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Neonatal respiratory insufficiency caused by an (homozygous) ABCA3-stop mutation: a systematic evaluation of therapeutic options.

Identifieur interne : 000281 ( PubMed/Checkpoint ); précédent : 000280; suivant : 000282

Neonatal respiratory insufficiency caused by an (homozygous) ABCA3-stop mutation: a systematic evaluation of therapeutic options.

Auteurs : J. Winter [Allemagne] ; S. Essmann [Allemagne] ; A. Kidszun [Allemagne] ; C. Aslanidis [Allemagne] ; M. Griese [Allemagne] ; K. Poplawska [Allemagne] ; M. Bartsch [Allemagne] ; G. Schmitz [Allemagne] ; E. Mildenberger [Allemagne]

Source :

RBID : pubmed:24633979

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English descriptors

Abstract

Autosomal recessive ABCA3 (ATP-binding cassette protein A3) gene mutations have been associated with neonatal respiratory distress and pediatric interstitial lung disease. The clinical course of the disease depends on the underlying mutations. Therefore, knowledge of course, symptoms and treatment of the disease is important.

DOI: 10.1055/s-0033-1363687
PubMed: 24633979


Affiliations:


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pubmed:24633979

Le document en format XML

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<term>ATP-Binding Cassette Transporters (genetics)</term>
<term>Adrenal Cortex Hormones (therapeutic use)</term>
<term>Chromosome Aberrations</term>
<term>Codon, Terminator (genetics)</term>
<term>Fatal Outcome</term>
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<term>Lung Diseases, Interstitial (genetics)</term>
<term>Macrolides (therapeutic use)</term>
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<term>Respiratory Distress Syndrome, Newborn (drug therapy)</term>
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<term>Treatment Failure</term>
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<term>Aberrations des chromosomes</term>
<term>Codon stop (génétique)</term>
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<term>Homozygote</term>
<term>Hormones corticosurrénaliennes (usage thérapeutique)</term>
<term>Humains</term>
<term>Hydroxychloroquine (usage thérapeutique)</term>
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<term>Pneumopathies interstitielles (génétique)</term>
<term>Pneumopathies interstitielles (traitement médicamenteux)</term>
<term>Syndrome de détresse respiratoire du nouveau-né (génétique)</term>
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<term>ATP-Binding Cassette Transporters</term>
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<term>Genes, Recessive</term>
<term>Lung Diseases, Interstitial</term>
<term>Mutation</term>
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<term>Respiratory Insufficiency</term>
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<term>Codon stop</term>
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<term>Syndrome de détresse respiratoire du nouveau-né</term>
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<term>Hydroxychloroquine</term>
<term>Macrolides</term>
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<term>Homozygote</term>
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<term>Issue fatale</term>
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<div type="abstract" xml:lang="en">Autosomal recessive ABCA3 (ATP-binding cassette protein A3) gene mutations have been associated with neonatal respiratory distress and pediatric interstitial lung disease. The clinical course of the disease depends on the underlying mutations. Therefore, knowledge of course, symptoms and treatment of the disease is important.</div>
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<DateCompleted>
<Year>2014</Year>
<Month>12</Month>
<Day>01</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>12</Month>
<Day>13</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1439-3824</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>226</Volume>
<Issue>2</Issue>
<PubDate>
<Year>2014</Year>
<Month>Apr</Month>
</PubDate>
</JournalIssue>
<Title>Klinische Padiatrie</Title>
<ISOAbbreviation>Klin Padiatr</ISOAbbreviation>
</Journal>
<ArticleTitle>Neonatal respiratory insufficiency caused by an (homozygous) ABCA3-stop mutation: a systematic evaluation of therapeutic options.</ArticleTitle>
<Pagination>
<MedlinePgn>53-8</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1055/s-0033-1363687</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Autosomal recessive ABCA3 (ATP-binding cassette protein A3) gene mutations have been associated with neonatal respiratory distress and pediatric interstitial lung disease. The clinical course of the disease depends on the underlying mutations. Therefore, knowledge of course, symptoms and treatment of the disease is important.</AbstractText>
<AbstractText Label="PATIENT AND METHODS" NlmCategory="METHODS">A term newborn suffered from progressive respiratory insufficiency, which led to death at the age of 4.8 months. The girl developed interstitial lung disease. Infections as well as structural and functional disorders of the lung were systematically excluded. A homozygous c.4681C > T (Arg 1561 Stop) mutation of the ABCA3 gene was identified. A literature review of the pathophysiology and treatment options of the disease was done. Therapeutic approaches with corticosteroids, macrolide, and hydroxychloroquine did not improve the clinical course.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Therapeutic strategies for chronic interstitial lung disease have been used successfully in cases of a mild clinical course in juvenile patients with ABCA3 gene mutation. In our patient with homozygous ABCA3 gene mutation,they were not effective. Lung transplantation remains as a therapeutic option, but because of donor organ shortage and associated morbidity and mortality it is rarely feasible.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">More experience in the treatment of newborns with ABCA3 gene mutations is needed. Randomized, prospective evaluation of the different therapeutic approaches in a specific registry may improve prognosis and treatment of affected individuals.</AbstractText>
<CopyrightInformation>© Georg Thieme Verlag KG Stuttgart · New York.</CopyrightInformation>
</Abstract>
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<ForeName>E</ForeName>
<Initials>E</Initials>
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<Affiliation>Neonatology, Children's Hospital of the University Medical Center of the Johannes Gutenberg University Mainz, Germany.</Affiliation>
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<Chemical>
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<NameOfSubstance UI="D006886">Hydroxychloroquine</NameOfSubstance>
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<DescriptorName UI="D012127" MajorTopicYN="N">Respiratory Distress Syndrome, Newborn</DescriptorName>
<QualifierName UI="Q000188" MajorTopicYN="N">drug therapy</QualifierName>
<QualifierName UI="Q000235" MajorTopicYN="Y">genetics</QualifierName>
</MeshHeading>
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<DescriptorName UI="D012131" MajorTopicYN="N">Respiratory Insufficiency</DescriptorName>
<QualifierName UI="Q000188" MajorTopicYN="N">drug therapy</QualifierName>
<QualifierName UI="Q000235" MajorTopicYN="Y">genetics</QualifierName>
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<MeshHeading>
<DescriptorName UI="D017211" MajorTopicYN="N">Treatment Failure</DescriptorName>
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<li>Allemagne</li>
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<name sortKey="Winter, J" sort="Winter, J" uniqKey="Winter J" first="J" last="Winter">J. Winter</name>
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<name sortKey="Bartsch, M" sort="Bartsch, M" uniqKey="Bartsch M" first="M" last="Bartsch">M. Bartsch</name>
<name sortKey="Essmann, S" sort="Essmann, S" uniqKey="Essmann S" first="S" last="Essmann">S. Essmann</name>
<name sortKey="Griese, M" sort="Griese, M" uniqKey="Griese M" first="M" last="Griese">M. Griese</name>
<name sortKey="Kidszun, A" sort="Kidszun, A" uniqKey="Kidszun A" first="A" last="Kidszun">A. Kidszun</name>
<name sortKey="Mildenberger, E" sort="Mildenberger, E" uniqKey="Mildenberger E" first="E" last="Mildenberger">E. Mildenberger</name>
<name sortKey="Poplawska, K" sort="Poplawska, K" uniqKey="Poplawska K" first="K" last="Poplawska">K. Poplawska</name>
<name sortKey="Schmitz, G" sort="Schmitz, G" uniqKey="Schmitz G" first="G" last="Schmitz">G. Schmitz</name>
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