Background
Methods
Pedigrees and MMA diagnosis
DNA extraction
PCR and sanger sequencing
Genotype analysis
Prenatal diagnosis
Follow-up
Results
MMACHC gene variant spectrum
No. | cDNA change | Amino acid change | Exon | Effect | Frequency | Percentage |
---|---|---|---|---|---|---|
1 | c.1A > G | p.Met1Val | 1 | missense variant | 1 | 0.40% |
2 | c.80A > G | p.Gln27Arg | 1 | missense variant | 15 | 5.95% |
3 | c.81 + 1G > A | splicing region | intron1 | splicing variant | 1 | 0.40% |
4 | c.217C > T | p.Arg73Ter | 2 | nonsense variant | 10 | 3.97% |
5 | c.271dupA | p.Arg91Lysfs*14 | 2 | frameshift variant | 2 | 0.79% |
6 | c.315C > G | p.Tyr105Ter | 3 | nonsense variant | 1 | 0.40% |
7 | c.328_331delAACC | p.Asn110Aspfs*13 | 3 | frameshift variant | 1 | 0.40% |
8 | c.331C > T | p.Arg111Ter | 3 | nonsense variant | 2 | 0.79% |
9 | c.365A > T | p.His121Leu | 3 | missense variant | 1 | 0.40% |
10 | c.394C > T | p.Arg132Ter | 3 | nonsense variant | 6 | 2.38% |
11 | c.440_441delGT | p.Cys149Hisfs*32 | 4 | frameshift variant | 1 | 0.40% |
12 | c.445_446delTG | p.Cys149Hisfs*32 | 4 | frameshift variant | 5 | 1.98% |
13 | c.445_446insA | p.Cys149Ter | 4 | frameshift variant | 2 | 0.79% |
14 | c.445_446delT | p.Cys149Alafs*15 | 4 | frameshift variant | 1 | 0.40% |
15 | c.463_465delGGG | p.Gly155del | 4 | deletion variant | 1 | 0.40% |
16 | c.463G > C | p.G155R | 4 | missense variant | 1 | 0.40% |
17 | c.465_467delGGG | p.Gly155del | 4 | deletion variant | 1 | 0.40% |
18 | c.467G > A | p.Gly156Ala | 4 | missense variant | 2 | 0.79% |
19 | c.481C > T | p.Arg161Ter | 4 | nonsense variant | 5 | 1.98% |
20 | c.482G > A | p.Arg161Gln | 4 | missense variant | 11 | 4.37% |
21 | c.565C > T | p.Arg189Cys | 4 | missense variant | 1 | 0.40% |
22 | c.567dupT | p.Ile190Tyrfs*13 | 4 | frameshift variant | 17 | 6.75% |
23 | c.599G > A | p.Trp200Ter | 4 | nonsense variant | 1 | 0.40% |
24 | c.609G > A | p.Trp203Ter | 4 | nonsense variant | 122 | 48.41% |
25 | c.615C > A | p.Tyr205Ter | 4 | nonsense variant | 1 | 0.40% |
26 | c.617G > A | p.Arg206Gln | 4 | missense variant | 1 | 0.40% |
27 | c.626dupT | p.Thr210Aspfs*35 | 4 | frameshift variant | 1 | 0.40% |
28 | c.637G>T | p.Glu213Ter | 4 | nonsense variant | 2 | 0.79% |
29 | c.658_660delAAG | p.Lys220del | 4 | deletion variant | 34 | 13.49% |
30 | c.666C > A | p.Tyr222Ter | 4 | nonsense variant | 1 | 0.40% |
31 | c.683C > T | p.Ala228Val | 4 | missense variant | 1 | 0.40% |
Prenatal diagnosis and follow-up
No. | Proband | Mutation maternal | Mutation paternal | Futus genotype |
---|---|---|---|---|
1 | Q27R/R161Q | p.Q27R | p.R161Q | p.Q27R/− |
2 | p.R73X/p.Lys220del | p.R73X | p.Lys220del | p.R73X/− |
3 | c.463_465delGGG/p.W203X | c.463_465delGGG | p.W203X | −/− |
4 | p.W203X/p.G156D | p.W203X | p.G156D | p.W203X/p.G156D |
5 | c.626dupT/p.W203X | c.626dupT | p.W203X | c.626dupT /− |
6 | p.Lys220del/p.W203X | p.Lys220del | p.W203X | p.Lys220del/p.W203X |
7 | p.W203X/ c.445_446delTG | p.W203X | c.445_446delTG | p.W203X/ c.445_446delTG |
8 | p.R132X/p.W203X | p.R132X | p.W203X | p.R132X/− |
9 | p.W203X/p.E213X | p.W203X | p.E213X | p.W203X/− |
