Skip to content
Licensed Unlicensed Requires Authentication Published by De Gruyter May 29, 2015

A rare cause of fatal pulmonary alveolar proteinosis: Niemann-Pick disease type C2 and a novel mutation

  • Ayhan Yaman EMAIL logo , Fatma T. Eminoğlu , Tanıl Kendirli , Çağlar Ödek , Serdar Ceylaner , Aydan Kansu , Elif İnce and Gülhis Deda

Abstract

Niemann-Pick disease type C (NPC) is a fatal autosomal recessive lipid storage disease associated with impaired trafficking of unesterified cholesterol and glycolipids in lysosomes and late endosomes. This disease is commonly characterized by hepatosplenomegaly and severe progressive neurological dysfunction. There are two defective genes that cause this illness. One of these genes is NPC1 gene which is the cause of illness in 95% of the patients. The other gene is the rare type NPC2 which is the cause of illness in 5% of the patients. Patients with NPC2 usually present with respiratory distress in early infancy, which is rather unusual with NPC1. This article discusses about a patient who died at an early age from pulmonary involvement and who subsequently was found to have a novel homozygous mutation of NPC2 gene.


Corresponding author: Ayhan Yaman, Division of Pediatric Intensive Care, Ankara University School of Medicine, 06590 Cebeci/Ankara, Turkey, Phone: +90-312-5956355, Fax: +90-312-3191440, E-mail:

References

1. Vanier MT, Millat G. Niemann-Pick disease type C. Clin Genet 2003;64:269–81.10.1034/j.1399-0004.2003.00147.xSearch in Google Scholar

2. Minai OA, Sullivan EJ, Stoller JK. Pulmonary involvement in Niemann–Pick disease: case report and literature review. Respir Med 2000;94:1241–51.10.1053/rmed.2000.0942Search in Google Scholar

3. Schofer O, Mischo B, Puschel W, Harzer K, Vanier MT. Early lethal pulmonary form of Niemann-Pick type C disease belonging to a second, rare genetic complementation group. Eur J Pediatr 1998;157:45–9.10.1007/s004310050764Search in Google Scholar

4. Verot L, Chikh K, Freydiere E, Honore R, Vanier MT, et al. Niemann-Pick C disease: functional characterization of three NPC2 mutations and clinical and molecular update on patients with NPC2. Clin Genet 2007;71:320–30.10.1111/j.1399-0004.2007.00782.xSearch in Google Scholar

5. Neufeld EB, Wastney M, Patel S, Suresh S, Cooney AM, et al. The Niemann-Pick C1 protein resides in a vesicular compartment linked to retrograde transport of multiple lysosomal cargo. J Biol Chem 1999;274:9627–35.10.1074/jbc.274.14.9627Search in Google Scholar

6. Blanchette-Mackie EJ. Intracellular cholesterol trafficking: role of the NPC1 protein. Biochim Biophys Acta 2000;1486:171–83.10.1016/S1388-1981(00)00055-XSearch in Google Scholar

7. Patterson MC, Vanier MT, Suzuki K, Morris JA, Carstea ED, et al. Niemann-Pick disease type C: a lipid trafficking disorder. In: Scriver CR, Beaudet AL, Sly WS, Valle D, Childs B, et al., editors. The metabolic and molecular bases of inherited disease. New York: McGraw-Hill, 2001:3611–34.Search in Google Scholar

8. Vanier MT, Suzuki K. Niemann-Pick diseases. In: Vinken PJ, Bruyn GW editors. Handbook of clinical neurology. Neurodystrophies and neurolipidoses. Amsterdam: Elsevier Science, 1996:133–62.Search in Google Scholar

9. Griese M, Brasch F, Aldana VR, Cabrera MM, Goelnitz U, et al. Respiratory disease in Niemann-Pick type C2 is caused by pulmonary alveolar proteinosis. Clin Genet 2010;77:119–30.10.1111/j.1399-0004.2009.01325.xSearch in Google Scholar PubMed

10. Seymour JF, Presneill JJ. Pulmonary alveolar proteinosis: progress in the first 44 years. Am J Respir Crit Care Med 2002;166:215–35.10.1164/rccm.2109105Search in Google Scholar PubMed

11. Bjurulf B, Spetalen S, Erichsen A, Vanier MT, Strøm EH, et al. Niemann-Pick disease type C2 presenting as fatal pulmonary alveolar lipoproteinosis: morphological findings in lung and nervous tissue. Med Sci Monit 2008;14:71–5.Search in Google Scholar

12. Alavi A, Nafissi S, Shamshiri H, Nejad MM, Elahi E. Identification of mutation in NPC2 by exome sequencing results in diagnosis of Niemann-Pick disease type C. Mol Genet Metab 2013;110:139–44.10.1016/j.ymgme.2013.05.019Search in Google Scholar PubMed

Received: 2014-8-23
Accepted: 2015-3-30
Published Online: 2015-5-29
Published in Print: 2015-9-1

©2015 by De Gruyter

Downloaded on 19.5.2024 from https://www.degruyter.com/document/doi/10.1515/jpem-2014-0358/html
Scroll to top button