在依赖的多维生素载体缺乏症中产前大脑异常
Eri Ogawa1, Kenjiro Kosaki2, Toshiki Takenouchi1,2,3
1Department of Pediatrics, Keio University School of Medicine, Tokyo, Japan.
American journal of medical genetics. Part A
|April 24, 2025
概括
由SLC5A6变体引起的依赖的多维生素输送体缺乏症,现在可以在胎儿发病时确定. 早期诊断和用生物素和泛酸治疗对于管理这种可治疗的神经代谢障碍至关重要.
科学领域:
- 遗传学 遗传学 是一个
- 神经学 神经学
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 依赖的多维生素载体缺乏症 (OMIM # 618973) 是一种可治疗的神经代谢障碍,由SLC5A6.6中的双变体引起.
- 在这种情况下,早期诊断和治疗对于改善结果至关重要.
- 以前,所有报告的病例都呈现出产后发病.
研究的目的:
- 报告一种依赖的多维生素输送体缺乏病例,有胎儿发病的证据.
- 突出早期诊断和产前干预在高风险群体的重要性.
主要方法:
- 整体外基因组测序用于识别SLC5A6.6中的致病变体.
- 产前和产后神经影像被用于评估胎儿发育和代谢困扰的迹象.
- 监测了临床数据和治疗反应.
主要成果:
- 一名患有SLC5A6复合异构致病原体变异的患者被诊断为依赖的多维生素输送体缺乏症.
- 产前成像显示了腹腔大,产后成像显示了能量衰竭的迹象,表明胎儿发作.
- 用高剂量的生物素和泛酸治疗导致显著的临床改善,尽管精神运动障碍持续存在.
结论:
- 这个案例提供了第一个临床证据,证明了依赖的多维生素输送体缺乏症的胎儿发病.
- 这些发现表明,在高风险妊娠中,产前鉴定和治疗可能具有重要意义,因为该疾病的复发风险很高,家族内变异性很低.
关键词:
在 SLC5A6A6 中.生物生物是一种生物.生物素运输器生物素运输器异构体是什么? 异构体是什么?胎儿治疗方法 胎儿治疗方法婴儿 婴儿 婴儿 婴儿神经代谢障碍 神经代谢障碍潘托酸是一种泛酸.依赖的多种维生素输送体缺乏症更多相关视频
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