Skip to main content
Journal of Medical Genetics logoLink to Journal of Medical Genetics
. 1997 Dec;34(12):996–999. doi: 10.1136/jmg.34.12.996

Novel and characteristic CFTR mutations in Saudi Arab children with severe cystic fibrosis.

E A el-Harith 1, T Dörk 1, M Stuhrmann 1, H Abu-Srair 1, A al-Shahri 1, K M Keller 1, M J Lentze 1, J Schmidtke 1
PMCID: PMC1051150  PMID: 9429141

Abstract

More than 600 different CFTR (cystic fibrosis transmembrane conductance regulator) gene mutations have been identified so far that are considered to cause the fatal genetic disorder cystic fibrosis (CF). We have investigated 15 Arab children from 12 families, who were diagnosed as having CF, for mutations in the coding region and in the flanking intron sequences of the CFTR gene. Six different CFTR mutations were identified including two novel mutations, 1548delG in exon 10 and 406-2A-->G in intron 3. Prominent mutations were the splice mutation 3120 + 1G-->A (intron 16) followed by N1303K (exon 21) and 1548delG (exon 10). Most CF children were homozygotes who presented with a severe form of the disease including failure to thrive, recurrent chest infections, particularly with Pseudomonas aeruginosa, and frequent hospital admissions. Identification of the CFTR mutations facilitates molecular investigation of the disease and better understanding of its pathophysiology in Arab children, among whom CF is probably an underdiagnosed disease.

