人类D-乳酸脱酶缺乏症:一个年轻男孩的病例报告
T B Sloth1, M C Ørngreen1, J Ek2
1Centre of Inherited Metabolic Diseases, Department of Pediatric and Adolescent Medicine Rigshospitalet, Copenhagen University Hospital Copenhagen Denmark.
JIMD reports
|July 18, 2025
概括
人类的D-乳酸脱酶缺乏症是由LDHD基因变异引起的,导致D-乳酸盐水平升高. 这种疾病表现出多种症状,包括发育迟缓和代谢酸症,突出显示了遗传和生化诊断的重要性.
科学领域:
- 生物化学 生化学
- 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:
- 通常情况下,D-乳酸盐在循环中是无法检测的.
- 人类的D-乳酸脱酶缺乏症 (hDDLD) 导致血D-乳酸盐和D-乳酸酸的升高.
- 神经学症状可能与hDDLD相关.
研究的目的:
- 报告一个丹麦患者的hDDLD病例,该患者精神运动发育迟缓和代谢酸症.
- 通过全基因组测序来确定hDDLD的遗传原因.
- 将临床和实验室发现与现有文献进行比较.
主要方法:
- 全基因组测序 (WGS) 用于识别遗传变异.
- 对血和尿液的代谢查,以检测D-乳酸盐水平.
- 文献综述,将患者发现与其他hDDLD病例进行比较.
主要成果:
- 在LDHD基因 (NM_194436.3c: 1_930del, p.M1_Q310del) 中发现了同卵性缺失.
- 在血和尿液中证实了D-乳酸盐水平的升高.
- 临床表现包括精神运动发育延迟和代谢性酸症.
结论:
- 在LDHD基因的致病变体导致人类的D-乳酸酸脱酶缺乏.
- hDDLD表现出广泛的表型变异性,从神经学发现到血酸盐升高.
- 血和尿液中D-乳酸盐的持续升高是hDDLD的标志.
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