Antenatal manifestations of mitochondrial respiratory chain deficiency

Objective To review the antenatal manifestations of disorders of oxidative phosphorylation. Study design A total of 300 cases of proven respiratory chain enzyme deficiency were retrospectively reviewed for fetal development, based on course and duration of pregnancy, antenatal ultrasonography and bi...

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Veröffentlicht in:The Journal of pediatrics 2003-08, Vol.143 (2), p.208-212
Hauptverfasser: von Kleist-Retzow, Jürgen-Christoph, Cormier-Daire, Valérie, Viot, Géraldine, Goldenberg, Alice, Mardach, Becky, Amiel, Jeanne, Saada, Philippe, Dumez, Yves, Brunelle, Francis, Saudubray, Jean-Marie, Chrétien, Dominique, Rötig, Agnès, Rustin, Pierre, Munnich, Arnold, De Lonlay, Pascale
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container_end_page 212
container_issue 2
container_start_page 208
container_title The Journal of pediatrics
container_volume 143
creator von Kleist-Retzow, Jürgen-Christoph
Cormier-Daire, Valérie
Viot, Géraldine
Goldenberg, Alice
Mardach, Becky
Amiel, Jeanne
Saada, Philippe
Dumez, Yves
Brunelle, Francis
Saudubray, Jean-Marie
Chrétien, Dominique
Rötig, Agnès
Rustin, Pierre
Munnich, Arnold
De Lonlay, Pascale
description Objective To review the antenatal manifestations of disorders of oxidative phosphorylation. Study design A total of 300 cases of proven respiratory chain enzyme deficiency were retrospectively reviewed for fetal development, based on course and duration of pregnancy, antenatal ultrasonography and birth weight, length, and head circumference. Particular attention was given to fetal movements, oligo/hydramnios, fetal cardiac rhythm, fetal heart ultrasound, and ultrasonography/echo Doppler signs of brain, facial, trunk, limb, and organ anomalies. Results Retrospective analyses detected low birth weight (
doi_str_mv 10.1067/S0022-3476(03)00130-6
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Study design A total of 300 cases of proven respiratory chain enzyme deficiency were retrospectively reviewed for fetal development, based on course and duration of pregnancy, antenatal ultrasonography and birth weight, length, and head circumference. Particular attention was given to fetal movements, oligo/hydramnios, fetal cardiac rhythm, fetal heart ultrasound, and ultrasonography/echo Doppler signs of brain, facial, trunk, limb, and organ anomalies. Results Retrospective analyses detected low birth weight (&lt;3rd percentile for gestational age) in 22.7% of cases (68/300, P&lt;.000001). Intrauterine growth retardation was either isolated (48/300, 16%) or associated with otherwise unexplained anomalies (20/300, 6.7%, P&lt;.0001). Antenatal anomalies were usually multiple and involved several organs sharing no common function or embryologic origin. They included polyhydramnios (6/20), oligoamnios (2/20), arthrogryposis (1/20), decreased fetal movements (1/20), ventricular septal defects (2/20), hypertrophic cardiomyopathy (4/20), cardiac rhythm anomalies (4/20), hydronephrosis (3/20), vertebral abnormalities, anal atresia, cardiac abnormalities, tracheoesophageal fistula/atresia, renal agenesis and dysplasia, and limb defects (VACTERL) association (2/20), and a complex gastrointestinal malformation (1/20). Conclusions Although a number of metabolic diseases undergo a symptom-free period, respiratory chain deficiency may have an early antenatal expression, presumably related to the time course of the disease gene expression in the embryofetal period. The mechanism triggering malformations is unknown and may include decreased ATP formation and/or an alteration of apoptotic events controlled by the mitochondria.