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Liu Z, Yu C, Li Q, Cai R, Qu Y, Wang W, Wang J, Feng J, Zhu W, Ou M, Huang W, Tang D, Guo W, Liu F, Chen Y, Fu L, Zhou Y, Lv W, Zhang H, Zhang J, Wang M, Yang J, Wan K, Miao J, Yuan Z, Liu H, He X, Li W, Chen W, Ye L, Chen Y, Huang S, Liu H, Ding H, Gan X, Wang S, Qiang R, Gong M, Teng P, Wang H, Zhou M, Wei H, Liu X, Tang K, Ma Y, Wu H, Shu X, Chen Y, Zhuang D, Li H, Liu Z, Liu X, Chen Y, Zhu L, Zhu X, Mo C, Tang H, Yin F, Shao Z, Zhang P, Peng B, Lu Q, Wang Z, Zou L. Chinese newborn screening for the incidence of G6PD deficiency and variant of G6PD gene from 2013 to 2017. Hum Mutat 2019; 41:212-221. [PMID: 31489982 DOI: 10.1002/humu.23911] [Citation(s) in RCA: 31] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2019] [Revised: 08/28/2019] [Accepted: 09/02/2019] [Indexed: 11/10/2022]
Abstract
Glucose-6-phosphate dehydrogenase (G6PD) deficiency is one of the most common X-linked enzymopathies caused by G6PD gene variant. We aimed to provide the characteristics of G6PD deficiency and G6PD gene variant distribution in a large Chinese newborn screening population. We investigated the prevalence of G6PD in China from 2013 to 2017. Then, we examined G6PD activity and G6PD gene in representative Chinese birth cohort to explore the distribution of G6PD gene variant in 2016. We then performed multicolor melting curve analysis to classify G6PD gene variants in 10,357 neonates with activity-confirmed G6PD deficiency, and DNA Sanger sequencing for G6PD coding exons if hot site variants were not found. The screened population, organizations, and provinces of G6PD deficiency were increased from 2013 to 2017 in China. The top five frequency of G6PD gene variants were c.1376G>T, c.1388G>A, c.95A>G, c.1024C>T, and c.871G>A and varied in different provinces, with regional and ethnic features, and four pathogenic variant sites (c.152C>T, c.290A>T, c.697G>C, and c.1285A>G) were first reported. G6PD deficiency mainly occurs in South China, and the frequency of G6PD gene variant varies in different regions and ethnicities.
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Affiliation(s)
- Zhidai Liu
- Department of Clinical Molecular Medicine & Newborn Screening Center, Children's Hospital of Chongqing Medical University, Chongqing, China.,Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China.,China International Science and Technology Cooperation base of Child development and Critical Disorders, Chongqing, China.,Chongqing Key Laboratory of Pediatrics, Chongqing, China.,National Clinical Research Center for Child Health and Disorders, Chongqing, China
| | - Chaowen Yu
- Department of Clinical Molecular Medicine & Newborn Screening Center, Children's Hospital of Chongqing Medical University, Chongqing, China.,Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China.,China International Science and Technology Cooperation base of Child development and Critical Disorders, Chongqing, China.,Chongqing Key Laboratory of Pediatrics, Chongqing, China.,National Clinical Research Center for Child Health and Disorders, Chongqing, China
| | - Qingge Li
- School of Life Science, Xiamen University, Xiamen, Fujian, China
| | - Ren Cai
- Department of Medical Genetics, Liuzhou Maternal and Child Health Hospital, Liuzhou, Guangxi, China
| | - Yiping Qu
- Newborn Screening Center of Zhejiang, Children's Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang, China
| | - Weipeng Wang
- Center of Clinical Laboratory, Maternal and Child Health Hospital of Hubei Province, Wuhan, Hubei, China
| | - Jie Wang
- Center of Clinical Laboratory, Maternal and Child Health Care Hospital of Hainan Province, Haikou, Hainan, China
| | - Jinwen Feng
- Key Laboratory of Newborn Screening Center of Yunfu, Yunfu, Guangdong, China
| | - Wenbin Zhu
- Fujian Neonatal Screening Center, Fujian Maternal and Children Health Hospital, Fuzhou, Fujian, China
| | - Mingcai Ou
- Newborn Screening Center of Sichuan, Maternal and Child Health Hospital of Sichuan Province, Chengdu, Sichuan, China
| | - Weitong Huang
