Neurologic sequela in a patient with galactosemia potentially mediated by interleukin-11 dysfunction.

Abstract:

:A 16-year-old galactosemic patient, homozygous for the 5.5-kb gene deletion, suffered severe neurologic regression following streptococcal infection. Since the gene deletion includes the promoter of interleukin-11a receptor involved in neuronal apoptosis, we questioned whether this patient had no interleukin-11a receptor activity-resulting in neuronal toxicity during septicemia. We hypothesized that interleukin-11 levels would be elevated because of a loss of feedback induced by the absent interleukin-11Ra receptor complex. To assess this, we compared interleukin-11 levels in the proband and 2 of his siblings with the same genetic deletion, to age-matched controls. No differences were found in interleukin-11 levels between groups. Our study was not carried out during acute infective states, when the disrupted immunoregulation triggered by sepsis is relevant, and is thus limited. In conclusion, although interleukin-11 was not chronically elevated in individuals with galactosemia and 5.5-kb gene deletion, data do not rule out potential interleukin-11 dysfunction during acute infection.

journal_name

J Child Neurol

authors

Winter GN,Ben-Pazi H

doi

10.1177/0883073814540520

subject

Has Abstract

pub_date

2015-06-01 00:00:00

pages

922-6

issue

7

eissn

0883-0738

issn

1708-8283

pii

0883073814540520

journal_volume

30

pub_type

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