© 2004 BMJ Publishing Group Ltd
ONLINE MUTATION REPORT
Common origin of the Val30Met mutation responsible for the amyloidogenic transthyretin type of familial amyloidotic polyneuropathy
1 Department of Neurology, Kumamoto University School of Medicine, Kumamoto, Japan
2 Department of Laboratory Medicine, Kumamoto University School of Medicine, Kumamoto, Japan
3 Department of Pediatrics, Asahikawa Medical College, Asahikawa, Japan
4 Laboratory for Gastrointestinal Diseases, RIKEN SNP Research Center, Yokohama, Japan
5 Division of Genetic Diagnosis, The Institute of Medical Science, The University of Tokyo, Japan
6 Instituto de Ciencias Biomedicas, Universidade de Porto, Porto, Portugal
7 Department of Medicine, Umea University Hospital, Umea, Sweden
8 Department of Neurology, Nagoya University Graduate School of Medicine, Nagoya, Japan
9 Institute of Molecular Embryology and Genetics, Kumamoto University, Kumamoto, Japan
10 Hospital General Universitario, Murcia, Spain
11 Department of Public Health, Chiba University Graduate School of Medicine, Chiba, Japan
Correspondence to:
Correspondence to:
Dr A Hata
Department of Public Health, Chiba University Graduate School of Medicine, Inohana 18-1, Chiba 2608670, Japan; ahata{at}med.m.chiba-u.ac.jp
Accepted 2 November 2004
Keywords: familial amyloidotic polyneuropathy; founder; haplotype
Abbreviations: FAP, familial amyloidotic polyneuropathy; SNPs, single nucleotide polymorphisms; TTR, transthyretin
| The first 150 words of the full text of this article appear below. |
The amyloidogenic transthyretin (TTR) type of familial amyloidotic polyneuropathy (FAP [MIM 176300], http://www.ncbi.nlm.nih.gov/Omim/) is the most common form of hereditary systemic amyloidosis.13 It is well known that amyloidogenic TTR resulting from gene mutations is a major constituent of amyloid deposits in tissues of patients with FAP.4 To date, more than 80 mutations of the TTR gene have been associated with human amyloidosis.5 Of those mutations, a mutation changing valine at amino acid 30 to methionine (Val30Met) is the most common,13 and only patients with this mutation are found in large foci throughout the world.1,2
The clinical manifestations of the TTR Val30Met type of FAP in Japan and Portugal are as follows: (1) the disorder is inherited as an autosomal dominant trait with equal sex distribution and high penetrance; (2) the age at onset is late twenties to early forties; (3) polyneuropathy with sensory dissociation starts in the legs and
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