- Newborn Screening Center of Nanning, Maternal and Child Health Hospital of Nanning, Nanning, Guangxi, China
| | - Deguo Tang
- Maternal and Child Health Hospital of Yongzhou, Yongzhou, Hunan, China
| | - Wei Guo
- Department of Clinical Molecular Medicine & Newborn Screening Center, Children's Hospital of Chongqing Medical University, Chongqing, China.,Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China.,China International Science and Technology Cooperation base of Child development and Critical Disorders, Chongqing, China.,Chongqing Key Laboratory of Pediatrics, Chongqing, China.,National Clinical Research Center for Child Health and Disorders, Chongqing, China
| | - Fangjie Liu
- Department of Clinical Molecular Medicine & Newborn Screening Center, Children's Hospital of Chongqing Medical University, Chongqing, China.,Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China.,China International Science and Technology Cooperation base of Child development and Critical Disorders, Chongqing, China.,Chongqing Key Laboratory of Pediatrics, Chongqing, China.,National Clinical Research Center for Child Health and Disorders, Chongqing, China
| | - Yanhua Chen
- Department of Clinical Molecular Medicine & Newborn Screening Center, Children's Hospital of Chongqing Medical University, Chongqing, China.,Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China.,China International Science and Technology Cooperation base of Child development and Critical Disorders, Chongqing, China.,Chongqing Key Laboratory of Pediatrics, Chongqing, China.,National Clinical Research Center for Child Health and Disorders, Chongqing, China
| | - Lifang Fu
- Department of Clinical Molecular Medicine & Newborn Screening Center, Children's Hospital of Chongqing Medical University, Chongqing, China.,Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China.,China International Science and Technology Cooperation base of Child development and Critical Disorders, Chongqing, China.,Chongqing Key Laboratory of Pediatrics, Chongqing, China.,National Clinical Research Center for Child Health and Disorders, Chongqing, China
| | - Yanxia Zhou
- Department of Clinical Molecular Medicine & Newborn Screening Center, Children's Hospital of Chongqing Medical University, Chongqing, China.,Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China.,China International Science and Technology Cooperation base of Child development and Critical Disorders, Chongqing, China.,Chongqing Key Laboratory of Pediatrics, Chongqing, China.,National Clinical Research Center for Child Health and Disorders, Chongqing, China
| | - Wenqiong Lv
- Department of Clinical Molecular Medicine & Newborn Screening Center, Children's Hospital of Chongqing Medical University, Chongqing, China.,Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China.,China International Science and Technology Cooperation base of Child development and Critical Disorders, Chongqing, China.,Chongqing Key Laboratory of Pediatrics, Chongqing, China.,National Clinical Research Center for Child Health and Disorders, Chongqing, China
| | - Hang Zhang
- Department of Clinical Molecular Medicine & Newborn Screening Center, Children's Hospital of Chongqing Medical University, Chongqing, China.,Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China.,China International Science and Technology Cooperation base of Child development and Critical Disorders, Chongqing, China.,Chongqing Key Laboratory of Pediatrics, Chongqing, China.,National Clinical Research Center for Child Health and Disorders, Chongqing, China
| | - Juan Zhang
- Department of Clinical Molecular Medicine & Newborn Screening Center, Children's Hospital of Chongqing Medical University, Chongqing, China.,Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China.,China International Science and Technology Cooperation base of Child development and Critical Disorders, Chongqing, China.,Chongqing Key Laboratory of Pediatrics, Chongqing, China.,National Clinical Research Center for Child Health and Disorders, Chongqing, China
| | - Ming Wang
