- Oct 2022
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www.ncbi.nlm.nih.gov www.ncbi.nlm.nih.gov
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index patient
Case#: Index patient, 6 years old (age at report), caucasian, male
DiseaseAssertion: Creatine transporter deficiency
FamilyInfo: Mother and maternal grandmother have history of learning disabilities, severely retarded uncle, unnaffected aunt
CasePresentingHPOs: HP:0001290 , HP:0006863, HP:0000750, HP:0001256 (Hypotonia, severe expressive language delay, severe speech delay, mild mental retardation)
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
Biochemical analyte testing: Increased creatine levels in urine and plasma
Brain Magnetic Resonance Spectroscopy (MRS): Brain proton MRS revealed an almost complete absence of the creatine signal.
Creatine uptake assay: Creatine uptake was measured in total cell lysates, creatine concentration of 25 μM uptake level was negligible, and creatine concentration of1 25 μM uptake level was negligible.
Variant: No varient ID directly identified. Hemizygous nonsense mutation, A 1539C→T transition in SLC6A8 (GenBank accession number NM_005629) resulted in the substitution of an arginine codon by a termination codon (R514→X).
ClinVarID: N/A
CAID: N/A
gnomAD: N/A
Zygosity: Hemizygous
MaternalGenotype: grandmother aunt, and mother heterozygous for mutation
AdditionalParentalTesting: N/A
AlsoPublished: PMID: 11261517
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X-Linked Creatine-Transporter Gene (SLC6A8) Defect: A New Creatine-Deficiency Syndrome
PMID: 11326334
Gene: SLC6A8
Disease: creatine transporter deficiency
Inheritance: X-linked
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onlinelibrary.wiley.com onlinelibrary.wiley.com
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The index patient
Case#: Case report, 6 years old (age at report), caucasian, male
DiseaseAssertion: Creatine transporter deficiency
FamilyInfo:
CasePresentingHPOs: HP:0032662, HP:0001252, HP:0010841, HP:0030891, HP:0001252
CaseHPOFreeText: Developmental delay and central hypotonia. At the age of 2 had partial status epilepticus, multifocal epileptiform discharges at interictal EEG, and small T2 hyperintense focus in the right posterior periventricular white matter on brain MRI. At the age of 6, his speech and language functions were severely retarded, and he had short attention span and mild hypotonia.
CaseNotHPOs: N/A
CaseNotHPOFreeText: Blood creatinine and GAA in serum and urine were normal, serum and urine creatine levels were high
Biochemical analyte testing: mild increase of blood and urinary creatine
Brain Magnetic Resonance Spectroscopy (MRS): N/A
Creatine uptake assay: N/A
Variant:N/A
ClinVarID: N/A
CAID: N/A
gnomAD: N/A
Zygosity:N/A
MaternalGenotype: N/A
AdditionalParentalTesting: N/A
AlsoPublished: PMID: 11261517, PMID: 11326334
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Inborn errors of creatine metabolism and epilepsy
PMID: 23157605
Gene: SLC6A8
Disease: Creatine transporter deficiency
Inheritance: X-linked
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pubmed.ncbi.nlm.nih.gov pubmed.ncbi.nlm.nih.gov
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Pre-symptomatic treatment of creatine biosynthesis defects
PMID: 18652077 Gene: GAMT Disease:GAMT deficiency Inheritance:Autosomal Recessive
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