Table 1.
Clinical manifestations in patients with DDCH due to isolated BCAP31 mutation and due to Xq28 microdeletion
Characteristics | Isolated BCAP31 mutation | Xq28 microdeletion | ||||||
---|---|---|---|---|---|---|---|---|
Family 1 Cacciagli et al. |
Family2 Cacciagli et al. |
Family3 Cacciagli et al. |
Albanyan et al. | Current Patient |
Osaka et al. Anselm et al. |
Corzo et al. Kamp et al. Iwasa et al. |
Corzo et al. Kamp et al. Calhoun et al. |
|
Genotype | c.194−2A > G | Exon 8 deletion | c.97C > T | c.533_536dup | c.97C > T | BCAP31 and SLC6A8 deletion | BCAP31and ABCD1 deletion |
BCAP31, SLC6A8 and ABCD1 deletion |
Patient number | n = 2 | n = 4 | n = 1 | n = 1 | n = 1 | n = 2 | n = 4 | n = 3 |
Age or Age at death |
death at 13 and 24 years |
death at 7 months−2 years except one living at 13 years |
death at 3 years |
living at 4.5 years |
living at 8 years 8 months |
one living at 9 years the other death at 8 years, |
all death at 4–11 months | All death at 4–9 months |
Developmental and cognitive status |
no acquired motor milestones no cognitive sign |
no acquired‐only head control except one sitting at 5 years |
only head control no cognitive sign |
no acquired motor milestones no cognitive sign |
only head control and roll over, no speech |
no acquired motor milestones |
severe delay |
no acquired motor milestones |
Deafness | + | + (n = 3) | + | + | + | + | + (n = 3) | + (n = 1) |
Dystonia or Choreoathetosis | + | + (n = 3) | + | + | + | + | + | + |
Brain MRI |
hypomyelination cerebral and cerebellar atrophy |
hypomyelination |
hypomyelination cerebral atrophy |
high SI in globus pallidus |
high SI in thalamus and globus pallidus cerebral atrophy |
hypomyelination, high SI in basal ganglia or globus pallidus, cerebral and cerebellar atrophy |
hypomyelination, white matter abnormalities |
hypomyelination |
Hepatobiliary abnormality |
NMa | NMa | NMa | elevated transaminase | cholecystitis with gallbladder stones |
Elevated transaminase |
cholestasis fibrosis liver failure |
cholestasis liver failure |
Mitochondrial respiratory chain activity | NM | NM | normal | normal | significant decrease in complex I | significant decrease in complex I (n = 1) | NM | NM |
Other mitochondrial abnormality | − | − | − | pleomorphic subsarcolemmal mitochondria | NE | NM | NM | NM |
+, the feature present; −, the feature absent; SI, signal intensities; NM, the feature not mentioned; NE, the feature not evaluated.
The feature was not mentioned according to each family, but four patients among all the families reported by Cacciagli displayed mild elevated transaminase.