Human pathology

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carnitine palmitoyltransferase deficiency type 2

MIM.608836 1p32

CPT2

Variants

- lethal neonatal CPTD2 (MIM.608836)
- infantile CPTD2 (MIM.600649)
- adult-onset CPTD2 (MIM.255100)

Lethal neonatal CPTD2 - Synopsis

- lethal multiorgan deficiency of carnitine palmitoyltransferase II (CPT II)
- dysmorphic features
- cardiomyopathy
- cystic dysplasia of the brain
- multicystic renal dysplasia (7658272)
- diffuse tissular lipid accumulation

Biology

- Concentrations of long-chain acylcarnitines
- profound deficiency of CPT II activity was evident in heart, liver, muscle, and kidney tissue

Differential diagnosis

(cystic renal dysplasia, dysmorphism, central nervous system malformations, early death, )

- Zellweger syndrome
- multiple acyl-CoA dehydrogenation deficiency (MADD) (glutaric acidemia type 2)
- peroxisomal beta-oxidation disorders
- disruptions of beta-oxidation of fatty acids

References

- Sigauke E, Rakheja D, Kitson K, Bennett MJ. Carnitine palmitoyltransferase II deficiency: a clinical, biochemical, and molecular review. Lab Invest. 2003 Nov;83(11):1543-54. PMID: 14615409

- North KN, Hoppel CL, De Girolami U, Kozakewich HP, Korson MS. Lethal neonatal deficiency of carnitine palmitoyltransferase II associated with dysgenesis of the brain and kidneys. J Pediatr. 1995 Sep;127(3):414-20. PMID: 7658272