“…The single base-substitutions were the cause of 3 missense, 2 nonsense mutations, an alteration of the splicing site and a silent mutation. Two missense mutations, R468Q (Bunge et al, 1992;Sukegawa et al, 1995;Karsten et al, 1998) and R88H Gort et al, 1998;Karsten et al, 1998) were found in 7 patients with a severe phenotype (H3, H7, H8, H12, H20, H23, H55), whereas the E521K missense mutation (Lissens et al, 1997) was responsible for the intermediate phenotype of the patient H119; the 2 nonsense mutations, R443X (Bunge et al, 1992;Sukegawa et al,1992;Froisart et al, 1993;Rathmann et al, 1996;Gort et al, 1998;Vafiadaki et al, 1998;Hartog et al, 1999 ) and R8X ( Vafiadaki et al, 1998) were detected in 2 patients ( H47 and H26 respectively ) with the intermediate form of the disease, and the alteration of the splicing G374G (Bunge et al, 1992;Flomen et al, 1992;Goldenfum et al, 1996;Rathmann et al, 1996;Hartog et al 1999) in 2 patients (H48, H61) with intermediate phenotype; the silent mutation T146T was detected in one case (H55) coexisting with the missense mutation R468Q (Bunge et al, 1992) whereas in two cases (H9, H67) was found, as an individual mutation as previously reported by Flomen et al, 1992 andAronovich et al, 1993. Since the T146T mutation has frequently been described as a polymorphism site Li et al, 1995) we sequenced the total cDNA as well as the genomic exon IV, where the alteration is located, including the surrounding intronic sequences of both patients H9 and H67, no evidence of other alterations was found.…”