Molecular prenatal diagnosis of 3-hydroxy-3-methylglutaryl CoA lyase deficiency.

Abstract:

:We report the first molecular prenatal diagnosis of 3-hydroxy-3-methylglutaryl CoA lyase (HL) deficiency. The proband had a classic but severe presentation with hypoketotic hypoglycaemia and acidosis, secondary mental retardation, and epilepsy, and HL deficiency was documented in cultured fibroblasts. We found him to be homozygous for the frameshift mutation N46fs (+1), which yields a distinct pattern on single-strand conformation polymorphism (SSCP) analysis. In two subsequent pregnancies, molecular prenatal diagnosis was performed using SSCP. In the first, chorionic villus biopsy was normal. In the second pregnancy, amniocentesis revealed an affected fetus. In both pregnancies, the diagnosis was confirmed enzymatically. HL activity was less than 7 per cent of control values in amniocytes and fetal liver of the affected pregnancy. In the second pregnancy, amniotic fluid metabolite measurements by stable isotope dilution-selected ion monitoring mass spectrometry showed greater than 100-fold increases of 3-hydroxy-3-methylglutaric acid and of 3-methylglutaconic acid levels compared with controls.

journal_name

Prenat Diagn

journal_title

Prenatal diagnosis

authors

Mitchell GA,Jakobs C,Gibson KM,Robert MF,Burlina A,Dionisi-Vici C,Dallaire L

doi

10.1002/pd.1970150807

subject

Has Abstract

pub_date

1995-08-01 00:00:00

pages

725-9

issue

8

eissn

0197-3851

issn

1097-0223

journal_volume

15

pub_type

杂志文章
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    更新日期:2015-05-01 00:00:00

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    doi:

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    pub_type: 杂志文章

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    更新日期:2012-07-01 00:00:00

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    doi:10.1002/pd.1112

    authors: Grobman WA,Wang E,Shulman LP

    更新日期:2005-03-01 00:00:00

  • Early prenatal diagnosis of recurrent 46,XY partial gonadal dysgenesis.

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    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.673

    authors: Mazza V,Ottolenghi C,Di Monte I,Baldassari F,Rivasi F,Volpe A,Forabosco A

    更新日期:2003-09-01 00:00:00

  • Second trimester ultrasound screening for chromosomal abnormalities.

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    pub_type: 杂志文章,评审

    doi:10.1002/pd.307

    authors: Shipp TD,Benacerraf BR

    更新日期:2002-04-01 00:00:00

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    pub_type: 杂志文章

    doi:

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    更新日期:1999-03-01 00:00:00

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    pub_type: 杂志文章

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    pub_type: 杂志文章

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    authors: Boelter WD,Burt BA,Spector EB,Hinton DR,Pavlova Z,Fujimoto A

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    pub_type: 杂志文章

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    更新日期:1996-09-01 00:00:00

  • Utility of chromosomal microarray in anomalous fetuses.

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    更新日期:2008-10-01 00:00:00

  • Amniotic fluid analysis in a fetus with laryngeal atresia.

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    pub_type: 临床试验,杂志文章,多中心研究

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    更新日期:1994-09-01 00:00:00

  • hCG and the free beta-subunit as screening tests for Down syndrome.

    abstract::Published studies have reached varying conclusions as to the benefit of replacing human chorionic gonadotropin (hCG) measurements with the free beta-subunit of hCG (the free beta-subunit) for Down syndrome screening. One study reports 14 per cent higher detection for the free beta-subunit, while another finds an actua...

    journal_title:Prenatal diagnosis

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    doi:

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    更新日期:1998-03-01 00:00:00

  • Prenatal diagnosis of a half-cryptic translocation using chromosome microdissection.

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    doi:

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    pub_type: 杂志文章

    doi:10.1002/pd.1970140605

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    更新日期:1994-06-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1002/pd.1970120808

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    更新日期:1992-08-01 00:00:00

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    pub_type: 杂志文章

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    pub_type: 杂志文章

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    pub_type: 杂志文章

    doi:10.1002/pd.1970130203

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    更新日期:1996-02-01 00:00:00