Variant nonketotic hyperglycinemia caused by a novel pathogenic mutation in the glrx5 gene

dc.authorid0000-0002-7785-2995
dc.contributor.authorÇakar, Nafiye Emel
dc.contributor.authorSeyhan, Serhat
dc.date.accessioned2021-01-08T06:20:15Z
dc.date.available2021-01-08T06:20:15Z
dc.date.issued2020
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Tıbbi Genetik Ana Bilim Dalı
dc.description.abstractNonketotic hyperglycinemia (NKH) is caused by defects in the glycine cleavage system. Hyperglycinemia without biallelic mutations in one of the 4 genes that encode the constituents of the glycine cleavage system is classified as ‘variant NKH’. The defects in these cases are in the iron-sulphur cluster biogenesis and lipoate synthesis pathways. The GLRX5 gene is one of the genes in these new pathways. We report here an 8.5-year-old male patient presented with spasticity, ataxia and optic atrophy. He lost his ability to walk after a febrile infection at the age of 1.5 year. The patient’s cognitive functions were preserved. His plasma glycine level and cerebrospinal fluid/plasma glycine ratio were high. A novel homozygous mutation p.Gly116Asp (c.347G>A) in the GLRX5 gene was identified by whole exome sequencing. In conclusion, in a child, who have neurological regression, spasticity, ataxia, and whom cognitive functions are partially preserved, if plasma glycine level is high, variant NKH should be considered in the differential diagnosis.
dc.identifier.citationÇakar, N. E. ve Seyhan, S. (2020). Variant nonketotic hyperglycinemia caused by a novel pathogenic mutation in the glrx5 gene. Neurology Asia, 25(4), 623-626.
dc.identifier.endpage626
dc.identifier.issn1823-6138
dc.identifier.issue4
dc.identifier.scopusqualityQ4
dc.identifier.startpage623
dc.identifier.urihttps://hdl.handle.net/20.500.12511/6205
dc.identifier.volume25
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherASEAN Neurological Association
dc.relation.ispartofNeurology Asiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectGLRX5 Gene
dc.subjectIron-Sulphur Cluster
dc.subjectNonketotic Hyperglycinemia
dc.titleVariant nonketotic hyperglycinemia caused by a novel pathogenic mutation in the glrx5 gene
dc.typeArticle

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