Could the ENPP1 p.D85H Mutation be Associated with Hypophosphatemic Rickets?

Objective:A 35-year-old Turkish male patient was referred to us with a year-long history of joint paint and congenital hearing loss. Family history revealed more family members with hearing loss without paraneoplastic syndrome. These findings led us to investigate the genetic alterations associated...

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Main Authors: Ender COŞKUNPINAR, Sakin TEKİN, Şükrü PALANDUZ, Hakan AVCI, Kıvanç CEFLE, N. Ozan TİRYAKİOĞLU, Ayşe KUBAT ÜZÜM, Refik TANAKOL, İlhan SATMAN
Format: Article
Language:English
Published: Galenos Publishing House 2018-04-01
Series:Bezmiâlem Science
Subjects:
Online Access: http://bezmialemscience.org/archives/archive-detail/article-preview/could-the-enpp1-pd85h-mutation-be-associated-with-/20185
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author Ender COŞKUNPINAR
Sakin TEKİN
Şükrü PALANDUZ
Hakan AVCI
Kıvanç CEFLE
N. Ozan TİRYAKİOĞLU
Ayşe KUBAT ÜZÜM
Refik TANAKOL
İlhan SATMAN
author_facet Ender COŞKUNPINAR
Sakin TEKİN
Şükrü PALANDUZ
Hakan AVCI
Kıvanç CEFLE
N. Ozan TİRYAKİOĞLU
Ayşe KUBAT ÜZÜM
Refik TANAKOL
İlhan SATMAN
author_sort Ender COŞKUNPINAR
collection DOAJ
description Objective:A 35-year-old Turkish male patient was referred to us with a year-long history of joint paint and congenital hearing loss. Family history revealed more family members with hearing loss without paraneoplastic syndrome. These findings led us to investigate the genetic alterations associated with familial hypophosphatemia, which revealed an ENPP1 mutation.Methods:Serum samples were obtained after 12-hour fasting. The mutation analysis was performed using previously described primers. Total RNA was isolated from blood samples using Qiagen Total RNA extraction mini kit. cDNA samples were amplified using polymerase chain reaction (PCR), and these PCR products were purified using commercial kits. Following amplification and purification, the PCR products were sequenced.Results:The patient was found to have hypophosphatemia, a high level of PTH, and elevated plasma alkaline phosphatase. Sequencing results revealed an ENPP1 p.D85H mutation.Conclusion:We present the identification of an inactivating mutation in the ectonucleotide pyrophosphatase/phosphodiesterase-1. The substituted amino acid residue is highly conserved in ENPP1. At present, we have no further explanation, but our results suggest that ENPP1 p.D85H mutation may be associated with hypophosphatemic rickets accompanied by hearing loss.
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spelling doaj.art-7b1b6d715a4c4044bf609ae4faaa41ef2023-02-15T16:15:53ZengGalenos Publishing HouseBezmiâlem Science2148-23732148-23732018-04-016212612910.14235/bs.2018.184013049054Could the ENPP1 p.D85H Mutation be Associated with Hypophosphatemic Rickets?Ender COŞKUNPINAR0Sakin TEKİN1Şükrü PALANDUZ2Hakan AVCI3Kıvanç CEFLE4N. Ozan TİRYAKİOĞLU5Ayşe KUBAT ÜZÜM6Refik TANAKOL7İlhan SATMAN8 Department of Internal Medicine, Division of Medical Genetics, İstanbul University İstanbul School of Medicine, İstanbul, Turkey Department of Internal Medicine, Division of Endocrinology and Metabolism, İstanbul University İstanbul School of Medicine, İstanbul, Turkey Department of Internal Medicine, Division of Medical Genetics, İstanbul University İstanbul School of Medicine, İstanbul, Turkey Department of Otolaryngology, İstanbul University İstanbul School of Medicine, İstanbul, Turkey Department of Internal Medicine, Division of Medical Genetics, İstanbul University İstanbul School of Medicine, İstanbul, Turkey Department of Internal Medicine, Division of Medical Genetics, İstanbul University İstanbul School of Medicine, İstanbul, Turkey Department of Internal Medicine, Division of Endocrinology and Metabolism, İstanbul University İstanbul School of Medicine, İstanbul, Turkey Department of Internal Medicine, Division of Endocrinology and Metabolism, İstanbul University İstanbul School of Medicine, İstanbul, Turkey Department of Internal Medicine, Division of Endocrinology and Metabolism, İstanbul University İstanbul School of Medicine, İstanbul, Turkey Objective:A 35-year-old Turkish male patient was referred to us with a year-long history of joint paint and congenital hearing loss. Family history revealed more family members with hearing loss without paraneoplastic syndrome. These findings led us to investigate the genetic alterations associated with familial hypophosphatemia, which revealed an ENPP1 mutation.Methods:Serum samples were obtained after 12-hour fasting. The mutation analysis was performed using previously described primers. Total RNA was isolated from blood samples using Qiagen Total RNA extraction mini kit. cDNA samples were amplified using polymerase chain reaction (PCR), and these PCR products were purified using commercial kits. Following amplification and purification, the PCR products were sequenced.Results:The patient was found to have hypophosphatemia, a high level of PTH, and elevated plasma alkaline phosphatase. Sequencing results revealed an ENPP1 p.D85H mutation.Conclusion:We present the identification of an inactivating mutation in the ectonucleotide pyrophosphatase/phosphodiesterase-1. The substituted amino acid residue is highly conserved in ENPP1. At present, we have no further explanation, but our results suggest that ENPP1 p.D85H mutation may be associated with hypophosphatemic rickets accompanied by hearing loss. http://bezmialemscience.org/archives/archive-detail/article-preview/could-the-enpp1-pd85h-mutation-be-associated-with-/20185 Hypophosphatemic ricketshearing lossENPP1mutation
spellingShingle Ender COŞKUNPINAR
Sakin TEKİN
Şükrü PALANDUZ
Hakan AVCI
Kıvanç CEFLE
N. Ozan TİRYAKİOĞLU
Ayşe KUBAT ÜZÜM
Refik TANAKOL
İlhan SATMAN
Could the ENPP1 p.D85H Mutation be Associated with Hypophosphatemic Rickets?
Bezmiâlem Science
Hypophosphatemic rickets
hearing loss
ENPP1
mutation
title Could the ENPP1 p.D85H Mutation be Associated with Hypophosphatemic Rickets?
title_full Could the ENPP1 p.D85H Mutation be Associated with Hypophosphatemic Rickets?
title_fullStr Could the ENPP1 p.D85H Mutation be Associated with Hypophosphatemic Rickets?
title_full_unstemmed Could the ENPP1 p.D85H Mutation be Associated with Hypophosphatemic Rickets?
title_short Could the ENPP1 p.D85H Mutation be Associated with Hypophosphatemic Rickets?
title_sort could the enpp1 p d85h mutation be associated with hypophosphatemic rickets
topic Hypophosphatemic rickets
hearing loss
ENPP1
mutation
url http://bezmialemscience.org/archives/archive-detail/article-preview/could-the-enpp1-pd85h-mutation-be-associated-with-/20185
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