</description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1067/S0022-3476(03)00130-6</identifier><identifier>PMID: 12970634</identifier><identifier>CODEN: JOPDAB</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Biological and medical sciences ; Birth Weight ; Congenital Abnormalities ; Diseases of mother, fetus and pregnancy ; Embryonic and Fetal Development - physiology ; Female ; Fetal Growth Retardation - complications ; Fetal Heart - physiopathology ; Fetal Movement - physiology ; Gynecology. Andrology. Obstetrics ; Humans ; Infant, Low Birth Weight ; Infant, Newborn ; Medical sciences ; Mitochondrial Diseases - embryology ; Pregnancy ; Pregnancy. Fetus. 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Study design A total of 300 cases of proven respiratory chain enzyme deficiency were retrospectively reviewed for fetal development, based on course and duration of pregnancy, antenatal ultrasonography and birth weight, length, and head circumference. Particular attention was given to fetal movements, oligo/hydramnios, fetal cardiac rhythm, fetal heart ultrasound, and ultrasonography/echo Doppler signs of brain, facial, trunk, limb, and organ anomalies. Results Retrospective analyses detected low birth weight (&lt;3rd percentile for gestational age) in 22.7% of cases (68/300, P&lt;.000001). Intrauterine growth retardation was either isolated (48/300, 16%) or associated with otherwise unexplained anomalies (20/300, 6.7%, P&lt;.0001). Antenatal anomalies were usually multiple and involved several organs sharing no common function or embryologic origin. They included polyhydramnios (6/20), oligoamnios (2/20), arthrogryposis (1/20), decreased fetal movements (1/20), ventricular septal defects (2/20), hypertrophic cardiomyopathy (4/20), cardiac rhythm anomalies (4/20), hydronephrosis (3/20), vertebral abnormalities, anal atresia, cardiac abnormalities, tracheoesophageal fistula/atresia, renal agenesis and dysplasia, and limb defects (VACTERL) association (2/20), and a complex gastrointestinal malformation (1/20). Conclusions Although a number of metabolic diseases undergo a symptom-free period, respiratory chain deficiency may have an early antenatal expression, presumably related to the time course of the disease gene expression in the embryofetal period. The mechanism triggering malformations is unknown and may include decreased ATP formation and/or an alteration of apoptotic events controlled by the mitochondria.</description><subject>Biological and medical sciences</subject><subject>Birth Weight</subject><subject>Congenital Abnormalities</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>Embryonic and Fetal Development - physiology</subject><subject>Female</subject><subject>Fetal Growth Retardation - complications</subject><subject>Fetal Heart - physiopathology</subject><subject>Fetal Movement - physiology</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Infant, Low Birth Weight</subject><subject>Infant, Newborn</subject><subject>Medical sciences</subject><subject>Mitochondrial Diseases - embryology</subject><subject>Pregnancy</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Retrospective Studies</subject><subject>Ultrasonography, Prenatal</subject><issn>0022-3476</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMFuEzEQhi0EoqHwCKC9UMFhy4ztteMTqqoWkCpxKJwtxx6rRrt2sDdIeXu2SUSPnOYw3z_z62PsLcIlgtKf7gE474XU6gOIjwAooFfP2ArB6F6thXjOVv-QM_aqtV8AYCTAS3aG3GhQQq7Y7VWeKbvZjd3kcorUZjenkltXYjelufiHkkNNy75S26bq5lL3nX9wKXeBYvKJst-_Zi-iGxu9Oc1z9vP25sf11_7u-5dv11d3vRcG515h1MHosHFrJK7JrDngBrk3gzToIEpOkrTiam1QboIjJEFBCx1QKhnFObs43t3W8nu3lLVTap7G0WUqu2a1UANwFAs4HEFfS2uVot3WNLm6twj2UaA9CLSPdiwIexBo1ZJ7d3qw20wUnlInYwvw_gS45t0Yq8s-tSduQBBiGBbu85GjRcefRNW2gyoKqZKfbSjpP1X-Apg6jM8</recordid><startdate>20030801</startdate><enddate>20030801</enddate><creator>von Kleist-Retzow, Jürgen-Christoph</creator><creator>Cormier-Daire, Valérie</creator><creator>Viot, Géraldine</creator><creator>Goldenberg, Alice</creator><creator>Mardach, Becky</creator><creator>Amiel, Jeanne</creator><creator>Saada, Philippe</creator><creator>Dumez, Yves</creator><creator>Brunelle, Francis</creator><creator>Saudubray, Jean-Marie</creator><creator>Chrétien, Dominique</creator><creator>Rötig, Agnès</creator><creator>Rustin, Pierre</creator><creator>Munnich, Arnold</creator><creator>De