Analysis of MUT gene mutations in a patient with isolated methylmalonic acidemia

OBJECTIVE: To analyze the clinical features and mutation of MUT gene in a Chinese patient with isolated methylmalonic acidemia.

METHODS: The clinical characteristics and laboratory tests data were collected. Genomic DNA was extracted from peripheral blood leukocytes. The 13 exons and their flanking sequences of the MUT gene were amplified with polymerase chain reaction and subjected to direct DNA sequencing.

RESULTS: The patient has featured failure to thrive, lethargy, seizure, hypotonia, severe ketoacidosis and hyperammonemia. Tandem mass results showed reduction of multiple acylcarnitine. Urine organic acid testing showed pronounced increase in methylmalonate excretion. Homocysteine was normal. The patient showed no response to vitamin B12 treatment. The above results suggested that the patient had isolated methylmalonic acidemia. DNA sequencing analysis confirmed that the patient has carried two MUT gene mutations, c.755dupA and a novel mutation c.944dupT.

CONCLUSION: Inherited metabolic disease screening plays an important role in the diagnosis of clinical diseases. However, to confirm the results will need gene mutation analysis.

Medienart:

E-Artikel

Erscheinungsjahr:

2015

Erschienen:

2015

Enthalten in:

Zur Gesamtaufnahme - volume:32

Enthalten in:

Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical genetics - 32(2015), 2 vom: 07. Apr., Seite 218-21

Sprache:

Chinesisch

Beteiligte Personen:

Chen, Zhanling [VerfasserIn]
Zhang, Xiuwei [VerfasserIn]
Huang, Jianrong [VerfasserIn]
Wen, Pengqiang [VerfasserIn]
Wang, Guobing [VerfasserIn]
Tang, Gen [VerfasserIn]
Zu, Ying [VerfasserIn]
Chen, Xiaowen [VerfasserIn]
Cui, Dong [VerfasserIn]
Zhang, Min [VerfasserIn]
Qi, Zhongxiang [VerfasserIn]
Li, Chengrong [VerfasserIn]

Links:

Volltext

Themen:

Case Reports
EC 5.4.99.2
English Abstract
Journal Article
Methylmalonyl-CoA Mutase
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 18.06.2015

Date Revised 12.04.2015

published: Print

Citation Status MEDLINE

doi:

10.3760/cma.j.issn.1003-9406.2015.02.014

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM247946087