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Should patients with Phosphomannomutase 2-CDG (PMM2-CDG) be screened for adrenal insufficiency

A. Čechová, T. Honzík, AC. Edmondson, C. Ficicioglu, M. Serrano, R. Barone, P. De Lonlay, M. Schiff, P. Witters, C. Lam, M. Patterson, MCH. Janssen, J. Correia, D. Quelhas, J. Sykut-Cegielska, H. Plotkin, E. Morava, K. Sarafoglou

. 2021 ; 133 (4) : 397-399. [pub] 20210611

Jazyk angličtina Země Spojené státy americké

Typ dokumentu časopisecké články, pozorovací studie, Research Support, N.I.H., Extramural, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/bmc22012328

Grantová podpora
U54 NS115198 NINDS NIH HHS - United States

PMM2-CDG is the most common congenital disorder of glycosylation (CDG) accounting for almost 65% of known CDG cases affecting N-glycosylation. Abnormalities in N-glycosylation could have a negative impact on many endocrine axes. There is very little known on the effect of impaired N-glycosylation on the hypothalamic-pituitary-adrenal axis function and whether CDG patients are at risk of secondary adrenal insufficiency and decreased adrenal cortisol production. Cortisol and ACTH concentrations were simultaneously measured between 7:44 am to 1 pm in forty-three subjects (20 female, median age 12.8 years, range 0.1 to 48.6 years) participating in an ongoing international, multi-center Natural History study for PMM2-CDG (ClinicalTrials.gov Identifier: NCT03173300). Of the 43 subjects, 11 (25.6%) had cortisol below 5 μg/dl and low to normal ACTH levels, suggestive of secondary adrenal insufficiency. Two of the 11 subjects have confirmed central adrenal insufficiency and are on hydrocortisone replacement and/or stress dosing during illness; 3 had normal and 1 had subnormal cortisol response to ACTH low-dose stimulation test but has not yet been started on therapy; the remaining 5 have upcoming stimulation testing planned. Our findings suggest that patients with PMM2-CDG may be at risk for adrenal insufficiency. Monitoring of morning cortisol and ACTH levels should be part of the standard care in patients with PMM2-CDG.

Center for Integrative Brain Research Seattle Children's Research Institute Seattle WA 98101 USA

Centro Hospitalar Universitário do Porto Porto Portugal

Child Neuropsychiatry Unit Department of Clinical and Experimental Medicine University of Catania Catania Italy

Department of Clinical Genomics Department of Laboratory Medicine and Pathology Mayo Clinic MN USA

Department of Inborn Errors of Metabolism and Paediatrics the Institute of Mother and Child Warsaw Poland

Department of Pediatrics and Inherited Metabolic Disorders 1st Faculty of Medicine Charles University and General University Hospital Prague Prague Czech Republic

Department of Pediatrics University of Nebraska Medical Center Omaha NE USA

Dept of Pediatrics Divisions of Endocrinology and Genetics and Metabolism Dept of Experimental and Clinical Pharmacology University of Minnesota USA

Division of Genetic Medicine Department of Pediatrics University of Washington School of Medicine Seattle WA USA

Division of Human Genetics Department of Pediatrics Children's Hospital of Philadelphia USA

Glycomine Inc San Francisco CA USA

Inserm UMR_S1163 Institut Imagine Paris France

Metabolic Center Department of Pediatrics University Hospitals Leuven Herestraat 49 3000 Leuven Belgium

Necker Hospital APHP Reference Center for Inborn Errors of Metabolism University of Paris Paris France

Pediatric Neurology Department Hospital Sant Joan de Déu Institut de Recerca Sant Joan de Déu Barcelona Spain

Radboud University Medical Centre Department of Internal Medicine Nijmegen the Netherlands

U 703 Centre for Biomedical Research on Rare Diseases Instituto de Salud Carlos 3 Spain

Citace poskytuje Crossref.org

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