Late-onset nonketotic hyperglycinemia caused by a novel homozygous missense mutation in the GLDC gene

被引:24
作者
Brunel-Guitton, Catherine [1 ]
Casey, Brett [2 ]
Coulter-Mackie, Marion [1 ]
Vallance, Hilary [3 ]
Hewes, Deborah [4 ]
Stockler-Ipsiroglu, Sylvia [1 ]
Mercimek-Mahmutoglu, Saadet [1 ]
机构
[1] Univ British Columbia, Dept Pediat, Div Biochem Dis, Vancouver, BC V6H 3V4, Canada
[2] Univ British Columbia, Dept Pathol, Mol Genet Lab, Vancouver, BC V6H 3V4, Canada
[3] Univ British Columbia, Dept Pathol, Biochem Genet Lab, Vancouver, BC V6H 3V4, Canada
[4] Abbotsford Childrens Hosp, Vancouver, BC, Canada
关键词
Atypical nonketotic hyperglycinemia; NKH; Late-onset NKH; Mild glycine encephalopathy; Glycine cleavage system; GLDC mutations; P protein; GLYCINE CLEAVAGE SYSTEM; CEREBROSPINAL-FLUID; ENCEPHALOPATHY; PROTEIN; TRANSIENT;
D O I
10.1016/j.ymgme.2011.02.009
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Nonketotic hyperglycinemia (NKH) is an inborn error of the glycine metabolism. A 9-year-old boy with learning disability and intermittent choreoathetosis during febrile illnesses had elevated plasma glycine level and CSF/plasma glycine ratio (0.044) and a novel homozygous missense mutation (c.605C>T: p.Ala202Val) in the GLDC gene, confirming the diagnosis of NKH. This is the first report of late-onset NKH with a confirmed underlying genetic defect. NKH should be in the differential diagnosis of intermittent choreoathetosis. Crown Copyright (C) 2011 Published by Elsevier Inc. All rights reserved.
引用
收藏
页码:193 / 196
页数:4
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