Skip to main content
Log in

Structure and function of glucose-6-phosphate dehydrogenase-deficient variants in Chinese population

  • Original Investigation
  • Published:
Human Genetics Aims and scope Submit manuscript

Abstract

A systematic study on the structure and function of Glucose-6-phosphate dehydrogenase (G6PD) variations was carried out in China. A total of 155,879 participants were screened for G6PD deficiency by the G6PD/6PGD ratio method and 6,683 cases have been found. The prevalence of G6PD deficiency ranged from 0 to 17.4%. With informed consent, 1,004 cases from 11 ethnic-based groups were subjected to molecular analysis. Our results showed the followings: (1) The G6PD variants are consistent across traditional ethnic boundaries, but vary in frequencies across ethnic-based groups in Chinese population, (2) The G6PD variants in Chinese population are different from those in African, European, and Indian populations, (3) A novel G6PD-deficiency mutation, 274C→T, has been found, and (4) Denaturing high performance liquid chromatography is of great advantage to detecting G6PD-deficient mutations for diagnosis and genetic counseling. Moreover, functional analysis of the human G6PD variants showed the following: (1) The charge property, polarity, pK-radical and side-chain radical of the substituting amino acid have an effect on G6PD activity, (2) The G6PDArg459 and Arg463 play important roles in anchoring NADP+ to the catalytic domain to maintain the enzymatic activity, and (3) The sequence from codon 459 to the carboxyl terminal is essential for the enzymatic function.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  • Ainoon O, Joyce J, Boo NY, Cheong SK, Zainal ZA, Hamidah NH (1999) Glucose-6-phosphate dehydrogenase (G6PD) variants in Malaysian Chinese. Hum Mutat 14:352

    Article  PubMed  CAS  Google Scholar 

  • Au SW, Gover S, Lam VM, Adams MJ (2000) Human glucose-6-phosphate dehydrogenase: the crystal structure reveals a structural NADP(+) molecule and provides insights into enzyme deficiency. Structure Fold Des 8:293–303

    Article  PubMed  CAS  Google Scholar 

  • Beutler E (1993) Study of glucose-6-phosphate dehydrogenase: History and molecular biology. Am J Hematol 42:53–56

    Article  PubMed  CAS  Google Scholar 

  • Beutler E (1994) G6PD deficiency. Blood 84:3613–3636

    PubMed  CAS  Google Scholar 

  • Beutler E, Blume KG, Kaplan JC, Lohr GW, Ramot B, Valentine WN (1977) International Committee for Standardization in Haematology: recommended methods for redcell enzyme analysis. Br J Haematol 35:331–340

    Article  PubMed  CAS  Google Scholar 

  • Beutler E, Blume KG, Kaplan JC, Lohr GW, Ramot B, Valentine WN (1979) International Committee for Standardizationin Haematology: recommended screening test for glucose-6-phosphate dehydrogenase (G6PD) deficiency. Br J Haematol 43:465–467

    Article  PubMed  CAS  Google Scholar 

  • Calabro V, Mason PJ, Filosa S, Civitelli D, Cittadella R, Tagarelli A, Martini G, Brancati C, Luzzatto L (1993) Genetic heterogeneity of glucose-6-phosphate dehydrogenase deficiency revealed by single-strand conformation and sequence analysis. Am J Hum Genet. 5:527–536

    Google Scholar 

  • Cai W, Cai L, Zhou D, Kuang Y, Zhou Y, Stefania F, Giuseppe M (2000) 1376 G→T mutation of G6PD gene in Han and Li nationalities in Hainan, China. Zhonghua Yi Xue Yi Chuan Xue Za Zhi 17:326–328

    PubMed  CAS  Google Scholar 

  • Cai W, Filosa S, Martini G, Zhou Y, Zhou D, Cai L, Kuang Y (2001) Molecular characterization of glucose6-phosphate dehydrogenase deficiency in the Han and Li nationalities in Hainan, China and identification of a new mutation in human G6PDgene. Zhonghua Yi Xue Yi Chuan Xue Za Zhi 18:105–109

