Abstract
Knowledge of the G6PD genotype and its associated enzyme activity is significant for population genetics, diagnosis of disease, and management of patients. We tested 2,872 unrelated subjects from a Hakka population in China for G6PD activity by the WHO standard method and for genotype by DHPLC and DNA sequencing. Among female heterozygotes, 78.5% had relatively normal enzyme activity. The phenotype frequency of G6PD deficiency is 0.028, and the causal allele frequency is 0.060 in females. The accuracy, sensitivity, and specificity of DHPLC are more than 98% for detecting G6PD-deficient hemizygotes, heterozygotes, and homozygotes. Measuring enzyme activity alone is not sufficient for the diagnosis of heterozygotes. A combination of enzyme activity and DNA analysis should be used.


References
Anderson JR (1963) The Lyon hypothesis. Br Med J 2:1215–1216
Beutler E, Yeh M, Fairbanks VF (1962) The normal human female as a mosaic of X-chromosome activity: studies using the gene for G-6-PD deficiency as a marker. Proc Natl Acad Sci 48:9–16
Du CS, Xu YK, Hu XY (1987) Favism. People’s Medical Publishing House, Bejing
Du CS, Ren X, Chen L, He Y, Yang M (1999) Detection of the most common G6PD gene mutation in Chinese using amplification refractory mutation system. Hum Hered 49:133–138
Fan YH, Lazenbery L, Foster E, Duelm F, Grant E Jr (2007) Improved quantitative method for G6PD deficiency detection. J Clin Lab Anal 21:107–113
Filosa S, Giacometti N, Wangwei C, De Mattia D, Pagnini D, Alfinito F, Schettini F, Luzzatto L, Martini G (1996) Somatic-cell selection is a major determinant of the blood-cell phenotype in female heterozygotes for glucose-6-phosphate dehydrogenase mutations causing severe enzyme deficiency. Am J Hum Genet 59:887–895
Frank JE (2005) Diagnosis and management of G6PD deficiency. Am Fam Physician 72:1277–1282
Iwai K, Hirono A, Matsuoka H, Kawamoto F, Horie T, Lin K, Tantular IS, Dachlan YP, Notopuro H, Hidayah NI, Salim AM, Fujii H, Miwa S, Ishii A (2001) Distribution of glucose 6 phosphate dehydrogenase mutations in Southeast Asia. Hum Genet 108:445–495
Jiang WY, Chen LM, Lin QD, Geng Q, Du CS (2005) Denaturing high-performance liquid chromatography technique platform applied to screen G6PD deficient variants. Chin J Med Genet 22:607–611
Jiang WY, Yu GL, Liu P, Geng Q, Chen LM, Lin Q, Ren XQ, Ye WH, He YS, Guo Y, Duan S, Wen J, Li HY, Qi Y, Jiang CG, Zheng YM, Liu C, Si E, Zhang Q, Tian QH, Du CS (2006) Structure and function of glucose-6-phosphate dehydrogenase-deficient variants in Chinese population. Hum Genet 119:463–478
Ko CH, Yung E, Li K, Li CL, Ng PC, Fung KP, Wong RP, Chui KM, Gu GJ, Fok TF (2006) Multiplex primer extension reaction screening and oxidative challenge of glucose-6-phosphate dehydrogenase mutants in hemizygous and heterozygous subjects. Blood Cells Mol Dis 37:21–26
Latham KE (1996) X-chromosome imprinting and inactivation in the early mammalian embryo. Trends Genet 12:134–138
Leal SM, Vaisse C, Mauvais-Jarvis F (2005) High prevalence of glucose-6-phosphate dehydrogenase deficiency without gene mutation suggests a novel genetic mechanism predisposing to ketosis-prone diabetes. J Clin Endocrinol Metab 90:4446–4451
Lyon MF (2002) X-chromosome inactivation and human genetic disease. Acta Paediatr 91:107–112
Mason PJ, Bautista JM, Gilsanz F (2007) G6PD deficiency: the genotype-phenotype association. Blood Rev 21:267–832
Matsuo M, Nishiyama K, Shirakawa T, Padilla CD, San LP, Suryantoro P, Yusoff NM, Dao NT (2003) Glucose-6-phosphate dehydrogenase deficiency: molecular heterogeneity in Southeast Asian countries. Southeast Asian J Trop Med Public Health 34(Suppl 3):127–129
Nkhoma ET, Poole C, Vannappagari V, Hall SA, Beutler E (2009) The global prevalence of glucose-6-phosphate dehydrogenase deficiency: a systematic review and meta-analysis. Blood Cells Mol Dis 42:267–278
Nussbaum RL, McInnes RR, Willard HF (2007) Thompson and Thompson genetics in medicine, 6th edn. W. B. Saunders Company, New York
Ørstavik KH (2006) Skewed X inactivation in healthy individuals and in different diseases. Acta Paediatr Suppl 95:24–29
Tang TK, Huang CS, Huang MJ, Tam KB, Yeh CH, Tang CJ (1992) Diverse point mutations result in glucose-6-phosphate dehydrogenase G6PD, polymorphism in Taiwan. Blood 79:2135–2140
Teplyl J (1964) The Lyon hypothesis: a significant advance in human genetics. Nutr Rev 22:68–71
Toenz O (1965) The Lyon hypothesis in G-6-PD deficiency. J Pediatr 66:981–982
WHO Scientific Groups (1967) Standardization of procedures for the study of glucose-6-phosphate dehydrogenase. Report of a WHO Scientific Group. World Health Organ Tech Rep Ser 366:1–53
Xiao W, Oefner PJ (2001) Denaturing high-performance liquid chromatography: a review. Hum Mutat 17:439–474
Xu W, Westwood B, Bartsocas CS, Malcorra-Azpiazu JJ, Indrak K, Beutler E (1995) Glucose-6-phosphate dehydrogenase mutations and haplotypes in various ethnic groups. Blood 85:257–263
Zhao F, Ou XL, Xu CC, Cai GQ, Wu XY, Huang YM, Zhu WF, Jiang QC (2004) Rapid detection of six common Chinese G6PD mutations by MALDI-TOF MS. Blood Cells Mol Dis 32:315–318
Acknowledgments
The project was supported by a National Natural Scientific Fund of China (No. 81050036) and the Chinese Scientific Technology Ministry (11.5 Project No. 2006BAI05A08). Many thanks to Prof. Chuanshu Du for his guidance.
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Jiang, W.Y., Zhou, B.Y., Yu, G.L. et al. G6PD Genotype and Its Associated Enzymatic Activity in a Chinese Population. Biochem Genet 50, 34–44 (2012). https://doi.org/10.1007/s10528-011-9455-3
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DOI: https://doi.org/10.1007/s10528-011-9455-3