2020
DOI: 10.1002/jimd.12274
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AICA‐ribosiduria due to ATIC deficiency: Delineation of the phenotype with three novel cases, and long‐term update on the first case

Abstract: 5-Amino-4-imidazolecarboxamide-ribosiduria (AICA)-ribosiduria is an exceedingly rare autosomal recessive condition resulting from the disruption of the bifunctional purine biosynthesis protein PURH (ATIC), which catalyzes the last two steps of de novo purine synthesis. It is characterized biochemically by the accumulation of AICA-riboside in urine. AICA-ribosiduria had been reported in only one individual, 15 years ago. In this article, we report three novel cases of AICA-ribosiduria from two independent famil… Show more

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Cited by 24 publications
(31 citation statements)
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“…Strikingly, specific substitutions of cetaceans (G106A and G113A), Tibetan antelope (V17E), and manatee (A110S) are found in the ATIC MGS-like domain. ATIC mutations affect the assembly of functional purinosomes ( Baresova et al, 2012 ; Ramond et al, 2020 ). A similar trend was also found in XDH .…”
Section: Discussionmentioning
confidence: 99%
“…Strikingly, specific substitutions of cetaceans (G106A and G113A), Tibetan antelope (V17E), and manatee (A110S) are found in the ATIC MGS-like domain. ATIC mutations affect the assembly of functional purinosomes ( Baresova et al, 2012 ; Ramond et al, 2020 ). A similar trend was also found in XDH .…”
Section: Discussionmentioning
confidence: 99%
“…These events might be related to increased activation of the insulin pathway in hepatocytes in the context of ATIC deficiency. The involved variant (Ala136Thr) is located in the cyclohydrolase domain next to Lys 137, an amino acid crucial for the cyclohydrolase activity of dimeric ATIC [88]. The well-positioned Ala136Thr variant could thus drive metabolic comorbidities by decreasing ATIC connectivity in the PPIN.…”
Section: From Ppin To a T2d Disease Modulementioning
confidence: 99%
“…To date, fewer than 100 patients have been identified with ADSL deficiency. Until quite recently, only one patient had been identified with AICA-ribosiduria (ATIC deficiency), but now, three more individuals (two are siblings) have been identified [10]. Finally, two individuals (siblings) have been identified with PAICS deficiency [11].…”
Section: Plos Onementioning
confidence: 99%