    PubMed  CAS  Google Scholar 

  • Chau TN, Lai ST, Lai JY, Yuen H (1997) Haemolysis complicating acute viral hepatitis in patients with normal or deficient glucose-6-phosphate dehydrogenase activity. Scand J Infect Dis 29:551–553

    Article  PubMed  CAS  Google Scholar 

  • Chen HL, Huang MJ, Huang CS, Tang TK (1996) G6PD NanKang (517 T→C; 173 Phe→Leu): a new Chinese G6PD variant associated with neonatal jaundice. Hum Hered 46:201–204

    Article  PubMed  CAS  Google Scholar 

  • Chen HL, Huang MJ, Huang CS, Tang TK (1997) Two novel glucose 6-phosphate dehydrogenase deficiency mutations and association of such mutations with F8C/G6PD haplotype in Chinese. J Formos Med Assoc 96:948–954

    PubMed  CAS  Google Scholar 

  • Chiang SH, Wu SJ, Wu KF, Hsiao KJ (1999) Neonatal screening for glucose-6-phosphate dehydrogenase deficiency in Taiwan. Southeast Asian J Trop Med Public Health 2:72–274

    Google Scholar 

  • Costa E, Cabeda JM, Vieira E, Pinto R, Pereira SA, Ferraz L, Santos R, Barbot J (2000) Glucose-6-phosphate dehydrogenase aveiro: a de novo mutation associated with chronic nonspherocytic hemolytic anemia. Blood 95:1499–1501

    PubMed  CAS  Google Scholar 

  • Drent M, Gorgels AP, Bast A (2003) Cardiac failure associated with G6PD deficiency. Circ Res 93:e75

    Article  PubMed  CAS  Google Scholar 

  • Du C, He Y (1997) A case of nt 1004C→ A G6PD gene mutation in Yunnan Han people. Zhonghua Xue Ye Xue Za Zhi 18:535–537

    PubMed  CAS  Google Scholar 

  • Du CS, Ren X, Chen L, Jiang W, He Y, Yang M (1999) Detection the most common G6PDgene mutation in Chinese using amplication refractory mutation system. Hum Hered 49:133–138

    Article  PubMed  CAS  Google Scholar 

  • Du CS, Xu YK, Hu XY (1987) Favism. People’s Medical Publishing House, Bejing, China, pp 189

    Google Scholar 

  • Filosa S, Fico A, Paglialunga F, Balestrieri M, Crooke A, Verde P, Abrescia P, Bautista JM, Martini G (2003) Failure to increase glucose consumption through the pentose-phosphate pathway results in the death of glucose-6-phosphate dehydrogenase gene-deleted mouse embryonic stem cells subjected to oxidative stress. Biochem J 370:(3):935–943

    Article  PubMed  CAS  Google Scholar 

  • Fouts D, Ganguly R, Gutierrez AG, Lucchesi JC, Manning JE (1988) Nucleotide sequence of the Drosophila glucose-6-phosphate dehydrogenase gene and comparison with the homologous human gene. Gene 31:261–275

    Article  Google Scholar 

  • Ho YS, Howard AJ, Crapo JD (1988) Cloning and sequence of a cDNA encoding rat glucose-6-phosphate dehydrogenase. Nucleic Acids Res 16:7746–7751

    Article  PubMed  CAS  Google Scholar 

  • Iwai K, Hirono A, Matsuoka H, Kawamoto F, Horie T, Lin K, Tantular IS, Dachlan YP, Notopuro H, Hidayaho NI, Abdul MA, Fujii SH, Miwa S, Ishii A (2001) Distribution of glucose 6 phosphate dehydrogenase mutations in Southeast Asia. Hum Genet 108:445–449

    Article  PubMed  CAS  Google Scholar 

  • Jain M, Brenner DA, Cui L, Lim CC, Wang B, Pimentel DR, Koh S, Sawyer DB, Leopold JA, Handy DE, Loscalzo J, Apstein CS, Liao R (2003) Glucose-6-phosphate ehydrogenased modulates cytosolic redox status and contractile phenotype in adult cardiomyocytes. Circ Res 93:e9–e16

