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1
Clinical Laboratory, National Cancer Center Hospital, Tsukiji 5-chome, Chuo-ku, Tokyo, 104 Japan.
2
Department of Laboratory Medicine, Jikei University
School of Medicine, The Daisan Hospital, 4-11-1 Izumi-honcho, Komae,
201 Japan.
3
Department of Laboratory Medicine, Hamamatsu
University School of Medicine, Handa-cho 3600, Hamamatsu City, 43131
Japan.
a Author for correspondence. Fax 81-3-3542-3815; e-mail mmaekawa{at}gan2.ncc.go.jp
We have identified 12 kinds of genetic mutations of butyrylcholine esterase (BCHE) from phenotypic abnormalities, showing that BCHE activities were deficient or diminished in sera. These genetic mutations, detected by PCRsingle-strand conformation polymorphism analysis and direct sequencing, consisted of one deletion (BCHE*FS4), nine missense (BCHE*24 M, *100S, *250P, *267R, *330I, *365R, *418S, *515C, *539T), and two nonsense mutations (BCHE*119STOP, *465STOP). All of the individuals deficient in serum BCHE activity were homozygous for silent genes (6 of 6). Fifty-eight percent of the individuals (31 of 53) with slightly reduced serum BCHE activity were heterozygous for silent genes. They also showed a higher frequency (47% as allele frequency) of the K-variant than the general population (17.5%). Finally, we confirmed low serum BCHE activity in 10 of 23 individuals heterozygous for silent genes.
Key Words: indexing terms: PCR single-strand conformation polymorphism deletion mutation missense mutation nonsense mutation genotype:phenotype correlation
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