PMID- 10211631 OWN - NLM STAT- MEDLINE DCOM- 19990525 LR - 20190905 IS - 0009-9120 (Print) IS - 0009-9120 (Linking) VI - 32 IP - 2 DP - 1999 Mar TI - A novel in-frame deletion mutation in a case of lactate dehydrogenase (LD) H subunit deficiency showing an atypical LD isoenzyme pattern in serum and erythrocytes. PG - 137-41 AB - OBJECTIVE: We report a case showing an atypical lactate dehydrogenase (LD) isoenzyme pattern involving deficiency only of LD-1 and LD-2 in serum and erythrocytes. LD activity in serum from this patient was extremely low, similar to complete LD-H deficiency, and also that in erythrocytes was low. DESIGN: The DNA fragment containing exon 1 through 7 of the LD-H gene were amplified by PCR and directly sequenced. Total RNA was prepared from venous blood and the proportion of LD-H cDNA to total LD cDNA was semiquantified. RESULTS: Genetic analysis by DNA sequencing detected a three base deletion (AAT) at codon 220 of exon 5, which caused a deletion of one asparagine. The present case did not show reduced LD-H expression at the mRNA level in whole blood. Residue 220 is involved in turning beta-J to alpha1-G and is not buried in the interior of the protein. The novel homozygous in-frame deletion mutation at codon 220 may cause a three-dimensional change of the subunit-binding domain. FAU - Sudo, K AU - Sudo K AD - Department of Laboratory Medicine, Jikei University, Daisan Hospital, Komae City, Tokyo, Japan. kayosudo@jikei.ac.jp FAU - Maekawa, M AU - Maekawa M FAU - Houki, N AU - Houki N FAU - Okuda, T AU - Okuda T FAU - Akizuki, S AU - Akizuki S FAU - Magara, T AU - Magara T FAU - Kawano, K AU - Kawano K LA - eng PT - Case Reports PT - Journal Article PT - Review PL - United States TA - Clin Biochem JT - Clinical biochemistry JID - 0133660 RN - 0 (Isoenzymes) RN - EC 1.1.1.27 (L-Lactate Dehydrogenase) SB - IM MH - Adult MH - Erythrocytes/*enzymology MH - Humans MH - Isoenzymes/deficiency/genetics MH - L-Lactate Dehydrogenase/blood/*deficiency/*genetics MH - Male MH - *Sequence Deletion RF - 8 EDAT- 1999/04/22 00:00 MHDA- 1999/04/22 00:01 CRDT- 1999/04/22 00:00 PHST- 1999/04/22 00:00 [pubmed] PHST- 1999/04/22 00:01 [medline] PHST- 1999/04/22 00:00 [entrez] AID - S0009-9120(98)00097-6 [pii] AID - 10.1016/s0009-9120(98)00097-6 [doi] PST - ppublish SO - Clin Biochem. 1999 Mar;32(2):137-41. doi: 10.1016/s0009-9120(98)00097-6.