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Spontaneous in vivo reversion to normal of an inherited mutation in a patient with adenosine deaminase deficiency
Author(s): Hirschhorn R, Yang DRX, Puck JM, Huie ML, Jiang CK, Kurlandsky LE
Source: NATURE GENETICS    Volume: 13    Issue: 3    Pages: 290-295    Published: JUL 1996  
Times Cited: 121     References: 28     
Abstract: Somatic mosaicism in genetic disease generally results from a de novo deleterious mutation during embryogenesis. We now describe a somatic mosaicism due to the unusual mechanism of in vivo reversion to normal of an inherited mutation. The propositus was an adenosine deaminase-deficient (ADA(-)) child with progressive clinical improvement and unexpectedly mild biochemical and immunologic abnormalities. Mosaicism due to reversion was evidenced by absence of a maternally transmitted deleterious mutation in 13/15 authenticated B cell lines and in 17% of single alleles cloned from blood DNA, despite retention of a maternal 'private' ADA polymorphism linked to the mutation. Establishment of significant somatic mosaicism following reversion to normal could modify any disorder in which revertant cells have a selective advantage.
Document Type: Article
Language: English
Reprint Address: Hirschhorn, R (reprint author), NYU, SCH MED, DEPT MED, DIV MED GENET, 550 1ST AVE, NEW YORK, NY 10016 USA
Addresses:
1. NIH, NATL CTR HUMAN GENOME RES, BETHESDA, MD 20892 USA
2. MICHIGAN STATE UNIV, COLL HUMAN MED, DEPT PEDIAT & HUMAN DEV, GRAND RAPIDS, MI 49546 USA
Publisher: NATURE PUBLISHING CO, 345 PARK AVE SOUTH, NEW YORK, NY 10010-1707
Subject Category: Genetics & Heredity
IDS Number: UU283
ISSN: 1061-4036
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