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一种由CAD突变引起的可治疗的遗传疾病。

A Treatable Genetic Disease Caused by CAD Mutation.

作者信息

Peng Xia, Xia Li-Ping, Zhang Hai-Ju, Zhang Jing, Yu Shi-Qian, Wang Shun, Xu Yu-Ming, Yao Baozhen, Ye Jingping

机构信息

Department of Pediatrics, Renmin Hospital of Wuhan University, Wuhan, China.

出版信息

Front Pediatr. 2022 Mar 9;10:771374. doi: 10.3389/fped.2022.771374. eCollection 2022.

DOI:10.3389/fped.2022.771374
PMID:35356445
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8959624/
Abstract

Type 50 early infantile epileptic encephalopathy, or EIEE-50 for short, is an autosomal recessive genetic disorder resulting from CAD mutations. So far, little has been reported on the disease. In this article, we will discuss the case of a male infant who is 8 years and 5 months old. A whole-exome sequencing of the boy revealed CAD compound heterozygous mutations. He suffered from global developmental delay and regression, refractory epilepsy, and anemia. After his diagnosis, we used uridine treatment and gained encouraging results. In this article, we will analyze our case studies in the context of the literature, so as to improve pediatricians' understanding of the disease.

摘要

50型早期婴儿癫痫性脑病,简称EIEE - 50,是一种由CAD基因突变引起的常染色体隐性遗传病。迄今为止,关于该疾病的报道甚少。在本文中,我们将讨论一名8岁5个月大男婴的病例。对该男孩进行的全外显子组测序显示存在CAD复合杂合突变。他患有全面发育迟缓与倒退、难治性癫痫和贫血。确诊后,我们采用尿苷治疗并取得了令人鼓舞的结果。在本文中,我们将结合文献分析我们的病例研究,以提高儿科医生对该疾病的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/772e/8959624/9725f8fe6030/fped-10-771374-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/772e/8959624/4af9824bb328/fped-10-771374-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/772e/8959624/705f09468807/fped-10-771374-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/772e/8959624/9725f8fe6030/fped-10-771374-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/772e/8959624/4af9824bb328/fped-10-771374-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/772e/8959624/705f09468807/fped-10-771374-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/772e/8959624/9725f8fe6030/fped-10-771374-g0003.jpg

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本文引用的文献

1
A prospective randomized controlled study on mouse nerve growth factor in the treatment of global developmental delay in children.一项关于鼠神经生长因子治疗儿童全面发育迟缓的前瞻性随机对照研究。
Zhongguo Dang Dai Er Ke Za Zhi. 2021 Aug 15;23(8):786-790. doi: 10.7499/j.issn.1008-8830.2106042.
2
Uridine-responsive epileptic encephalopathy due to inherited variants in CAD: A Tale of Two Siblings.CAD 基因突变所致尿苷反应性癫痫性脑病:两例同胞兄妹的故事。
Ann Clin Transl Neurol. 2021 Mar;8(3):716-722. doi: 10.1002/acn3.51272. Epub 2021 Jan 26.
3
Case Report: Rapid Treatment of Uridine-Responsive Epileptic Encephalopathy Caused by CAD Deficiency.
一例伴有新型 CAD 基因突变的发育性和癫痫性脑病 50 型患儿对尿苷治疗有显著反应:病例报告及文献复习
BMC Pediatr. 2024 Mar 7;24(1):160. doi: 10.1186/s12887-024-04593-6.
病例报告:CAD缺乏所致尿苷反应性癫痫性脑病的快速治疗
Front Pharmacol. 2020 Dec 7;11:608737. doi: 10.3389/fphar.2020.608737. eCollection 2020.
4
CAD Deficiency-Another Treatable Early Infantile Epileptic Encephalopathy.CAD缺乏症——另一种可治疗的早期婴儿癫痫性脑病。
Pediatr Neurol. 2020 Sep;110:97-98. doi: 10.1016/j.pediatrneurol.2020.05.001. Epub 2020 May 21.
5
A Patient With CAD Deficiency Responsive to Uridine and Literature Review.一名对尿苷有反应的CAD缺乏症患者及文献综述
Front Neurol. 2020 Feb 5;11:64. doi: 10.3389/fneur.2020.00064. eCollection 2020.
6
CAD mutations and uridine-responsive epileptic encephalopathy.CAD 突变与尿苷反应性癫痫性脑病。
Brain. 2017 Feb;140(2):279-286. doi: 10.1093/brain/aww300. Epub 2016 Dec 21.
7
Biallelic mutations in CAD, impair de novo pyrimidine biosynthesis and decrease glycosylation precursors.CAD中的双等位基因突变会损害从头嘧啶生物合成并减少糖基化前体。
Hum Mol Genet. 2015 Jun 1;24(11):3050-7. doi: 10.1093/hmg/ddv057. Epub 2015 Feb 12.
8
Mapping of the gene encoding the multifunctional protein carrying out the first three steps of pyrimidine biosynthesis to human chromosome 2.将负责嘧啶生物合成前三步的多功能蛋白质编码基因定位到人类2号染色体上。
Hum Genet. 1989 Apr;82(1):40-4. doi: 10.1007/BF00288269.