Lonlay, Pascale</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20030801</creationdate><title>Antenatal manifestations of mitochondrial respiratory chain deficiency</title><author>von Kleist-Retzow, Jürgen-Christoph ; Cormier-Daire, Valérie ; Viot, Géraldine ; Goldenberg, Alice ; Mardach, Becky ; Amiel, Jeanne ; Saada, Philippe ; Dumez, Yves ; Brunelle, Francis ; Saudubray, Jean-Marie ; Chrétien, Dominique ; Rötig, Agnès ; Rustin, Pierre ; Munnich, Arnold ; De Lonlay, Pascale</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c391t-61f7d97dba81e27e98201b12c95491a0f42e4e76268914bdae1e3ed737d1464f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Biological and medical sciences</topic><topic>Birth Weight</topic><topic>Congenital Abnormalities</topic><topic>Diseases of mother, fetus and pregnancy</topic><topic>Embryonic and Fetal Development - physiology</topic><topic>Female</topic><topic>Fetal Growth Retardation - complications</topic><topic>Fetal Heart - physiopathology</topic><topic>Fetal Movement - physiology</topic><topic>Gynecology. 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Study design A total of 300 cases of proven respiratory chain enzyme deficiency were retrospectively reviewed for fetal development, based on course and duration of pregnancy, antenatal ultrasonography and birth weight, length, and head circumference. Particular attention was given to fetal movements, oligo/hydramnios, fetal cardiac rhythm, fetal heart ultrasound, and ultrasonography/echo Doppler signs of brain, facial, trunk, limb, and organ anomalies. Results Retrospective analyses detected low birth weight (&lt;3rd percentile for gestational age) in 22.7% of cases (68/300, P&lt;.000001). Intrauterine growth retardation was either isolated (48/300, 16%) or associated with otherwise unexplained anomalies (20/300, 6.7%, P&lt;.0001). Antenatal anomalies were usually multiple and involved several organs sharing no common function or embryologic origin. They included polyhydramnios (6/20), oligoamnios (2/20), arthrogryposis (1/20), decreased fetal movements (1/20), ventricular septal defects (2/20), hypertrophic cardiomyopathy (4/20), cardiac rhythm anomalies (4/20), hydronephrosis (3/20), vertebral abnormalities, anal atresia, cardiac abnormalities, tracheoesophageal fistula/atresia, renal agenesis and dysplasia, and limb defects (VACTERL) association (2/20), and a complex gastrointestinal malformation (1/20). Conclusions Although a number of metabolic diseases undergo a symptom-free period, respiratory chain deficiency may have an early antenatal expression, presumably related to the time course of the disease gene expression in the embryofetal period. The mechanism triggering malformations is unknown and may include decreased ATP formation and/or an alteration of apoptotic events controlled by the mitochondria.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>12970634</pmid><doi>10.1067/S0022-3476(03)00130-6</doi><tpages>5</tpages></addata></record>
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subjects Biological and medical sciences
Birth Weight
Congenital Abnormalities
Diseases of mother, fetus and pregnancy
Embryonic and Fetal Development - physiology
Female
Fetal Growth Retardation - complications
Fetal Heart - physiopathology
Fetal Movement - physiology
Gynecology. Andrology. Obstetrics
Humans
Infant, Low Birth Weight
Infant, Newborn
Medical sciences
Mitochondrial Diseases - embryology
Pregnancy
Pregnancy. Fetus. Placenta
Retrospective Studies
Ultrasonography, Prenatal
title Antenatal manifestations of mitochondrial respiratory chain deficiency
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