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Van Vyve F, Mercier N, Papadopoulos J, Heijmans C, Dessy H, Monestier O, Dewulf JP, Roland D. A new case of sodium-dependent multivitamin transporter defect occurring as a life-threatening condition responsive to early vitamin supplementation and literature review. Mol Genet Genomic Med 2024; 12:e2388. [PMID: 38407570 PMCID: PMC10847706 DOI: 10.1002/mgg3.2388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2023] [Revised: 01/12/2024] [Accepted: 01/17/2024] [Indexed: 02/27/2024] Open
Abstract
BACKGROUND Biallelic pathogenic variants in SLC5A6 resulting in sodium-dependent multivitamin transporter (SMVT) defect have recently been described as a vitamin-responsive inborn error of metabolism mimicking biotinidase deficiency. To our knowledge, only 16 patients have been reported so far with various clinical phenotypes such as neuropathy and other neurologic impairments, gastro-intestinal dysfunction and failure to thrive, osteopenia, immunodeficiency, metabolic acidosis, hypoglycemia, and recently severe cardiac symptoms. METHODS We describe a case report of a 5-month-old girl presenting two recurrent episodes of metabolic decompensation and massive cardiac failure in the course of an infectious disease. We compare clinical, biological, and genetic findings of this patient to previous literature collected from Pubmed database (keywords: Sodium-dependent multivitamin transporter (SMVT), SMVT defect/disorder/deficiency, SLC5A6 gene/mutation). RESULTS We highlight the life-threatening presentation of this disease, the stagnation of psychomotor development, the severe and persistent hypogammaglobulinemia, and additionally, the successful clinical response on early vitamin supplementation (biotin 15 mg a day and pantothenic acid 100 mg a day). Metabolic assessment showed a persistent increase of urinary 3-hydroxyisovaleric acid (3-HIA) as previously reported in this disease in literature. CONCLUSION SMVT deficiency is a vitamin-responsive inborn error of metabolism that can lead to a wide range of symptoms. Increased and isolated excretion of urinary 3-hydroxyisovaleric acid may suggest, in the absence of markedly reduced biotinidase activity, a SMVT deficiency. Prompt supplementation with high doses of biotin and pantothenic acid should be initiated while awaiting results of SLC5A6 sequencing as this condition may be life-threatening.
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Affiliation(s)
- F.‐X. Van Vyve
- Pediatric Intensive Care Unit, Department of PediatricsJolimont HospitalLa LouvièreBelgium
| | - N. Mercier
- Institut de Pathologie et de GénétiqueGosselies (Charleroi)Belgium
| | - J. Papadopoulos
- Pediatric Intensive Care Unit, Department of PediatricsJolimont HospitalLa LouvièreBelgium
| | - C. Heijmans
- Institut de Pathologie et de GénétiqueGosselies (Charleroi)Belgium
| | - H. Dessy
- Pediatric Intensive Care Unit, Department of PediatricsJolimont HospitalLa LouvièreBelgium
| | - O. Monestier
- Department of Molecular BiologyInstitute of Pathology and GeneticsCharleroiBelgium
| | - J. P. Dewulf
- Biochemical Genetics and Newborn Screening Laboratory, Department of Clinical ChemistryCliniques Universitaires Saint‐LucBrusselsBelgium
| | - D. Roland
- Department of Human Genetics, Center for Inherited Metabolic DisordersInstitute of Pathology and GeneticsCharleroiBelgium
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Ahrens J, Bai X, Barwick SW, Becka T, Becker JK, Bernardini E, Bertrand D, Binon F, Biron A, Boersma DJ, Böser S, Botner O, Bouchta A, Bouhali O, Burgess T, Carius S, Castermans T, Chen A, Chirkin D, Collin B, Conrad J, Cooley J, Cowen DF, Davour A, De Clercq C, DeYoung T, Desiati P, Dewulf JP, Ekström P, Feser T, Gaisser TK, Ganugapati R, Gaug M, Geenen H, Gerhardt L, Goldschmidt A, Gross A, Hallgren A, Halzen F, Hanson K, Hardtke R, Harenberg T, Hauschildt T, Helbing K, Hellwig M, Herquet P, Hill GC, Hubert D, Hughey B, Hulth PO, Hultqvist K, Hundertmark S, Jacobsen J, Karle A, Kestel M, Köpke L, Kowalski M, Kuehn K, Lamoureux JI, Leich H, Leuthold M, Lindahl P, Liubarsky I, Madsen J, Mandli K, Marciniewski P, Matis HS, McParland CP, Messarius T, Minaeva Y, Miocinović P, Morse R, Münich K, Nahnhauer R, Neunhöffer T, Niessen P, Nygren DR, Ogelman H, Olbrechts P, Pérez de los Heros C, Pohl AC, Porrata