    Article  PubMed  CAS  Google Scholar 

  • Jiang W, Du C, Chen L (1999) Study on G487A mutation of the glucose -6-phosphate dehydrogenase gene. Zhonghua Xue Ye Xue Za Zhi 20:518–520

    PubMed  CAS  Google Scholar 

  • Jiang W, Du C, Duan S, Shan MLD, Chen L, Lin Q, Liwen Y (1999) Molecular characterization of glucose-6-phosphate dehydrogenase variants in four ethnic groups in Yunnan province of China. Zhong hua Yi Xue Yi Chuan Xue Za Zhi 16:149–152

    CAS  Google Scholar 

  • Kneller DG, Cohen FE, Langridge R (1990) Improvements in protein secondary structure prediction by an enhanced neural network. J Mol Biol 214:171–182

    Article  PubMed  CAS  Google Scholar 

  • Kotaka M, Gover S, Vandeputte-Rutten L, Au SW, Lam VM, Adams MJ (2005) Structural studies of glucose-6-phosphate and NADP+ binding to human glucose-6-phosphate dehydrogenase. Acta Crystallogr D Biol Crystallogr 61:495–504

    Article  PubMed  CAS  Google Scholar 

  • Kwiatkowski DP (2005) How malaria has affected the human genome and what human genetics can teach us about malaria. Am J Hum Genet 77:171–190

    Article  PubMed  CAS  Google Scholar 

  • Lo YS, Lu CC, Chiou SS, Chen BH, Chang TT, Chang JG (1994) Molecular characterization of glucose-6phosphate dehydrogenase deficiency in Chinese infants with or without severe neonatal hyperbilirubinaemia. Br J Haematol 86:858–862

    Article  PubMed  CAS  Google Scholar 

  • Matsuoka H, Nguon C, Kanbe T, Jalloh A, Sato H, Yoshida S, Hirai M, Arai M, Socheat D, Kawamoto F (2005) Glucose-6-phosphate dehydrogenase (G6PD) mutations in Cambodia: G6PD Viangchan (871G→A) is the most common variant in the Cambodian population. J Hum Genet 50:468–472

    Article  PubMed  CAS  Google Scholar 

  • Mohanty D, Mukherjee MB, Colah RB (2004) Glucose-6-phosphate dehydrogenase deficiency in India. Indian J Pediatr 71:525–529

    Article  PubMed  Google Scholar 

  • Nikitin EV, Pak SG (1990) The functioning of the glutathione system in patients with acute viral hepatitis. 62:76–79

    Google Scholar 

  • Ren X, He Y, Du C, Jiang W, Chen L, Lin Q (2001) A novel mis-sense mutation (G1381A) in the G6PD gene identified in a Chinese man. Chin Med J (Engl) 114:399–401

    CAS  Google Scholar 

  • Rodrigues MO, Pereira JD, Gaspar G, Olim G, Martins MD, Monteiro C (2004) Novel point mutation in exon 12 of the glucose-6- phosphate dehydrogenase gene: G6PD FLORES. J Clin Lab Anal 18:129–131

    Article  PubMed  CAS  Google Scholar 

  • Sabeti PC, Reich DE, Higgins JM, Levine HZ, Richter DJ, Schaffner SF, Gabriel SB, Platko JV, Patterson NJ, McDonald GJ, Ackerman HC, Campbell SJ, Altshuler D, Cooper R, Kwiatkowski D, Ward R, Lander ES (2002) Detecting recent positive selection in the human genome from haplotype structure. Nature 419:832–837

    Article  PubMed  CAS  Google Scholar 

  • Saunders MA, Hammer MF, Nachman MW (2002) Nucleotide variability at G6pd and the signature of malarial selection in humans. Genetics 162:1849–1861

    PubMed  CAS  Google Scholar 

  • Saunders MA, Slatkin M, Garner C, Hammer MF, Nachman MW (2005) The extent of linkage disequilibrium caused by selection on G6PD in humans. Genetics 171:1219–1229

