DOI QR코드

DOI QR Code

Novel heterozygous MCCC1 mutations identified in a patient with 3-methylcrotonyl-coenzyme A carboxylase deficiency

  • Kim, Yoon-Myung (Department of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine) ;
  • Seo, Go Hun (Department of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine) ;
  • Kim, Gu-Hwan (Medical Genetics Center, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine) ;
  • Yoo, Han-Wook (Department of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine) ;
  • Lee, Beom Hee (Department of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine)
  • 투고 : 2017.04.23
  • 심사 : 2017.05.21
  • 발행 : 2017.06.30

초록

Isolated 3-methylcrotonyl-CoA carboxylase deficiency is an autosomal recessive disorder affecting leucine metabolism; it is one of the most common inborn metabolic diseases detected in newborn screening. Mutations in the genes MCCC1 or MCCC2 cause a defect in the enzyme 3-methylcrotonyl-CoA carboxylase, with MCCC2 mutations being the form predominantly reported in Korea. The majority of infants identified by neonatal screening usually appear to be asymptomatic and remain healthy; however, some patients have been reported to exhibit mild to severe metabolic decompensation and neurologic manifestations. Here we report the clinical features of a patient with asymptomatic 3-methylcrotonyl-CoA carboxylase deficiency and novel heterozygous MCCC1 mutations.

키워드

참고문헌

  1. Arnold GL, Koeberl DD, Matern D, Barshop B, Braverman N, Burton B, et al. A Delphi-based consensus clinical practice protocol for the diagnosis and management of 3-methylcrotonyl CoA carboxylase deficiency. Mol Genet Metab 2008;93:363-70. https://doi.org/10.1016/j.ymgme.2007.11.002
  2. Baumgartner MR, Almashanu S, Suormala T, Obie C, Cole RN, Packman S, et al. The molecular basis of human 3-methylcrotonyl-CoA carboxylase deficiency. J Clin Invest 2001;107:495-504. https://doi.org/10.1172/JCI11948
  3. Grunert SC, Stucki M, Morscher RJ, Suormala T, Burer C, Burda P, et al. 3-Methylcrotonyl-CoA carboxylase deficiency: clinical, biochemical, enzymatic and molecular studies in 88 individuals. Orphanet J Rare Dis 2012;7:31. https://doi.org/10.1186/1750-1172-7-31
  4. Jung CW, Lee BH, Kim JH, Kim GH, Lee J, Choi JH, et al. Uneventful clinical courses of Korean patients with methylcrotonylglycinuria and their common mutations. J Hum Genet 2012;57:62-4. https://doi.org/10.1038/jhg.2011.116
  5. Cho SY, Park HD, Lee YW, Ki CS, Lee SY, Sohn YB, et al. Mutational spectrum in eight Korean patients with 3-methylcrotonyl-CoA carboxylase deficiency. Clin Genet 2012;81:96-8. https://doi.org/10.1111/j.1399-0004.2011.01704.x
  6. Ficicioglu C, Payan I. 3-Methylcrotonyl-CoA carboxylase deficiency: metabolic decompensation in a noncompliant child detected through newborn screening. Pediatrics 2006;118:2555-6. https://doi.org/10.1542/peds.2006-1659
  7. Dirik E, Yis U, Pasaoglu G, Chambaz C, Baumgartner MR. Recurrent attacks of status epilepticus as predominant symptom in 3-methylcrotonyl-CoA carboxylase deficiency. Brain Dev 2008;30:218-20. https://doi.org/10.1016/j.braindev.2007.08.005
  8. Baykal T, Gokcay GH, Ince Z, Dantas MF, Fowler B, Baumgartner MR, et al. Consanguineous 3-methylcrotonyl-CoA carboxylase deficiency: early-onset necrotizing encephalopathy with lethal outcome. J Inherit Metab Dis 2005;28:229-33. https://doi.org/10.1007/s10545-005-4559-8
  9. Oude Luttikhuis HG, Touati G, Rabier D, Williams M, Jakobs C, Saudubray JM. Severe hypoglycaemia in isolated 3-methylcrotonyl-CoA carboxylase deficiency; a rare, severe clinical presentation. J Inherit Metab Dis 2005;28:1136-8. https://doi.org/10.1007/s10545-005-4545-1
  10. Fonseca H, Azevedo L, Serrano C, Sousa C, Marcao A, Vilarinho L. 3-Methylcrotonyl-CoA carboxylase deficiency: mutational spectrum derived from comprehensive newborn screening. Gene 2016;594:203-10. https://doi.org/10.1016/j.gene.2016.09.003
  11. 1000 Genomes Project Consortium, Auton A, Brooks LD, Durbin RM, Garrison EP, Kang HM, et al. A global reference for human genetic variation. Nature 2015;526:68-74. https://doi.org/10.1038/nature15393
  12. Stenson PD, Ball EV, Mort M, Phillips AD, Shiel JA, Thomas NS, et al. The Human Gene Mutation Database ($HGMD^{(R)}$): 2003 update. Hum Mutat 2003;21:577-81. https://doi.org/10.1002/humu.10212
  13. Lek M, Karczewski KJ, Minikel EV, Samocha KE, Banks E, Fennell T, et al. Analysis of protein-coding genetic variation in 60,706 humans. Nature 2016;536:285-91. https://doi.org/10.1038/nature19057
  14. Dantas MF, Suormala T, Randolph A, Coelho D, Fowler B, Valle D, et al. 3-Methylcrotonyl-CoA carboxylase deficiency: mutation analysis in 28 probands, 9 symptomatic and 19 detected by newborn screening. Hum Mutat 2005;26:164.
  15. Lam C, Carter JM, Cederbaum SD, Neidich J, Gallant NM, Lorey F, et al. Analysis of cases of 3-methylcrotonyl CoA carboxylase deficiency (3-MCCD) in the California newborn screening program reported in the state database. Mol Genet Metab 2013;110:477-83. https://doi.org/10.1016/j.ymgme.2013.09.006
  16. Cho KL, Kim YJ, Yang SH, Kim GH, Lee JH. Maternal 3-methylcrotonylcoenzyme A carboxylase deficiency with elevated 3-hydroxyisovalerylcarnitine in breast milk. Korean J Pediatr 2016; 59(Suppl 1):S41-4. https://doi.org/10.3345/kjp.2016.59.11.S41
  17. Rips J, Almashanu S, Mandel H, Josephsberg S, Lerman-Sagie T, Zerem A, et al. Primary and maternal 3-methylcrotonyl-CoA carboxylase deficiency: insights from the Israel newborn screening program. J Inherit Metab Dis 2016;39:211-7. https://doi.org/10.1007/s10545-015-9899-4
  18. Lehnert W, Niederhoff H, Suormala T, Baumgartner ER. Isolated biotin-resistant 3-methylcrotonyl-CoA carboxylase deficiency: longterm outcome in a case with neonatal onset. Eur J Pediatr 1996;155:568-72.
  19. Thomsen JA, Lund AM, Olesen JH, Mohr M, Rasmussen J. Is L-Carnitine supplementation beneficial in 3-Methylcrotonyl-CoA carboxylase deficiency? JIMD Rep 2015;21:79-88.