PMID- 10094191 OWN - NLM STAT- MEDLINE DCOM- 19990513 LR - 20220129 IS - 1018-4813 (Print) IS - 1018-4813 (Linking) VI - 7 IP - 1 DP - 1999 Jan TI - Heterogeneous spectrum of mutations in the Fanconi anaemia group A gene. PG - 52-9 AB - Fanconi anaemia (FA) is a genetically heterogeneous autosomal recessive disorder associated with chromosomal fragility, bone-marrow failure, congenital abnormalities and cancer. The gene for complementation group A (FAA), which accounts for 60-65% of all cases, has been cloned, and is composed of an open reading frame of 4.3 kb, which is distributed among 43 exons. We have investigated the molecular pathology of FA by screening the FAA gene for mutations in a panel of 90 patients identified by the European FA research group, EUFAR. A highly heterogeneous spectrum of mutations was identified, with 31 different mutations being detected in 34 patients. The mutations were scattered throughout the gene, and most are likely to result in the absence of the FAA protein. A surprisingly high frequency of intragenic deletions was detected, which removed between 1 and 30 exons from the gene. Most microdeletions and insertions occurred at homopolymeric tracts or direct repeats within the coding sequence. These features have not been observed in the other FA gene which has been cloned to date (FAC) and may be indicative of a higher mutation rate in FAA. This would explain why FA group A is much more common than the other complementation groups. The heterogeneity of the mutation spectrum and the frequency of intragenic deletions present a considerable challenge for the molecular diagnosis of FA. A scan of the entire coding sequence of the FAA gene may be required to detect the causative mutations, and scanning protocols will have to include methods which will detect the deletions in compound heterozygotes. FAU - Wijker, M AU - Wijker M AD - Department of Human Genetics, Free University of Amsterdam, The Netherlands. FAU - Morgan, N V AU - Morgan NV FAU - Herterich, S AU - Herterich S FAU - van Berkel, C G AU - van Berkel CG FAU - Tipping, A J AU - Tipping AJ FAU - Gross, H J AU - Gross HJ FAU - Gille, J J AU - Gille JJ FAU - Pals, G AU - Pals G FAU - Savino, M AU - Savino M FAU - Altay, C AU - Altay C FAU - Mohan, S AU - Mohan S FAU - Dokal, I AU - Dokal I FAU - Cavenagh, J AU - Cavenagh J FAU - Marsh, J AU - Marsh J FAU - van Weel, M AU - van Weel M FAU - Ortega, J J AU - Ortega JJ FAU - Schuler, D AU - Schuler D FAU - Samochatova, E AU - Samochatova E FAU - Karwacki, M AU - Karwacki M FAU - Bekassy, A N AU - Bekassy AN FAU - Abecasis, M AU - Abecasis M FAU - Ebell, W AU - Ebell W FAU - Kwee, M L AU - Kwee ML FAU - de Ravel, T AU - de Ravel T FAU - CG Mathew AU - CG Mathew AU - et al. LA - eng GR - E.0688/TI_/Telethon/Italy PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Eur J Hum Genet JT - European journal of human genetics : EJHG JID - 9302235 RN - 0 (DNA Primers) SB - IM MH - Base Sequence MH - DNA Primers MH - Exons MH - Fanconi Anemia/ethnology/*genetics MH - Genetic Complementation Test MH - Heterozygote MH - Humans MH - *Mutation EDAT- 1999/03/27 00:00 MHDA- 1999/03/27 00:01 CRDT- 1999/03/27 00:00 PHST- 1999/03/27 00:00 [pubmed] PHST- 1999/03/27 00:01 [medline] PHST- 1999/03/27 00:00 [entrez] AID - 10.1038/sj.ejhg.5200248 [doi] PST - ppublish SO - Eur J Hum Genet. 1999 Jan;7(1):52-9. doi: 10.1038/sj.ejhg.5200248.