Combined PMM2-CDG and hereditary fructose intolerance in a patient with mild clinical presentation.


Journal

Molecular genetics and metabolism
ISSN: 1096-7206
Titre abrégé: Mol Genet Metab
Pays: United States
ID NLM: 9805456

Informations de publication

Date de publication:
11 2023
Historique:
received: 30 04 2023
revised: 02 07 2023
accepted: 08 08 2023
medline: 14 11 2023
pubmed: 20 8 2023
entrez: 19 8 2023
Statut: ppublish

Résumé

We report a patient with an extremely rare, combined diagnosis of PMM2-CDG and hereditary fructose intolerance (HFI). By comparing with other patients, under-galactosylation was identified as a feature of HFI. Fructose/sorbitol/sucrose restriction was initiated right afterwards. The patient is at the mild end of the PMM2-CDG spectrum, raising the question of sorbitol's role in the pathogenesis of PMM2-CDG and whether fructose/sorbitol/sucrose restriction could benefit other PMM2-CDG patients. Additionally, epalrestat, an emerging potential PMM2-CDG therapy, may benefit HFI patients.

Identifiants

pubmed: 37597336
pii: S1096-7192(23)00312-8
doi: 10.1016/j.ymgme.2023.107682
pii:
doi:

Substances chimiques

Phosphotransferases (Phosphomutases) EC 5.4.2.-
Fructose 30237-26-4
Sorbitol 506T60A25R
Sucrose 57-50-1

Types de publication

Case Reports Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

107682

Subventions

Organisme : NINDS NIH HHS
ID : U54 NS115198
Pays : United States

Informations de copyright

Copyright © 2023 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest This work was supported by U54 NS115198 (GB, ACE and MH).

Auteurs

Xinying Hong (X)

Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Andrew C Edmondson (AC)

Division of Human Genetics, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Alanna Strong (A)

Division of Human Genetics, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Daniel Pomerantz (D)

Division of Genetics and Genomics, Department of Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.

Emma Michl (E)

Division of Genetics and Genomics, Department of Pediatrics, Boston Children's Hospital, Boston, MA, USA.

Gerard Berry (G)

Division of Genetics and Genomics, Department of Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.

Miao He (M)

Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA. Electronic address: hem@email.chop.edu.

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Classifications MeSH