- Department of Clinical Molecular Medicine & Newborn Screening Center, Children's Hospital of Chongqing Medical University, Chongqing, China.,Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China.,China International Science and Technology Cooperation base of Child development and Critical Disorders, Chongqing, China.,Chongqing Key Laboratory of Pediatrics, Chongqing, China.,National Clinical Research Center for Child Health and Disorders, Chongqing, China
| | - Jing Yang
- Department of Clinical Molecular Medicine & Newborn Screening Center, Children's Hospital of Chongqing Medical University, Chongqing, China.,Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China.,China International Science and Technology Cooperation base of Child development and Critical Disorders, Chongqing, China.,Chongqing Key Laboratory of Pediatrics, Chongqing, China.,National Clinical Research Center for Child Health and Disorders, Chongqing, China
| | - Kexing Wan
- Department of Clinical Molecular Medicine & Newborn Screening Center, Children's Hospital of Chongqing Medical University, Chongqing, China.,Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China.,China International Science and Technology Cooperation base of Child development and Critical Disorders, Chongqing, China.,Chongqing Key Laboratory of Pediatrics, Chongqing, China.,National Clinical Research Center for Child Health and Disorders, Chongqing, China
| | - Jingkun Miao
- Department of Clinical Molecular Medicine & Newborn Screening Center, Children's Hospital of Chongqing Medical University, Chongqing, China.,Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China.,China International Science and Technology Cooperation base of Child development and Critical Disorders, Chongqing, China.,Chongqing Key Laboratory of Pediatrics, Chongqing, China.,National Clinical Research Center for Child Health and Disorders, Chongqing, China
| | - Zhaojian Yuan
- Department of Clinical Molecular Medicine & Newborn Screening Center, Children's Hospital of Chongqing Medical University, Chongqing, China.,Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China.,China International Science and Technology Cooperation base of Child development and Critical Disorders, Chongqing, China.,Chongqing Key Laboratory of Pediatrics, Chongqing, China.,National Clinical Research Center for Child Health and Disorders, Chongqing, China
| | - Hao Liu
- Department of Clinical Molecular Medicine & Newborn Screening Center, Children's Hospital of Chongqing Medical University, Chongqing, China.,Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China.,China International Science and Technology Cooperation base of Child development and Critical Disorders, Chongqing, China.,Chongqing Key Laboratory of Pediatrics, Chongqing, China.,National Clinical Research Center for Child Health and Disorders, Chongqing, China
| | - Xiaoyan He
- Department of Clinical Molecular Medicine & Newborn Screening Center, Children's Hospital of Chongqing Medical University, Chongqing, China.,Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China.,China International Science and Technology Cooperation base of Child development and Critical Disorders, Chongqing, China.,Chongqing Key Laboratory of Pediatrics, Chongqing, China.,National Clinical Research Center for Child Health and Disorders, Chongqing, China
| | - Wenjie Li
- Qingdao Women & Children Hospital Neonatal Screening Lab, Qingdao, Shandong, China
| | - Wengao Chen
- Bijie Municipal Medical Technology Section of Healthcare and Family Planning Service Center, Bijie, Guizhou, China
| | - Lixin Ye
- Dongguan Newborn Screening Center, Dongguan Maternal & Infant Health Hospital, Dongguan, Guangdong, China
| | - Yajun Chen
- Medical Genetic Center of Maternal and Child Health Hospital of Shaoguan City, Shaoguan, Guangdong, China
| | - Shuodan Huang
- Newborn Screening Center of Meizhou, Meizhou, Guangdong, China
| | - Haiping Liu
- Newborn Screening Center of Foshan, Foshan, Guangdong, China
| | - Hongxiang Ding
