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NANS-CDG: Delineation of the Genetic, Biochemical, and Clinical Spectrum.

Front Neurol

June 2021

Department of Pediatric Metabolic Diseases, Emma Children's Hospital, Amsterdam University Medical Center, Amsterdam, Netherlands.

Article Synopsis
  • NANS-CDG is a newly identified genetic disorder caused by mutations in a gene critical for sialic acid synthesis, leading to various developmental issues.
  • An observational study on nine patients revealed consistent symptoms such as intellectual disabilities, facial dysmorphisms, and skeletal abnormalities, along with newly observed issues like ophthalmological problems and gastrointestinal dysfunction.
  • Biochemical analysis showed elevated levels of -acetylmannosamine (ManNAc) correlate with clinical severity, and genetic screening identified novel mutations, with potential treatment showing improved development in one patient.
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Objective: Insulin resistance and hyperinsulinaemia are, in some prospective studies, linked to an increased cardiovascular risk, at least in men. We tested the hypothesis that hyperinsulinaemia may be reduced by non-pharmacological methods independently of other cardiovascular risk factors.

Design: In a non-pharmacological intervention study for 1 year three groups of subjects (hypertensives as well as normotensives) were selected after stratification for insulin level at baseline.

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