    Article  PubMed  CAS  Google Scholar 

  • Sabeti PC, Reich DE, Higgins JM, Levine HZ, Richter DJ, Schaffner SF, Gabriel SB, Platko JV, Patterson NJ, McDonald GJ, Ackerman HC, Campbell SJ, Altshuler D, Cooper R, Kwiatkowski D, Ward R, Lander ES (2002) Detecting recent positive selection in the human genome from haplotype structure. Nature 419:832–837

    Article  PubMed  CAS  Google Scholar 

  • Scopes DA, Bautista JM, Naylor CE, Adams MJ, Mason PJ (1998) Amino acid substitutions at the dimer interface of human glucose-6-phosphate dehydrogenase that increase thermostability and reduce the stabilising effect of NADP. Eur J Biochem 251:382–388

    Article  PubMed  CAS  Google Scholar 

  • Siwik DA, Pagano PJ, Colucci WS (2001) Oxidative stress regulates collagen synthesis and matrix metalloproteinase activity in cardiac fibroblasts. Am J Physiol Cell Physiol 280:C53–C60

    PubMed  CAS  Google Scholar 

  • Sobngwi E, Gautier JF, Kevorkian JP, Villette JM, Riveline JP, Zhang S, Vexiau P, 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. 90:4446–4451

    CAS  Google Scholar 

  • Sukumar S, Mukherjee MB, Colah RB, Mohanty D (2004) Molecular basis of G6PD deficiency in India. Blood Cells Mol Dis 33:141–145

    Article  PubMed  CAS  Google Scholar 

  • Verrelli BC, McDonald JH, Argyropoulos G, Destro-Bisol G, Froment A, Drousiotou A, Lefranc G, Helal AN, Loiselet J, Tishkoff SA (2002) Evidence for balancing selection from nucleotide sequence analyses of human G6PD. Am J Hum Genet 71:1112–1128

    Article  PubMed  CAS  Google Scholar 

  • 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

    Google Scholar 

  • Wajcman H, Galacteros F (2004) Glucose-6-phosphate dehydrogenase deficiency: a protection against malaria and a risk for hemolytic accidents. C R Biol 327:711–720

    Article  PubMed  CAS  Google Scholar 

  • Wang XT, Au SW, Lam VM, Engel PC (2002) Recombinant human glucose-6-phosphate dehydrogenase. Evidence for a rapid-equilibrium random-order mechanism. Eur J Biochem 269:3417–3424

    Article  PubMed  CAS  Google Scholar 

  • 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

    Google Scholar 

  • Xiao W, Oefner PJ (2001) Denaturing high-performance liquid chromatography: A review. Hum Mutat 17:439–474

    Article  PubMed  CAS  Google Scholar 

  • Xu WM, Wang Q, Huan XY (1994) PCR-siungle-strand comformation (SSCP), DNA direct sequencing analysis in detecting mutation in exon 2 of G6PDgene. Zhonbghua Yi Xue Zazhi 74:35–37

    CAS  Google Scholar 

  • Yang Z, Chu J, Ban G (2001) The genotype analysis of glucose-6-phosphate dehydrogenase deficiency in Yunnan province. Zhonghua Yi Xue Yi Chuan Xue Za Zhi 18:259–263

    PubMed  CAS  Google Scholar 

  • Yu GL, Jiang WY, DU CS, Chen LM, Lin QD, Tian QH, Zeng JB, Li SG (2004) Identification of G6PD gene variants from Hakka population in Guangdong province. Zhonghua Yi Xue Yi Chuan Xue Za Zhi 21:448–451

    PubMed  CAS  Google Scholar 

Download references

Acknowledgments

The mutated G6PD by site-directed mutagenesis was a kind gift from Professor Chongyi Zhao, who worked in Furen University, Taiwan. Many thanks to Professor Huishang Au for her guiding while at the Kunming University of Science Technology, China. The project is supported by Chinese National Natural Scientific Grants #30440005 and #30470949, China; Scientific Technology Grant of Guangdong province: #2004B3370107, China.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Weiying Jiang.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Jiang, W., Yu, G., Liu, P. et al. Structure and function of glucose-6-phosphate dehydrogenase-deficient variants in Chinese population. Hum Genet 119, 463–478 (2006). https://doi.org/10.1007/s00439-005-0126-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00439-005-0126-5

Keywords

Navigation