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Journal of Medical Genetics 2001;38:e23; doi:10.1136/jmg.38.7.e23
Copyright © 2001 by the BMJ Publishing Group Ltd.
J Med Genet 2001;38:e23 ( July )

Electronic letter

A Chinese adult onset type II citrullinaemia patient with 851del4/1638ins23 mutations in the SLC25A13 gene

Wuh-Liang Hwua, Keiko Kobayashib, Ya-Hui Huc, Naoki Yamaguchib, Takeyori Sahekib, Shi-Ping Choua, Jing-Houng Wangc

a Department of Paediatrics, Medical Genetics and General Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Tapei 100, Taiwan, ROC, b Department of Biochemistry, Faculty of Medicine, Kagoshima University, Kagoshima 890-8520, Japan, c Department of Internal Medicine, Chang Gung Memorial Hospital, Kaohsiung, Taiwan, ROC

Correspondence to: Dr Hwu, hwu@ha.mc.ntu.edu.tw

The first 150 words of the full text of this article appear below.

    Article

EDITOR---Classical citrullinaemia (CTLN1) is a rare metabolic disease caused by the deficiency of argininosuccinate synthetase (ASS, E.C.6.3.4.5), which usually has its onset in neonates or young infants.1 These patients may present with acute onset of disturbance of consciousness and hyperammonaemia. ASS activity is very low in all tissues tested and over 30 mutations of the ASS gene have been identified in about 50 CTLN1 patients.2 However, in Japan, many cases with adult onset type II citrullinaemia (CTLN2) have been reported.3 A previous study in CTLN2 showed a specific deficiency of ASS protein in the liver, but no ASS gene mutation could be found.4 Recently, the gene responsible for CTLN2 was identified by homozygosity mapping.5 This gene, SLC25A13, encodes a putative calcium dependent mitochondrial carrier protein (called citrin). A loss of organisation caused by the absence of functional citrin has been proposed to lead to the reduction of ASS protein . . . [Full text of this article]


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