TY - CHAP
T1 - Expanding the clinical spectrum of mitochondrial citrate carrier (SLC25A1) deficiency
T2 - Facial dysmorphism in siblings with epileptic encephalopathy and combined D,l-2-hydroxyglutaric aciduria
AU - Prasun, Pankaj
AU - Young, Sarah
AU - Salomons, Gajja
AU - Werneke, Andrea
AU - Jiang, Yong hui
AU - Struys, Eduard
AU - Paige, Mikell
AU - Avantaggiati, Maria Laura
AU - McDonald, Marie
N1 - Publisher Copyright:
© 2014, SSIEM and Springer-Verlag Berlin Heidelberg.
PY - 2015
Y1 - 2015
N2 - Recessive mutations in SLC25A1 encoding mitochondrial citrate carrier cause a rare inherited metabolic disorder, combined D,L-2-hydroxyglutaric aciduria (D,L-2-HGA), characterized by epileptic encephalopathy, respiratory insufficiency, developmental arrest and early death. Here, we describe two siblings compound heterozygotes for null/missense SLC25A1 mutations, c.18_24dup (p.Ala9Profs*82), and c.134C>T (p.Pro45Leu). These children presented with classic clinical features of D,L-2-HGA, but also showed marked facial dysmorphism. Additionally, there was prominent lactic acidosis in one of the siblings. Our observations suggest that facial dysmorphism is a previously unrecognized but an important diagnostic feature of SLC25A1 deficiency and expand the clinical phenotype linked to SLC25A1 mutations.
AB - Recessive mutations in SLC25A1 encoding mitochondrial citrate carrier cause a rare inherited metabolic disorder, combined D,L-2-hydroxyglutaric aciduria (D,L-2-HGA), characterized by epileptic encephalopathy, respiratory insufficiency, developmental arrest and early death. Here, we describe two siblings compound heterozygotes for null/missense SLC25A1 mutations, c.18_24dup (p.Ala9Profs*82), and c.134C>T (p.Pro45Leu). These children presented with classic clinical features of D,L-2-HGA, but also showed marked facial dysmorphism. Additionally, there was prominent lactic acidosis in one of the siblings. Our observations suggest that facial dysmorphism is a previously unrecognized but an important diagnostic feature of SLC25A1 deficiency and expand the clinical phenotype linked to SLC25A1 mutations.
KW - 2-hydroxyglutaric aciduria dysmorphism
KW - Lactic acidosis
KW - Mitochondria
KW - Mitochondrial citrate carrier
KW - SLC25A1
UR - http://www.scopus.com/inward/record.url?scp=84969821882&partnerID=8YFLogxK
U2 - 10.1007/8904_2014_378
DO - 10.1007/8904_2014_378
M3 - Chapter
AN - SCOPUS:84969821882
T3 - JIMD Reports
SP - 111
EP - 115
BT - JIMD Reports
PB - Springer
ER -