Screening for Alpha 1 antitrypsin deficiency in Tunisian subjects with obstructive lung disease: a feasibility report

被引:19
作者
Denden, Sabri [2 ]
Zorzetto, Michele [1 ]
Amri, Fethi [3 ]
Knani, Jalel [4 ]
Ottaviani, Stefania [1 ]
Scabini, Roberta [1 ]
Gorrini, Marina [1 ]
Ferrarotti, Ilaria [1 ]
Campo, Ilaria [1 ]
Ben Chibani, Jemni [2 ]
Khelil, Amel Haj [2 ]
Luisetti, Maurizio [1 ]
机构
[1] IRCCS San Matteo Hosp Fdn, Inst Resp Dis, Ctr Diag Inherited Alpha1 Antirtypsin Deficiency, I-27100 Pavia, Italy
[2] Fac Pharm, Biochem & Mol Biol Lab, Monastir 5019, Tunisia
[3] Ibn El Jazzar Hosp, Dept Pediat, Kairouan 3100, Tunisia
[4] CHU Tahar Sfar, Dept Pulmonol, Mahdia 5111, Tunisia
关键词
ALPHA(1)-ANTITRYPSIN DEFICIENCY; VARIANTS; ALLELE; IDENTIFICATION; POPULATION; PREVALENCE; MUTATIONS; EMPHYSEMA;
D O I
10.1186/1750-1172-4-12
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
Background: AATD is one of the most common inherited disorders in the World. However, it is generally accepted that AATD in North African populations is not a risk factor for lung and/or liver disease, based on a number of small studies. We therefore planned a screening study for detection of AATD in patients with OLD in a cohort of patients from Kairouan in central Tunisia. Methods: One hundred twenty patients with OLD (asthma, emphysema, COPD) were enrolled in the screening programme. Laboratory diagnosis for AATD was performed according to current diagnostic standards. Results: We found that 6/120 OLD patients carried an AAT deficient allele, 1 PI*MZ, 1 PI*MPlowel, 3 PI*MMmalton, 1 PI*MMwurzburg. Conclusion: this pilot study demonstrated that alleles related to deficiency of AAT are not absent in the Tunisian population, and that rare AATD variants prevailed over commonest PI*Z variant. These results would support a larger scale screening for AATD in Tunisia.
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页数:5
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