موتاسیون جدید در ژن SLC19A2 در آنمی مگالوبلابتیک پاسخ دهنده به تیامین

Publish Year: 1391
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:

JR_IRJN-3-1_001

تاریخ نمایه سازی: 9 مهر 1398

Abstract:

Introduction: The Thiamine Transporter gene SLC19A2 is the only gene known to be associated with TRMA.  This syndrome is a trial clinical characterized by megaloblastic anemia, nonautoimmune diabetes mellitus and sensory-neural hearing loss. Methods: Described here are three children from consanguineous Iranian families with thiamine – responsive megaloblastic anemia (TRMA) or Rogers syndrome. Case one and two were siblings of healthy first-cousin parents and case three from a healthy second-cousin couple. These cases presented with hyperglycemia, anemia, and hearing loss. Thiamine reversed the anemia and there was a satisfactory response for the hyperglycemia as well. Results: In all three patients, direct sequencing revealed a homozygous  mutation c.38 G> A (P.E.128K) resulting in the substitution of  glutamic  acid to lysine at position 128 in exon 2  of  the SLC19A2 gene on  chromosome 1q23.3. This novel mutation was confirmed by the PCR RFLP assay of more than 100 control alleles. Conclusion: TRMA or Rogers syndrome should be considered for patients with diabetes (DM) and other symptoms, including hearing loss and anemia. Early diagnosis can assist families in planning future pregnancies. The administration of thiamine ameliorates the megaloblastic anemic condition and produces a better response in DM.

Authors

Nosrat Ghaemi

a Department of Pediatric Endocrinology, Mashhad University of Medical Sciences, Mashhad, Iran.

Martha Ghahraman

b Human Genetics Division, Immunology Research Center, Avicenna Research Institute, Mashhad University of Medical Sciences, Mashhad, Iran

Mohammad Reza Abbaszadegan

b Human Genetics Division, Immunology Research Center, Avicenna Research Institute, Mashhad University of Medical Sciences, Mashhad, Iran

Rahim Vakili

a Department of Pediatric Endocrinology, Mashhad University of Medical Sciences, Mashhad, Iran.