Genetic sequencing and genotype-phenotype co-relation in Indian children presenting with hereditary intrahepatic cholestasis
نویسندگان
چکیده
Background and Aim: Progressive familial intrahepatic cholestasis (PFIC) vary from infantile onset severe disease to intermittent episodes of jaundice pruritus. Mutations display wide racial geographical variations hence data west cannot be extrapolated Indian population. This study was planned describe the spectrum mutations in children evaluate genotype-phenotype co-relation. Methods: is an observational which enrolled with genetically proven PFIC presenting between 2013 March 2023. Results: Out 76 enrolled, ABCB11 mutation (32%) commonest followed by ABCB4 (22%), ATP8B1 (13%), TJP2 USP53 (5%), MYO5B (4%), NR1H4 (4%) KIF12 (3%). Among low GGT cholestasis, FIC1, BSEP defects were monogenic disorders early onset, within first 6 months life. Genotype patients showed many novel different West. No genotype- phenotype correlation seen FIC1 deficiency. BSEP, TJP2, MDR3 good correlation. In deficiency, predicted protein truncating (PPTMs) developed refractory pruritus than missense variants. defects, only biallelic had advanced fibrosis on liver biopsy increased risk decompensation. better native survival (NLS) as compared those monoallelic/biallelic PPTMs (p = 0.05). Nine subjects underwent surgical biliary diversion serum bile acid less 38μmol/L 2-4 weeks SBD, reliably correlated resolution NLS. Non-responders SBD higher stiffness responders (26.5kPA vs 7.4kPA, p=0.07), indicating grade at time SBD. Conclusion: have west. Good
منابع مشابه
Hereditary recurrent intrahepatic cholestasis from birth.
Obstructive jaundice in the first months of life is a fairly frequent phenomenon. Approximately twothirds of these infants have atresia of the hepatic ducts, and about two-thirds of the remaining can be classified as 'neonatal hepatitis', 'giant cell hepatitis', or 'thick bile syndrome' (Craig and Landing, 1952; de Toni and Romano, 1962; Gellis, 1961). 'Thick bile syndrome' is defined as 'neona...
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ژورنال
عنوان ژورنال: Journal of clinical and experimental hepatology
سال: 2023
ISSN: ['0973-6883', '2213-3453']
DOI: https://doi.org/10.1016/j.jceh.2023.07.385