The common −13910T/C exchange located 13910-bp upstream of the lactase gene ( LCT ) is associated with the persistence/nonpersistence trait of adult-type hypolactasia, which leads to symptoms of lactose malabsorption, including bloating, flatulence, diarrhea, and abdominal pain. The typing of this variant is used as a genetic test for lactase (non)persistence. We used the MutaReal Lactase real-time PCR test (Immundiagnostik) with the Roche LightCycler capillary system to analyze genomic DNA and observed in 1 sample an aberrant melting curve profile attributable to a novel base replacement, −13914G>A, in the vicinity of the common −13910T/C lactase gene variation. Lactose intolerance results primarily from the physiological decline in activity of the LCT gene-encoded enzyme lactase-phorozin hydrolase, which breaks down milk sugar. Use of linkage disequilibrium and haplotype analysis of affected Finnish families revealed a defined DNA transition (−13910T/C) proximal to the LCT gene in intron 13 of the adjacent minichromosome maintenance type 6 gene ( MCM6 ), which is associated with verified lactase nonpersistence and reduced bone mineral density predisposing for bone fractures (1)(2). Persons homozygous …
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