PT - JOURNAL ARTICLE AU - L Kalaydjieva AU - B Dworniczak AU - C Aulehla-Scholz AU - M Devoto AU - G Romeo AU - M Sturhmann AU - V Kucinskas AU - V Yurgelyavicius AU - J Horst TI - Silent mutations in the phenylalanine hydroxylase gene as an aid to the diagnosis of phenylketonuria. AID - 10.1136/jmg.28.10.686 DP - 1991 Oct 01 TA - Journal of Medical Genetics PG - 686--690 VI - 28 IP - 10 4099 - http://jmg.bmj.com/content/28/10/686.short 4100 - http://jmg.bmj.com/content/28/10/686.full SO - J Med Genet1991 Oct 01; 28 AB - Direct sequencing of the phenylalanine hydroxylase (PAH) gene indicated the existence of silent mutations in codons 232, 245, and 385, linked to specific RFLP haplotypes in several Caucasian populations, namely Germans, Bulgarians, Italians, Turks, and Lithuanians. All three mutations create a new restriction site and can be easily detected on PCR amplified DNA. The usefulness of the silent mutations for diagnostic purposes depends on the haplotype distribution in the target population. The combined analysis of these markers and one or two PKU mutations forms a simple panel of diagnostic tests with full informativeness in a large proportion of PKU families, which helps to avoid the problems of genetic heterogeneity and of prenatal genomic Southern blot analysis.