3-Hydroxy-3-methylglutaryl-coenzyme A lyase deficiency: Clinical presentation and outcome in a series of 37 patients
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3-Hydroxy-3-methylglutaryl-coenzyme A lyase deficiency: Clinical presentation and outcome in a series of 37 patients. / Grünert, Sarah Catharina; Schlatter, Sonja Marina; Schmitt, Robert Niklas; Gemperle-Britschgi, Corinne; Mrázová, Lenka; Balcı, Mehmet Cihan; Bischof, Felix; Çoker, Mahmut; Das, Anibh M; Demirkol, Mübeccel; de Vries, Maaike; Gökçay, Gülden; Häberle, Johannes; Uçar, Sema Kalkan; Lotz-Havla, Amelie Sophia; Lücke, Thomas; Roland, Dominique; Rutsch, Frank; Santer, René; Schlune, Andrea; Staufner, Christian; Schwab, Karl Otfried; Mitchell, Grant A; Sass, Jörn Oliver.
in: MOL GENET METAB, Jahrgang 121, Nr. 3, 07.2017, S. 206-215.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - 3-Hydroxy-3-methylglutaryl-coenzyme A lyase deficiency: Clinical presentation and outcome in a series of 37 patients
AU - Grünert, Sarah Catharina
AU - Schlatter, Sonja Marina
AU - Schmitt, Robert Niklas
AU - Gemperle-Britschgi, Corinne
AU - Mrázová, Lenka
AU - Balcı, Mehmet Cihan
AU - Bischof, Felix
AU - Çoker, Mahmut
AU - Das, Anibh M
AU - Demirkol, Mübeccel
AU - de Vries, Maaike
AU - Gökçay, Gülden
AU - Häberle, Johannes
AU - Uçar, Sema Kalkan
AU - Lotz-Havla, Amelie Sophia
AU - Lücke, Thomas
AU - Roland, Dominique
AU - Rutsch, Frank
AU - Santer, René
AU - Schlune, Andrea
AU - Staufner, Christian
AU - Schwab, Karl Otfried
AU - Mitchell, Grant A
AU - Sass, Jörn Oliver
N1 - Copyright © 2017 Elsevier Inc. All rights reserved.
PY - 2017/7
Y1 - 2017/7
N2 - 3-Hydroxy-3-methylglutaryl-coenzyme A lyase deficiency (HMGCLD) is a rare inborn error of ketone body synthesis and leucine degradation, caused by mutations in the HMGCL gene. In order to obtain a comprehensive view on this disease, we have collected clinical and biochemical data as well as information on HMGCL mutations of 37 patients (35 families) from metabolic centers in Belgium, Germany, The Netherlands, Switzerland, and Turkey. All patients were symptomatic at some stage with 94% presenting with an acute metabolic decompensation. In 50% of the patients, the disorder manifested neonatally, mostly within the first days of life. Only 8% of patients presented after one year of age. Six patients died prior to data collection. Long-term neurological complications were common. Half of the patients had a normal cognitive development while the remainder showed psychomotor deficits. We identified seven novel HMGCL mutations. In agreement with previous reports, no clear genotype-phenotype correlation could be found. This is the largest cohort of HMGCLD patients reported so far, demonstrating that HMGCLD is a potentially life-threatening disease with variable clinical outcome. Our findings suggest that the clinical course of HMGCLD cannot be predicted accurately from HMGCL genotype. The overall outcome in HMGCLD appears limited, thus rendering early diagnosis and strict avoidance of metabolic crises important.
AB - 3-Hydroxy-3-methylglutaryl-coenzyme A lyase deficiency (HMGCLD) is a rare inborn error of ketone body synthesis and leucine degradation, caused by mutations in the HMGCL gene. In order to obtain a comprehensive view on this disease, we have collected clinical and biochemical data as well as information on HMGCL mutations of 37 patients (35 families) from metabolic centers in Belgium, Germany, The Netherlands, Switzerland, and Turkey. All patients were symptomatic at some stage with 94% presenting with an acute metabolic decompensation. In 50% of the patients, the disorder manifested neonatally, mostly within the first days of life. Only 8% of patients presented after one year of age. Six patients died prior to data collection. Long-term neurological complications were common. Half of the patients had a normal cognitive development while the remainder showed psychomotor deficits. We identified seven novel HMGCL mutations. In agreement with previous reports, no clear genotype-phenotype correlation could be found. This is the largest cohort of HMGCLD patients reported so far, demonstrating that HMGCLD is a potentially life-threatening disease with variable clinical outcome. Our findings suggest that the clinical course of HMGCLD cannot be predicted accurately from HMGCL genotype. The overall outcome in HMGCLD appears limited, thus rendering early diagnosis and strict avoidance of metabolic crises important.
KW - Acetyl-CoA C-Acetyltransferase/deficiency
KW - Adolescent
KW - Adult
KW - Amino Acid Metabolism, Inborn Errors/complications
KW - Belgium
KW - Child
KW - Child, Preschool
KW - Fatty Acids/metabolism
KW - Female
KW - Genetic Association Studies
KW - Germany
KW - Humans
KW - Infant
KW - Ketone Bodies/metabolism
KW - Leucine/metabolism
KW - Male
KW - Mutation
KW - Netherlands
KW - Oxo-Acid-Lyases/genetics
KW - Patient Outcome Assessment
KW - Switzerland
KW - Turkey
KW - Young Adult
U2 - 10.1016/j.ymgme.2017.05.014
DO - 10.1016/j.ymgme.2017.05.014
M3 - SCORING: Journal article
C2 - 28583327
VL - 121
SP - 206
EP - 215
JO - MOL GENET METAB
JF - MOL GENET METAB
SN - 1096-7192
IS - 3
ER -