Triacetyluridine treats epileptic encephalopathy from CAD mutations: a case report and review.

Abstract:

:Refractory epilepsy and encephalopathy are frequently encountered in patients with inborn errors of metabolism. We report a case of an 8-year-old girl with history of developmental delay, autism and intractable epilepsy that was found to have a pathogenic variant in CAD. We briefly review the biochemical pathway of CAD and the preclinical and clinical studies that suggest uridine supplementation can rescue the CAD deficiency phenotypes. Our case demonstrates a relatively late-onset case of refractory epilepsy with a rapid response to treatment using the uridine pro-drug triacetyluridine (TAU), the FDA-approved treatment for hereditary orotic aciduria.

journal_name

Ann Clin Transl Neurol

authors

Frederick A,Sherer K,Nguyen L,Ali S,Garg A,Haas R,Sahagian M,Bui J

doi

10.1002/acn3.51257

subject

Has Abstract

pub_date

2021-01-01 00:00:00

pages

284-287

issue

1

issn

2328-9503

journal_volume

8

pub_type

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    doi:10.1002/acn3.276

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    更新日期:2015-12-21 00:00:00

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    doi:10.1002/acn3.47

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    更新日期:2014-05-01 00:00:00