The phenotype and clinical course of Japanese Fanconi Anaemia infants is influenced by patient, but not maternal <i>ALDH2</i> genotype

  • Miharu Yabe
    Department of Cell Transplantation and Regenerative Medicine Tokai University School of Medicine Isehara Japan
  • Hiromasa Yabe
    Department of Cell Transplantation and Regenerative Medicine Tokai University School of Medicine Isehara Japan
  • Tsuyoshi Morimoto
    Department of Paediatrics Tokai University School of Medicine Isehara Japan
  • Akiko Fukumura
    Department of Paediatrics Tokai University School of Medicine Isehara Japan
  • Keisuke Ohtsubo
    Department of Paediatrics Tokai University School of Medicine Isehara Japan
  • Takashi Koike
    Department of Paediatrics Tokai University School of Medicine Isehara Japan
  • Kenichi Yoshida
    Department of Pathology and Tumour Biology Graduate School of Medicine Kyoto University Kyoto Japan
  • Seishi Ogawa
    Department of Pathology and Tumour Biology Graduate School of Medicine Kyoto University Kyoto Japan
  • Etsuro Ito
    Department of Paediatrics Hirosaki University Graduate School of Medicine Hirosaki Japan
  • Yusuke Okuno
    Department of Paediatrics Nagoya University Graduate School of Medicine Nagoya Japan
  • Hideki Muramatsu
    Department of Paediatrics Nagoya University Graduate School of Medicine Nagoya Japan
  • Seiji Kojima
    Department of Paediatrics Nagoya University Graduate School of Medicine Nagoya Japan
  • Keitaro Matsuo
    Division of Molecular Medicine Aichi Cancer Centre Research Institute Nagoya Japan
  • Asuka Hira
    Laboratory of DNA Damage Signalling Department of Late Effects Studies Radiation Biology Centre Kyoto University Kyoto Japan
  • Minoru Takata
    Laboratory of DNA Damage Signalling Department of Late Effects Studies Radiation Biology Centre Kyoto University Kyoto Japan

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<jats:title>Summary</jats:title><jats:p>Studies using Fanconi anaemia (<jats:styled-content style="fixed-case">FA</jats:styled-content>) mutant mouse models suggested that the combination of a defective <jats:styled-content style="fixed-case">FA</jats:styled-content> pathway and aldehyde dehydrogenase‐2 (<jats:styled-content style="fixed-case">ALDH</jats:styled-content>2) dysfunction could provoke bone marrow failure, leukaemia and developmental defects, and that both maternal and fetal aldehyde detoxification are crucial to protect the developing embryo from <jats:styled-content style="fixed-case">DNA</jats:styled-content> damage. We studied the <jats:italic><jats:styled-content style="fixed-case">ALDH</jats:styled-content>2</jats:italic> genotypes of 35 Japanese <jats:styled-content style="fixed-case">FA</jats:styled-content> patients and their mothers. We found that a normal maternal <jats:italic><jats:styled-content style="fixed-case">ALDH</jats:styled-content>2</jats:italic> allele was not essential for fetal development of <jats:italic><jats:styled-content style="fixed-case">ALDH</jats:styled-content>2</jats:italic>‐deficient patients, and none of the post‐natal clinical parameters were clearly affected by the maternal <jats:italic><jats:styled-content style="fixed-case">ALDH</jats:styled-content>2</jats:italic> genotype in these patients.</jats:p>

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