Table 1.
Condition | Subject | Presentation* | Diagnostic studies† |
---|---|---|---|
OTC female | 1001 | Late onset, symptomatic | PAA, OA, Linkage |
1002 | Late onset, symptomatic | PAA, OA, DNA (IVS-1/codon 22 delG) | |
1003 | Late onset, asymptomatic | PAA, OA, Linkage | |
1004 | Late onset, asymptomatic | PAA, OA, Linkage | |
1005 | Late onset, asymptomatic | PAA, OA, Linkage | |
1006 | Late onset, asymptomatic | PAA, DNA (F354C) | |
1007 | Late onset, asymptomatic | PAA, DNA (F354C) | |
1008 | Late onset, asymptomatic | PAA, OA, Linkage | |
1009 | Late onset, asymptomatic | PAA, DNA (F354C) | |
1010 | Late onset, asymptomatic | PAA, DNA (F354C) | |
OTC male | 1101 | Neonatal | PAA, OA |
1102 | Late onset | PAA, OA, Enz (220, control 3448)‡ | |
1103 | Late onset | PAA, OA, DNA (F354C) | |
1104 | Late onset | PAA, OA, DNA (F354C) | |
1105 | Late onset | PAA, OA, DNA (A336C) | |
ASSD | 2001 | Neonatal | PAA, DNA (deletion exon 7), Enz (0, control 2.67)§ |
2002 | Neonatal | PAA, DNA (deletion exon 5), Enz (0, control 1.09)§ | |
2003 | Neonatal | PAA, DNA (deletion exon 5), | |
2004 | Neonatal | PAA | |
2005 | Late onset | PAA, Enz (0, control 3.36)§ | |
ASLD | 3001 | Neonatal | PAA, Enz (0, control 11.9)§ |
3002 | Late onset | PAA |
Neonatal onset defined as symptomatic presentation in the first month of life, but invariably all neonatal patients presented in first week. Late onset is defined as second month and thereafter. Symptomatic refers to documented hyperammonemia requiring pharmacotherapy. Asymptomatic patients have not had documented hyperammonemia and do not require pharmacotherapy. However, these patients may exhibit signs of protein aversion.
PAA, plasma amino acid profile; OA, urine orotic acid; Linkage, linkage analysis to independently diagnosed proband; DNA, mutation analysis of the respective genetic loci; Enz, enzymatic analysis for enzyme deficiency in the Baylor Biochemical Genetics Laboratory.
Enzyme assay on liver (activity in nmol/g tissue).
Enzyme assay on primary fibroblasts (activity in nmol/h/mg).