Molecular pathology of rare bleeding disorders (RBDs) in India: a systematic review.

<h4>Background</h4>Though rare in occurrence, patients with rare bleeding disorders (RBDs) are highly heterogeneous and may manifest with severe bleeding diathesis. Due to the high rate of consanguinity in many caste groups, these autosomal recessive bleeding disorders which are of rare...

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Auteurs principaux:	Bipin P Kulkarni, Sona B Nair, Manasi Vijapurkar, Leenam Mota, Sharda Shanbhag, Shehnaz Ali, Shrimati D Shetty, Kanjaksha Ghosh
Format:	article
Langue:	EN
Publié:	Public Library of Science (PLoS) 2014
Sujets:	Medicine R Science Q
Accès en ligne:	https://doaj.org/article/e4d25ae4a78646f6a6fc35a903eaf86b
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spelling	oai:doaj.org-article:e4d25ae4a78646f6a6fc35a903eaf86b2021-11-25T05:58:11ZMolecular pathology of rare bleeding disorders (RBDs) in India: a systematic review.1932-620310.1371/journal.pone.0108683https://doaj.org/article/e4d25ae4a78646f6a6fc35a903eaf86b2014-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0108683https://doaj.org/toc/1932-6203<h4>Background</h4>Though rare in occurrence, patients with rare bleeding disorders (RBDs) are highly heterogeneous and may manifest with severe bleeding diathesis. Due to the high rate of consanguinity in many caste groups, these autosomal recessive bleeding disorders which are of rare occurrence in populations across the world, may not be as rare in India.<h4>Objectives</h4>To comprehensively analyze the frequency and nature of mutations in Indian patients with RBDs.<h4>Methods</h4>Pubmed search was used (www.pubmed.com) to explore the published literature from India on RBDs using the key words "rare bleeding disorders", "mutations", "India", "fibrinogen", "afibrinogenemia", "factor II deficiency", "prothrombin" "factor VII deficiency", "factor V deficiency", "factor X deficiency", "factor XI deficiency", "combined factor V and VIII deficiency", "factor XIII deficiency", "Bernard Soulier syndrome" and "Glanzmanns thrombasthenia" in different combinations. A total of 60 relevant articles could be retrieved. The distribution of mutations from India was compared with that of the world literature by referring to the Human Gene Mutation Database (HGMD) (www.hgmd.org).<h4>Results</h4>Taken together, 181 mutations in 270 patients with different RBDs have been reported from India. Though the types of mutations reported from India and their percentage distribution with respect to the world data are largely similar, yet much higher percentage of small deletions, duplication mutations, insertions, indels were observed in this analysis. Besides the identification of novel mutations and polymorphisms, several common mutations have also been reported, which will allow to develop a strategy for mutation screening in Indian patients with RBDs.<h4>Conclusion</h4>There is a need for a consortium of Institutions working on the molecular pathology of RBDs in India. This will facilitate a quicker and cheaper diagnosis of RBDs besides its utility in first trimester prenatal diagnosis of the affected families.Bipin P KulkarniSona B NairManasi VijapurkarLeenam MotaSharda ShanbhagShehnaz AliShrimati D ShettyKanjaksha GhoshPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 9, p e108683 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Bipin P Kulkarni Sona B Nair Manasi Vijapurkar Leenam Mota Sharda Shanbhag Shehnaz Ali Shrimati D Shetty Kanjaksha Ghosh Molecular pathology of rare bleeding disorders (RBDs) in India: a systematic review.
description	<h4>Background</h4>Though rare in occurrence, patients with rare bleeding disorders (RBDs) are highly heterogeneous and may manifest with severe bleeding diathesis. Due to the high rate of consanguinity in many caste groups, these autosomal recessive bleeding disorders which are of rare occurrence in populations across the world, may not be as rare in India.<h4>Objectives</h4>To comprehensively analyze the frequency and nature of mutations in Indian patients with RBDs.<h4>Methods</h4>Pubmed search was used (www.pubmed.com) to explore the published literature from India on RBDs using the key words "rare bleeding disorders", "mutations", "India", "fibrinogen", "afibrinogenemia", "factor II deficiency", "prothrombin" "factor VII deficiency", "factor V deficiency", "factor X deficiency", "factor XI deficiency", "combined factor V and VIII deficiency", "factor XIII deficiency", "Bernard Soulier syndrome" and "Glanzmanns thrombasthenia" in different combinations. A total of 60 relevant articles could be retrieved. The distribution of mutations from India was compared with that of the world literature by referring to the Human Gene Mutation Database (HGMD) (www.hgmd.org).<h4>Results</h4>Taken together, 181 mutations in 270 patients with different RBDs have been reported from India. Though the types of mutations reported from India and their percentage distribution with respect to the world data are largely similar, yet much higher percentage of small deletions, duplication mutations, insertions, indels were observed in this analysis. Besides the identification of novel mutations and polymorphisms, several common mutations have also been reported, which will allow to develop a strategy for mutation screening in Indian patients with RBDs.<h4>Conclusion</h4>There is a need for a consortium of Institutions working on the molecular pathology of RBDs in India. This will facilitate a quicker and cheaper diagnosis of RBDs besides its utility in first trimester prenatal diagnosis of the affected families.
format	article
author	Bipin P Kulkarni Sona B Nair Manasi Vijapurkar Leenam Mota Sharda Shanbhag Shehnaz Ali Shrimati D Shetty Kanjaksha Ghosh
author_facet	Bipin P Kulkarni Sona B Nair Manasi Vijapurkar Leenam Mota Sharda Shanbhag Shehnaz Ali Shrimati D Shetty Kanjaksha Ghosh
author_sort	Bipin P Kulkarni
title	Molecular pathology of rare bleeding disorders (RBDs) in India: a systematic review.
title_short	Molecular pathology of rare bleeding disorders (RBDs) in India: a systematic review.
title_full	Molecular pathology of rare bleeding disorders (RBDs) in India: a systematic review.
title_fullStr	Molecular pathology of rare bleeding disorders (RBDs) in India: a systematic review.
title_full_unstemmed	Molecular pathology of rare bleeding disorders (RBDs) in India: a systematic review.
title_sort	molecular pathology of rare bleeding disorders (rbds) in india: a systematic review.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/e4d25ae4a78646f6a6fc35a903eaf86b
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Molecular pathology of rare bleeding disorders (RBDs) in India: a systematic review.

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