AICARDI–GUTIER SYNDROME IN A PATIENT WITH CEREBRAL PALSY

  • A.B. Aimetdinova Saint Petersburg State Pediatric Medical University. Lithuania 2, Saint Petersburg, Russian Federation, 194100
  • A.N. Zavyalova Saint Petersburg State Pediatric Medical University. Lithuania 2, Saint Petersburg, Russian Federation, 194100
  • M.N. Yakovleva Saint Petersburg State Pediatric Medical University. Lithuania 2, Saint Petersburg, Russian Federation, 194100
  • O.V. Lyubimova Saint Petersburg State Pediatric Medical University. Lithuania 2, Saint Petersburg, Russian Federation, 194100
Keywords: rare (orphan) diseases, Aicardi–Goutieres syndrome, AGS, children

Abstract

Rare genetic diseases and their symptoms are unusual for doctors, especially if the disease is heterogeneous, and this poses a serious medical problem. There are about 7000 diff erent rare diseases in the world, 80% of them are genetically determined, and more and more newly discovered ones are appearing. Approximately 50% of patients suff ering from rare diseases are children, which determines the importance of studying these diseases in pediatric science. On the example of a clinical case, the manifestations of the Aicardi–Goutieres syndrome in a 17-year-old child admitted to the St. Petersburg State Pediatric Medical University clinic with the main diagnosis: nephrotic syndrome with diff use membranous glomerulonephritis are considered. The main data of history and clinical and laboratory examination are refl ected. The description of mutations leading to the emergence of Aicardi–Goutieres syndrome, as well as the forms of this disease, is presented. Special attention is paid to the diff erential diagnosis of Aicardi–Goutieres syndrome with other clinically similar nosological forms.

References

https://globalgenes.org/rare-disease-facts/ (дата обращения 03.10.2022).

Stephenson J.B.P. Aicardi–Goutieres syndrome (AGS). European Journal of Paediatric Neurology. 2008; 12(5): 355–8. https://pubmed.ncbi.nlm.nih. gov/18343173/

Adang L. et al. Developmental outcomes of Aicar- di Goutières syndrome. Journal of child neurology. 2020; 35(1): 7–16. https://pubmed.ncbi.nlm.nih. gov/?term=Adang+L%2C+Gavazzi+F%2C+De+Si- m one +M%2 C+Fa z zi+E%2 C+G a lli+J%2 C+ - Koh+J%2C+Kramer- Golinkof f+J%2C+De+- Giorgis+V%2C+Orcesi+S%2C+Peer+K%2C+Ul- r i c k +N % 2 C + W o i d i l l+ S % 2C + S h u l t s+ - J%2C+Vanderver+A.+Developmental+Out- comes+of+Aicardi+Goutières+Syndrome.

Брюханова Н.О., Жилина С.С., Айвазян С.О. и др. Синдром Айкарди–Гутьерес у детей с идиопатической эпилепсией. Российский национальный медицинский университет им. Н.И. Пирогова Минздрава РФ. Москва: Научно-практический центр медицинской помощи детям с пороками развития черепно-лицевой области и врож- денными заболеваниями нервной системы Департамента здравоохранения г. Москвы; ФГБНУ Медико-генетический научный центр, Москва.

Гамисония А.М. Синдром Айкарди–Гутьер. [Электронный ресурс]. ГЕНОКАРТА Генетическая энциклопедия. 2022. URL: https://www.genokarta. ru/disease/Sindrom_Ajkardi-Guter. (дата обраще- ния: 12.11.2022).

Витковская И.П., Печатникова Н.Л., Петряйкина Е.Е., Колтунов И.Е. Раннее выявление врожденных и наследственных заболеваний (неона- тальный скрининг, селективный скрининг). Опыт региона и перспективы развития. РМЖ. Меди- цинское обозрение. 2018; 26(1(I)): 62–6.

Перечень редких (орфанных) заболеваний. Минздрав России; 2022. https://static-0.minzdrav. gov.ru/system/attachments/attaches/000/059/514/ original/Перечень_редких_%28орфанных%29_ за бо л е ва н и й_ о т_ 31 _ мар т а_ 202 2 _год а . pdf?1648813026 (дата обращения 18.11.2022).

Указ Президента РФ от 01.06.2012 № 761 «О Национальной стратегии действий в интересах детей на 2012–2017 годы» https://www.consultant. ru/document/cons_doc_LAW_130516/ (дата обра щения 18.11.2022).

Федеральный закон Российской Федерации от 21.11.2011 №323-ФЗ «Об охране здоровья граждан в Российской Федерации» (ред.от 11.06.2022, с изм. От 13.07.2022) http://www.consultant.ru/ document/cons_doc_LAW_121895/ (дата обраще- ния 18.11.2022).

Angelis A., Tordrup D., Kanavos P. Socio-economic burden of rare diseases: a systematic review of cost of illness evidence.Health Policy. 2015; 119 (7): 964– 79.

