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Myelination Delay and Allan-Herndon-Dudley Syndrome Caused by a Novel Mutation in the SLC16A2 Gene.

Abstract
Allan-Herndon-Dudley syndrome is an X-linked disease caused by mutations in the solute carrier family 16 member 2 (SLC16A2) gene. As SLC16A2 encodes the monocarboxylate transporter 8 (MCT8), a thyroid hormone transporter, patients with Allan-Herndon-Dudley syndrome present a specific altered thyroid hormone profile. Allan-Herndon-Dudley syndrome has been associated with myelination delay on the brain magnetic resonance imaging (MRI) of affected subjects. We report a patient with Allan-Herndon-Dudley syndrome characterized by developmental delay, hypotonia, and delayed myelination caused by a novel SLC16A2 mutation (p.L291R). The thyroid hormones profile in our patient was atypical for Allan-Herndon-Dudley syndrome. The follow-up examinations showed that the progression of the myelination was not accompanied by a clinical improvement. Our paper suggests that SLC16A2 mutations should be investigated in patients with myelination delay even when the thyroid function is not conclusively altered.
AuthorsRoberta La Piana, Michel Vanasse, Bernard Brais, Genevieve Bernard
JournalJournal of child neurology (J Child Neurol) Vol. 30 Issue 10 Pg. 1371-4 (Sep 2015) ISSN: 1708-8283 [Electronic] United States
PMID25380603 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)
Copyright© The Author(s) 2014.
Chemical References
  • Monocarboxylic Acid Transporters
  • SLC16A2 protein, human
  • Symporters
Topics
  • Brain (growth & development, pathology)
  • Canada
  • Disease Progression
  • Follow-Up Studies
  • France (ethnology)
  • Humans
  • Infant
  • Magnetic Resonance Imaging
  • Mental Retardation, X-Linked (genetics, pathology, physiopathology)
  • Monocarboxylic Acid Transporters (genetics)
  • Muscle Hypotonia (genetics, pathology, physiopathology)
  • Muscular Atrophy (genetics, pathology, physiopathology)
  • Mutation
  • Myelin Sheath (pathology, physiology)
  • Symporters
  • White People (genetics)

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