Case report: A novel 5'-UTR-exon1-intron1 deletion in MLYCD in an IVF child with malonyl coenzyme A decarboxylase deficiency and literature review

The subject of the study is an 11-month old IVF baby girl with the typical clinical manifestation of malonyl coenzyme A decarboxylase deficiency, including developmental delay, limb weakness, cardiomyopathy, and excessive excretion of malonic acid and methylmalonic acid. Whole genome sequencing (WGS...

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Main Authors: Fang Xu, Yangyang Wu, Jiyi Huang, Yunguo Zhou, Fei Xu, Junkai Duan, Hong Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-05-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2023.1160879/full
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author Fang Xu
Fang Xu
Yangyang Wu
Yangyang Wu
Jiyi Huang
Yunguo Zhou
Yunguo Zhou
Fei Xu
Fei Xu
Junkai Duan
Junkai Duan
Hong Li
author_facet Fang Xu
Fang Xu
Yangyang Wu
Yangyang Wu
Jiyi Huang
Yunguo Zhou
Yunguo Zhou
Fei Xu
Fei Xu
Junkai Duan
Junkai Duan
Hong Li
author_sort Fang Xu
collection DOAJ
description The subject of the study is an 11-month old IVF baby girl with the typical clinical manifestation of malonyl coenzyme A decarboxylase deficiency, including developmental delay, limb weakness, cardiomyopathy, and excessive excretion of malonic acid and methylmalonic acid. Whole genome sequencing (WGS) revealed a novel heterozygous nonsense mutation (c.672delG, p.Trp224Ter) in the MLYCD gene of the proband and her father and a novel heterozygous deletion in 5'-UTR-exon1-intron1 of the MLYCD gene of the proband and her mother. The patient's cardiac function and limb weakness improved considerably after 3 months of a low-fat diet supplemented with L-carnitine. Furthermore, mapping of gene mutations and clinical manifestations was done by case collection.
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spelling doaj.art-b45f71598ea5423c86c617841baa6c9d2023-05-03T05:20:59ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-05-011010.3389/fmed.2023.11608791160879Case report: A novel 5'-UTR-exon1-intron1 deletion in MLYCD in an IVF child with malonyl coenzyme A decarboxylase deficiency and literature reviewFang Xu0Fang Xu1Yangyang Wu2Yangyang Wu3Jiyi Huang4Yunguo Zhou5Yunguo Zhou6Fei Xu7Fei Xu8Junkai Duan9Junkai Duan10Hong Li11Cardiology Treatment Center, Jiangxi Provincial Children's Hospital, Nanchang, ChinaJXHC Key Laboratory of Children's Cardiovascular Diseases, Jiangxi Provincial Children's Hospital, Nanchang, ChinaCardiology Treatment Center, Jiangxi Provincial Children's Hospital, Nanchang, ChinaPediatric Medical Department, Nanchang University, Nanchang, ChinaJXHC Key Laboratory of Children's Cardiovascular Diseases, Jiangxi Provincial Children's Hospital, Nanchang, ChinaCardiology Treatment Center, Jiangxi Provincial Children's Hospital, Nanchang, ChinaJXHC Key Laboratory of Children's Cardiovascular Diseases, Jiangxi Provincial Children's Hospital, Nanchang, ChinaCardiology Treatment Center, Jiangxi Provincial Children's Hospital, Nanchang, ChinaJXHC Key Laboratory of Children's Cardiovascular Diseases, Jiangxi Provincial Children's Hospital, Nanchang, ChinaCardiology Treatment Center, Jiangxi Provincial Children's Hospital, Nanchang, ChinaJXHC Key Laboratory of Children's Cardiovascular Diseases, Jiangxi Provincial Children's Hospital, Nanchang, ChinaJXHC Key Laboratory of Children's Cardiovascular Diseases, Jiangxi Provincial Children's Hospital, Nanchang, ChinaThe subject of the study is an 11-month old IVF baby girl with the typical clinical manifestation of malonyl coenzyme A decarboxylase deficiency, including developmental delay, limb weakness, cardiomyopathy, and excessive excretion of malonic acid and methylmalonic acid. Whole genome sequencing (WGS) revealed a novel heterozygous nonsense mutation (c.672delG, p.Trp224Ter) in the MLYCD gene of the proband and her father and a novel heterozygous deletion in 5'-UTR-exon1-intron1 of the MLYCD gene of the proband and her mother. The patient's cardiac function and limb weakness improved considerably after 3 months of a low-fat diet supplemented with L-carnitine. Furthermore, mapping of gene mutations and clinical manifestations was done by case collection.https://www.frontiersin.org/articles/10.3389/fmed.2023.1160879/fullMLYCDmalonyl coenzyme A decarboxylase deficiencycardiomyopathynovel mutationmetabolic disease
spellingShingle Fang Xu
Fang Xu
Yangyang Wu
Yangyang Wu
Jiyi Huang
Yunguo Zhou
Yunguo Zhou
Fei Xu
Fei Xu
Junkai Duan
Junkai Duan
Hong Li
Case report: A novel 5'-UTR-exon1-intron1 deletion in MLYCD in an IVF child with malonyl coenzyme A decarboxylase deficiency and literature review
Frontiers in Medicine
MLYCD
malonyl coenzyme A decarboxylase deficiency
cardiomyopathy
novel mutation
metabolic disease
title Case report: A novel 5'-UTR-exon1-intron1 deletion in MLYCD in an IVF child with malonyl coenzyme A decarboxylase deficiency and literature review
title_full Case report: A novel 5'-UTR-exon1-intron1 deletion in MLYCD in an IVF child with malonyl coenzyme A decarboxylase deficiency and literature review
title_fullStr Case report: A novel 5'-UTR-exon1-intron1 deletion in MLYCD in an IVF child with malonyl coenzyme A decarboxylase deficiency and literature review
title_full_unstemmed Case report: A novel 5'-UTR-exon1-intron1 deletion in MLYCD in an IVF child with malonyl coenzyme A decarboxylase deficiency and literature review
title_short Case report: A novel 5'-UTR-exon1-intron1 deletion in MLYCD in an IVF child with malonyl coenzyme A decarboxylase deficiency and literature review
title_sort case report a novel 5 utr exon1 intron1 deletion in mlycd in an ivf child with malonyl coenzyme a decarboxylase deficiency and literature review
topic MLYCD
malonyl coenzyme A decarboxylase deficiency
cardiomyopathy
novel mutation
metabolic disease
url https://www.frontiersin.org/articles/10.3389/fmed.2023.1160879/full
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