A Novel Variant of ASL Gene Mutation in a Lebanese Neonate with Severe Argininosuccinic Aciduria Phenotype

HAMOUCHE Naji, TOHME Rana, EL ACHKAR Mariella, HMAIMESS Ghassan, BAYDOUN Abed El Karim, SOKHN Maroun, GHABRIL Ramy, GHADIEH Joëlle M, NAOUFAL Rania, KHNEISSER Issam, FATTAH Mohamad, KHOURY Jacqueline, MANSOUR Hicham
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Abstract

Argininosuccinic aciduria is a urea cycle defect associated with deficiency in argininosuccinate lyase enzyme, leading to a severe hyperammonemic encephalopathy, epilepsy and hepatopathy. Only very few known mutations have been linked with a severe phenotype. Here we report the case of a Lebanese newborn child with a very early manifestation of argininosuccinic aciduria, his genetic studies confirmed the presence of a mutation in the ASL gene (c.697A>C p. (Thr233Pro) at the homozygous state. To our knowledge, this is the first time this variant has been reported in literature.
黎巴嫩新生儿严重精氨酸琥珀酸尿表型ASL基因突变的新变异
精氨酸琥珀酸尿症是一种尿素循环缺陷,与精氨酸琥珀酸解酶缺乏有关,可导致严重的高氨血症脑病、癫痫和肝病。只有极少数已知的突变与严重的表型有关。在这里,我们报告了一例黎巴嫩新生儿精氨酸琥珀酸尿症的早期表现,他的遗传研究证实了ASL基因(C . 697a>C . p. (Thr233Pro)在纯合状态下的突变。据我们所知,这是文献中第一次报道这种变异。
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