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Disease
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Compound
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Gene/Protein
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Target Concepts:
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Query: UMLS:C0033377 (
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11,717
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
Two patients with a complete deletion of the
iduronate-2-sulphatase
(
IDS
) gene are described. In both patients, the resulting phenotype was that of very severe Hunter syndrome (mucopolysaccharidosis II). In addition, both had features not commonly seen in this disorder, e.g. early onset of seizures in one patient and
ptosis
in the other. It is speculated that loss of adjacent loci may contribute to the unusual findings and that the severe features present in both patients may represent contiguous gene syndromes. Further analysis of
IDS
cDNA from other patients with Hunter's syndrome may eventually enable phenotype to be predicted more accurately.
...
PMID:The clinical phenotype of two patients with a complete deletion of the iduronate-2-sulphatase gene (mucopolysaccharidosis II--Hunter syndrome). 190 48
Severe Hunter syndrome is a fatal X-linked lysosomal storage disorder caused by
iduronate-2-sulphatase
(
IDS
) deficiency. Patients with complete deletion of the
IDS
locus often have atypical phenotypes including
ptosis
, obstructive sleep apnoea, and the occurrence of seizures. We have used genomic DNA sequencing to identify several new genes in the
IDS
region. DNA deletion patients with atypical symptoms have been analysed to determine whether these atypical symptoms could be due to involvement of these other loci. The occurrence of seizures in two individuals correlated with a deletion extending proximal of
IDS
, up to and including part of the FMR2 locus. Other (non-seizure) symptoms were associated with distal deletions. In addition, a group of patients with no variant symptoms, and a characteristic rearrangement involving a recombination between the
IDS
gene and an adjacent
IDS
pseudogene (
IDS
psi), showed normal expression of loci distal to
IDS
. Together, these results identify FMR2 as a candidate gene for seizures, when mutated along with
IDS
.
...
PMID:Molecular and phenotypic variation in patients with severe Hunter syndrome. 914 53