Александрова О.Ю., Соколов А.А., Комаров И.А. Проблемы лекарственного обеспечения пациентов, страдающих редкими заболеваниями, при использовании средств системы обязатель- ного медицинского страхования. Проблемы стандартизации в здравоохранении. 2019; 7-8. URL: https://cyberleninka.ru/article/n/problemy- lekarstvennogo- obespecheniya-patsientov- stradayuschih- redkimi-zabolevaniyami- pri- ispolzovanii-sredstv-sistemy (дата обращения: 18.11.2022).

Резолюция IV Всероссийского форума по ор- фанным заболеваниям (в режиме онлайн-конференции, 28 февраля — 1 марта 2022 г.) https:// forum-vsp.ru/media/mktnnpgq/rezolyuciyaivvser ossiiskogoforumapoorfannymzabolevaniyam.pdf.

Ежегодный бюллетень экспертного совета по редким (орфанным) заболеваниям комитет Государственной Думы по охране здоровья Государственная Дума Федерального Собрания Российской Федерации http://www.komitet2-2. km.duma.gov.ru/upload/site21/Byulleten_po_ redkim_zabolevaniyam_2021.pdf (дата обращения 18.11.2022).

Васильева Т.П., Зинченко Р.А., Комаров И.А. и др. Распространенность и вопросы диагностики редких (орфанных) заболеваний среди детского населения Российской Федерации. Педиатрия им. Г.Н. Сперанского. 2020; 99 (4): 229–37.

Giordano A.M.S. et al. DNA damage contributes to neurotoxic inflammation in Aicardi-Goutières syndrome astrocytes. Journal of Experimental Medicine. 2022; 219(4) https://rupress.org/jem/ar- ticle/219/4/e20211121/213058/DNA-damage-con- tributes-to-neurotoxic-inflammation.

Adang L.A. et al. Hematologic abnormalities in Aicardi Goutières Syndrome. Molecular Gene- tics and Metabolism. 2022; 136(4): 324–9. https:// www.sciencedirect.com/science/article/abs/pii/ S1096719222003390.

Wang W. et al. Analysis of clinical characteristics of children with Aicardi-Goutieres syndrome in China. World Journal of Pediatrics. 2022: 1–8. https:// link.springer.com/article/10.1007/s12519- 022- 00545-1.

Naesens L. et al. Mutations in RNU7-1 Weaken Se condary RNA Structure, Induce MCP-1 and CXCL10 in CSF, and Result in Aicardi-Goutières Syndrome with Severe End-Organ Involvement. Journal of clinical immunology. 2022: 1–13. https://link.spring- er.com/article/10.1007/s10875-022-01209-5.

REFERENCES

https://globalgenes.org/rare-disease-facts/ (data obrashcheniya 03.10.2022).

Stephenson J.B.P. Aicardi–Goutieres syndrome (AGS). European Journal of Paediatric Neurology. 2008; 12(5): 355–8. https://pubmed.ncbi.nlm.nih. gov/18343173.

Adang L. et al. Developmental outcomes of Aicar- di Goutières syndrome. Journal of child neurolo- gy. 2020; 35(1): 7–16. https://pubmed.ncbi.nlm.nih. gov/?term=Adang+L%2C+Gavazzi+F%2C+De+Si- m one +M%2 C+Fa z zi+E%2 C+G a lli+J%2 C+ - Koh+J%2C+Kramer- Golinkof f+J%2C+De+- Giorgis+V%2C+Orcesi+S%2C+Peer+K%2C+Ul- r i c k +N % 2 C + W o i d i l l+ S % 2C + S h u l t s+ - J%2C+Vanderver+A.+Developmental+Out- comes+of+Aicardi+Goutières+Syndrome.

Bryukhanova N.O., Zhilina S.S., Ayvazyan S.O. i dr. Sindrom Aykardi–Gut'yeres u detey s idiopaticheskoy epilepsiyey. [Aicardi-Gutierez syndrome in children with idiopathic epilepsy]. Rossiyskiy natsional'nyy meditsinskiy universitet im. N.I. Pirogo- va Minzdrava RF. Moskva: Nauchno-prakticheskiy tsentr meditsinskoy pomoshchi detyam s porokami razvitiya cherepno-litsevoy oblasti i vrozhdennymi zabolevaniyami nervnoy sistemy Departamenta zdravookhraneniya g. Moskvy; FGBNU Mediko-geneticheskiy nauchnyy tsentr, Moskva. (in Russian).

Gamisoniya A.M. Sindrom Aykardi–Gut'yer. [Ai cardi-Gutier syndrome]. [Elektronnyy resurs]. GENOKARTA Geneticheskaya entsiklopediya. 2022. URL: https://www.genokarta.ru/disease/Sindrom_ Ajkardi-Guter. (data obrashcheniya: 12.11.2022) (in Russian).

Vitkovskaya I.P., Pechatnikova N.L., Petryayki na Ye.Ye., Koltunov I.Ye. Ranneye vyyavleniye vrozhdennykh i nasledstvennykh zabolevaniy (neonatal'nyy skrining, selektivnyy skrining). [Early detection of congenital and hereditary diseases (neonatal screening, selective screening)]. Opyt regiona i perspektivy razvitiya. RMZH. Meditsin- skoye obozreniye. 2018; 26(1(I)): 62–6. (in Russian).

