A novel fibrinogen variant in a Chinese pedigree with congenital dysfibrinogenemia caused by FGA P. Arg38Thr mutation A case report
MEDICINE
Authors: Cai, Ruimin; Li, Yi; Wang, Wenyang; Gao, Xue; Liu, Meirong; Diao, Youxiang; Tang, Yi; Feng, Qiang
Abstract
Rationale: Congenital dysfibrinogenemia (CD) is characterized by altered functional properties of the fibrinogen; people who suffer from CD often have a low activity of fibrinogen and the mutation in the genomic DNA. Patient concerns: A 6-year-old child was examined with a low activity of fibrinogen measured by Von Clauss method and PT-derived method which indicated a normal level of fibrinogen; this abnormality was also detected in her mother. The genomic DNA of all the family members was extracted, and all exons of 3 fibrinogen genes which encode fibrinogen alpha chain (FGA), fibrinogen beta chain (FGB), and fibrinogen gamma chain (FGG) were amplified by polymerase chain reaction (PCR), in addition, sanger sequencing, homologous sequence alignment and bioinformatics software were performed for the further analysis. Diagnoses: CD in this pedigree is associated with c. 113G>C in the exon 2 of FGA which caused Arg38Thr mutation. Outcomes: The child and her mother showed a low plasma concentration of fibrinogen measured by Von Clauss method, whereas a normal result measured by PT-derived method; finally, c. 113G>C in the exon 2 of FGA was detected in the pedigree which caused Arg38Thr mutation and it is the first report on a pedigree with CD caused by A alpha Arg38Thr. Lessons: This case gives us the lesson that not all patients with CD showed typical symptoms and laboratory test results; the result of fibrinogen concentration and antigen which is tested by Von Clauss method and immunoturbidimetric assay is various according to the condition of each CD patient.
Peptidome Analysis Reveals Novel Serum Biomarkers for Children with Autism Spectrum Disorder in China
PROTEOMICS CLINICAL APPLICATIONS
Authors: Yang, Juan; Chen, Yanni; Xiong, Xiaofan; Zhou, Xiaobo; Han, Lin; Ni, Lei; Wang, Wenjing; Wang, Xiaofei; Zhao, Lingyu; Shao, Dongdong; Huang, Chen
Abstract
PurposeAutism spectrum disorder (ASD) is a neurological and developmental disorder that begins early in childhood and lasts throughout one's life. Early diagnosis is essential for ASD since early treatment can enable children with ASD to make significant gains in language and social skills, but remains challenging since there are currently no specific biomarkers of ASD. This study is aimed to identify serum biomarkers for ASD. Experimental designSerum of Han Chinese children with ASD (n=68) and age-matched healthy controls (n=80) is analyzed using magnetic bead-based separation combined with mass spectrum. ResultsEight potential ASD serum biomarker peaks (m/z: 3886.69, 7775.12, 2381.71, 6638.63, 3319.17, 894.34, 4968.59, and 5910.53) with higher expression in ASD group are further identified as peptide regions of plasma serine protease inhibitor precursor (SERPINA5), platelet factor 4 (PF4), fatty acid binding protein 1(FABP1), apolipoprotein C-I precursor (APOC1), alpha-fetoprotein precursor (AFP), carboxypeptidase B2 (CPB2), trace amine-associated receptor 6 (TAAR6), and isoform1 of fibrinogen alpha chain precursor (FGA). The expression of identified proteins is validated by enzyme-linked immunosorbent assay (ELISA). Conclusions and medical relevanceThese findings reveal the exceptional disease etiology of ASD from a serum proteomic perspective, and the identified proteins might be potential biomarkers for ASD diagnosis.