Full text

PDF
996

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Carles S., Desgeorges M., Goldman A., Thiart R., Guittard C., Kitazos C. A., de Ravel T. J., Westwood A. T., Claustres M., Ramsay M. First report of CFTR mutations in black cystic fibrosis patients of southern African origin. J Med Genet. 1996 Sep;33(9):802–804. doi: 10.1136/jmg.33.9.802. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Claustres M., Laussel M., Desgeorges M., Giansily M., Culard J. F., Razakatsara G., Demaille J. Analysis of the 27 exons and flanking regions of the cystic fibrosis gene: 40 different mutations account for 91.2% of the mutant alleles in southern France. Hum Mol Genet. 1993 Aug;2(8):1209–1213. doi: 10.1093/hmg/2.8.1209. [DOI] [PubMed] [Google Scholar]
  3. Dörk T., Mekus F., Schmidt K., Bosshammer J., Fislage R., Heuer T., Dziadek V., Neumann T., Kälin N., Wulbrand U. Detection of more than 50 different CFTR mutations in a large group of German cystic fibrosis patients. Hum Genet. 1994 Nov;94(5):533–542. doi: 10.1007/BF00211022. [DOI] [PubMed] [Google Scholar]
  4. Fanen P., Ghanem N., Vidaud M., Besmond C., Martin J., Costes B., Plassa F., Goossens M. Molecular characterization of cystic fibrosis: 16 novel mutations identified by analysis of the whole cystic fibrosis conductance transmembrane regulator (CFTR) coding regions and splice site junctions. Genomics. 1992 Jul;13(3):770–776. doi: 10.1016/0888-7543(92)90152-i. [DOI] [PubMed] [Google Scholar]
  5. Kerem B., Rommens J. M., Buchanan J. A., Markiewicz D., Cox T. K., Chakravarti A., Buchwald M., Tsui L. C. Identification of the cystic fibrosis gene: genetic analysis. Science. 1989 Sep 8;245(4922):1073–1080. doi: 10.1126/science.2570460. [DOI] [PubMed] [Google Scholar]
  6. Kerem E., Kalman Y. M., Yahav Y., Shoshani T., Abeliovich D., Szeinberg A., Rivlin J., Blau H., Tal A., Ben-Tur L. Highly variable incidence of cystic fibrosis and different mutation distribution among different Jewish ethnic groups in Israel. Hum Genet. 1995 Aug;96(2):193–197. doi: 10.1007/BF00207378. [DOI] [PubMed] [Google Scholar]
  7. Macek M., Jr, Mackova A., Hamosh A., Hilman B. C., Selden R. F., Lucotte G., Friedman K. J., Knowles M. R., Rosenstein B. J., Cutting G. R. Identification of common cystic fibrosis mutations in African-Americans with cystic fibrosis increases the detection rate to 75%. Am J Hum Genet. 1997 May;60(5):1122–1127. [PMC free article] [PubMed] [Google Scholar]
  8. Mathew P. M., Hamdan J. A., Nazer H. Cystic fibrosis presenting with recurrent vomiting and metabolic alkalosis. Eur J Pediatr. 1991 Feb;150(4):264–266. doi: 10.1007/BF01955527. [DOI] [PubMed] [Google Scholar]
  9. Messaoud T., Verlingue C., Denamur E., Pascaud O., Quéré I., Fattoum S., Elion J., Férec C. Distribution of CFTR mutations in cystic fibrosis patients of Tunisian origin: identification of two novel mutations. Eur J Hum Genet. 1996;4(1):20–24. doi: 10.1159/000472165. [DOI] [PubMed] [Google Scholar]
  10. Nazer H., Rahbeeni Z. Cystic fibrosis and the liver--a Saudi experience. Ann Trop Paediatr. 1994;14(3):189–194. doi: 10.1080/02724936.1994.11747716. [DOI] [PubMed] [Google Scholar]
  11. Nazer H., Riff E., Sakati N., Mathew R., Majeed-Saidan M. A., Harfi H. Cystic fibrosis in Saudi Arabia. Eur J Pediatr. 1989 Jan;148(4):330–332. doi: 10.1007/BF00444127. [DOI] [PubMed] [Google Scholar]
  12. Orita M., Suzuki Y., Sekiya T., Hayashi K. Rapid and sensitive detection of point mutations and DNA polymorphisms using the polymerase chain reaction. Genomics. 1989 Nov;5(4):874–879. doi: 10.1016/0888-7543(89)90129-8. [DOI] [PubMed] [Google Scholar]
  13. Osborne L., Knight R., Santis G., Hodson M. A mutation in the second nucleotide binding fold of the cystic fibrosis gene. Am J Hum Genet. 1991 Mar;48(3):608–612. [PMC free article] [PubMed] [Google Scholar]
  14. Osborne L., Santis G., Schwarz M., Klinger K., Dörk T., McIntosh I., Schwartz M., Nunes V., Macek M., Jr, Reiss J. Incidence and expression of the N1303K mutation of the cystic fibrosis (CFTR) gene. Hum Genet. 1992 Aug;89(6):653–658. doi: 10.1007/BF00221957. [DOI] [PubMed] [Google Scholar]
  15. Riordan J. R., Rommens J. M., Kerem B., Alon N., Rozmahel R., Grzelczak Z., Zielenski J., Lok S., Plavsic N., Chou J. L. Identification of the cystic fibrosis gene: cloning and characterization of complementary DNA. Science. 1989 Sep 8;245(4922):1066–1073. doi: 10.1126/science.2475911. [DOI] [PubMed] [Google Scholar]
  16. Rommens J. M., Iannuzzi M. C., Kerem B., Drumm M. L., Melmer G., Dean M., Rozmahel R., Cole J. L., Kennedy D., Hidaka N. Identification of the cystic fibrosis gene: chromosome walking and jumping. Science. 1989 Sep 8;245(4922):1059–1065. doi: 10.1126/science.2772657. [DOI] [PubMed] [Google Scholar]
  17. Sanger F., Nicklen S., Coulson A. R. DNA sequencing with chain-terminating inhibitors. Proc Natl Acad Sci U S A. 1977 Dec;74(12):5463–5467. doi: 10.1073/pnas.74.12.5463. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Zielenski J., Rozmahel R., Bozon D., Kerem B., Grzelczak Z., Riordan J. R., Rommens J., Tsui L. C. Genomic DNA sequence of the cystic fibrosis transmembrane conductance regulator (CFTR) gene. Genomics. 1991 May;10(1):214–228. doi: 10.1016/0888-7543(91)90503-7. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Medical Genetics are provided here courtesy of BMJ Publishing Group

RESOURCES