1. Identification of mutations in Malaysian patients with argininosuccinate lyase (ASL) deficiency
- Author
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Ernie Zuraida Ali, Lock Hock Ngu, and Yusnita Yakob
- Subjects
ASLD ,Autosomal recessive ,Neonatal onset ,Biology ,Argininosucinate lyase deficiency ,medicine.disease_cause ,03 medical and health sciences ,0302 clinical medicine ,Endocrinology ,Genetics ,medicine ,otorhinolaryngologic diseases ,Hyperammonemia ,Missense mutation ,Molecular Biology ,Gene ,lcsh:QH301-705.5 ,0303 health sciences ,Mutation ,lcsh:R5-920 ,Genetic heterogeneity ,030305 genetics & heredity ,medicine.disease ,Molecular biology ,Argininosuccinate lyase ,lcsh:Biology (General) ,Urea cycle ,lcsh:Medicine (General) ,030217 neurology & neurosurgery ,Research Paper - Abstract
Argininosuccinate lyase (ASL) deficiency impairs the function of the urea cycle that detoxifies blood ammonia in the body. Mutation that occurs in the ASL gene is the cause of occurrence of ASL deficiency (ASLD). This deficiency causes hyperammonemia, hepatopathy and neurodevelopmental delay in patients. In this study, the clinical characteristics and molecular analysis of 10 ASLD patients were presented. 8 patients were associated with severe neonatal onset, while the other 2 were associated with late onset. Molecular analysis of ASL gene identified four new missense variants, which were c.778C>T, p.(Leu260Arg), c.1340G>C, p.(Ser447Thr), c.436C>G, p.(Arg146Gly) and c.595C>G, p.(Leu199Val) and four reported missense variants, which were c.638G>A, p.(Arg213Gln); c.556C>T, p.(Arg186Trp), c.578G>A, p.(Arg193Gln) and c.436C>G, p.(Arg146Trp). In silico servers predicted all new and reported variants as disease-causing. Structural examination exhibited that all pathogenic variants affected the stability of the tetrameric ASL structure by disturbing the bonding pattern with the neighboring residues. Conclusion: This study revealed the genetic heterogeneity among Malaysian ASL patients. This study has also expanded the mutational spectrum of the ASL. Keywords: Argininosucinate lyase deficiency, ASLD, Autosomal recessive, Mutation, Hyperammonemia
- Published
- 2019