Mutational screening in patients with familial hypophosphatemic rickets

Molecular and Genetic Medicine

ISSN: 1747-0862

Open Access

Mutational screening in patients with familial hypophosphatemic rickets

Joint Event on 5th International Conference on Human Genetics and Genetic Diseases & 11th International Conference on Genomics and Pharmacogenomics

September 21-22, 2018 | Philadelphia, USA

Binata Marik, Arvind Bagga, Aditi Sinha, Pankaj Hari, and Arundhati Sharma

AIIMS, New Delhi, India

Scientific Tracks Abstracts: J Mol Genet Med

Abstract :

Introduction: Hypophosphatemic rickets, characterized by hypophosphatemia and defective bone mineralization, is predominantly inherited as an X-linked dominant condition caused by inactivating PHEX mutations. Autosomal dominant and recessive forms due to mutations in FGF23, DMP1, ENPPI, and SLC34A3 respectively are also documented. Aim: To identify mutations in cases with familial hypophosphatemic rickets (FHR) and their family members. Patients and Methods: The three FHR patients (probands) were born out of non-consanguineous marriages. In the family I, the patient and her mother were affected, in family II, the patient, her brother, and mother were affected while family III had two sisters, their father and paternal uncle affected. Clinical and family history was documented and 5ml blood drawn for DNA extraction. PHEX exons were screened by direct sequencing and result analyzed using in silico tools. Whole Exome Sequencing (WES) was done to find involvement of genes responsible for intra-familial variability seen in the affected members, and validation of mutations was done by Sanger sequencing. Results: The patients had short stature, limb deformities, and low serum phosphate. PHEX screening revealed three mutations in three patients and their affected family members, of which one was novel missense (c.2048T>A) and two reported nonsense and missense (c.871C>T; c.1601C>T) mutations respectively. Two families presented with intra-familial variability in disease phenotype. The paternal uncle of family III had dental anomalies and mother of the family I had short stature. WES was done for the family I, and family III probands, father and paternal uncle. Results revealed a novel PHEX mutation G>C in exon 21 in the family I proband, which was absent in her mother but did not reveal any additional mutations, other than c.1601C>T in family III. Conclusion: This study reports two novel PHEX mutations and also suggests that PHEX may be mainly responsible for FHR in India.

Biography :

Binata Marik is currently doing PhD in Human Genetics at All India Institute of Medical Sciences (AIIMS), New Delhi, India. She has done Masters in Biotechnology from AIIMS, New Delhi, India. She has an expertise in Pediatric Genetics and Cytogenetics. She is working on “Genetics of refractory rickets”. She knows the laboratory techniques used for human and molecular genetics research such as DNA isolation, Polymerase Chain Reaction (PCR), Agarose gel electrophoresis, Polyacrylamide Gel electrophoresis (PAGE), Sanger sequencing and Karyotyping. She has knowledge in bioinformatics and knows how to analyze the massive data of exome sequencing and to predict the pathogenicity of the genetic variations.



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