Fumarase Deficiency: A Case With a New Pathogenic Mutation and a Review of the Literature

Autor: Jaap Bakker, Cacha Peeters, Ed Jacobs, Susan M. I. Goorden, Marieke Peetsold, Martijn H. Breuning, Monique Williams, Lydia Hussaarts-Odijk
Přispěvatelé: Pediatrics
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of Child Neurology, 36(4), 310-323. SAGE Publishing
Journal of Child Neurology, 36(4), 310-323. SAGE PUBLICATIONS INC
ISSN: 0883-0738
Popis: Fumarase deficiency (FD) is a rare and severe autosomal disorder, caused by inactivity of the enzyme fumarase, due to biallelic mutations of the fumarase hydratase ( FH) gene. Several pathogenic mutations have been published. The article describes an infant with failure to thrive, microcephaly, axial hypotonia, and developmental retardation with increased excretion of fumarate, no activity of fumarase and a homozygous mutation of the FH gene, which was until recently only known as a variant of unknown significance. Carriers of pathogenic mutations in the FH gene are at risk for developing renal cell carcinoma and should therefore be screened. Both parents were healthy carriers of the mutation and had decreased levels of enzyme activity. In addition, the article presents an overview and analysis of all cases of FD reported thus far in the literature.
Databáze: OpenAIRE