Author: Bushra Moiz, Amna Nasir, Zulfiqar Naqvi, Tariq Moatter, and M Khurshid
Department of Pathology and Microbiology
The Aga Khan University,
Objectives: To detect the most frequent G6PD gene in Pakistani population through RFLP-PCR and evaluate its competence as a diagnostic marker for the enzymopathy
Subjects and Methods: The study was conducted at Aga Khan University Hospital during April 2006 to present after approval from institutional ethical review committee. It is supported by seed money grant #SM050905.
The patients were selected irrespective of age and gender that were referred from within and outside hospital for G6PD deficiency and were identified by Sigma® screening test (kit no 403). 100 patients were enrolled after informed consent. Total genomic DNA was isolated by QIAmp® DNA mini kit. PCR primers for amplification of fragments which include sites of 563 C-T, and 1311 C-T mutations were designed. The detection was carried out in 97 patients using PCR/RFLP technique and products were digested with restriction enzymes: MboII and BclI and analyzed by gel electrophoresis. PCR products were sent to Macrogen® ((Seoul, Korea) for DNA sequencing.
Results: Of 97 subjects identified as G6PD deficient, 76 (78.0%) were found carrying 563C-T and 44 (45%) 1311C mutation. Except for 9 patients, all were males. The DNA sequencing data supported the results obtained by RFLP-PCR.
Conclusions: Thus we conclude that the 563C-T and silent mutation 1311C are the commonest G6PD mutations in Pakistani population and RFLP-PCR is a rapid, inexpensive and accurate method for detection of these mutations.
Word Count: 236
Learning Objectives: .Identify the most common mutations of G6PD gene in local setting. .Prioritize mass neonatal screening for G6PD gene .create mass awareness for recognition of G6PD deficiency and its prevention
Sub-Theme: The growing importance of public health genetics
See more of: Public Health Research & Policy Development