Abstract
Deficiency of glucose-6-phosphate dehydrogenase (G6PD) is usually found at high frequencies in areas of the world where malaria has been endemic. The frequency and genetic basis of G6PD deficiency have been studied in Africa, around the Mediterranean, and in the Far East, but little such information is available about the situation in India. To determine the extent of heterogeneity of G6PD, we have studied several different Indian populations by screening for G6PD deficiency, followed by molecular analysis of deficient alleles. The frequency of G6PD deficiency varies between 3% and 15% in different tribal and urban groups. Remarkably, a previously unreported deficient variant, G6PD Orissa (44 Ala→Gly), is responsible for most of the G6PD deficiency in tribal Indian populations but is not found in urban populations, where most of the G6PD deficiency is due to the G6PD Mediterranean (188 Ser→Phe) variant. The K of G6PD Orissa is fivefold higher than that of the normal enzyme. This may be due to the fact that the alanine residue that is replaced by glycine is part of a putative coenzyme-binding site.
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- Ahluwalia A., Corcoran C. M., Vulliamy T. J., Ishwad C. S., Naidu J. M., Argusti A., Stevens D. J., Mason P. J., Luzzatto L. G6PD Kalyan and G6PD Kerala; two deficient variants in India caused by the same 317 Glu-->Lys mutation. Hum Mol Genet. 1992 Jun;1(3):209–210. doi: 10.1093/hmg/1.3.209. [DOI] [PubMed] [Google Scholar]
- BAXI A. J., BALAKRISHNAN V., UNDEVIA J. V., SANGHVI L. D. Glucose-6-phosphate dehydrogenase deficiency in the Parsee community, Bombay. Indian J Med Sci. 1963 Jun;17:493–500. [PubMed] [Google Scholar]
- Bautista J. M., Mason P. J., Luzzatto L. Purification and properties of human glucose-6-phosphate dehydrogenase made in E. coli. Biochim Biophys Acta. 1992 Feb 13;1119(1):74–80. doi: 10.1016/0167-4838(92)90237-8. [DOI] [PubMed] [Google Scholar]
- Beutler E., Kuhl W. The NT 1311 polymorphism of G6PD: G6PD Mediterranean mutation may have originated independently in Europe and Asia. Am J Hum Genet. 1990 Dec;47(6):1008–1012. [PMC free article] [PubMed] [Google Scholar]
- Beutler E., Mitchell M. Special modifications of the fluorescent screening method for glucose-6-phosphate dehydrogenase deficiency. Blood. 1968 Nov;32(5):816–818. [PubMed] [Google Scholar]
- Beutler E., Westwood B., Kuhl W. Definition of the mutations of G6PD Wayne, G6PD Viangchan, G6PD Jammu, and G6PD 'LeJeune'. Acta Haematol. 1991;86(4):179–182. doi: 10.1159/000204830. [DOI] [PubMed] [Google Scholar]
- Calabrò V., Giacobbe A., Vallone D., Montanaro V., Cascone A., Filosa S., Battistuzzi G. Genetic heterogeneity at the glucose-6-phosphate dehydrogenase locus in southern Italy: a study on a population from the Matera district. Hum Genet. 1990 Nov;86(1):49–53. doi: 10.1007/BF00205171. [DOI] [PubMed] [Google Scholar]
- Calabrò V., Mason P. J., Filosa S., Civitelli D., Cittadella R., Tagarelli A., Martini G., Brancati C., Luzzatto L. Genetic heterogeneity of glucose-6-phosphate dehydrogenase deficiency revealed by single-strand conformation and sequence analysis. Am J Hum Genet. 1993 Mar;52(3):527–536. [PMC free article] [PubMed] [Google Scholar]
- Chiu D. T., Zuo L., Chao L., Chen E., Louie E., Lubin B., Liu T. Z., Du C. S. Molecular characterization of glucose-6-phosphate dehydrogenase (G6PD) deficiency in patients of Chinese descent and identification of new base substitutions in the human G6PD gene. Blood. 1993 Apr 15;81(8):2150–2154. [PubMed] [Google Scholar]
- Cohen T. Genetic markers in migrants to Israel. Isr J Med Sci. 1971 Dec;7(12):1509–1514. [PubMed] [Google Scholar]
- Filosa S., Calabrò V., Lania G., Vulliamy T. J., Brancati C., Tagarelli A., Luzzatto L., Martini G. G6PD haplotypes spanning Xq28 from F8C to red/green color vision. Genomics. 1993 Jul;17(1):6–14. doi: 10.1006/geno.1993.1276. [DOI] [PubMed] [Google Scholar]
