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A family showing recessively inherited multisystem pathology with aberrant splicing of the erythrocyte Band 7.2b ('stomatin') gene.

Abstract
The case of a French child, born of consanguineous parents of Tunisian origin, is described. He showed a severe multisystem disease with dyserythropoietic, sideroblastic anaemia, delayed neurological development with hypotonia and convulsions, salt-losing nephropathy, chronic watery diarrhoea, lactic acidosis with mitochondrial dysfunction, brittle hair, hypergammaglobulinaemia, fatty liver with intermittent transaminasaemia, and terminal pulmonary fibrosis. Two siblings, of both sexes, were stillborn; two more lived only a short time. One sister is alive and well. SDS gel analysis of the red cell membranes showed a deficiency within 'Band 7' at 32 kDa. Analysis of the gene encoding 'stomatin', or 'erythrocyte membrane protein 7.2b', the principal protein of 'Band 7', revealed a complex series of aberrant spliceforms centred around exon 3, for which no explanatory genomic lesion could be found. The true underlying molecular cause of this condition remains obscure, but it suggests that the stomatin gene should be studied in other cases.
AuthorsA C Argent, M C Chetty, B Fricke, Y Bertrand, N Philippe, S Khogali, M von Düring, J Delaunay, G W Stewart
JournalJournal of inherited metabolic disease (J Inherit Metab Dis) Vol. 27 Issue 1 Pg. 29-46 ( 2004) ISSN: 0141-8955 [Print] United States
PMID14970744 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Blood Proteins
  • DNA, Recombinant
  • Membrane Proteins
  • STOM protein, human
Topics
  • Alternative Splicing
  • Blood Cells (pathology)
  • Blood Proteins (deficiency, genetics)
  • Cerebral Ventricles (pathology)
  • Child, Preschool
  • DNA, Recombinant
  • Fatal Outcome
  • Gene Amplification
  • Genes, Recessive
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Membrane Proteins (deficiency, genetics)
  • Metabolism, Inborn Errors (diagnosis, genetics)
  • Pedigree
  • Radiography, Thoracic

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