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Identification of a novel AluSx-mediated deletion of exon 3 in the SBDS gene in a patient with Shwachman-Diamond syndrome

dc.contributor.authorCosta, Elísio
dc.contributor.authorDuque, Frederico
dc.contributor.authorOliveira, Jorge Manuel Santos Marques
dc.contributor.authorGarcia, Paula
dc.contributor.authorGonçalves, Isabel
dc.contributor.authorDiogo, Luisa
dc.contributor.authorSantos, Rosário
dc.date.accessioned2008-02-18T16:07:54Z
dc.date.available2008-02-18T16:07:54Z
dc.date.issued2007
dc.description.abstractShwachman–Diamond syndrome (SDS) is caused by mutations in the SBDS gene, most of which are the result of gene conversion events involving its highly homologous pseudogene SBDSP. Here we describe the molecular characterization of the first documented gross deletion in the SBDS gene, in a 4-year-old Portuguese girl with SDS. The clinical diagnosis was based on the presence of hematological symptoms (severe anemia and cyclic neutropenia), pancreatic exocrine insufficiency and skeletal abnormalities. Routine molecular screening revealed heterozygosity for the common splicing mutation c.258+2T>C, and a further step-wise approach led to the detection of a large deletion encompassing exon 3, the endpoints of which were subsequently delineated at the gDNA level. This novel mutation (c.258+374_459+250del), predictably giving rise to an internally deleted polypeptide (p.Ile87_Gln153del), appears to have arisen from an excision event mediated by AluSx elements which are present in introns 2 and 3. Our case illustrates the importance of including gross deletion screening in the SDS diagnostic setting, especially in cases where only one deleterious mutation is detected by routine screening methods. In particular, deletional rearrangements involving exon 3 should be considered, since Alu sequences are known to be an important cause of recurrent mutations.en
dc.identifier.citationCosta, Elísio; Duque, Frederico; Oliveira, Jorge; Garcia, Paula; Gonçalves, Isabel; Diogo, Luisa; Santos, Rosário (2007). Identification of a novel AluSx-mediated deletion of exon 3 in the SBDS gene in a patient with Shwachman-Diamond syndrome. Blood Cells, Molecules, and Diseases. ISSN 1079-9796. 39:1, p. 96–101en
dc.identifier.issn1079-9796
dc.identifier.urihttp://hdl.handle.net/10198/490
dc.language.isoengen
dc.publisherElsevieren
dc.subjectShwachman-Diamond syndromeen
dc.subjectSBDS geneen
dc.subjectSDSen
dc.subjectAnemiaen
dc.subjectNeutropeniaen
dc.subjectPancreatic insufficiencyen
dc.subjectGross deletionen
dc.titleIdentification of a novel AluSx-mediated deletion of exon 3 in the SBDS gene in a patient with Shwachman-Diamond syndromeen
dc.typejournal article
dspace.entity.typePublication
rcaap.rightsopenAccess
rcaap.typearticleen

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