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Pediatr Res ; 84(6): 837-841, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-30397276

RESUMO

BACKGROUND: Congenital Disorders of Glycosylation (CDG) are genetic diseases caused by hypoglycosylation of glycoproteins and glycolipids. Most CDG are multisystem disorders with mild to severe involvement. METHODS: We studied 554 patients (2007-2017) with a clinical phenotype compatible with a CDG. Screening was performed by serum transferrin isoelectric focusing. The diagnosis was confirmed by genetic testing (Sanger or exome sequencing). RESULTS: A confirmed abnormal pattern was found in nine patients. Seven patients showed a type 1 pattern: four with PMM2-CDG, two with ALG2-CDG, and one with classical galactosemia. A type 2 pattern was found in two patients: one with a CDG-IIx and one with a transferrin protein variant. Abnormal transferrin pattern were observed in a patient with a myopathy due to a COL6A2 gene variant. CONCLUSIONS: CDG screening in Argentina from 2007 to 2017 revealed 4 PMM2-CDG patients, 2 ALG2-CDG patients with a novel homozygous gene variant and 1 CDG-IIx.


Assuntos
Defeitos Congênitos da Glicosilação/diagnóstico , Glicolipídeos/metabolismo , Glicoproteínas/metabolismo , Programas de Rastreamento/métodos , Triagem Neonatal/métodos , Adulto , Argentina/epidemiologia , Criança , Pré-Escolar , Colágeno Tipo VI/genética , Exoma , Feminino , Galactosemias/metabolismo , Predisposição Genética para Doença , Testes Genéticos , Variação Genética , Glicosilação , Homozigoto , Humanos , Lactente , Recém-Nascido , Focalização Isoelétrica , Masculino , Fenótipo , Análise de Sequência de DNA , Transferrina/metabolismo
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