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February 22, 2026Annals of Hematology0 citationsOpen Access

Frameshift Deletion in SLC25A38 and Mitochondrial Dysfunction in Sideroblastic Anemia

A novel frameshift deletion in SLC25A38 and its role in mitochondrial dysfunction: A case study of sideroblastic anemia in a child from Iran

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Authors

EHElaheh HasaniMNMaryam NaghinejadMKMoein Kohkalani

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Overview

Case study reveals a pathogenic deletion in SLC25A38 affecting mitochondrial function in a child, suggesting new diagnostic insights.

Key Points

  • To investigate the role of a novel frameshift deletion in the SLC25A38 gene associated with mitochondrial dysfunction in a child with sideroblastic anemia.
  • Conducted clinical and genetic evaluation of a family with a child diagnosed with pyridoxine-refractory sideroblastic anemia.
  • Performed whole exome sequencing on the patient to identify genetic variations.
  • Utilized Sanger sequencing on the patient’s parents and additional family members for segregation analysis.
  • Conducted molecular docking studies to examine the protein structure of SLC25A38 pre- and post-variant.
  • Identified a pathogenic c.482_485del (p. Ile161ThrfsTer4) variant in the SLC25A38 gene present as homozygotes in the proband and heterozygotes in the parents.
  • Observed decreased binding and stability of the mutant SLC25A38 protein compared to the wild type.
  • Reclassified the SLC25A38 variant from likely pathogenic to pathogenic, aiding in clinical decision-making.
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Cite This Study

Hasani et al. (2026) studied this question.

synapsesocial.com/papers/699a9cc6482488d673cd2751https://doi.org/10.1007/s00277-026-06899-0
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