PRENATAL AND POSTNATAL DIAGNOSIS OF SUCCINIC SEMIALDEHYDE DEHYDROGENASE-DEFICIENCY USING ENZYME AND METABOLITE ASSAYS

被引:18
作者
GIBSON, KM
BAUMANN, C
OGIER, H
ROSSIER, E
VOLLMER, B
JAKOBS, C
机构
[1] BAYLOR UNIV,MED CTR,KIMBERLY H COURTWRIGHT & JOSEPH W SUMMERS METAB D,DALLAS,TX 75226
[2] HOP ROBERT DEBRE,DEPT PEDIAT,F-75935 PARIS 19,FRANCE
[3] UNIV TUBINGEN,INST ANTHROPOL & HUMAN GENET,DEPT CLIN GENET,W-7400 TUBINGEN,GERMANY
[4] UNIV TUBINGEN,CHILDRENS HOSP,DEPT NEUROPEDIAT,W-7400 TUBINGEN,GERMANY
[5] FREE UNIV AMSTERDAM HOSP,DEPT PEDIAT,1081 HV AMSTERDAM,NETHERLANDS
关键词
D O I
10.1007/BF00712016
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report our cumulative experience for the prenatal diagnosis of succinic semialdehyde dehydrogenase (SSADH) deficiency in seven 'at-risk' pregnancies from four unrelated families. Prenatal diagnosis was performed by determination of 4-hydroxybutyric acid (4-HBA) concentration in amniotic fluid using isotope-dilution gas chromatography-mass spectrometry in conjunction with assay of SSADH activity in biopsied chorionic villus and/or cultured amniocytes. In three of four pregnancies predicted as affected, confirmation was obtained by demonstration of deficient SSADH activity in fetal tissues. Our results suggest that determination of 4-HBA concentration in amniotic fluid combined with enzyme determination in cultured or biopsied tissue represents a reliable method for the prenatal diagnosis of SSADH deficiency.
引用
收藏
页码:732 / 737
页数:6
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