0.0). Three genes each for desmoglein and desmocollin proteins are located in this region. The expression in epidermal desmosomes and their connection to the keratin intermediate filaments make these genes excellent candidates for recessive hypotrichosis.


Subject(s)
Chromosome Mapping , Chromosomes, Human, Pair 18 , Hypotrichosis/genetics , Consanguinity , Female , Genes, Recessive , Genetic Linkage , Genetic Markers , Humans , Lod Score , Male , Pedigree
19.
Eur J Hum Genet ; 11(1): 77-80, 2003 Jan.
Article in English | MEDLINE | ID: mdl-12529709

ABSTRACT

Autosomal recessive nonsyndromic deafness is one of the most frequent forms of inherited hearing impairment. Over 30 autosomal recessive nonsyndromic hearing loss loci have been mapped, and 15 genes have been isolated. Of the over 30 reported autosomal recessive nonsyndromic hearing loss (NSHL) loci, the typical phenotype is prelingual non-progressive severe to profound hearing loss with the exception of DFNB8, which displays postlingual onset and DFNB13, which is progressive. In this report we describe a large inbred kindred from a remote area of Pakistan, comprising six generations and segregating autosomal recessive nonsyndromic prelingual deafness. DNA samples from 24 individuals were used for genome wide screen and fine mapping. Linkage analysis indicates that in this family the NSHL locus, (DFNB35) maps to a 17.54 cM region on chromosome 14 flanked by markers D14S57 and D14S59. Examination of haplotypes reveals a region that is homozygous for 11.75 cM spanning between markers D14S588 and D14S59. A maximum two-point LOD score of 5.3 and multipoint LOD score of 7.6 was obtained at marker D14S53. The interval for DFNB35 does not overlap with the regions for DFNA9, DFNA23 or DFNB5.


Subject(s)
Chromosomes, Human, Pair 14 , Consanguinity , Deafness/genetics , Genetic Linkage , Chromosome Mapping , Female , Genes, Recessive , Genetic Markers , Homozygote , Humans , Lod Score , Male , Pakistan , Pedigree , Recombination, Genetic
20.
Am J Med Genet ; 111(1): 31-7, 2002 Jul 22.
Article in English | MEDLINE | ID: mdl-12124730

ABSTRACT

Grebe-type chondrodysplasia exhibits a severe form of limb shortening and appendicular bone dysmorphogenesis. Here we report a family with seven males and six females who inherited the disorder in an autosomal recessive fashion. While the carrier parents did not exhibit any apparent skeletal abnormalities, all affected patients had a similar phenotype with unaffected axial and craniofacial bones. Since mutations in the cartilage-derived morphogenetic protein 1 (CDMP1) gene have been reported in similar acromesomelic chondrodysplasias, we examined genomic DNA from affected and normal subjects for possible mutations in CDMP1. In affected subjects, an insertion of a C at nucleotide 297 of the coding sequence was discovered. This insertion produced a shift in the reading frame at amino acid residue 99, causing premature termination of the polypeptide six amino acids downstream. DNA samples from 41 control subjects did not show this mutation. The truncated CDMP1 protein in these subjects is predicted to cause a total loss of its signaling function. The present report confirms that CDMP1 plays an important role in the regulation of axial bone growth during development and suggests that its absence does not impair other developmental processes.


Subject(s)
Abnormalities, Multiple/genetics , Bone Morphogenetic Proteins/genetics , Dwarfism/genetics , Limb Deformities, Congenital/genetics , Amino Acid Sequence , Bone Morphogenetic Proteins/physiology , Codon, Nonsense , Consanguinity , Female , Foot Deformities, Congenital/genetics , Genes, Recessive , Growth Differentiation Factor 5 , Hand Deformities, Congenital/genetics , Humans , Male , Molecular Sequence Data , Mutagenesis, Insertional , Pakistan , Pedigree , Phenotype
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