Abstract
Two brothers presented with olivopontocerebellar atrophy of neonatal onset. The clinical features (failure to thrive, hypotonia, liver disease, effusions, and visual inattention) were similar to those of the four cases already reported, as were the necropsy findings of olivopontocerebellar atrophy, hepatic steatosis and fibrosis, and microcystic renal changes. The clinical similarities between this and the disialotransferrin developmental deficiency syndrome were noted. The characteristic abnormality of serum transferrin found in the latter syndrome was also found in the two cases reported here. We suggest that both syndromes are caused by the same, or related, defects in glycoprotein metabolism.
Full text
PDF





Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Agamanolis D. P., Potter J. L., Naito H. K., Robinson H. B., Jr, Kulasekaran T. Lipoprotein disorder, cirrhosis, and olivopontocerebellar degeneration in two siblings. Neurology. 1986 May;36(5):674–681. doi: 10.1212/wnl.36.5.674. [DOI] [PubMed] [Google Scholar]
- Anand K. J., Aynsley-Green A. Measuring the severity of surgical stress in newborn infants. J Pediatr Surg. 1988 Apr;23(4):297–305. doi: 10.1016/s0022-3468(88)80193-3. [DOI] [PubMed] [Google Scholar]
- Ashwell G., Harford J. Carbohydrate-specific receptors of the liver. Annu Rev Biochem. 1982;51:531–554. doi: 10.1146/annurev.bi.51.070182.002531. [DOI] [PubMed] [Google Scholar]
- Beyer T. A., Sadler J. E., Rearick J. I., Paulson J. C., Hill R. L. Glycosyltransferases and their use in assessing oligosaccharide structure and structure-function relationships. Adv Enzymol Relat Areas Mol Biol. 1981;52:23–175. doi: 10.1002/9780470122976.ch2. [DOI] [PubMed] [Google Scholar]
- Harding B. N., Dunger D. B., Grant D. B., Erdohazi M. Familial olivopontocerebellar atrophy with neonatal onset: a recessively inherited syndrome with systemic and biochemical abnormalities. J Neurol Neurosurg Psychiatry. 1988 Mar;51(3):385–390. doi: 10.1136/jnnp.51.3.385. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jaeken J. Disialotransferrin developmental deficiency syndrome and olivopontocerebellar atrophy. Arch Dis Child. 1989 May;64(5):764–765. doi: 10.1136/adc.64.5.764-b. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jaeken J., Eggermont E., Stibler H. An apparent homozygous X-linked disorder with carbohydrate-deficient serum glycoproteins. Lancet. 1987 Dec 12;2(8572):1398–1398. doi: 10.1016/s0140-6736(87)91287-6. [DOI] [PubMed] [Google Scholar]
- Jaeken J., van Eijk H. G., van der Heul C., Corbeel L., Eeckels R., Eggermont E. Sialic acid-deficient serum and cerebrospinal fluid transferrin in a newly recognized genetic syndrome. Clin Chim Acta. 1984 Dec 29;144(2-3):245–247. doi: 10.1016/0009-8981(84)90059-7. [DOI] [PubMed] [Google Scholar]
- Keir G., Luxton R. W., Thompson E. J. Isoelectric focusing of cerebrospinal fluid immunoglobulin G: an annotated update. Ann Clin Biochem. 1990 Sep;27(Pt 5):436–443. doi: 10.1177/000456329002700504. [DOI] [PubMed] [Google Scholar]
- Konigsmark B. W., Weiner L. P. The olivopontocerebellar atrophies: a review. Medicine (Baltimore) 1970 May;49(3):227–241. doi: 10.1097/00005792-197005000-00003. [DOI] [PubMed] [Google Scholar]
- Schachter H. Coordination between enzyme specificity and intracellular compartmentation in the control of protein-bound oligosaccharide biosynthesis. Biol Cell. 1984;51(2):133–145. doi: 10.1111/j.1768-322x.1984.tb00292.x. [DOI] [PubMed] [Google Scholar]
- Stibler H., Borg S., Allgulander C. Clinical significance of abnormal heterogeneity of transferrin in relation to alcohol consumption. Acta Med Scand. 1979;206(4):275–281. doi: 10.1111/j.0954-6820.1979.tb13510.x. [DOI] [PubMed] [Google Scholar]
- Stibler H., Jaeken J. Carbohydrate deficient serum transferrin in a new systemic hereditary syndrome. Arch Dis Child. 1990 Jan;65(1):107–111. doi: 10.1136/adc.65.1.107. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Warnick G. R., Knopp R. H., Fitzpatrick V., Branson L. Estimating low-density lipoprotein cholesterol by the Friedewald equation is adequate for classifying patients on the basis of nationally recommended cutpoints. Clin Chem. 1990 Jan;36(1):15–19. [PubMed] [Google Scholar]
- de Jong G., van Eijk H. G. Microheterogeneity of human serum transferrin: a biological phenomenon studied by isoelectric focusing in immobilized pH gradients. Electrophoresis. 1988 Sep;9(9):589–598. doi: 10.1002/elps.1150090921. [DOI] [PubMed] [Google Scholar]