- Hirono A., Beutler E. Molecular cloning and nucleotide sequence of cDNA for human glucose-6-phosphate dehydrogenase variant A(-). Proc Natl Acad Sci U S A. 1988 Jun;85(11):3951–3954. doi: 10.1073/pnas.85.11.3951. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ishwad C. S., Naik S. N. A new glucose-6-phosphate dehydrogenase variant (G-6-PD Kalyan) found in a Koli family. Hum Genet. 1984;66(2-3):171–175. doi: 10.1007/BF00286595. [DOI] [PubMed] [Google Scholar]
- Kar B. C., Devi S., Dash K. C., Das M. The sickle cell gene is widespread in India. Trans R Soc Trop Med Hyg. 1987;81(2):273–275. doi: 10.1016/0035-9203(87)90239-2. [DOI] [PubMed] [Google Scholar]
- Kotea N., Baligadoo S., Surran S., Ramasawmy R., Lu C. Y., Ducrocq R., Labie D., Krishnamoorthy R., Nagel R. Bicentric origin of sickle hemoglobin among the inhabitants of Mauritius Island. Blood. 1995 Jul 1;86(1):407–408. [PubMed] [Google Scholar]
- Kurdi-Haidar B., Mason P. J., Berrebi A., Ankra-Badu G., al-Ali A., Oppenheim A., Luzzatto L. Origin and spread of the glucose-6-phosphate dehydrogenase variant (G6PD-Mediterranean) in the Middle East. Am J Hum Genet. 1990 Dec;47(6):1013–1019. [PMC free article] [PubMed] [Google Scholar]
- Labie D., Srinivas R., Dunda O., Dode C., Lapoumeroulie C., Devi V., Devi S., Ramasami K., Elion J., Ducrocq R. Haplotypes in tribal Indians bearing the sickle gene: evidence for the unicentric origin of the beta S mutation and the unicentric origin of the tribal populations of India. Hum Biol. 1989 Aug;61(4):479–491. [PubMed] [Google Scholar]
- Luzzatto L., Allan N. C. Different properties of glucose 6-phosphate dehydrogenase from human erythrocytes with normal and abnormal enzyme levels. Biochem Biophys Res Commun. 1965 Dec 21;21(6):547–554. doi: 10.1016/0006-291x(65)90520-6. [DOI] [PubMed] [Google Scholar]
- Luzzatto L. Genetics of red cells and susceptibility to malaria. Blood. 1979 Nov;54(5):961–976. [PubMed] [Google Scholar]
- Nagel R. L., Ranney H. M. Genetic epidemiology of structural mutations of the beta-globin gene. Semin Hematol. 1990 Oct;27(4):342–359. [PubMed] [Google Scholar]
- Rowland P., Basak A. K., Gover S., Levy H. R., Adams M. J. The three-dimensional structure of glucose 6-phosphate dehydrogenase from Leuconostoc mesenteroides refined at 2.0 A resolution. Structure. 1994 Nov 15;2(11):1073–1087. doi: 10.1016/s0969-2126(94)00110-3. [DOI] [PubMed] [Google Scholar]
- Ruwende C., Khoo S. C., Snow R. W., Yates S. N., Kwiatkowski D., Gupta S., Warn P., Allsopp C. E., Gilbert S. C., Peschu N. Natural selection of hemi- and heterozygotes for G6PD deficiency in Africa by resistance to severe malaria. Nature. 1995 Jul 20;376(6537):246–249. doi: 10.1038/376246a0. [DOI] [PubMed] [Google Scholar]
- Stevens D. J., Wanachiwanawin W., Mason P. J., Vulliamy T. J., Luzzatto L. G6PD Canton a common deficient variant in South East Asia caused by a 459 Arg----Leu mutation. Nucleic Acids Res. 1990 Dec 11;18(23):7190–7190. doi: 10.1093/nar/18.23.7190. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Town M., Bautista J. M., Mason P. J., Luzzatto L. Both mutations in G6PD A- are necessary to produce the G6PD deficient phenotype. Hum Mol Genet. 1992 Jun;1(3):171–174. doi: 10.1093/hmg/1.3.171. [DOI] [PubMed] [Google Scholar]
- Vulliamy T. J., D'Urso M., Battistuzzi G., Estrada M., Foulkes N. S., Martini G., Calabro V., Poggi V., Giordano R., Town M. Diverse point mutations in the human glucose-6-phosphate dehydrogenase gene cause enzyme deficiency and mild or severe hemolytic anemia. Proc Natl Acad Sci U S A. 1988 Jul;85(14):5171–5175. doi: 10.1073/pnas.85.14.5171. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Vulliamy T., Mason P., Luzzatto L. The molecular basis of glucose-6-phosphate dehydrogenase deficiency. Trends Genet. 1992 Apr;8(4):138–143. doi: 10.1016/0168-9525(92)90372-B. [DOI] [PubMed] [Google Scholar]
- Wierenga R. K., Terpstra P., Hol W. G. Prediction of the occurrence of the ADP-binding beta alpha beta-fold in proteins, using an amino acid sequence fingerprint. J Mol Biol. 1986 Jan 5;187(1):101–107. doi: 10.1016/0022-2836(86)90409-2. [DOI] [PubMed] [Google Scholar]