ANALYSIS OF THE SLC25A13 GENE IN THE DIAGNOSIS OF CITRIN DEFICIENCY IN SOME CHILDREN WITH SUSPICION

Thị Phương Lê, Văn Thạo Tạ, Thị Bảo Bùi, Xuân Dũng Mai, Thị Hải Yến Trần

Main Article Content

Abstract

Citrin deficiency in children is a disease associated with mutations in the SLC25A13 gene. In children, the disease is manifested in two age-dependent phenotypes: NICCD in neonatal and FTTDCD older than 1 year of age, which are associated with many changes in clinical, biochemical, liver tissue imaging, and metabolism. Analysis of the SLC25A13 gene is a useful tool that has been recognized as a reliable method for the definitive diagnosis of citrin deficiency. This study was conducted to identify mutations in the SLC25A13 gene by Sanger sequencing and analyze the mutant characteristics. The sample size consisted of 4 samples of patients that were screened for suspected citrin deficiency, and the results of sequencing found 1 mutation type I (c.851delGTAT (p.Met285ProfsTer2)) homozygous for both 4 samples, which is a frameshift variant that leads to premature truncation of the protein. With the Sanger sequencing technique, the study of analyzing the SLC25A13 gene in the diagnosis of citrin deficiency is extremely important in an early specific treatment, limiting complications, and reducing mortality in patients with cholestatic jaundice due to citrin deficiency, as well as a precondition for genetic counseling.

Article Details

References

1. Tang CF, Liu SC, Feng Y, et al. Newborn screening program and blood amino acid profiling in early neonates with citrin deficiency. Zhonghua Er Ke Za Zhi. 2019;57(10):797-801.
2. Komatsu M, Yazaki M, Tanaka N, et al. Citrin deficiency as a cause of chronic liver disorder mimicking non-alcoholic fatty liver disease. J Hepatol. 2008;49(5):810-820.
3. Hayasaka K, Numakura C, Watanabe H. Treatment and Pathomechanism of Citrin Deficiency. Brain Nerve. 2015;67(6):739-747.
4. Wang LY, Chen NI, Chen PW, et al. Newborn screening for citrin deficiency and carnitine uptake defect using second-tier molecular tests. BMC Medical Genetics. 2013;14(1):24.
5. Lu YB, Kobayashi K, Ushikai M, et al. Frequency and distribution in East Asia of 12 mutations identified in the SLC25A13 gene of Japanese patients with citrin deficiency. J Hum Genet. 2005;50(7):338-346.
6. Ohura T, Kobayashi K, Tazawa Y, et al. Clinical pictures of 75 patients with neonatal intrahepatic cholestasis caused by citrin deficiency (NICCD). Journal of Inherited Metabolic Disease. 2007;30(2):139-144.
7. Bùi Đình Dương. Xác Định Đột Biến Gen SLC25A13 Gây Bệnh Thiếu Hụt Citrin ở Trẻ Em. Đại học y Hà Nội; 2021.
8. Nguyễn Phạm Anh Hoa. Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và theo dõi sau điều trị bệnh thiếu citrin ở trẻ em. Luận Án Tiến Sĩ Học Chuyên Ngành Nhi Khoa. Published online 2012.
9. Song YZ, Yazaki M, Saheki T. Citrin Deficiency. In: Oohashi T, Tsukahara H, Ramirez F, Barber CL, Otsuka F, eds. Human Pathobiochemistry: From Clinical Studies to Molecular Mechanisms. Springer; 2019:3-14. doi:10.1007/978-981-13-2977-7_1