PMID- 10356312 OWN - NLM STAT- MEDLINE DCOM- 19990712 LR - 20141120 IS - 1096-7192 (Print) IS - 1096-7192 (Linking) VI - 67 IP - 2 DP - 1999 Jun TI - Sialuria in a Portuguese girl: clinical, biochemical, and molecular characteristics. PG - 131-7 AB - Sialuria, a disorder of sialic acid (NeuAc) metabolism characterized by increased free NeuAc in the cytoplasm of cells, is due to failure of CMP-Neu5Ac to feedback inhibit UDP-N-acetylglucosamine (UDP-GlcNAc) 2-epimerase. We now describe the fifth patient in the world with sialuria, a 7-year-old Portuguese girl with developmental delay, hepatomegaly, coarse facies, and urinary excretion of 19 micromol of free NeuAc/mg creatinine. The patient's fibroblasts stored excess free NeuAc in the cytosolic fraction, and fibroblast UDP-GlcNAc 2-epimerase activity was only 26% inhibited by 100 microM CMP-Neu5Ac (normal, 79%). The patient's UDP-GlcNAc 2-epimerase gene displayed an R266Q mutation in only one allele, consistent with known sialuria mutations and with the proposed dominant nature of this disorder. Extensive description of sialuria patients will help to define the clinical and biochemical spectrum of this disease. CI - Copyright 1999 Academic Press. FAU - Ferreira, H AU - Ferreira H AD - Departamento de Pediatria, Hospital Maria Pia, Porto, Portugal. FAU - Seppala, R AU - Seppala R FAU - Pinto, R AU - Pinto R FAU - Huizing, M AU - Huizing M FAU - Martins, E AU - Martins E FAU - Braga, A C AU - Braga AC FAU - Gomes, L AU - Gomes L FAU - Krasnewich, D M AU - Krasnewich DM FAU - Sa Miranda, M C AU - Sa Miranda MC FAU - Gahl, W A AU - Gahl WA LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Mol Genet Metab JT - Molecular genetics and metabolism JID - 9805456 RN - 0 (Escherichia coli Proteins) RN - 0 (Sialic Acids) RN - 3063-71-6 (Cytidine Monophosphate N-Acetylneuraminic Acid) RN - EC 5.1.3.- (Carbohydrate Epimerases) RN - EC 5.1.3.14 (UDP acetylglucosamine-2-epimerase) RN - EC 5.1.3.14 (wecB protein, E coli) RN - GZP2782OP0 (N-Acetylneuraminic Acid) SB - IM MH - Abnormalities, Multiple/enzymology/genetics MH - Carbohydrate Epimerases/antagonists & inhibitors/genetics/metabolism MH - Cells, Cultured MH - Child MH - Cytidine Monophosphate N-Acetylneuraminic Acid/pharmacology MH - *Escherichia coli Proteins MH - Female MH - Fibroblasts/enzymology/metabolism MH - Humans MH - Intellectual Disability/enzymology/genetics MH - Metabolism, Inborn Errors/*enzymology/*genetics/pathology/urine MH - N-Acetylneuraminic Acid/metabolism MH - Point Mutation MH - Sialic Acids/metabolism/*urine MH - Subcellular Fractions/enzymology/metabolism EDAT- 1999/06/05 00:00 MHDA- 1999/06/05 00:01 CRDT- 1999/06/05 00:00 PHST- 1999/06/05 00:00 [pubmed] PHST- 1999/06/05 00:01 [medline] PHST- 1999/06/05 00:00 [entrez] AID - 10.1006/mgme.1999.2852 [doi] AID - S1096-7192(99)92852-4 [pii] PST - ppublish SO - Mol Genet Metab. 1999 Jun;67(2):131-7. doi: 10.1006/mgme.1999.2852.