Metabolic autopsy with next generation sequencing in sudden unexpected death in infancy: Postmortem diagnosis of fatty acid oxidation disorders

婴儿猝死症的代谢性尸检及下一代测序:脂肪酸氧化障碍的死后诊断

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作者:Takuma Yamamoto ,Hiroyuki Mishima ,Hajime Mizukami ,Yuki Fukahori ,Takahiro Umehara ,Takehiko Murase ,Masamune Kobayashi ,Shinjiro Mori ,Tomonori Nagai ,Tatsushige Fukunaga ,Seiji Yamaguchi ,Koh-Ichiro Yoshiura ,Kazuya Ikematsu

Abstract

The recent introduction of metabolic autopsy in the field of forensic science has made it possible to detect hidden inherited metabolic diseases. Since the next generation sequencing (NGS) has recently become available for use in postmortem examinations, we used NGS to perform metabolic autopsy in 15 sudden unexpected death in infancy cases. Diagnostic results revealed a case of carnitine palmitoyltransferase II deficiency and some cases of fatty acid oxidation-related gene variants. Metabolic autopsy performed with NGS is a useful method, especially when postmortem biochemical testing is not available. Keywords: Carnitine palmitoyltransferase II deficiency; Fatty acid oxidation disorder; Metabolic autopsy; Next generation sequencing; Sudden unexpected death in infancy.

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