R, Price PB, Przybylski GT, Rawlins K, Resconi E, Rhode W, Ribordy M, Richter S, Rodríguez Martino J, Sander HG, Schinarakis K, Schlenstedt S, Schmidt T, Schneider D, Schwarz R, Silvestri A, Solarz M, Spiczak GM, Spiering C, Stamatikos M, Steele D, Steffen P, Stokstad RG, Sulanke KH, Taboada I, Thollander L, Tilav S, Wagner W, Walck C, Wang YR, Wiebusch CH, Wiedemann C, Wischnewski R, Wissing H, Woschnagg K, Yodh G. Search for extraterrestrial point sources of neutrinos with AMANDA-II. Phys Rev Lett 2004; 92:071102. [PMID: 14995836 DOI: 10.1103/physrevlett.92.071102] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/19/2003] [Indexed: 05/24/2023]
Abstract
We present the results of a search for point sources of high-energy neutrinos in the northern hemisphere using AMANDA-II data collected in the year 2000. Included are flux limits on several active-galactic-nuclei blazars, microquasars, magnetars, and other candidate neutrino sources. A search for excesses above a random background of cosmic-ray-induced atmospheric neutrinos and misreconstructed downgoing cosmic-ray muons reveals no statistically significant neutrino point sources. We show that AMANDA-II has achieved the sensitivity required to probe known TeV gamma-ray sources such as the blazar Markarian 501 in its 1997 flaring state at a level where neutrino and gamma-ray fluxes are equal.
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Affiliation(s)
- J Ahrens
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
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Andrés E, Askebjer P, Bai X, Barouch G, Barwick SW, Bay RC, Becker KH, Bergström L, Bertrand D, Bierenbaum D, Biron A, Booth J, Botner O, Bouchta A, Boyce MM, Carius S, Chen A, Chirkin D, Conrad J, Cooley J, Costa CG, Cowen DF, Dailing J, Dalberg E, DeYoung T, Desiati P, Dewulf JP, Doksus P, Edsjö J, Ekström P, Erlandsson B, Feser T, Gaug M, Goldschmidt A, Goobar A, Gray L, Haase H, Hallgren A, Halzen F, Hanson K, Hardtke R, He YD, Hellwig M, Heukenkamp H, Hill GC, Hulth PO, Hundertmark S, Jacobsen J, Kandhadai V, Karle A, Kim J, Koci B, Köpke L, Kowalski M, Leich H, Leuthold M, Lindahl P, Liubarsky I, Loaiza P, Lowder DM, Ludvig J, Madsen J, Marciniewski P, Matis HS, Mihalyi A, Mikolajski T, Miller TC, Minaeva Y, Miocinović P, Mock PC, Morse R, Neunhöffer T, Newcomer FM, Niessen P, Nygren DR, Ogelman H, Pérez de los Heros C, Porrata R, Price PB, Rawlins K, Reed C, Rhode W, Richards A, Richter S, Martino JR, Romenesko P, Ross D, Rubinstein H, Sander HG, Scheider T, Schmidt T, Schneider D, Schneider E, Schwarz R, Silvestri A, Solarz M, Spiczak GM, Spiering C, Starinsky N, Steele D, Steffen P, Stokstad RG, Streicher O, Sun Q, Taboada I, Thollander L, Thon T, Tilav S, Usechak N, Vander Donckt M, Walck C, Weinheimer C, Wiebusch CH, Wischnewski R, Wissing H, Woschnagg K, Wu W, Yodh G, Young S. Observation of high-energy neutrinos using Cerenkov detectors embedded deep in Antarctic ice. Nature 2001; 410:441-3. [PMID: 11260705 DOI: 10.1038/35068509] [Citation(s) in RCA: 138] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
Neutrinos are elementary particles that carry no electric charge and have little mass. As they interact only weakly with other particles, they can penetrate enormous amounts of matter, and therefore have the potential to directly convey astrophysical information from the edge of the Universe and from deep inside the most cataclysmic high-energy regions. The neutrino's great penetrating power, however, also makes this particle difficult to detect. Underground detectors have observed low-energy neutrinos from the Sun and a nearby supernova, as well as neutrinos generated in the Earth's atmosphere. But the very low fluxes of high-energy neutrinos from cosmic sources can be observed only by much larger, expandable detectors in, for example, deep water or ice. Here we report the detection of upwardly propagating atmospheric neutrinos by the ice-based Antarctic muon and neutrino detector array (AMANDA). These results establish a technology with which to build a kilometre-scale neutrino observatory necessary for astrophysical observations.
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Affiliation(s)
- E Andrés
- Department of Physics, University of Wisconsin, Wisconsin, Madison 53706, USA
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