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KMID : 0384119930130030363
Korean Journal of Clinical Pathology
1993 Volume.13 No. 3 p.363 ~ p.372
Detection of Factor IX Gene Mutation and Carriers in Korean Hemophilia B Patients by DNA Sequencing




Abstract
DNA-based carrier detection and prenatal diagnosis are rapidly expanding medical application of the molecular biologic methods. Now there are two DNA-based methods for hemophilia B carrier detection, one is the linkage analysis of
RFLP(restriction
fragment length polymorphism) and the other is the direct sequencing of factor ¥¸gene. Direct diagnosis shows greater accuracy than RFLP analysis which has some commonly overlooked uncertainties and limitations and it can offer 100% precise
genetic
counselling compared to the level of 50-60% attainable by RFLP. Here, we have delineated mutaions in four unrelated severe hemophilia B patients by direct sequencing of eight regions of likely functional significance in the factor ¥¸ gene. Each
hemophiliac has different mutation occurred in exon E, promotor region, and exon H A C to T transition at nueleotide 17704 changes codon 97 from Gln to a stop codon(KHB4). A G to C transversion at 17747 changes codon 111 from Cys to Ser(KHB 4). A
G
to A
transition at 31308 changes codon 396 from Gly to Glu(KHB 5). An A to G transition at 13 in the promotor region is the variant previously described as hemophilia BLeyden(KHB 2). The mutations shown in KHB 1, 4, 5 patients are the novel point
mutations
of the factor ¥¸gene. With these data, we successfully performed the carrier testing in family members of the patients.
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