Orosomucoid 2

Alternative Names

  • ORM2
  • Glycoprotein, Alpha-1-Acid, of Serum, Type 2
  • Alpha-1-Acid Glycoprotein, Type 2
  • AGP2

Associated Diseases

Orosomucoid 1
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OMIM Number

138610

Gene Map Locus
9q34.1-q34.3

Description

ORM2 gene encodes one of the two forms of plasma protein called orosomucoid (ORM). The plasma ORM proteins is made of a mixture of ORM2 and ORM1 proteins in a molar ratio of 1:3, respectively. ORM protein is a member of the lipocalin family. ORM protein is relatively abundant plasma protein where its concentration is 2.5 mg/ml in healthy normal individuals. This concentration is known to rise dramatically in response to acute infection, inflammation, surgery, cancer, and other stimuli. This phenomenon, known as the acute phase reaction, is common to all mammals. The proteins participating in it are known as acute phase reactants and ORM protein is a major acute-phase reactive plasma protein. ORM is also considered a binding protein for certain drugs in plasma. Additionally, it is an immunomodulatory protein with the ability to down regulate complement activation, along with various phagocytic functions and T-cell-mediated activities.

Molecular Genetics

ORM2 gene is located on the long arm of chromosome 9 at 9q34.1-q34.3. It consists of six exons and five introns. ORM protein is expressed by the lever and secreted in the plasma. It is composed of a single polypeptide chain of 183 amino acids with 45% carbohydrate content and 12% sialic acid residues. ORM2 gene differs from ORM1 gene by 32 nucleotide substitutions in the coding sequence, resulting in 21 amino acid substitutions.

In contrast to ORM1 gene, ORM2 gene is monomorphic in most populations. The ORM2*M allele is the most common allele among all known ORM2 alleles.

Epidemiology in the Arab World

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Other Reports

Egypt

Sebetan et al. (1997) carried out a study to investigate the genetic variants of the human plasma orosomucoid ORM1 and ORM2 gene loci in Egyptians. In this study, 271 plasma samples from unrelated healthy blood donors were collected and used within a few days of collection. Isoelectric focusing was used for phenotyping all samples. Also, Sebetan et al. (1997) studied the ORM2 locus in the Qatari and Sudanese populations. In the three populations, the ORM2 locus showed one common and nine variants phenotypes that are determined by nine ORM2 alleles: ORM2*M, ORM2*L4, ORM2*H2, ORM2*H10, ORM2*H13, ORM2*H14, ORM2*Q0, a new allele designated ORM2*H21, and a double-banded allele that is renamed ORM2*HX. Family studies of the new allele (ORM*H21) are in accordance with co-dominant autosomal inheritance. Sebetan et al. (1997) found five ORM1 alleles in Egyptians which are in decreasing order: ORM2*M, ORM2*H2, ORM2*H13, ORM2*H14, and ORM2*HX. The most common phenotype found in Egyptians is the M phenotype of the ORM2 combined with the ORM1 phenotypes. Out of the 271 subjects analyzed, 119 had the M phenotype of the ORM2 combined with F1.S phenotype (determined by two ORM1 (F1/S and dF1S/dF1S) genotypes) of the ORM1. The M phenotype combined with the F1 and S phenotypes of the ORM1 was found in 90 and 35 Egyptians, respectively.

Libya

Sebetan and Sagisaka (1988) characterized the genetic polymorphisms of orosomucoid ORM2 and ORM2 in Libyans and indicated the occurrence of three new ORM2 alleles. No further details could be obtained on this subject.

Qatar

Sebetan et al. (1997) carried out a study to investigate the genetic variants of the human plasma orosomucoid ORM1 and ORM2 gene loci in Qataris. In this study, 400 plasma samples from unrelated healthy blood donors were collected and used within a few days of collection. Sebetan et al. (1997) found four ORM2 alleles in Qataris which are in decreasing order: ORM2*M, ORM2*L4, ORM2*H10, and ORM2*H21. The most common phenotype in Qataris is the M phenotype of the ORM2 combined with the ORM1 phenotypes. Out of the 400 subjects analyzed, 177 had the M phenotype of the ORM2 combined with F1.S phenotype (determined by two ORM1 (F1/S and dF1S/dF1S) genotypes) of the ORM1. The M phenotype combined with the F1 and S phenotypes of the ORM1 was found in 193 and 59 Qataris, respectively [See also: Egypt > Sebetan et al., 1997].

Sudan

Sebetan et al. (1997) carried out a study to investigate the genetic variants of the human plasma orosomucoid ORM1 and ORM2 gene loci in Sudanese. In this study, 195 plasma samples from unrelated healthy blood donors were collected and used within a few days of collection. Sebetan et al. (1997) found four ORM2 alleles in Sudanese people that are in decreasing order: ORM2*M, ORM2*H2, ORM2*H21, and ORM2*HX. The most common phenotype found in Sudanese people is the M phenotype of the ORM2 combined with the ORM1 phenotypes. Out of the 195 subjects analyzed, 82 had the M phenotype of the ORM2 combined with F1.S phenotype (determined by two ORM1 (F1/S and dF1S/dF1S) genotypes) of the ORM1. The M phenotype combined with the F1 and S phenotypes of the ORM1 was found in 55 and 72 Sudanese, respectively [See also: Egypt > Sebetan et al., 1997].

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