AI Article Synopsis

  • PLPHP deficiency is a rare genetic condition caused by harmful variants in the PLPHP gene, leading to pyridoxine-responsive disorders.
  • The study reports on three French-Canadian patients with this deficiency, including one who experienced unusual seizure-like episodes not typically associated with EEG findings.
  • The findings emphasize the need to explore genetic mutations in patients with seizures that respond partially to vitamin B6 and reveal a significant genetic "founder effect" in the French-Canadian population.

Article Abstract

PLPHP (pyridoxal-phosphate homeostasis protein) deficiency is caused by biallelic pathogenic variants in and is a rare cause of pyridoxine-responsive disorders. We describe three French-Canadian individuals with PLPHP deficiency, including one with unusual paroxysmal episodes lacking EEG correlation with a suspicious movement disorder, rarely reported in B6RDs. In addition, we review the clinical features and treatment responses of all 51 previously published individuals with PLPHP deficiency. Our case series underlines the importance of considering mutations in individuals with partially B6-responsive seizures and highlights the presence of a founder effect in the French-Canadian population.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9618642PMC
http://dx.doi.org/10.3389/fneur.2022.913652DOI Listing

Publication Analysis

Top Keywords

plphp deficiency
12
individuals plphp
8
case report
4
plphp
4
report plphp
4
deficiency
4
deficiency rare
4
rare b6-responsive
4
b6-responsive disorders
4
disorders report
4

Similar Publications

Recently, biallelic variants in PLPBP coding for pyridoxal 5'-phosphate homeostasis protein (PLPHP) were identified as a novel cause of early-onset vitamin B-dependent epilepsy. The molecular function and precise role of PLPHP in vitamin B metabolism are not well understood. To address these questions, we used PLPHP-deficient patient skin fibroblasts and HEK293 cells and YBL036C (PLPHP ortholog)-deficient yeast.

View Article and Find Full Text PDF

On pathways and blind alleys-The importance of biomarkers in vitamin B -dependent epilepsies.

J Inherit Metab Dis

September 2023

Division of General Pediatrics, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria.

Over the past two decades, the field of vitamin B -dependent epilepsies has evolved by the recognition of a growing number of gene defects (ALDH7A1, PNPO, ALPL, ALDH4A1, PLPBP as well as defects of the glycosylphosphatidylinositol anchor proteins) that all lead to reduced availability of pyridoxal 5'-phosphate, an important cofactor in neurotransmitter and amino acid metabolism. In addition, positive pyridoxine response has been observed in other monogenic defects such as MOCS2 deficiency or KCNQ2 and there may be more defects to be discovered. Most entities lead to neonatal onset pharmaco-resistant myoclonic seizures or even status epilepticus and pose an emergency to the treating physician.

View Article and Find Full Text PDF

To describe a new phenotype and the diagnostic workup of a vitamin-B-dependent epilepsy due to pyridoxal 5'-phosphate-binding protein (PLPBP) deficiency in an infant with early-onset epilepsy at the age of 5 years 6 months. Following immediate and impressive clinical response to treatment with pyridoxine, metabolic screening for vitamin-B-dependent epilepsies and targeted next-generation sequencing (NGS)-based gene panel analysis were performed. Potentially pathogenic variants were confirmed by Sanger sequencing in the patient, and variants were analyzed in both parents to confirm biallelic inheritance.

View Article and Find Full Text PDF
Article Synopsis
  • PLPHP deficiency is a rare genetic condition caused by harmful variants in the PLPHP gene, leading to pyridoxine-responsive disorders.
  • The study reports on three French-Canadian patients with this deficiency, including one who experienced unusual seizure-like episodes not typically associated with EEG findings.
  • The findings emphasize the need to explore genetic mutations in patients with seizures that respond partially to vitamin B6 and reveal a significant genetic "founder effect" in the French-Canadian population.
View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!