Ten years of screening for congenital disorders of glycosylation in Argentina: case studies and pitfalls

被引:15
作者
Gabriela Asteggiano, Carla [1 ]
Papazoglu, Magali [1 ]
Bistue Millon, Maria Beatriz [1 ]
Fernanda Peralta, Maria [1 ]
Beatriz Azar, Nydia [1 ]
Specola Specola, Norma [2 ]
Guelbert, Norberto [3 ]
Suldrup Suldrup, Niels [4 ]
Pereyra, Marcela [5 ]
Dodelson de Kremer, Raquel [1 ]
机构
[1] Univ Nacl Cordoba, Fac Ciencias Med, Hosp Ninos Sma Trinidad,CONICET, Ctr Estudio Metabolopatias Congenitas CEMECO,UCC, Ferroviarios 1250, Cordoba, Argentina
[2] Hosp Ninos La Plata, Unidad Metab, Buenos Aires, DF, Argentina
[3] Hosp Ninos Sma Trinidad, Serv Enfermedades Metabol, Ferroviarios 1250, Cordoba, Argentina
[4] IACA Labs, Dept Metabolopatias, Buenos Aires, DF, Argentina
[5] Hosp Pediat Humberto Notti, Serv Crecimiento & Desarrollo, Mendoza, Argentina
关键词
HUMAN GALACTOSE-1-PHOSPHATE URIDYLTRANSFERASE; MISSENSE MUTATIONS; TRANSFERRIN; CDG; DIAGNOSTICS; PMM2; GENE;
D O I
10.1038/s41390-018-0206-6
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
BACKGROUND: Congenital Disorders of Glycosylation (CDG) are genetic diseases caused by hypoglycosylation of glycoproteins and glycolipids. Most CDG are multisystem disorders with mild to severe involvement. METHODS: We studied 554 patients (2007-2017) with a clinical phenotype compatible with a CDG. Screening was performed by serum transferrin isoelectric focusing. The diagnosis was confirmed by genetic testing (Sanger or exome sequencing). RESULTS: A confirmed abnormal pattern was found in nine patients. Seven patients showed a type 1 pattern: four with PMM2-CDG, two with ALG2-CDG, and one with classical galactosemia. A type 2 pattern was found in two patients: one with a CDG-IIx and one with a transferrin protein variant. Abnormal transferrin pattern were observed in a patient with a myopathy due to a COL6A2 gene variant. CONCLUSIONS: CDG screening in Argentina from 2007 to 2017 revealed 4 PMM2-CDG patients, 2 ALG2-CDG patients with a novel homozygous gene variant and 1 CDG-IIx.
引用
收藏
页码:837 / 841
页数:5
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