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Novel exon nucleotide deletion causes adrenoleukodystrophy in a Brazilian family.
[adrenomyeloneuropathy]
Adrenoleukodystrophy
is
a
neurodegenerative
X-
linked
recessive
disorder
.
It
is
characterized
by
abnormal
function
of
peroxisomes
,
which
leads
to
an
accumulation
of
very
long
-chain
fatty
acids
in
plasma
and
tissues
,
especially
in
the
cortex
of
adrenal
glands
and
white
matter
of
the
central
nervous
system
,
causing
demyelinating
disease
and
adrenocortical
insufficiency
(
Addison
's
disease
)
.
It
is
caused
by
a
mutation
in
the
ABCD
1
gene
(
ATP-binding
cassette
,
subfamily
D
,
member
1
)
,
which
encodes
the
protein
adrenoleukodystrophy
that
is
involved
in
the
transport
of
fatty
acids
into
the
peroxisome
for
degradation
.
Variable
expression
has
been
recognized
in
families
of
patients
who
have
this
disease
.
A
Brazilian
family
from
Minas
Gerais
State
,
Brazil
,
was
studied
.
The
proband
is
an
adult
living
in
Minas
Gerais
State
,
Brazil
;
he
had
adrenomyeloneuropathy
,
adrenocortical
insufficiency
and
a
stable
cerebral
form
.
DNA
was
extracted
from
a
blood
sample
and
was
sequenced
to
identify
the
mutation
.
The
patient
's
exons
were
cloned
for
confirmation
.
A
new
mutation
was
found
in
exon
5
of
the
ABCD
1
gene
(
c
.
1430
delA
)
,
as
well
as
a
single
-nucleotide
polymorphism
in
exon
6
.
The
mutation
causes
a
frame
shift
,
resulting
in
a
truncated
protein
with
almost
total
absence
of
the
ATP
binding
domain
.
Diseases
Validation
Diseases presenting
"mutation in the abcd1 gene"
symptom
adrenomyeloneuropathy
x-linked adrenoleukodystrophy
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