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Clinical Features of Multiple Acyl-CoA Dehydrogenase Deficiency With ETFDH Variants in the First Korean Cases

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초록

Multiple acyl-CoA dehydrogenase deficiency (MADD; OMIM# 231680) is an autosomal recessive fatty acid oxidation disorder [1]. Through the expanded newborn screening test (NST), its prevalence has been estimated to be 1 in 750,000–2,000,000 newborns [2]. MADD is divided into three clinical types [3]: the neonatal onset form with (type I) or without (type II) congenital anomalies [4], and the late-onset form (type III), which is often asymptomatic [5]. MADD is caused by defects in electron transfer flavoprotein (ETF) or electron transfer flavoprotein ubiquinone oxidoreductase (ETFDH) [6, 7]. Approximately 300 patients worldwide have been diagnosed as having MADD by genetic analysis, and 100 ETFDH mutations have been reported to date [8]. We report two MADD patients carrying novel, likely pathogenic variants, in ETFDH for the first time in Korea. Written informed consent was obtained from the patients’ parents.

Abstract

Multiple acyl-CoA dehydrogenase deficiency (MADD; OMIM# 231680) is an autosomal recessive fatty acid oxidation disorder [1]. Through the expanded newborn screening test (NST), its prevalence has been estimated to be 1 in 750,000–2,000,000 newborns [2]. MADD is divided into three clinical types [3]: the neonatal onset form with (type I) or without (type II) congenital anomalies [4], and the late-onset form (type III), which is often asymptomatic [5]. MADD is caused by defects in electron transfer flavoprotein (ETF) or electron transfer flavoprotein ubiquinone oxidoreductase (ETFDH) [6, 7]. Approximately 300 patients worldwide have been diagnosed as having MADD by genetic analysis, and 100 ETFDH mutations have been reported to date [8]. We report two MADD patients carrying novel, likely pathogenic variants, in ETFDH for the first time in Korea. Written informed consent was obtained from the patients’ parents.

참고문헌 (10)

  1. Przyrembel H, "Glutaric aciduria type II: report on a previously undescribed metabolic disorder", Clin Chim Acta, 66, pp.227~239 (1976)
  2. Lindner M, "Newborn screening for disorders of fatty-acid oxidation: experience and recommendations from an expert meeting", J Inherit Metab Dis, 33, pp.521~526 (2010)
  3. Grünert SC, "Clinical and genetical heterogeneity of late-onset multiple acyl-coenzyme A dehydrogenase deficiency", Orphanet J Rare Dis, 9, pp.117~ (2014)
  4. Lehnert W, "Multiple acyl-CoA dehydrogenation deficiency (glutaric aciduria type II), congenital polycystic kidneys, and symmetric warty dysplasia of the cerebral cortex in two brothers", Europ J Pediat, 139, pp.56~59 (1982)
  5. Al-Essa MA, "Glutaric aciduria type II: observations in seven patients with neonatal- and late-onset disease", J Perinatol, 2, pp.120~128 (2000)
  6. Olsen RK, "ETFDH mutations as a major cause of riboflavin-responsive multiple acyl-CoA dehydrogenation deficiency", Brain, 130, pp.2045~2054 (2007)
  7. Chen M, "A novel ETFDH mutation in an adult patient with late-onset riboflavin-responsive multiple acyl-CoA dehydrogenase deficiency", Int J Neurosci, 128, pp.291~294 (2018)
  8. Yotsumoto Y, "Clinical and molecular investigations of Japanese cases of glutaric acidemia type 2", Mol Genet Metab, 94, pp.61~67 (2008)
  9. Livak KJ, "Analysis of relative gene expression data using real-time quantitative PCR and the 2(-Delta Delta C(T)) method", Methods, pp.402~408 (2001)
  10. Richards S, "Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology", Genet Med, 17, pp.405~424 (2015)

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