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病例报告:导致迟发性丙酸血症的基因中的新突变。

Case Report: Novel Mutations in the Gene Causing Late-Onset Propionic Acidemia.

作者信息

Ji Guang, Liu Yaling, Song Xueqin, Li Zhenfei

机构信息

Department of Neurology, Second Hospital of Hebei Medical University, Shijiazhuang, China.

出版信息

Front Genet. 2022 Mar 17;13:807822. doi: 10.3389/fgene.2022.807822. eCollection 2022.

DOI:10.3389/fgene.2022.807822
PMID:35368667
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8968641/
Abstract

Propionic acidemia is an autosomal recessive metabolic disorder and the patients with adult onset are very rare. Two PCCB mutations were identified. Clinical data were collected from a patient, and metabolic screening and clinical exome sequencing analysis were performed. Two novel mutations were identified in the PCCB gene: M1:c.404_406del:p.G135del and M2:c.632C>T:p.T211I. Late-onset propionic acidemia should be taken into account, and metabolic screening as well as gene analysis should be performed to make a definite diagnosis timely.

摘要

丙酸血症是一种常染色体隐性代谢紊乱疾病,成年发病的患者非常罕见。鉴定出了两个PCCB突变。收集了一名患者的临床数据,并进行了代谢筛查和临床外显子组测序分析。在PCCB基因中鉴定出两个新的突变:M1:c.404_406del:p.G135del和M2:c.632C>T:p.T211I。应考虑迟发性丙酸血症,并应进行代谢筛查和基因分析以便及时做出明确诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8c3/8968641/ec90b2668d07/fgene-13-807822-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8c3/8968641/e3b92fcc1216/fgene-13-807822-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8c3/8968641/ec90b2668d07/fgene-13-807822-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8c3/8968641/e3b92fcc1216/fgene-13-807822-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8c3/8968641/ec90b2668d07/fgene-13-807822-g002.jpg

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Six Chinese patients with propionic acidemia: from asymptomatic to death in the neonatal period.六例丙酸血症中国患者:从无症状到新生儿期死亡
Orphanet J Rare Dis. 2025 Mar 12;20(1):122. doi: 10.1186/s13023-025-03622-6.
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Case report: A unusual case of delayed propionic acidemia complicated with subdural hematoma.

本文引用的文献

1
Impaired lipolysis in propionic acidemia: A new metabolic myopathy?丙酸血症中的脂解作用受损:一种新的代谢性肌病?
JIMD Rep. 2020 Mar 31;53(1):16-21. doi: 10.1002/jmd2.12113. eCollection 2020 May.
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Propionyl-CoA carboxylase - A review.丙酰辅酶 A 羧化酶 - 综述。
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Metabolism. 2004 Jun;53(6):809-10. doi: 10.1016/j.metabol.2003.12.025.
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Structure of the PCCA gene and distribution of mutations causing propionic acidemia.丙酸血症相关的PCCA基因结构及突变分布
Mol Genet Metab. 2001 Sep-Oct;74(1-2):238-47. doi: 10.1006/mgme.2001.3210.
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Neurologic nonmetabolic presentation of propionic acidemia.丙酸血症的神经系统非代谢性表现。
Arch Neurol. 1999 Sep;56(9):1143-7. doi: 10.1001/archneur.56.9.1143.
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Clinical outcome and long-term management of 17 patients with propionic acidaemia.17例丙酸血症患者的临床结局及长期管理
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