Table 1.

Novel HMBS mutants that cause AIP, and putative genetic modifiers of porphyria

Novel HMBS mutantsPutative genetic modifiers of porphyria
Mutation typeVariantClassificationName
Deletion c.6delA Serum porphyrin transporters Albumin 
c.657_658delCT Haptoglobin 
 Hemopexin 
 High/low-density lipoproteins 
Insertion c.741-748dupCATCGCTG Porphyrin transporters FLVCR1a/b 
BCRP/ABCG2 
ABCB6 
Substitution c.93C>T Cellular porphyrin binding proteins Glutathione S-transferase 
c.763G>T Liver fatty acid binding protein 
c.4219T>G Heme binding protein 23 
c.5387C>T p22HBP 
p.H305N (c.1070C>A) GAPDH 
p.R321L (c.1119G>T, c.1120T>A)  
Splicing c.651+2A>G Porphyrin biosynthesis modulators CLPX 
IVS3-1G>C β-catenin 
 GATA-1 
Novel HMBS mutantsPutative genetic modifiers of porphyria
Mutation typeVariantClassificationName
Deletion c.6delA Serum porphyrin transporters Albumin 
c.657_658delCT Haptoglobin 
 Hemopexin 
 High/low-density lipoproteins 
Insertion c.741-748dupCATCGCTG Porphyrin transporters FLVCR1a/b 
BCRP/ABCG2 
ABCB6 
Substitution c.93C>T Cellular porphyrin binding proteins Glutathione S-transferase 
c.763G>T Liver fatty acid binding protein 
c.4219T>G Heme binding protein 23 
c.5387C>T p22HBP 
p.H305N (c.1070C>A) GAPDH 
p.R321L (c.1119G>T, c.1120T>A)  
Splicing c.651+2A>G Porphyrin biosynthesis modulators CLPX 
IVS3-1G>C β-catenin 
 GATA-1 

Novel HMBS mutants as identified by comparing the AIP mutants described in supplemental Table 2 with the data for HMBS in the gnomAD database and National Center for Biotechnology Information database. The listed variants are included as reported in the citations in supplemental Table 2. Putative reported genetic modifiers of porphyria, based on the ability of these proteins to bind porphyrins or modulate porphyrin biosynthesis directly or indirectly. For details and primary citations, see reference 3.

ABCB6, adenosine triphosphate-binding cassette subfamily B member 6; ABCG2, adenosine triphosphate-binding cassette subfamily G member 2; BCRP, breast cancer resistance protein; CLPX, adenosine triphosphate-dependent Clp protease adenosine triphosphate-binding subunit clpX-like; FLVCR1a/b, feline leukemia virus subgroup C receptor-related protein 1a/b; GAPDH, glyceraldehyde 3-phosphate dehydrogenase; GATA-1, GATA-binding factor 1; p22HBP, 22-kDa heme-binding protein.

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