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

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

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...

متن کامل

Genetic basis of progressive familial intrahepatic cholestasis.

oo~~ssrvn familial intrahepatic cholestasis (PFIC), P originally known as Byler disease, was first described in an Amish kindred (1,2). It is an inherited disorder of childhood in which cholestasis of hepatocellular origin often presents in the neonatal period or the first year of life and leads to death from liver failure at ages ranging from infancy to adolescence. Cholangiograms show normal ...

متن کامل

Genotype-phenotype correlations in hereditary elliptocytosis and hereditary pyropoikilocytosis.

Hereditary elliptocytosis (HE) and hereditary pyropoikilocytosis (HPP) are heterogeneous red blood cell (RBC) membrane disorders that result from mutations in the genes encoding α-spectrin (SPTA1), β-spectrin (SPTB), or protein 4.1R (EPB41). The resulting defects alter the horizontal cytoskeletal associations and affect RBC membrane stability and deformability causing shortened RBC survival. Th...

متن کامل

Genotype-phenotype relationship in hereditary haemorrhagic telangiectasia.

Hereditary haemorrhagic telangiectasia (HHT) is an autosomal dominant disorder characterised by vascular malformations in multiple organ systems, resulting in mucocutaneous telangiectases and arteriovenous malformations predominantly in the lungs (pulmonary arteriovenous malformation; PAVM), brain (cerebral arteriovenous malformation; CAVM), and liver (hepatic arteriovenous malformation; HAVM)....

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

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