Fanconi anemia (FA) is an autosomal recessive disorder characterized by pancytopenia, predisposition to cancers, and a diverse variety of congenital malformations. At least eight complementation groups, A through H, have been described. Recently, the FA-A gene (FAA) has been isolated, and a large number of distinct mutations reported in ethnically diverse FA-A patients. Here, we report on the mutation analysis of five FA patients by single-strand conformation polymorphism. Out of five patients, at least three were found to have mutations in the FAA gene. The first patient was a compound heterozygote with a 1-bp deletion and a single-base substitution. The second patient had a heterozygous 2-bp deletion, which introduces a premature termination codon, and the third patient had a heterozygous splice donor site mutation in intron 27.
Key words
IntroductionFanconi anemia (FA) is an autosomal recessive disorder characterized by pancytopenia, skin pigmentation, a high incidence of lymphoid and other cancers, and a diverse variety of congenital malformations (Alter BP 1993;Andrea et al. 1997). Cells from FA patients display chromosome instability (Liu et al. 1994), spontaneous delay and arrest in the G 2 cell cycle checkpoint (Dutrillaux et al. 1982), and increased sensitivity to DNA cross-linking agents (Strathdee et al. 1992a). At least eight complementation groups (FA-A to FA-H) have been described . Among these groups, FA-A accounted for twothirds of 47 FA patients from European and US/Canadian populations (Buchwald 1995). The underlying gene for FA-C (FAC) has been isolated and mapped to 9q22.3 (Strathdee et al. 1992b,c). The gene responsible for FA-A (FAA) was isolated and mapped to 16q24.3 (Fanconi Anemia/Breast Cancer Consortium 1996; Lo Ten Foe et al. 1996). The FAA gene showed no significant homology to any known genes; however, recent studies have demonstrated that (1) FAA protein binds to FAC protein (Kupfer et al. 1997a) and (2) FAC protein is involved in cell cycle regulation via cyclin-dependent kinase cdc-2 (Kupfer et al. 1997b;Kruyt et al. 1997). A large number of distinct mutations and polymorphisms have been reported in ethnically diverse FA-A patients (Savino et al. 1997; Levran et al. 1997), suggesting the presence of genetic heterogeneity in FA-A patients. To search for mutations in the FAA gene in five Japanese FA patients, we screened the FAA cDNAs by single-strand conformation polymorphism (SSCP) analysis. Four novel mutations and two common polymorphisms were identified in three patients.
Materials and methods
Patient cell linesA total of five FA cell lines were collected for this study: cell lines FA1CH (from Chiba prefecture), FA2CH (Chiba),