Table 2.
Genetic variations discovered in the family using the gene panel approach
| Patient ID | Age (yr) | Gender | TJP2 variation | TJP2 genotype | Other gene variations | Phenotype |
| P2.1 | 36 | M | TJP2 [NM_004817.3]:c.[3334C>T];[3334C>T] | Homozygous | ABCB11[NM_003742.2]:c.[1331T>C];[=] | PFIC4 with cirrhosis, portal hypertension and acute-on-chronic liver failure; Liver transplantation |
| ABCC2[NM_000392.3]:c.[3563T>A];[4544G>A]1 | ||||||
| ABCG5[NM_022436.2]:c.[148C>T];[=] | ||||||
| UGT1A1[NM_000463.2]C.-53TA[6];[7] | ||||||
| P2.5 | 23 | M | TJP2 [NM_004817.3]:c.[3334C>T];[3334C>T] | Homozygous | ABCB11[NM_003742.2]:c.[1331T>C];[1331T>C]2 | PFIC4 with cirrhosis, portal hypertension. Primary liver cancer; Liver transplantation |
| ABCC2[NM_000392.3]:c.[3563T>A];[4544G>A]1 | ||||||
| ABCG5[NM_022436.2]:c.[148C>T];[=] | ||||||
| P2.4 | 25 | M | TJP2 [NM_004817.3]:c.[3334C>T];[3334C>T] | Homozygous | ABCB11[NM_003742.2]:c.[1331T>C];[1331T>C]2 | Elevated liver enzymes |
| ABCC2[NM_000392.3]:c.[3563T>A];[4544G>A]1 | ||||||
| ABCG5[NM_022436.2]:c.[148C>T];[=] | ||||||
| P2.6 | 21 | F | TJP2 [NM_004817.3]:c.[3334C>T];[3334C>T] | Homozygous | ABCB11[NM_003742.2]:c.[1331T>C];[=] | Elevated liver enzymes; Severe cholestasis in pregnancy |
| ABCC2[NM_000392.3]:c.[3563T>A];[4544G>A]1 | ||||||
| ABCG5[NM_022436.2]:c.[148C>T];[=] | ||||||
| UGT1A1[NM_000463.2]C.-53TA[6];[7] | ||||||
| P2.7 | 19 | M | TJP2 [NM_004817.3]:c.[3334C>T];[3334C>T] | Homozyg-ous | ABCB11[NM_003742.2]:c.[1331T>C];[=] | Elevated liver enzymes |
| ABCC2[NM_000392.3]:c.[3563T>A];[4544G>A]1 | ||||||
| ABCG5[NM_022436.2]:c.[148C>T];[=] | ||||||
| UGT1A1[NM_000463.2]C.-53TA[6];[7] | ||||||
| P1.1 | 60 | M | TJP2 [NM_004817.3]:c.[3334C>T];[3334=] | Heterozygous | ABCB11[NM_003742.2]:c.[1331T>C];[1331T=] | Normal |
| ABCC2[NM_000392.3]:c.[3563T>A];[4544G>A]1 | ||||||
| UGT1A1[NM_000643.2]C.-53TA[6];[7] | ||||||
| P1.2 | 55 | F | TJP2 [NM_004817.3]:c.[3334C>T];[3334=] | Heterozygous | ABCB11[NM_003742.2]:c.[1331T>C];[=] | Normal |
| ABCG5[NM_022436.2]:c.[148C>T];[=] | ||||||
| P2.2 | 32 | F | TJP2 [NM_004817.3]:c.[3334C>T];[3334=] | Heterozygous | ABCB11[NM_003742.2]:c.[1331T>C];[=] | Mild cholestasis in pregnancy |
| ABCG5[NM_022436.2]:c.[148C>T];[=] | ||||||
| P2.8 | 16 | M | TJP2 [NM_004817.3]:c.[3334C>T];[=] | Heterozygous | ABCB11[NM_003742.2]:c.[1331T>C];[1331T=]1 | Normal |
| ABCG5[NM_022436.2]:c.[148C>T];[=] | ||||||
| UGT1A1[NM_000463.2]C.-53TA[6];[7] | ||||||
| P2.3 | 31 | M | TJP2 [NM_004817.3]:c.[3334=];[3334=] | Wild type | ABCG5[NM_022436.2]:c.[148C>T];[=] | Normal |
| P2.9 | 15 | M | TJP2 [NM_004817.3]:c.[3334=];[3334=] | Wild type | ABCB11[NM_003742.2]:c.[1331T>C];[1331T>C]2 | Normal |
| ABCC2[NM_000392.3]:c.[3563T>A];[4544G>A]1 | ||||||
| P2.10 | - | F | - | - | Mild cholestasis, 4 pregnancies? | |
| P2.11 | - | F | - | - | Mild cholestasis, 3 pregnancies? | |
| P2.12 | - | F | - | - | Mild cholestasis, 2 pregnancies? |
Compound heterozygosity for the ABCC2 gene variant coding for multidrug resistance protein 2 (MRP2) may be associated with pruritus in patients with primary biliary cholangitis.
Homozygosity for ABCB11 gene variant coding for bile salt export pump (BSEP) protein is associated with cholestasis in pregnancy and drug-induced cholestasis. M: Male; F: Female.