Spectrum of hypermethioninemia in neonatal screening.

Abstract:

:Measurement of methionine levels in dried blood spots has been one of the items of neonatal screening in Taiwan for more than 20 years. In 1,701,591 newborns, 17 cases of hypermethioninemia were detected, but among them only one had homocystinuria. More than half of the 16 cases of isolated hypermethioninemia had mutations in the MAT1A gene, and four of the eight MAT1A mutations identified in this study have not been reported before. Therefore methionine adenosyltransferase deficiency is the most prevalent cause of isolated hypermethioninemia in Taiwanese. Although most of the patients with isolated hypermethioninemia were put on diet in this study, their IQ scores were not related to either the initial or follow-up plasma methionine levels. Because both the etiology and the natural history of isolated hypermethioninemia haven't been clearly resolved, the impact of this condition on screening programs where homocystinuria is rare should be carefully evaluated.

journal_name

Early Hum Dev

journal_title

Early human development

authors

Chien YH,Chiang SC,Huang A,Hwu WL

doi

10.1016/j.earlhumdev.2004.11.005

keywords:

subject

Has Abstract

pub_date

2005-06-01 00:00:00

pages

529-33

issue

6

eissn

0378-3782

issn

1872-6232

pii

S0378-3782(04)00199-9

journal_volume

81

pub_type

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