Osteoporosis, bone & mineral

Novel SLC12A3 gene mutations and clinical characteristics in two pedigrees with Gitelman syndrome

Clin Endocrinol (Oxf)Published Case series with genetic analysis

Authors' conclusion

We identified two novel SLC12A3 genetic variant [c.2159G>T (p.Gly720Val) and c.2675T>C (p.Leu892Pro)] in two Chinese GS pedigrees. The discovery of new mutations has enriched the spectrum of SLC12A3 genotypes.

Study context

Population
Two Chinese pedigrees with Gitelman syndrome (GS): 2 suspected GS patients (middle-aged women) and 11 family members2 patients · 11 members
Outcome
SLC12A3 mutations
Methodological detailstwo pedigrees, Sanger direct sequencing, in silico pathogenicity prediction (Polyphen-2, SIFT, Mutation Taster, LRT)
  • Two pedigrees
  • Sanger direct sequencing
  • In silico pathogenicity prediction (Polyphen-2, SIFT, Mutation Taster, LRT)

Main finding

As reported in the abstract

Mutations identified in the two pedigrees

3

Known mutation

c.179C>T

Thr60Met

Novel mutations strongly predicted pathogenic by four programs

c.2159G>T (p. Gly720Val) and c.2675T>C (p. Leu892Pro)

Observational data: associations, not effects.

Further findings

Clinical characteristics

Both patients: hypokalemic metabolic alkalosis, hypomagnesemia, low urinary calcium, elevated renin-angiotensin-aldosterone system; clinically diagnosed as GS
Patient 2 also had T2D and Graves' disease

Original publication

Novel SLC12A3 gene mutations and clinical characteristics in two pedigrees with Gitelman syndrome. Clin Endocrinol (Oxf). Published 28 December 2022. doi:10.1111/cen.14870

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