Yıl: 2020 Cilt: 12 Sayı: 4 Sayfa Aralığı: 427 - 431 Metin Dili: İngilizce DOI: 10.4274/jcrpe.galenos.2019.2019.0144 İndeks Tarihi: 17-05-2021

Novel MTTP Gene Mutation in a Case of Abetalipoproteinemia with Central Hypothyroidism

Öz:
Abetalipoproteinaemia (ABL) is an autosomal recessive disorder characterized by very low plasma concentrations of total cholesteroland triglyceride (TG). It results from mutations in the gene encoding microsomal TG transfer protein (MTTP). A nine-month-old girl wasadmitted to hospital because of fever, cough, diarrhea and failure to thrive. She had low cholesterol and TG levels according to her age.The peripheral blood smear revealed acanthocytosis. Thyroid function test showed central hypothyroidism. Cranial magnetic resonanceimaging revealed the retardation of myelination and pituitary gland height was 1.7 mm. A homozygous novel mutation [c.506A>T(p.D169V)] was detected in the MTTP gene. Vitamins A, D, E, and K and levothyroxine were started. The coexistence of ABL and centralhypothyroidism has not previously been reported. A homozygous novel mutation [c.506A>T (p.D169V)] was detected in the MTTP gene
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
  • 1. Bassen FA, Kornzweig AL. Malformation of the erythrocytes in a case of atypical retinitis pigmentosa. Blood 1950;5:381-387.
  • 2. Rashtian P, Najafi Sani M, Jalilian R. A Male Infant with Abetalipoproteinemia: A Case Report from Iran. Middle East J Dig Dis 2015;7:181-184.
  • 3. Zamel R, Khan R, Pollex RL, Hegele RA. Abetalipoproteinemia: two case reports and literature review. Orphanet J Rare Dis 2008;8;3:19.
  • 4. Lee J, Hegele RA. Abetalipoproteinemia and homozygous hypobetalipoproteinemia: a framework for diagnosis and management. J Inherit Metab Dis 2014;37:333-339. Epub 2013 Nov 28
  • 5. Miller SA, Burnett JR, Leonis MA, McKnight CJ, van Bockxmeer FM, Hooper AJ. Novel missense MTTP gene mutations causing abetalipoproteinemia. Biochim Biophys Acta 2014;1842:1548-1554.
  • 6. Hasosah MY, Shesha SJ, Sukkar GA, Bassuni WY. Rickets and dysmorphic findings in a child with abetalipoproteinemia. Saudi Med J 2010;31:1169-1171.
  • 7. Al-Mahdili HA, Hooper AJ, Sullivan DR, Stewart PM, Burnett JR. A mild case of abetalipoproteinaemia in association with subclinical hypothyroidism. Ann Clin Biochem 2006;43:516-519.
  • 8. Duyu A, Çıtak EC, Ak E, Küpeli S, Yağcı Küpeli B, Bayram İ, Sezgin G, Eskendari G, Sezer K. Prevalence and Related Factors of Euthyroid Sick Syndrome in Children with Untreated Cancer According to Two Different Criteria. J Clin Res Pediatr Endocrinol 2018;31;10:198-205.
  • 9. Krysiak R, Okopie B. Chronic adrenal failure and hypergonadotropic hypogonadism in a patient with abetalipoproteinemia. Eur Rev Med Pharmacol Sci 2012;16:95-97.
  • 10. Illingworth DR, Orwoll ES. Low-density lipoproteins and adrenal cortisol production: studies in abetalipoproteinaemia and hypobetalipoproteinaemia. Biochem Soc Trans 1981;9:50.
  • 11. Illingworth DR, Kenny TA, Connor WE, Orwoll ES. Corticosteroid production in abetalipoproteinemia: evidence for an impaired response ACTH. J Lab Clin Med 1982;100:115-126.
  • 12. Illingworth DR, Kenny TA, Orwoll ES. Adrenal function in heterozygous and homozygous hypobetalipoproteinemia. J Clin Endocrinol Metab 1982;54:27-33.
  • 13. Triantafillidis JK, Kottaras G, Peros G, Merikas E, Gikas A, Condilis N, Konstantellou E. Endocrine function in abetalipoproteinemia: a study of a female patient of Greek origin. Ann Ital Chir 2004;75:683-690.
  • 14. Illingworth DR, Corbin DK, Kemp ED, Keenan EJ. Hormone changes during the menstrual cycle in abetalipoproteinemia: reduced luteal phase progesterone in a patient with homozygous hypobetalipoproteinemia. Proc Natl Acad Sci USA 1982;79:6685-6689.
  • 15. Arem R, Ghusn H, Ellerhorst J, Comstock JP. Effect of decreased plasma low-density lipoprotein levels on adrenal and testicular function in man. Clin Biochem 1997;30:419-424.
  • 16. Alshareef RA, Bansal AS, Chiang A, Kaiser RS. Macular atrophy in a case of abetalipoproteinemia as only ocular clinical feature. Can J Ophthalmol 2015;50:43-46.
  • 17. Yee RD, Cogan DG, Zee DS. Ophthalmoplegia and dissociated nystagmus in abetalipoproteinemia. Arch Ophthalmol 1976;94:571- 575.
