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Title: Autosomal recessive distal renal tubular acidosis caused by G701D mutation of anion exchanger 1 gene
Authors: Pa thai Yenchitsomanus
Somkiat Vasuvattakul
Sukachart Kirdpon
Sirijitta Wasanawatana
Wattanachai Susaengrat
Suchai Sreethiphayawan
Duangporn Chuawatana
Sumitra Mingkum
Nunghathai Sawasdee
Peti Thuwajit
Prapon Wilairat
Prida Malasit
Sumalee Nimmannit
Faculty of Medicine, Siriraj Hospital, Mahidol University
Mahidol University
Khon Kaen University
Khon Kaen Regional Hospital
Thailand National Science and Technology Development Agency
Keywords: Medicine
Issue Date: 1-Jan-2002
Citation: American Journal of Kidney Diseases. Vol.40, No.1 (2002), 21-29
Abstract: Anion exchanger 1 (AE1 or band 3), encoded by the AE1 or SLC4A1 gene, regulates chloride-bicarbonate exchange in erythrocytes and α-intercalated cells of the distal nephron. Defects of AE1 at the basolateral membrane of α-intercalated cells may result in the failure of hydrogen ion secretion at the apical membrane, leading to distal renal tubular acidosis (dRTA). Abnormalities of the AE1 gene were previously reported to be associated with autosomal dominant dRTA. However, recent studies of Thai dRTA families have shown that mutations in this gene result in autosomal recessive (AR) dRTA, giving rise to the postulation that AE1 gene mutations causing AR dRTA might be found commonly in Thai pediatric patients with dRTA. We performed a study of the AE1 gene using DNA linkage, polymerase chain reaction single-strand conformation polymorphism, restriction endonuclease Hpa II digestion, and DNA sequence analyses in eight families involving 12 Thai children with dRTA, shown by abnormal urinary acidification using a short acid-loading test, as well as among their family members. Seven patients with dRTA from five families had the same homozygous missense G701D mutation of the AE1 gene. Their parents or siblings heterozygous for the AE1 G701D mutation were clinically normal and did not have abnormal urinary acidification, although a heterozygous sibling in one family had abnormal urinary acidification. Results of this and previous studies show that a homozygous AE1 G701D mutation causes AR dRTA and is a common molecular defect among Thai pediatric patients with dRTA. © 2002 by the National Kidney Foundation, Inc.
ISSN: 02726386
Appears in Collections:Scopus 2001-2005

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