10 | p.K220del/p.K220del | p.K220del | p.K220del | p.K220del/p.K220del |
11 | p.W203X/p.W203X | p.W203X | p.W203X | p.W203X/− |
12 | p.W203X/p.R161X | p.W203X | p.R161X | −/− |
13 | p.W203X/p.W203X | p.W203X | p.W203X | p.W203X/− |
14 | p.K220del/c.567dupT | p.K220del | c.567dupT | p.K220del/− |
15 | p.R132X/p.Y205X | p.R132X | p.Y205X | p.R132X/p.Y205X |
16 | p.R73X /p.R73X | p.R73X | p.R73X | p.R73X/− |
17 | c.445_446insA/c.567dupT | c.445_446insA | c.567dupT | c.567dupT/− |
18 | p.R73X/p.W203X | p.R73X | p.W203X | p.W203X/− |
19 | c.567dupT/p.W203X | c.567dupT | p.W203X | c.567dupT/p.W203X |
20 | p.W203X/p.K220del | p.W203X | p.K220del | p.W203X/− |
21 | p.G156A/p.W203X | p.G156A | p.W203X | p.G156A/− |
22 | p.W203X/p.W203X | p.W203X | p.W203X | p.W203X/− |
23 | p.W203X/p.R161X | p.W203X | p.R161X | p.W203X/− |
24 | c.567dupT/p.R132X | c.567dupT | p.R132X | p.R132X/− |
25 | p.W203X/p.W203X | p.W203X | p.W203X | p.W203X/− |
26 | c.440_441delGT/p.W203X | c.440_441delGT | p.W203X | p.W203X/− |
27 | p.W203X/p.K220del | p.W203X | p.K220del | p.W203X/p.K220del |
28 | p.Q27R/p.K220del | p.Q27R | p.K220del | p.Q27R/p.K220del |
29 | c.567dupT/p.W203X | c.567dupT | p.W203X | p.W203X/− |
30 | p.Q27R/p.Q27R | p.Q27R | p.Q27R | p.Q27R/p.Q27R |
31 | c.567dupT/p.K220del | c.567dupT | p.K220del | −/− |
32 | p.Y222X/p.Q27R | p.Y222X | p.Q27R | p.Y222X/− |
33 | p.W203X/p.K220del | p.W203X | p.K220del | −/− |
34 | p.K220del/p.W203X | p.K220del | p.W203X | −/− |
35 | p.Q27R/p.W203X | p.Q27R | p.W203X | −/− |
36 | p.W203X/p.K220del | p.W203X | p.K220del | p.K220del/− |
37 | p.W203X/p.R161Q | p.W203X | p.R161Q | p.R161Q/p.W203X |
38 | p.W203X/p.W203X | p.W203X | p.W203X | p.W203X/p.W203X |
39 | p.W203X/p.K220del | p.W203X | p.K220del | p.K220del/− |
40 | c.445_446insA/p.W203X | c.445_446insA | p.W203X | c.445_446insA/p.W203X |
41 | p.W203X/p.W203X | p.W203X | p.W203X | p.W203X/− |
42 | p.Q27R/c.567dupT | p.Q27R | c.567dupT | c.566_567insT/p.Q27R |
43 | p.W203X/p.W203X | p.W203X | p.W203X | p.W203X/− |
44 | p.Q27R/p.W203X | p.Q27R | p.W203X | p.W203X/− |
45 | p.R73X/p.W203X | p.R73X | p.W203X | −/− |
46 | p.R73X/p.W203X | p.R73X | p.W203X | −/− |
47 | p.K220del/p.W203X | p.K220del | p.W203X | p.W203X/− |
48 | p.W203X/p.W203X | p.W203X | p.W203X | p.W203X/− |
49 | p.K220del/p.W203X | p.K220del | p.W203X | p.W203X/− |
50 | p.Q27R/p.W203X | p.Q27R | p.W203X | p.Q27R/p.W203X |
51 | p.W203X/c.567dupT | p.W203X | c.567dupT | −/− |
52 | p.K220del/p.H121L | p.K220del | p.H121L | p.K220del/− |
53 | c.445-446delTG/p.W203X | c.445-446delTG | p.W203X | p.W203X/− |
54 | c.567dupT/p.K220del | c.567dupT | p.K220del | −/− |
55 | c.567dupT/p.W203X | c.567dupT | p.W203X | p.W203X/− |
56 | c.445-446delTG/p.W203X | c.445-446delTG | p.W203X | c.445-446delTG/p.W203X |
57 | p.Q27R/p.W203X | p.Q27R | p.W203X | p.Q27R/− |
58 | p.A228V/p.W203X | p.A228V | p.W203X | −/− |
59 | p.K220del/c.445-446delTG | p.K220del | c.445-446delTG | c.445-446delTG/− |
60 | p.W203X/p.W203X | p.W203X | p.W203X | −/− |
61 | p.Trp200X/p.W203X | p.Trp200X | p.W203X | p.W203X/− |
62 | p.W203X/p.R206Q | p.W203X | p.R206Q | p.W203X/p.R206Q |