title: The molecular landscape of propionic acidemia and methylmalonic aciduria in Latin America.
abstract: In this work, we review the clinical and genetic data in 14 Latin American propionic acidemia (PA) and 15 methylmalonic aciduria (MMAuria) patients. In the PA patients, we have identified four different changes in the PCCA gene, including one novel one (c.414+5G>A) affecting the splicing process. The PCCB mutational spectrum included two prevalent changes accounting for close to 60% of the mutant alleles studied and one novel change (c.494G>C) which by functional analysis is clearly pathogenic. We have also identified the deep intronic change c.654+462A>G, and the results of the antisense treatment in the patient's cell line confirmed the functional recovery of PCC activity. All PA patients bearing out-of-frame mutations presented the disease earlier while patients bearing in hemizygous fashion p.E168K and p.R165W presented the disease later. Regarding the MMAuria patients, we have found three novel mutations in the MUT gene (c.1068G>A, c.1587_1594del8 and c.593delA) and one in the MMAB gene (c.349-1 G>C). Two patients with MMAuria with homocystinuria cblC type are carriers of the frequent c.271dupA mutation. All mut(0), cblB and cblC patients presented the symptoms early and in general had more neurological complications, while cblA and mut(-) patients exhibited a late-onset presentation, and in general the long-term outcome was better. The results presented in this work emphasize the importance of the genetic analysis of the patients not only for diagnostic purposes but also to research into novel therapies based on the genotype.
authors.affiliation: Centro de Diagnóstico de Enfermedades Moleculares, Centro de Biología Molecular-SO UAM-CSIC, Universidad Autónoma de Madrid, Campus de Cantoblanco, Madrid, Spain.
authors.forename: Belén
authors.initials: B
authors.lastname: Pérez
authors.forename: Celia
authors.initials: C
authors.lastname: Angaroni
authors.forename: Rocio
authors.initials: R
authors.lastname: Sánchez-Alcudia
authors.forename: Begoña
authors.initials: B
authors.lastname: Merinero
authors.forename: Celia
authors.initials: C
authors.lastname: Pérez-Cerdá
authors.forename: N
authors.initials: N
authors.lastname: Specola
authors.forename: P
authors.initials: P
authors.lastname: Rodríguez-Pombo
authors.forename: Moacir
authors.initials: M
authors.lastname: Wajner
authors.forename: Raquel Dodelson
authors.initials: RD
authors.lastname: de Kremer
authors.forename: Verónica
authors.initials: V
authors.lastname: Cornejo
authors.forename: Lourdes R
authors.initials: LR
authors.lastname: Desviat
authors.forename: Magdalena
authors.initials: M
authors.lastname: Ugarte
mesh_terms: D000293:Adolescent; D000328:Adult; D017668:Age of Onset; D000592:Amino Acid Metabolism, Inborn Errors / Q000201:enzymology / Q000235:genetics* / Q000401:mortality / Q000628:therapy / Q000652:urine; D002460:Cell Line; D002648:Child; D002675:Child, Preschool; D004252:DNA Mutational Analysis; D005838:Genotype; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007438:Introns; D007843:Latin America; D008764:Methylmalonic Acid / Q000652:urine*; D043586:Methylmalonyl-CoA Decarboxylase / Q000235:genetics* / Q000378:metabolism; D008765:Methylmalonyl-CoA Mutase / Q000235:genetics* / Q000378:metabolism; D009154:Mutation; D010641:Phenotype; D056693:Propionic Acidemia / Q000201:enzymology / Q000235:genetics* / Q000401:mortality / Q000628:therapy; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D008764:Methylmalonic Acid; D008765:Methylmalonyl-CoA Mutase; D043586:Methylmalonyl-CoA Decarboxylase