- Department of Clinical Laboratory, The Second Affiliated Hospital & Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Xinhui Gan
- Neo-Screening Section, Zaozhuang Maternal and Child Health Hospital, Zaozhuang, Shandong, China
| | - Shuyuan Wang
- Department of Eugenics and Genetic, Maternal and Child Health Hospital of Xiangtan City, Xiangtan, Hunan, China
| | - Rong Qiang
- Neonatal Screening Department, Prenatal Diagnosis Department, Genetic Medical Center, Northwest Women and Children's Hospital, Xi'an, Shanxi, China
| | - Minhong Gong
- Clinical Laboratory, Maternal and Child Health Hospital of Shangluo, Shangluo, Shanxi, China
| | - Ping Teng
- Newborn Screening Center of Changde, Changde, Hunan, China
| | - Hua Wang
- Maternal and Child Health Hospital of Hunan Province, Changsha, Hunan, China
| | - Muping Zhou
- Maternal and Child Health Hospital of Shaoyang, Shaoyang, Hunan, China
| | - Hongwei Wei
- Maternal and Child Health Hospital of Linyi, Linyi, Shandong, China
| | - Xiangju Liu
- Maternal and Child Health Hospital of Tai'an, Tai'an, Shandong, China
| | - Kai Tang
- Newborn Screening Center of Baoji, Baoji, Shanxi, China
| | - Yahong Ma
- Maternal and Child Health Hospital of Yan'an, Yan'an, Shanxi, China
| | - Hongliang Wu
- Newborn Screening Center of Yueyang, Yueyang, Hunan, China
| | - Xiaoli Shu
- Gastrointestinal Laboratory, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China
| | - Yizhen Chen
- Clinical Laboratory, Maternal and Child Health Hospital of Ningbo, Ningbo, Zhejiang, China
| | - Danyan Zhuang
- Department of Medical Statistical, School of Public Health, Chongqing Medical University, Chongqing, China
| | - Hui Li
- Center of Clinical Laboratory, Maternal and Child Health Hospital of Hubei Province, Wuhan, Hubei, China
| | - Zhi Liu
- Center of Clinical Laboratory, Maternal and Child Health Hospital of Hubei Province, Wuhan, Hubei, China
| | - Xiulian Liu
- Center of Clinical Laboratory, Maternal and Child Health Care Hospital of Hainan Province, Haikou, Hainan, China
| | - Yao Chen
- Fujian Neonatal Screening Center, Fujian Maternal and Children Health Hospital, Fuzhou, Fujian, China
| | - Lidan Zhu
- Department of Clinical Laboratory, The Second Affiliated Hospital & Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Xiaoyan Zhu
- Department of Eugenics and Genetic, Maternal and Child Health Hospital of Xiangtan City, Xiangtan, Hunan, China
| | - Caihong Mo
- Key Laboratory of Newborn Screening Center of Yunfu, Yunfu, Guangdong, China
| | - Hua Tang
- Maternal and Child Health Hospital of Hunan Province, Changsha, Hunan, China
| | - Feng Yin
- Maternal and Child Health Hospital of Tai'an, Tai'an, Shandong, China
| | - Zhibing Shao
- Newborn Screening Center of Yueyang, Yueyang, Hunan, China
| | - Penghui Zhang
- Department of Clinical Molecular Medicine & Newborn Screening Center, Children's Hospital of Chongqing Medical University, Chongqing, China.,Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China.,China International Science and Technology Cooperation base of Child development and Critical Disorders, Chongqing, China.,Chongqing Key Laboratory of Pediatrics, Chongqing, China.,National Clinical Research Center for Child Health and Disorders, Chongqing, China
| | - Bin Peng
- Department of Medical Statistical, School of Public Health, Chongqing Medical University, Chongqing, China
| | - Qing Lu
- Division of Translational and Regenerative Medicine, College of Medicine, University of Arizona, Tucson, Arizona
| | - Zhiguo Wang
- National Center for Clinical Laboratories, Beijing, China
| | - Lin Zou
- Department of Clinical Molecular Medicine & Newborn Screening Center, Children's Hospital of Chongqing Medical University, Chongqing, China.,Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China.,China International Science and Technology Cooperation base of Child development and Critical Disorders, Chongqing, China.,Chongqing Key Laboratory of Pediatrics, Chongqing, China.,National Clinical Research Center for Child Health and Disorders, Chongqing, China
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