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Molecular characterization of 21 X-ALD Portuguese families: identification of eight novel mutations in the ABCD1 gene
Abstract
X-linked adrenoleukodystrophy (X-ALD) is the most common inherited peroxisomal disorder. The gene associated with X-ALD, ABCD1, encodes a peroxisomal ATP-binding cassette half-transporter. In this study, we describe the molecular characterization of 21 affected Portuguese families. The complete coding region of the ABCD1 gene was amplified by reverse transcription polymerase chain reaction (RT-PCR) or genomic PCR. After conformation-sensitive gel electrophoresis analysis, fragments with a conformational heteroduplex pattern were sequenced. Using this strategy, we have identified 14 missense mutations, two nonsense mutations, two splicing site defects, and three small deletions, two of them resulting in frameshifts. Eight of the genetic alterations characterized in this study are novel. The levels of the ABCD1 transcript as well as the levels of ALDP in cultured skin fibroblasts of male probands were also determined in most cases. The levels of the ABCD1 transcript in one patient (corresponding to a nonsense mutation) were below the detection limit of Northern-blotting analysis. ALDP was found at normal levels in only three patients, absent in five (corresponding to a double missense, two nonsense, and two frameshift mutations), and decreased in all the others.
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Devastating childhood cALD and late adulthood AMN may co-exist within the same family.
“Devastating childhood cALD and late adulthood AMN may co-exist within the same family [103,104,105,106], whereas the few studied monozygotic twins showed less discordant phenotypes [107,108,109,110].”
From Revisiting the Pathogenesis of X-Linked Adrenoleukodystrophy (2025) · cites this paper as [105]
Within individual kindreds, phenotypes of the entire clinical spectrum of X-ALD have been described.
“Secondly, within individual kindreds, phenotypes of the entire clinical spectrum of X-ALD have been described.15,32,33”
From The genetic landscape of X-linked adrenoleukodystrophy: inheritance, mutations, modifier genes, and diagnosis (2015) · cites this paper as [33]
Citations
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Putative X-linked adrenoleukodystrophy gene shares unexpected homology with ABC transporters
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Berger, J., Wiesinger, C., & Eichler, F. (2015) · The Application of Clinical Genetics · doi:10.2147/tacg.s49590 · Cited by 140
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Revisiting the Pathogenesis of X-Linked Adrenoleukodystrophy
Bougnères, P., & Le Stunff, C. (2025) · Genes · doi:10.3390/genes16050590 · Cited by 11
Metadata
- Authors
- Guimarães, C. P., Lemos, M., Sá-Miranda, C., & Azevedo, J. E.
- Affiliations
- Universidade do Porto (PT)
- Corresponding author
- Azevedo, Jorge E
- Venue
- Molecular Genetics and Metabolism
- Publisher
- Elsevier BV
- Published
- 2002-05
- Volume
- 76
- Issue
- 1
- Pages
- 62-67
- ISSN
- 1096-7192 (ISSN-L)
- OpenAlex
- W2121792954
- Cited by
- 20
- References
- 6
- Citations by year
- 2025: 1 · 2022: 2 · 2021: 1 · 2016: 1 · 2015: 2 · 2013: 2 · 2012: 2
- FWCI
- 0.86
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Molecular Genetics and Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ministério da Educação e Ciência (PRAXIS XXI 2/2.1/SAU/1345/95)
- Instituto Nacional de Ciência e Tecnologia para Excitotoxicidade e Neuroproteção (SFRH/BD/1445/2000)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Metabolism and Genetic Disorders
- Health Sciences › Medicine › Genetics (clinical) › Lysosomal Storage Disorders Research
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Hereditary Neurological Disorders
- Keywords
- X-linked adrenoleukodystrophy, ABCD1 gene, novel mutations, peroxisomal disorders, ABC transporters, missense mutations, nonsense mutation, aberrant splicing, frameshift deletion, mRNA levels, Portuguese families
- MeSH terms
- ATP Binding Cassette Transporter, Subfamily D, Member 1, Adrenoleukodystrophy, Electrophoresis, Polyacrylamide Gel, Fatty Acids, Female, Fibroblasts, Humans, Male, Mutation, Portugal, Polymerase Chain Reaction, ATP-Binding Cassette Transporters
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