ATP7A-related copper transport disorders: A systematic review and definition of the clinical subtypes.


Journal

Journal of inherited metabolic disease
ISSN: 1573-2665
Titre abrégé: J Inherit Metab Dis
Pays: United States
ID NLM: 7910918

Informations de publication

Date de publication:
03 2023
Historique:
revised: 11 01 2023
received: 28 11 2022
accepted: 18 01 2023
pubmed: 25 1 2023
medline: 15 3 2023
entrez: 24 1 2023
Statut: ppublish

Résumé

In patients with ATP7A-related disorders, counseling is challenging due to clinical overlap between the entities, the absence of predictive biomarkers and a clear genotype-phenotype correlation. We performed a systematic literature review by querying the MEDLINE and Embase databases identifying 143 relevant papers. We recorded data on the phenotype and genotype in 162 individuals with a molecularly confirmed ATP7A-related disorder in order to identify differentiating clinical criteria, evaluate genotype-phenotype correlations and propose management guidelines. Early seizures are specific for classical Menkes disease (CMD), that is characterized by early-onset neurodegenerative disease with high mortality rates. Ataxia is an independent indicator for atypical Menkes disease, that shows better survival rates than CMD. Bony exostoses, radial head dislocations, herniations and dental abnormalities are specific for occipital horn syndrome (OHS) that may further present with developmental delay and connective tissue manifestations. Intracranial tortuosity and bladder diverticula, both with high risk of complications, are common among all subtypes. Low ceruloplasmin is a more sensitive and discriminating biomarker for ATP7A-related disorders than serum copper. Truncating mutations are frequently associated with CMD, in contrast with splice site and intronic mutations which are more prevalent in OHS.

Identifiants

pubmed: 36692329
doi: 10.1002/jimd.12590
doi:

Substances chimiques

Copper 789U1901C5
Copper-Transporting ATPases EC 7.2.2.8
ATP7A protein, human EC 7.2.2.8
ATP7A protein, human (2-79) 0
Peptide Fragments 0

Types de publication

Systematic Review Journal Article Review Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

163-173

Commentaires et corrections

Type : CommentIn

Informations de copyright

© 2023 SSIEM.

Références

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Auteurs

S De Feyter (S)

Center for Medical Genetics Ghent, Ghent University Hospital, Ghent, Belgium.
Department of Biomolecular Medicine, Ghent University, Ghent, Belgium.
Department of Dermatology, Ghent University Hospital, Ghent, Belgium.

A Beyens (A)

Center for Medical Genetics Ghent, Ghent University Hospital, Ghent, Belgium.
Department of Biomolecular Medicine, Ghent University, Ghent, Belgium.
Department of Dermatology, Ghent University Hospital, Ghent, Belgium.

B Callewaert (B)

Center for Medical Genetics Ghent, Ghent University Hospital, Ghent, Belgium.
Department of Biomolecular Medicine, Ghent University, Ghent, Belgium.

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