Lenz, D.* ; McClean, P.* ; Kansu, A.* ; Bonnen, P.E.* ; Ranucci, G.* ; Thiel, C.* ; Straub, B.K.* ; Harting, I.* ; Alhaddad, B.* ; Dimitrov, B.* ; Kotzaeridou, U.* ; Wenning, D.* ; Iorio, R.* ; Himes, R.W.* ; Kuloglu, Z.* ; Blakely, E.L.* ; Taylor, R.W.* ; Meitinger, T. ; Koelker, S.* ; Prokisch, H. ; Hoffmann, G.F.* ; Haack, T.B. ; Staufner, C.*
SCYL1 variants cause a syndrome with low gamma-glutamyl-transferase cholestasis, acute liver failure, and neurodegeneration (CALFAN).
Genet. Med. 20, 1255-1265 (2018)
Purpose: Biallelic mutations in SCYL1 were recently identified as causing a syndromal disorder characterized by peripheral neuropathy, cerebellar atrophy, ataxia, and recurrent episodes of liver failure. The occurrence of SCYL1 deficiency among patients with previously undetermined infantile cholestasis or acute liver failure has not been studied; furthermore, little is known regarding the hepatic phenotype.Methods: We aimed to identify patients with SCYL1 variants within an exome-sequencing study of individuals with infantile cholestasis or acute liver failure of unknown etiology. Deep clinical and biochemical phenotyping plus analysis of liver biopsies and functional studies on fibroblasts were performed.Results: Seven patients from five families with biallelic SCYL1 variants were identified. The main clinical phenotype was recurrent low gamma-glutamyl-transferase (GGT) cholestasis or acute liver failure with onset in infancy and a variable neurological phenotype of later onset (CALFAN syndrome). Liver crises were triggered by febrile infections and were transient, but fibrosis developed. Functional studies emphasize that SCYL1 deficiency is linked to impaired intracellular trafficking.Conclusion: SCYL1 deficiency can cause recurrent low-GGT cholestatic liver dysfunction in conjunction with a variable neurological phenotype. Like NBAS deficiency, it is a member of the emerging group of congenital disorders of intracellular trafficking causing hepatopathy.
Impact Factor
Scopus SNIP
Web of Science
Times Cited
Scopus
Cited By
Altmetric
Publication type
Article: Journal article
Document type
Scientific Article
Thesis type
Editors
Keywords
Acute Liver Failure ; Calfan Syndrome ; Congenital Disorder Of Intracellular Trafficking ; Low-ggt Cholestasis ; Scyl1; Endoplasmic-reticulum; Recessive Mutations; Golgi Homeostasis; Exome Analysis; Deficiency; Gene; Glycosylation; Disorder; Complex; Childhood
Keywords plus
Language
english
Publication Year
2018
Prepublished in Year
HGF-reported in Year
2018
ISSN (print) / ISBN
1530-0366
e-ISSN
1098-3600
ISBN
Book Volume Title
Conference Title
Conference Date
Conference Location
Proceedings Title
Quellenangaben
Volume: 20,
Issue: 10,
Pages: 1255-1265
Article Number: ,
Supplement: ,
Series
Publisher
Lippincott Williams & Wilkins
Publishing Place
Baltimore, Md.
Day of Oral Examination
0000-00-00
Advisor
Referee
Examiner
Topic
University
University place
Faculty
Publication date
0000-00-00
Application date
0000-00-00
Patent owner
Further owners
Application country
Patent priority
Reviewing status
Peer reviewed
POF-Topic(s)
30501 - Systemic Analysis of Genetic and Environmental Factors that Impact Health
Research field(s)
Genetics and Epidemiology
PSP Element(s)
G-500700-001
Grants
Copyright
Erfassungsdatum
2018-11-16