期刊
NATURE COMMUNICATIONS
卷 12, 期 1, 页码 -出版社
NATURE PORTFOLIO
DOI: 10.1038/s41467-021-25515-5
关键词
-
资金
- Ministry of Health of the Czech Republic [RVO-VFN 64165 GJIH-0599-00-7-846, ProgresQ26/LF1]
- Instituto de Salud Carlos III (ISCIII) [FIS P118/00111]
- Fondo Europeo de desarrollo regional (FEDER)
- Dietmar Hopp Foundation, St. Leon-Rot, Germany
- NIHR Professorship
- Sir Jules Thorn Award for Biomedical Research
- Rosetrees trust
- Stichting Stofwisselkracht Grant
- Molecular Diagnostics Program of the National Center for Tumor Diseases (NCT) Heidelberg
Inherited disorders of neurotransmitter metabolism are rare neurometabolic diseases characterized by movement disorders and developmental delay. A standardized evaluation of a registry of 275 patients from 42 countries highlights an evolving phenotypic spectrum of this disease group and factors influencing diagnostic processes.
Inherited disorders of neurotransmitter metabolism are rare neurodevelopmental diseases presenting with movement disorders and global developmental delay. This study presents the results of the first standardized deep phenotyping approach and describes the clinical and biochemical presentation at disease onset as well as diagnostic approaches of 275 patients from the registry of the International Working Group on Neurotransmitter related Disorders. The results reveal an increased rate of prematurity, a high risk for being small for gestational age and for congenital microcephaly in some disorders. Age at diagnosis and the diagnostic delay are influenced by the diagnostic methods applied and by disease-specific symptoms. The timepoint of investigation was also a significant factor: delay to diagnosis has decreased in recent years, possibly due to novel diagnostic approaches or raised awareness. Although each disorder has a specific biochemical pattern, we observed confounding exceptions to the rule. The data provide comprehensive insights into the phenotypic spectrum of neurotransmitter disorders. Inherited disorders of neurotransmitter metabolism represent a group of rare neurometabolic diseases characterized by movement disorders and developmental delay. Here, the authors report a standardized evaluation of a registry of 275 patients from 42 countries, and highlight an evolving phenotypic spectrum of this disease group and factors influencing diagnostic processes.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据