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10.1172/JCI90171

http://scihub22266oqcxt.onion/10.1172/JCI90171
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C5330744!5330744!28165343
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suck abstract from ncbi


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pmid28165343      J+Clin+Invest ä ; 127 (3): 942-53
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  • Sphingosine-1-phosphate lyase mutations cause primary adrenal insufficiency and steroid-resistant nephrotic syndrome #MMPMID28165343
  • Prasad R; Hadjidemetriou I; Maharaj A; Meimaridou E; Buonocore F; Saleem M; Hurcombe J; Bierzynska A; Barbagelata E; Bergadá I; Cassinelli H; Das U; Krone R; Hacihamdioglu B; Sari E; Yesilkaya E; Storr HL; Clemente M; Fernandez-Cancio M; Camats N; Ram N; Achermann JC; Van Veldhoven PP; Guasti L; Braslavsky D; Guran T; Metherell LA
  • J Clin Invest ä[]; 127 (3): 942-53 PMID28165343show ga
  • Primary adrenal insufficiency is life threatening and can present alone or in combination with other comorbidities. Here, we have described a primary adrenal insufficiency syndrome and steroid-resistant nephrotic syndrome caused by loss-of-function mutations in sphingosine-1-phosphate lyase (SGPL1). SGPL1 executes the final decisive step of the sphingolipid breakdown pathway, mediating the irreversible cleavage of the lipid-signaling molecule sphingosine-1-phosphate (S1P). Mutations in other upstream components of the pathway lead to harmful accumulation of lysosomal sphingolipid species, which are associated with a series of conditions known as the sphingolipidoses. In this work, we have identified 4 different homozygous mutations, c.665G>A (p.R222Q), c.1633_1635delTTC (p.F545del), c.261+1G>A (p.S65Rfs*6), and c.7dupA (p.S3Kfs*11), in 5 families with the condition. In total, 8 patients were investigated, some of whom also manifested other features, including ichthyosis, primary hypothyroidism, neurological symptoms, and cryptorchidism. Sgpl1?/? mice recapitulated the main characteristics of the human disease with abnormal adrenal and renal morphology. Sgpl1?/? mice displayed disrupted adrenocortical zonation and defective expression of steroidogenic enzymes as well as renal histology in keeping with a glomerular phenotype. In summary, we have identified SGPL1 mutations in humans that perhaps represent a distinct multisystemic disorder of sphingolipid metabolism.
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