  • 18. Di Filippo M, Moulin P, Roy P, Samson-Bouma ME, Collardeau-Frachon S, Chebel Dumont S, Peretti N, Dumortier J, Zoulim F, Fontanges T, Parini R, Rigoldi M, Furlan M, Mancini G, Bonnefont-Rousselot D, Bruckert E, Schmitz J, Scoazec JY, Charrière S, Villar-Fimbel S, Gottrand F, Dubern B, Doummar D, Joly F, Liard-Meillon ME, Lachaux A, Sassolas A. Homozygous MTTP and APOB mutations may lead to hepatic steatosis and fibrosis despitemetabolic differences in congenital hypocholesterolemia. J Hepatol 2014;61:891-902. Epub 2014 May 16
APA Soylu Ustkoyuncu P, Gökay S, Eren E, doğan d, yıldız g, YILMAZ A, Mutlu F (2020). Novel MTTP Gene Mutation in a Case of Abetalipoproteinemia with Central Hypothyroidism. , 427 - 431. 10.4274/jcrpe.galenos.2019.2019.0144
Chicago Soylu Ustkoyuncu Pembe,Gökay Songül,Eren Esra,doğan durmuş,yıldız gökçe,YILMAZ Ayşegül,Mutlu Fatma Türkan Novel MTTP Gene Mutation in a Case of Abetalipoproteinemia with Central Hypothyroidism. (2020): 427 - 431. 10.4274/jcrpe.galenos.2019.2019.0144
MLA Soylu Ustkoyuncu Pembe,Gökay Songül,Eren Esra,doğan durmuş,yıldız gökçe,YILMAZ Ayşegül,Mutlu Fatma Türkan Novel MTTP Gene Mutation in a Case of Abetalipoproteinemia with Central Hypothyroidism. , 2020, ss.427 - 431. 10.4274/jcrpe.galenos.2019.2019.0144
AMA Soylu Ustkoyuncu P,Gökay S,Eren E,doğan d,yıldız g,YILMAZ A,Mutlu F Novel MTTP Gene Mutation in a Case of Abetalipoproteinemia with Central Hypothyroidism. . 2020; 427 - 431. 10.4274/jcrpe.galenos.2019.2019.0144
Vancouver Soylu Ustkoyuncu P,Gökay S,Eren E,doğan d,yıldız g,YILMAZ A,Mutlu F Novel MTTP Gene Mutation in a Case of Abetalipoproteinemia with Central Hypothyroidism. . 2020; 427 - 431. 10.4274/jcrpe.galenos.2019.2019.0144
IEEE Soylu Ustkoyuncu P,Gökay S,Eren E,doğan d,yıldız g,YILMAZ A,Mutlu F "Novel MTTP Gene Mutation in a Case of Abetalipoproteinemia with Central Hypothyroidism." , ss.427 - 431, 2020. 10.4274/jcrpe.galenos.2019.2019.0144
ISNAD Soylu Ustkoyuncu, Pembe vd. "Novel MTTP Gene Mutation in a Case of Abetalipoproteinemia with Central Hypothyroidism". (2020), 427-431. https://doi.org/10.4274/jcrpe.galenos.2019.2019.0144
APA Soylu Ustkoyuncu P, Gökay S, Eren E, doğan d, yıldız g, YILMAZ A, Mutlu F (2020). Novel MTTP Gene Mutation in a Case of Abetalipoproteinemia with Central Hypothyroidism. Journal of Clinical Research in Pediatric Endocrinology, 12(4), 427 - 431. 10.4274/jcrpe.galenos.2019.2019.0144
Chicago Soylu Ustkoyuncu Pembe,Gökay Songül,Eren Esra,doğan durmuş,yıldız gökçe,YILMAZ Ayşegül,Mutlu Fatma Türkan Novel MTTP Gene Mutation in a Case of Abetalipoproteinemia with Central Hypothyroidism. Journal of Clinical Research in Pediatric Endocrinology 12, no.4 (2020): 427 - 431. 10.4274/jcrpe.galenos.2019.2019.0144
MLA Soylu Ustkoyuncu Pembe,Gökay Songül,Eren Esra,doğan durmuş,yıldız gökçe,YILMAZ Ayşegül,Mutlu Fatma Türkan Novel MTTP Gene Mutation in a Case of Abetalipoproteinemia with Central Hypothyroidism. Journal of Clinical Research in Pediatric Endocrinology, vol.12, no.4, 2020, ss.427 - 431. 10.4274/jcrpe.galenos.2019.2019.0144
AMA Soylu Ustkoyuncu P,Gökay S,Eren E,doğan d,yıldız g,YILMAZ A,Mutlu F Novel MTTP Gene Mutation in a Case of Abetalipoproteinemia with Central Hypothyroidism. Journal of Clinical Research in Pediatric Endocrinology. 2020; 12(4): 427 - 431. 10.4274/jcrpe.galenos.2019.2019.0144
Vancouver Soylu Ustkoyuncu P,Gökay S,Eren E,doğan d,yıldız g,YILMAZ A,Mutlu F Novel MTTP Gene Mutation in a Case of Abetalipoproteinemia with Central Hypothyroidism. Journal of Clinical Research in Pediatric Endocrinology. 2020; 12(4): 427 - 431. 10.4274/jcrpe.galenos.2019.2019.0144
IEEE Soylu Ustkoyuncu P,Gökay S,Eren E,doğan d,yıldız g,YILMAZ A,Mutlu F "Novel MTTP Gene Mutation in a Case of Abetalipoproteinemia with Central Hypothyroidism." Journal of Clinical Research in Pediatric Endocrinology, 12, ss.427 - 431, 2020. 10.4274/jcrpe.galenos.2019.2019.0144
ISNAD Soylu Ustkoyuncu, Pembe vd. "Novel MTTP Gene Mutation in a Case of Abetalipoproteinemia with Central Hypothyroidism". Journal of Clinical Research in Pediatric Endocrinology 12/4 (2020), 427-431. https://doi.org/10.4274/jcrpe.galenos.2019.2019.0144