Ann Lab Med.  2014 Mar;34(2):159-162. 10.3343/alm.2014.34.2.159.

A Novel Hemizygous I418S Mutation in the ALAS2 Gene in a Young Korean Man with X-Linked Sideroblastic Anemia

Affiliations
  • 1Department of Laboratory Medicine, Seoul National University College of Medicine, Seoul, Korea. lukekhk@snu.ac.kr
  • 2Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.

Abstract

No abstract available.


MeSH Terms

5-Aminolevulinate Synthetase/chemistry/*genetics
Adult
Anemia, Sideroblastic/*genetics/pathology
Asian Continental Ancestry Group/*genetics
Base Sequence
Genetic Diseases, X-Linked/*genetics/pathology
Hemizygote
Humans
Male
Mutation, Missense
Polymorphism, Single Nucleotide
Republic of Korea
5-Aminolevulinate Synthetase

Figure

  • Fig. 1 (A) Peripheral blood smear showing dimorphic red blood cells (RBCs) including microcytic hypochromic RBCs with severe anisopoikilocytosis (Wright-Giemsa stain, ×1,000). (B) Bone marrow (BM) aspirate smear showing marked increase of erythroid precursors (Wright-Giemsa stain, ×1,000). (C) Iron stain of BM aspirate showing many ringed sideroblasts, which accounted for up to 50% of the total erythroid precursors (Prussian blue stain, ×1,000).

  • Fig. 2 Direct sequencing of the ALAS2 gene showing a hemizygous c.1253T>G (between red lines) missense mutation in exon 9, which results in the conversion of isoleucine to serine at the 418th amino acid (p.I418S).


Reference

1. May A, Bishop DF. The molecular biology and pyridoxine responsiveness of X-linked sideroblastic anaemia. Haematologica. 1998; 83:56–70. PMID: 9542324.
2. Camaschella C. Recent advances in the understanding of inherited sideroblastic anaemia. Br J Haematol. 2008; 143:27–38. PMID: 18637800.
Article
3. Fleming MD. Congenital sideroblastic anemias: iron and heme lost in mitochondrial translation. Hematology Am Soc Hematol Educ Program. 2011; 2011:525–531. PMID: 22160084.
Article
4. Choung HS, Kim HJ, Jung CW, Kim SH. Identification of a hemizygous R170H mutation in the ALAS2 gene in a young male patient with X-linked sideroblastic anemia. Korean J Hematol. 2008; 43:118–121.
5. Jun KR, Sohn YH, Park CJ, Jang SS, Chi HS, Seo JJ. A case of hereditary sideroblastic anemia. Korean J Hematol. 2005; 40:49–53.
Article
6. Sung JS, Kim KH, Han DG, Kim MJ, Cho YK, Chung HY, et al. Pyridoxine responsive sideroblastic anemia in a boy with mitral valve prolapse. Korean J Pediatr. 2006; 49:1223–1226.
Article
7. Gale E, Torrance J, Bothwell T. The quantitative estimation of total iron stores in human bone marrow. J Clin Invest. 1963; 42:1076–1082. PMID: 13946227.
Article
8. Shoolingin-Jordan PM, Al-Daihan S, Alexeev D, Baxter RL, Bottomley SS, Kahari ID, et al. 5-Aminolevulinic acid synthase: mechanism, mutations and medicine. Biochim Biophys Acta. 2003; 1647:361–366. PMID: 12686158.
Article
9. Iolascon A, De Falco L, Beaumont C. Molecular basis of inherited microcytic anemia due to defects in iron acquisition or heme synthesis. Haematologica. 2009; 94:395–408. PMID: 19181781.
Article
10. Cazzola M, May A, Bergamaschi G, Cerani P, Rosti V, Bishop DF. Familial-skewed X-chromosome inactivation as a predisposing factor for late-onset X-linked sideroblastic anemia in carrier females. Blood. 2000; 96:4363–4365. PMID: 11110715.
Article
11. Cotter PD, May A, Fitzsimons EJ, Houston T, Woodcock BE, al-Sabah AI, et al. Late-onset X-linked sideroblastic anemia. Missense mutations in the erythroid delta-aminolevulinate synthase (ALAS2) gene in two pyridoxine-responsive patients initially diagnosed with acquired refractory anemia and ringed sideroblasts. J Clin Invest. 1995; 96:2090–2096. PMID: 7560104.
Article
12. Furuyama K, Harigae H, Kinoshita C, Shimada T, Miyaoka K, Kanda C, et al. Late-onset X-linked sideroblastic anemia following hemodialysis. Blood. 2003; 101:4623–4624. PMID: 12531813.
Article
13. Ducamp S, Kannengiesser C, Touati M, Garçon L, Guerci-Bresler A, Guichard JF, et al. Sideroblastic anemia: molecular analysis of the ALAS2 gene in a series of 29 probands and functional studies of 10 missense mutations. Hum Mutat. 2011; 32:590–597. PMID: 21309041.
14. Astner I, Schulze JO, van den Heuvel J, Jahn D, Schubert WD, Heinz DW. Crystal structure of 5-aminolevulinate synthase, the first enzyme of heme biosynthesis, and its link to XLSA in humans. EMBO J. 2005; 24:3166–3177. PMID: 16121195.
Article
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