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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2005-9-5
pubmed:databankReference
pubmed:abstractText
We studied 21 patients, from 18 families, with L-2-hydroxyglutaric aciduria (L-2-HGA), a rare neurometabolic disorder with a homogeneous presentation: progressive neurodegeneration with extrapyramidal and cerebellar signs, seizures, and subcortical leukoencephalopathy. Increased levels of L-2-hydroxyglutaric acid in body fluids proved the diagnosis of L-2-HGA in all 21 patients. We analyzed the L-2-HGA gene (L2HGDH), recently found to be mutated in consanguineous families with L-2-HGA, and identified seven novel mutations in 15 families. Three mutations appeared to be particularly prevalent in this Portuguese panel: a frameshift mutation (c.529delC) was detected in 12 out of 30 mutant alleles (40%), a nonsense mutation (c.208C>T; p.Arg70X) in 7/30 alleles (23%), and a missense mutation (c.293A>G; p.His98Arg) in four out of 30 mutant alleles (13%), suggesting that common origin may exist. Furthermore, two novel missense (c.169G>A; p.Gly57Arg, c.1301A>C; p.His434Pro) and two splice error (c.257-2A>G, c.907-2A>G) mutations were found. All the mutations presumably lead to loss-of-function with no relationship between clinical signs, progression of the disease, levels of L-2-HGA and site of the mutation. In the three remaining families, no pathogenic mutations in the L-2-HGA were found, which suggests either alterations in regulatory regions of the gene or of its intervening sequences, compound heterozygosity for large genomic deletion and, or further genetic heterogeneity.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
1098-1004
pubmed:author
pubmed:copyrightInfo
(c) 2005 Wiley-Liss, Inc.
pubmed:issnType
Electronic
pubmed:volume
26
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
395-6
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:16134148-Adolescent, pubmed-meshheading:16134148-Adult, pubmed-meshheading:16134148-Alcohol Oxidoreductases, pubmed-meshheading:16134148-Amino Acid Sequence, pubmed-meshheading:16134148-Animals, pubmed-meshheading:16134148-Child, pubmed-meshheading:16134148-Child, Preschool, pubmed-meshheading:16134148-Cohort Studies, pubmed-meshheading:16134148-Consanguinity, pubmed-meshheading:16134148-Family Health, pubmed-meshheading:16134148-Female, pubmed-meshheading:16134148-Glutarates, pubmed-meshheading:16134148-Humans, pubmed-meshheading:16134148-Male, pubmed-meshheading:16134148-Middle Aged, pubmed-meshheading:16134148-Molecular Sequence Data, pubmed-meshheading:16134148-Mutation, pubmed-meshheading:16134148-Portugal, pubmed-meshheading:16134148-Sequence Alignment, pubmed-meshheading:16134148-Sequence Analysis, DNA
pubmed:year
2005
pubmed:articleTitle
Novel L2HGDH mutations in 21 patients with L-2-hydroxyglutaric aciduria of Portuguese origin.
pubmed:affiliation
Clinical Biology Unit, Medical Genetics Institute, Porto, Portugal. laura.vilarinho@igm.min-saude.pt
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't