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13 April 2023: Articles

Severe Hemolytic Anemia and Metabolic Acidosis at Birth with Glutathione Synthetase Deficiency and Progressive Neurological Symptoms on Follow-Up

Rare disease

Satoshi Ekuni * , Kei Hirayama * , Miwako Nagasaka A* , Keita Osumi B , Hidehito Kondo B , Erina Nakahara C , Keiko Shimojima Yamamoto C , Hitoshi Kanno C , Yoshinori Katayama D

DOI: 10.12659/AJCR.938396

Am J Case Rep 2023; 24:e938396

Table 1. Results of in silico predictive algorithms for variants in the present case. Multiple lines of computational analysis showed supportive data of deleterious effects on the gene or gene product.

GenePosition (GRCh37)SubstitutionAmino acid changeInheriteddbSNPSIFTPolyPhen-2CADDM-CAP
Chr20; 33530352430G>AGlu144LysMotherrs1403288320 (deleterious)0.998 (probably damaging)320.312 (possibly pathogenic)
chr20; 33523408805G>AGly269SerFather0 (deleterious)0.991 (probably damaging)320.237 (possibly pathogenic)
– ; CADD – Combined Annotation Dependent Depletion score is a tool for scoring the deleteriousness of single nucleotide variants in the human genome; M-CAP – Mendelian Clinically Applicable Pathogenicity score is the pathogenicity classifier for rare missense variants in the human genome.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923