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Table 1 Clinical, biochemical and molecular data of Brazilian MSUD patients

From: Maple syrup urine disease in Brazilian patients: variants and clinical phenotype heterogeneity

ID

Gender

Age at diagnosis

Plasma isoleucine (μMol/L) at diagnosis

Plasma leucine (μMol/L) at diagnosis

Plasma valine (μMol/L) at diagnosis

Time from diagnosis to onset of dietary manegement

Outcome

Family history

Consanguinity

Clinical phenotype

Genetic subtype

Gene

Type

Mutation at nucleotide level cDNA

1a,b

Female

60d

699.5

3252.5

999.5

60d

Severe DD + died

No

Yes

Classic

EIb

BCKDHB

Dup

c.[92_102dup11]; [92_102dup11]

2c,d

Female

30d

45.7

278.9

35.1

NA

Severe DD + died

Yes

Yes

Classic

EII

DBT

M

c.[346G > A];[346G > A]

3c

Male

15d

224.4

2646.1

371.1

15d

Slight DD

Yes

Yes

Classic

EII

DBT

M

c.[346G > A];[346G > A]

4

Male

26d

149.0

2037.8

263.3

1d

Moderate DD

No

No

Classic

EIb

BCKDHB

D

c.[595_596delAG];[595_596delAG]

5e,f,j

Male

17d

207.0

2914.0

304.5

20d

Slight DD

NA

NA

Classic

EIb

BCKDHB

D/I + D + M + M

c.[436delinsCA; 445_446delTT];[620G > T; 633G > C]

6f

Female

17d

482.7

1484.0

942.1

3d

Normal neurodevelopment

No

No

Classic

EIb

BCKDHB

M + D

c.[498G > C];[595_596delAG]

7

Female

16m

333.0

1503.1

938.9

NA

Slight DD

No

No

Intermediate

EII

DBT

N

c.[442G > T];[442G > T]

8j

Female

26d

179.5

1488.7

235.1

15d

Severe DD

Yes

No

Classic

EIb

BCKDHB

M + D + D

c.[506A > G]; [743delC; 764_840 + 4del; 840 + 9_ + 22del]

9

Female

60d

1336.0

5002.0

979.0

15d

Severe DD

No

No

Classic

EIb

BCKDHB

N + ?

c.[853C > T];[?]

10g,h

Female

NA

NA

NA

NA

NA

NA

NA

NA

NA

EIa

BCKDHA

N + SS

c.[859C > T];[109-3575_288 + 4del]

11j

Male

17d

340.1

2000.0

409.1

2d

Slight DD

No

Yes

Classic

EIb

BCKDHB

D

c.[743delC; 764_840 + 4del; 840 + 9_ + 22del];

[743delC; 764_840 + 4del; 840 + 9_ + 22del]

12g

Male

30d

25.4 (Ile + Leu)

3.7

60d

Severe DD

No

NA

Classic

Eia

BCKDHA

I + ?

c.[740_741insT];[?]

13g

Male

30d

31.0

904.1

406.6

20d

Moderate DD

Yes

No

Classic

EIb

BCKDHB

M + D

c.[502C > T];[595_596delAG]

14a

Male

NA

NA

NA

NA

NA

NA

NA

NA

NA

EIb

BCKDHB

M + M

c.[605C > T];[641 T > A]

15i

Male

24 m

895.4

1782.2

1038.2

NA

NA

No

NA

NA

Eia

BCKDHA

M

c.[659C > T];[659C > T]

16a

Female

NA

NA

NA

NA

NA

NA

NA

NA

NA

EIb

BCKDHB

M

c.[392G > T];[392G > T]

17g

Female

35d

1700.0

1700.0

NA

10d

Severe DD

No

NA

Classic

EIb

BCKDHB

D + SS

c.[595_596delAG];[343 + 2 T > G]

18

Male

3d

755.0 (Ile + Leu)

345.0

0d

NA

Yes

No

NA

EIb

BCKDHB

M + M

c.[392G > T];[641 T > A]

19a

Female

NA

NA

NA

NA

NA

NA

NA

NA

NA

EII

DBT

N

c.[442G > T];[442G > T]

20

Female

14y

220.8

564.6

493.3

NA

Moderate or severe DD

No

No

Intermediate

EIa

BCKDHA

D + M

c.[357_358delCT];[454G > A]

21

Male

12y

151.2

580.9

444.3

2y

Moderate DD

No

No

Intermediate or thiamine responsive

EIa

BCKDHA

I + ?

c.[740_741insT];[?]

  1. Novel Mutations are highlighted in bold
  2. ID patient identification, m months, d days, a years, DD developmental disability, NA data not available, M missense, Dup duplication, D deletion, I insertion, N nonsense, SS splice site
  3. aPatient also carries the non disease-causing variation c. 116C > A in one BCKDHA allele (p.Pro39His) and the non disease-causing variation c.166G > C in one BCKDHA allele (p.Gly56Arg)
  4. bPatient also carries the non disease-causing variation c.188_189delinsCA in one BCKDHB allele (p.Arg63Pro) and the damaging variation c.92_102dup11 in two BCKDHB alleles (p.Phe35Trpfs * 41)
  5. cSiblings
  6. dPatient also carries the non disease-causing novel variation c.1250A > T in one DBT allele (p.Glu417Val), probably a polymorphism in this case
  7. ePatient also carries the non disease-causing variation c.116C > T in one BCKDHA allele (p.Pro39Leu)
  8. fPatient also carries the non disease-causing variation c.1150A > G in one DBT allele (p.Ser384Gly)
  9. gLiver Transplant
  10. hPatient also carries the non disease-causing variation c. 116C > A in two BCKDHA alleles (p.Pro39His)
  11. iPatient also carries the non disease-causing variation c.166G > C in one BCKDHA allele (p.Gly56Arg)
  12. jPatient carries more than 2 variants, but without parental testing, it is impossible to determine which of the variants are in cis or trans configuration and what the genotype is (disease-causing and non disease-causing variations, exactly)