A frame shift mutation in the fibrinogen Aα chain gene in a kindred with renal amyloidosis

Tomoyuki Uemichi, Juris J. Liepnieks, Toshiyuki Yamada, Morie A. Gertz, Nils Bang, Merrill D. Benson

Research output: Contribution to journalArticlepeer-review

57 Scopus citations

Abstract

A new American kindred with amyloidosis was found by single-strand conformation polymorphism analysis to have a mutation in the fibrinogen Aα chain gene. Affected members in this kindred have autosomal dominant amyloid nephropathy. DNA sequencing showed a single nucleotide deletion at the third base of codon 524 of the fibrinogen Aα chain gene (4904delG) that resulted in a frame shift and premature termination of the protein at codon 548. Antiserum was produced to a portion of the abnormal peptide predicted by the DNA sequence and amyloid deposits were immunohistologically proven to contain this abnormal peptide. Two of the propositus' 4 children were positive for the mutant fibrinogen Aα chain gene by restriction fragment length polymorphism analysis based on polymerase chain reaction. These two mutant gene carriers now in the second decade of life show no clinical symptoms of amyloidosis as yet but have lower plasma fibrinogen concentrations when compared with their normal siblings. This is the first description of a kindred with renal amyloidosis and low plasma fibrinogen and also the first report of amyloidosis caused by a frame shift mutation.

Original languageEnglish (US)
Pages (from-to)4197-4203
Number of pages7
JournalBlood
Volume87
Issue number10
DOIs
StatePublished - May 15 1996

ASJC Scopus subject areas

  • Biochemistry
  • Immunology
  • Hematology
  • Cell Biology

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