Challenges of managing ornithine transcarbamylase deficiency in female heterozygotes.

IV, intravenous Late onset MRI, magnetic resonance imaging Manifesting heterozygote OTC, ornithine transcarbamylase Ornithine transcarbamylase deficiency Partial onset UCD, urea cycle disorder Urea cycle disorder X-linked

Journal

Molecular genetics and metabolism reports
ISSN: 2214-4269
Titre abrégé: Mol Genet Metab Rep
Pays: United States
ID NLM: 101624422

Informations de publication

Date de publication:
Dec 2022
Historique:
entrez: 9 1 2023
pubmed: 10 1 2023
medline: 10 1 2023
Statut: epublish

Résumé

Urea cycle disorders (UCDs) are a group of rare inherited metabolic conditions caused by enzyme deficiency within the hepatic ammonia detoxification pathway. Ornithine transcarbamylase (OTC) deficiency, the most frequently occurring UCD, is an X-linked condition known to yield a vastly heterogeneous phenotype, with variable onset and presentation across the lifespan. Here, we introduce a series of 4 original cases, published as part of this special supplement, that illustrate learnings for the care of heterozygous females with OTC deficiency, including challenges with diagnosis, potential triggers of hyperammonemia, cognitive effects, and approaches to disease management, including peripartum care.

Identifiants

pubmed: 36620389
doi: 10.1016/j.ymgmr.2022.100941
pii: S2214-4269(22)00101-X
pmc: PMC9817477
doi:

Types de publication

Editorial

Langues

eng

Pagination

100941

Informations de copyright

© 2022 The Author(s).

Déclaration de conflit d'intérêts

A Feigenbaum has received honoraria from Horizon Therapeutics plc for consulting/advisory activities unrelated to the development of this manuscript.

Références

J Hepatol. 2017 Sep 20;:
pubmed: 28939132
Mol Genet Metab. 2004 Apr;81 Suppl 1:S58-62
pubmed: 15050975
Arch Neurol. 2007 Jan;64(1):126-8
pubmed: 17210820
J Hum Genet. 2019 Sep;64(9):833-847
pubmed: 31110235
J Inherit Metab Dis. 2019 Nov;42(6):1176-1191
pubmed: 31268178
Rev Endocr Metab Disord. 2018 Mar;19(1):13-33
pubmed: 30198059
Am J Perinatol. 2010 Nov;27(10):775-84
pubmed: 20458665
J Med Case Rep. 2021 Jul 20;15(1):385
pubmed: 34281619
Hum Mutat. 2006 Jul;27(7):626-32
pubmed: 16786505
N Engl J Med. 1973 Jan 4;288(1):7-12
pubmed: 4681915
Mol Genet Metab Rep. 2021 Feb 07;27:100724
pubmed: 33614409
ACG Case Rep J. 2019 Jul 22;6(7):e00119
pubmed: 31620519
J Inherit Metab Dis. 2019 Nov;42(6):1136-1146
pubmed: 30932189
Hum Mutat. 2018 Apr;39(4):527-536
pubmed: 29282796
Mol Genet Metab. 2010;100 Suppl 1:S20-30
pubmed: 20207564
Pract Neurol. 2015 Feb;15(1):45-8
pubmed: 25125564
Genet Med. 2020 Jul;22(7):1156-1174
pubmed: 32284538
J Inherit Metab Dis. 2019 Nov;42(6):1192-1230
pubmed: 30982989
Hum Mol Genet. 2019 Oct 1;28(R1):R42-R48
pubmed: 31227828
Anal Biochem. 2022 Jan 1;636:114343
pubmed: 34637785

Auteurs

Annette Feigenbaum (A)

Department of Pediatrics, Division of Genetics, Rady Children's Hospital-San Diego, USA.
University of California, San Diego, USA.

Classifications MeSH