PMID- 10480371 OWN - NLM STAT- MEDLINE DCOM- 19990923 LR - 20190722 IS - 0340-6717 (Print) IS - 0340-6717 (Linking) VI - 105 IP - 1-2 DP - 1999 Jul-Aug TI - Identification of two novel mutations in OCTN2 of three patients with systemic carnitine deficiency. PG - 157-61 AB - Systemic carnitine deficiency is a potentially lethal, autosomal recessive disorder characterized by cardiomyopathy, myopathy, recurrent episodes of hypoketotic hypoglycemia, hyperammonemia, and failure to thrive. This form of carnitine deficiency is caused by a defect in the active cellular uptake of carnitine, and the gene encoding the high affinity carnitine transporter OCTN2 has recently been shown to be mutated in patients suffering from this disorder. Here, we report the underlying molecular defect in three unrelated patients. Two patients were homozygous for the same missense mutation 632A-->G, which changes the tyrosine at amino acid position 211 into a cysteine (Y211C). The third patient was homozygous for a nonsense mutation, 844C-->T, which converts the arginine at amino acid position 282 into a stop codon (R282X). Reintroduction of wild-type OCTN2 cDNA into fibroblasts of the three patients by transient transfection restored the cellular carnitine uptake, confirming that mutations in OCTN2 are the cause of systemic carnitine deficiency. FAU - Vaz, F M AU - Vaz FM AD - Department of Clinical Chemistry, Emma Children's Hospital, Academic Medical Center, University of Amsterdam, The Netherlands. FAU - Scholte, H R AU - Scholte HR FAU - Ruiter, J AU - Ruiter J FAU - Hussaarts-Odijk, L M AU - Hussaarts-Odijk LM FAU - Pereira, R R AU - Pereira RR FAU - Schweitzer, S AU - Schweitzer S FAU - de Klerk, J B AU - de Klerk JB FAU - Waterham, H R AU - Waterham HR FAU - Wanders, R J AU - Wanders RJ LA - eng PT - Case Reports PT - Journal Article PL - Germany TA - Hum Genet JT - Human genetics JID - 7613873 RN - 0 (Carrier Proteins) RN - 0 (DNA, Complementary) RN - 0 (Membrane Proteins) RN - 0 (Organic Cation Transport Proteins) RN - 0 (SLC22A5 protein, human) RN - 0 (Solute Carrier Family 22 Member 5) RN - S7UI8SM58A (Carnitine) SB - IM MH - Base Sequence MH - Carnitine/*deficiency/*genetics MH - Carrier Proteins/*genetics MH - Child, Preschool MH - Cloning, Molecular MH - DNA, Complementary/analysis MH - Female MH - Fibroblasts MH - Homozygote MH - Humans MH - Infant MH - Male MH - Membrane Proteins/*genetics MH - Molecular Sequence Data MH - *Organic Cation Transport Proteins MH - Phenotype MH - *Point Mutation MH - Reverse Transcriptase Polymerase Chain Reaction MH - Solute Carrier Family 22 Member 5 MH - Transfection EDAT- 1999/09/10 00:00 MHDA- 1999/09/10 00:01 CRDT- 1999/09/10 00:00 PHST- 1999/09/10 00:00 [pubmed] PHST- 1999/09/10 00:01 [medline] PHST- 1999/09/10 00:00 [entrez] AID - 10.1007/s004399900105 [doi] PST - ppublish SO - Hum Genet. 1999 Jul-Aug;105(1-2):157-61. doi: 10.1007/s004399900105.