Perechen' redkikh (orfannykh) zabolevaniy. Minzdrav Rossii; 2022. https://static-0.minzdrav.gov.ru/ system/attachments/attaches/000/059/514/origi- nal/ Perechen’ Redkikh%28 orfannykh%29 zabolevaniy_ot_31_marta_2022_goda.pdf?1648813026 (data obrashcheniya 18.11.2022) (in Russian).

Ukaz Prezidenta RF ot 01.06.2012 № 761 «O Natsional’noy strategii deystviy v interesakh detey na 2012–2017 gody». [“On the National Strategy for Action in the Interests of Children for 2012-2017”]. https://www.consultant.ru/document/cons_doc_ LAW_130516/ (data obrashcheniya 18.11.2022) (in Russian).

Federal’nyy zakon Rossiyskoy Federatsii ot 21.11.2011 №323-FZ «Ob okhrane zdorov’ya grazhdan v Rossiyskoy Federatsii» [“On the protection of the health of citizens in the Russian Feder- ation”] (red.ot 11.06.2022, s izm. ot 13.07.2022) http://www.consultant.ru/document/cons_doc_ LAW_121895/ (data obrashcheniya 18.11.2022) (in Russian).

Angelis A., Tordrup D., Kanavos P. Socio-economic burden of rare diseases: a systematic review of cost of illness evidence.Health Policy. 2015; 119 (7): 964– 79.

Aleksandrova O.Yu., Sokolov A.A., Komarov I.A. Problemy lekarstvennogo obespecheniya patsiyentov, stradayushchikh redkimi zabolevaniyami,pri ispol’zovanii sredstv sistemy obyazatel’nogo meditsinskogo strakhovaniya. Problemy stan- dartizatsii v zdravookhranenii. [Problems of drug provision of patients suffering from rare diseases when using the funds of the compulsory health insurance system. Problems of standardization in health care]. 2019; 7-8. URL: https://cyberleninka. ru/article/n/problemy-lekarstvennogo-obespech- eniya-patsientov-stradayuschih-redkimi-zabole- vaniyami-pri-ispolzovanii-sredstv-sistemy (data obrashcheniya: 18.11.2022) (in Russian).

Rezolyutsiya IV Vserossiyskogo foruma po orfan- nym zabolevaniyam (v rezhime onlayn-konferentsii, 28 fevralya – 1 marta 2022 g.) https://forum-vsp.ru/ media/mktnnpgq/rezolyuciyaivvserossiiskogoforu- mapoorfannymzabolevaniyam.pdf (in Russian).

Yezhegodnyy byulleten’ ekspertnogo soveta po redkim (orfannym) zabolevaniyam komitet Go- sudarstvennoy Dumy po okhrane zdorov’ya Go- sudarstvennaya Duma Federal’nogo Sobraniya Rossiyskoy Federatsii http://www.komitet2-2. km.duma.gov.ru/upload/site21/Byulleten_po_red- kim_zabolevaniyam_2021.pdf (data obrashche- niya 18.11.2022) (in Russian).

Vasil'yeva T.P., Zinchenko R.A., Komarov I.A. i dr. Rasprostranennost' i voprosy diagnostiki redkikh (orfannykh) zabolevaniy sredi detskogo naseleni- ya Rossiyskoy Federatsii. [Prevalence and issues of diagnosis of rare (orphan) diseases among the chil dren's population of the Russian Federation]. Pedi- atriya im. G.N. Speranskogo. 2020; 99 (4): 229–37. (in Russian).

Giordano A.M.S. et al. DNA damage contributes to neurotoxic inflammation in Aicardi-Goutières syndrome astrocytes. Journal of Experimental Medicine. 2022; 219(4) https://rupress.org/jem/ar- ticle/219/4/e20211121/213058/DNA-damage-con- tributes-to-neurotoxic-inflammation.

Adang L.A. et al. Hematologic abnormalities in Aicardi Goutières Syndrome. Molecular Gene- tics and Metabolism. 2022; 136(4): 324–9. https:// www.sciencedirect.com/science/article/abs/pii/ S1096719222003390.

Wang W. et al. Analysis of clinical characteristics of children with Aicardi-Goutieres syndrome in China. World Journal of Pediatrics. 2022: 1–8. https://link. springer.com/article/10.1007/s12519-022-00545-1.

Naesens L. et al. Mutations in RNU7-1 Weaken Secondary RNA Structure, Induce MCP-1 and CXCL10 in CSF, and Result in Aicardi-Goutières Syndrome with Severe End-Organ Involvement. Journal of clinical immunology. 2022: 1–13. https://link.spring- er.com/article/10.1007/s10875-022-01209-5.

Published
2023-11-10
How to Cite
Aimetdinova, A., Zavyalova, A., Yakovleva, M., & Lyubimova, O. (2023). AICARDI–GUTIER SYNDROME IN A PATIENT WITH CEREBRAL PALSY. Children’s Medicine of the North-West, 11(3), 131-138. https://doi.org/10.56871/CmN-W.2023.73.94.011
Section
Статьи