Mutations of PHOX2B Gene in Patients of Obesity Hypoventilation Syndrome in Central India

Background Paired-like homeobox 2B (PHOX2B) gene on chromosome 4p12 codes for a transcription factor having a role in the formation of noradrenergic neuronal circuits. Its mutations have been linked to congenital central hypoventilation syndrome (CCHS). The clinical presentation of both, obesity hyp...

Full description

Bibliographic Details
Main Authors: Ankita Tyagi, Abhishek Goyal, Prashant Chaware, Bertha A.D. Rathinam
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2022-06-01
Series:Journal of Laboratory Physicians
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1735582
_version_ 1818486683592556544
author Ankita Tyagi
Abhishek Goyal
Prashant Chaware
Bertha A.D. Rathinam
author_facet Ankita Tyagi
Abhishek Goyal
Prashant Chaware
Bertha A.D. Rathinam
author_sort Ankita Tyagi
collection DOAJ
description Background Paired-like homeobox 2B (PHOX2B) gene on chromosome 4p12 codes for a transcription factor having a role in the formation of noradrenergic neuronal circuits. Its mutations have been linked to congenital central hypoventilation syndrome (CCHS). The clinical presentation of both, obesity hypoventilation syndrome (OHS) and CCHS in adults (named late-onset central hypoventilation syndrome), is quite similar. Because of this symptomatic similarity, multifactorial causation of OHS, the mutation of PHOX2B gene was studied in patients with OHS in this study. Methods A hospital-based cross-sectional study was performed on patients diagnosed with OHS. The deoxyribonucleic acid was extracted from 2 mL of venous blood and was further amplified, specific to exon 3. The amplified products were cast and run in 2% agarose gel and then subjected to Sanger sequencing. Results Thirty patients of OHS (21 male; 9 female) were enrolled in the present study, average age being 51.7 years. The Sanger sequencing of the samples revealed no apparent areas of deletions and no apparent mutations. Conclusion Primers for exon 3 were used for amplification in thermocycler, as exon 3 is the most frequently mutated exon for PHOX2B gene, as per existing literature. The entire gene needs to be studied for mutations and the sample size needs to be increased.
first_indexed 2024-12-10T16:26:23Z
format Article
id doaj.art-d001e0bd9913442f847c60fdd5129e64
institution Directory Open Access Journal
issn 0974-2727
0974-7826
language English
last_indexed 2024-12-10T16:26:23Z
publishDate 2022-06-01
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series Journal of Laboratory Physicians
spelling doaj.art-d001e0bd9913442f847c60fdd5129e642022-12-22T01:41:40ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Laboratory Physicians0974-27270974-78262022-06-01140216416810.1055/s-0041-1735582Mutations of PHOX2B Gene in Patients of Obesity Hypoventilation Syndrome in Central IndiaAnkita Tyagi0Abhishek Goyal1Prashant Chaware2Bertha A.D. Rathinam3Department of Anatomy, All India Institute of Medical Sciences Bhopal, Bhopal, Madhya Pradesh, IndiaDepartment of Pulmonary Medicine, All India Institute of Medical Sciences Bhopal, Bhopal, Madhya Pradesh, IndiaDepartment of Anatomy, All India Institute of Medical Sciences Bhopal, Bhopal, Madhya Pradesh, IndiaDepartment of Anatomy, All India Institute of Medical Sciences Bhopal, Bhopal, Madhya Pradesh, IndiaBackground Paired-like homeobox 2B (PHOX2B) gene on chromosome 4p12 codes for a transcription factor having a role in the formation of noradrenergic neuronal circuits. Its mutations have been linked to congenital central hypoventilation syndrome (CCHS). The clinical presentation of both, obesity hypoventilation syndrome (OHS) and CCHS in adults (named late-onset central hypoventilation syndrome), is quite similar. Because of this symptomatic similarity, multifactorial causation of OHS, the mutation of PHOX2B gene was studied in patients with OHS in this study. Methods A hospital-based cross-sectional study was performed on patients diagnosed with OHS. The deoxyribonucleic acid was extracted from 2 mL of venous blood and was further amplified, specific to exon 3. The amplified products were cast and run in 2% agarose gel and then subjected to Sanger sequencing. Results Thirty patients of OHS (21 male; 9 female) were enrolled in the present study, average age being 51.7 years. The Sanger sequencing of the samples revealed no apparent areas of deletions and no apparent mutations. Conclusion Primers for exon 3 were used for amplification in thermocycler, as exon 3 is the most frequently mutated exon for PHOX2B gene, as per existing literature. The entire gene needs to be studied for mutations and the sample size needs to be increased.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1735582obesity hypoventilation syndromephox2b gene
spellingShingle Ankita Tyagi
Abhishek Goyal
Prashant Chaware
Bertha A.D. Rathinam
Mutations of PHOX2B Gene in Patients of Obesity Hypoventilation Syndrome in Central India
Journal of Laboratory Physicians
obesity hypoventilation syndrome
phox2b gene
title Mutations of PHOX2B Gene in Patients of Obesity Hypoventilation Syndrome in Central India
title_full Mutations of PHOX2B Gene in Patients of Obesity Hypoventilation Syndrome in Central India
title_fullStr Mutations of PHOX2B Gene in Patients of Obesity Hypoventilation Syndrome in Central India
title_full_unstemmed Mutations of PHOX2B Gene in Patients of Obesity Hypoventilation Syndrome in Central India
title_short Mutations of PHOX2B Gene in Patients of Obesity Hypoventilation Syndrome in Central India
title_sort mutations of phox2b gene in patients of obesity hypoventilation syndrome in central india
topic obesity hypoventilation syndrome
phox2b gene
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1735582
work_keys_str_mv AT ankitatyagi mutationsofphox2bgeneinpatientsofobesityhypoventilationsyndromeincentralindia
AT abhishekgoyal mutationsofphox2bgeneinpatientsofobesityhypoventilationsyndromeincentralindia
AT prashantchaware mutationsofphox2bgeneinpatientsofobesityhypoventilationsyndromeincentralindia
AT berthaadrathinam mutationsofphox2bgeneinpatientsofobesityhypoventilationsyndromeincentralindia