Pyruvate kinase deficiency in 29 Turkish patients with two novel intronic variants.
Br J Haematol
; 205(1): 236-242, 2024 Jul.
Article
em En
| MEDLINE
| ID: mdl-38811201
ABSTRACT
Pyruvate kinase (PK) is a key enzyme of anaerobic glycolysis. The genetic heterogeneity of PK deficiency (PKD) is high, and over 400 unique variants have been identified. Twenty-nine patients who had been diagnosed as PKD genetically in seven distinct paediatric haematology departments were evaluated. Fifteen of 23 patients (65.2%) had low PK levels. The PKhexokinase ratio had 100% sensitivity for PKD diagnosis, superior to PK enzyme assay. Two novel intronic variants (c.695-1G>A and c.694+43C>T) have been described. PKD should be suspected in patients with chronic non-spherocytic haemolytic anaemia, even if enzyme levels are falsely normal. Total PKLR gene sequencing is necessary for the characterization of patients with PKD and for genetic counselling.
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Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Piruvato Quinase
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Íntrons
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Erros Inatos do Metabolismo dos Piruvatos
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Anemia Hemolítica Congênita não Esferocítica
Limite:
Adolescent
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Child
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Child, preschool
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Female
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Humans
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Infant
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Male
País/Região como assunto:
Asia
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article