Vitamin D-Binding Protein Deficiency and Homozygous Deletion of the GC Gene

被引:43
作者
Henderson, Clark M. [1 ]
Fink, Susan L. [1 ]
Bassyouni, Hanan [4 ]
Argiropoulos, Bob [5 ]
Brown, Lindsay [7 ]
Laha, Thomas J. [1 ]
Jackson, Konner J. [1 ]
Lewkonia, Raymond [6 ]
Ferreira, Patrick [6 ]
Hoofnagle, Andrew N. [1 ,2 ,3 ]
Marcadier, Julien L. [6 ]
机构
[1] Univ Washington, Dept Lab Med, Seattle, WA 98195 USA
[2] Univ Washington, Dept Med, Seattle, WA USA
[3] Univ Washington, Kidney Res Inst, Seattle, WA 98195 USA
[4] Univ Calgary, Dept Endocrinol & Metab, Calgary, AB, Canada
[5] Univ Calgary, Alberta Childrens Hosp Res Inst, Calgary, AB, Canada
[6] Alberta Childrens Prov Gen Hosp, Div Med Genet, 28 Oki Dr, Calgary, AB T3B 6A8, Canada
[7] Childrens & Womens Hlth Ctr British Columbia, Dept Pathol, Vancouver, BC, Canada
基金
美国国家卫生研究院;
关键词
D METABOLITES; SERUM; AFFINITY;
D O I
10.1056/NEJMoa1807841
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 58-year-old woman with debilitating ankylosing spondylitis who was born to consanguineous parents was found to have an apparent severe vitamin D deficiency that did not respond to supplementation. Liquid chromatography-tandem mass spectrometry showed the absence of circulating vitamin D-binding protein, and chromosomal microarray confirmed a homozygous deletion of the group-specific component (GC) gene that encodes the protein. Congenital absence of vitamin D-binding protein resulted in normocalcemia and a relatively mild disruption of bone metabolism, in this case complicated by severe autoimmune disease.
引用
收藏
页码:1150 / 1157
页数:8
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