患有热敏线粒体三功能蛋白缺乏症的儿童的周期性
Fatema Al-Amrani1, Jos P N Ruiter2, Mirjam Doolaard2
1Pediatric Neurology Unit, Department of Child Health, Sultan Qaboos University Hospital, Muscat, Sultanate of Oman.
American journal of medical genetics. Part A
|October 3, 2024
概括
线粒体三功能蛋白质缺乏会导致重复性,特别是当发烧引发时. 这项研究确定了一种与周期性相关的热敏MTP缺陷变体,突出其诊断重要性.
科学领域:
- 生物化学 生物化学
- 遗传学 是一个遗传学.
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 线粒体三功能蛋白 (MTP) 缺乏症是一种脂肪酸氧化障碍,具有多种临床表现.
- 热敏MTP缺乏症可以表现为发烧诱导的偶发性肌肉病变.
- 重复性周期性是一种独特的神经疾病,其特征是暂时肌肉疲弱.
研究的目的:
- 报告一个由热敏形式的MTP缺乏引起的反复周期性的病例.
- 调查观察到的表型的遗传和分子基础.
- 强调需要考虑周期性患者的MTP缺乏.
主要方法:
- 一个10岁的男性患有复发性的临床病例介绍.
- 整体外基因组测序以识别遗传变异.
- 在不同的温度 (37°C和40°C) 上培养纤维细胞,以评估酶活性和蛋白质表达.
主要成果:
- 患者在发烧性疾病期间出现了复发性急性性,模仿周期性.
- 整体外基因组测序发现了一个同卵性HADHA变体 (c.2132C>T, p.
- 这种变异导致MTP酶活性 (LCHAD,LCKAT) 和蛋白质表达减少,在更高的温度 (40°C) 上加剧.
结论:
- 这是第一个将经常性周期性与热敏MTP缺陷联系起来的报告.
- 鉴定的HADHA变异导致MTP中温度敏感的缺陷.
- 在复发性周期性的差异诊断中应考虑MTP缺乏,特别是在发烧发作的情况下.
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