TTR Gene - Neonatal Disorders

What is the TTR Gene?

The TTR gene encodes for transthyretin, a protein primarily involved in the transport of vitamin A (retinol) and thyroid hormones in the blood. The name transthyretin is derived from its role in transporting these substances.

Why is the TTR Gene Important in Pediatrics?

The TTR gene is crucial for normal metabolic processes and neurodevelopment in children. Mutations in the TTR gene can lead to various conditions, impacting a child's growth and development.

Associated Conditions

Familial Amyloid Polyneuropathy (FAP): This condition involves the deposition of amyloid proteins, leading to nerve damage, which can affect sensory and motor functions.
Familial Amyloid Cardiomyopathy (FAC): This condition affects the heart, leading to restrictive cardiomyopathy and heart failure.
Carpal Tunnel Syndrome: While more common in adults, it can also present in children with TTR mutations.

How are TTR Gene Mutations Diagnosed?

Diagnosis typically involves a combination of genetic testing and clinical evaluation. Genetic testing can identify specific mutations in the TTR gene. Additionally, imaging studies and biopsy samples may be used to detect amyloid deposits.

Treatment Options

Medication: Specific drugs like tafamidis have been approved to stabilize the transthyretin protein and prevent amyloid deposition.
Liver Transplant: Since the liver produces the majority of transthyretin, transplant can significantly reduce the production of mutant protein.
Supportive Care: Involving physical therapy and occupational therapy to manage symptoms and maintain quality of life.

Genetic Counseling

For families with a history of TTR-related conditions, genetic counseling can provide crucial information about the risks, implications, and potential preventive measures. This is especially important for parents planning to have more children.

Prognosis

The prognosis for children with TTR gene mutations varies depending on the specific mutation and the severity of the condition. Early diagnosis and treatment can significantly improve outcomes and quality of life.

Future Research

Ongoing research aims to develop new treatments and improve existing ones for TTR-related conditions. This includes gene therapy approaches and more effective drugs to stabilize or reduce amyloid deposits.



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Issue Release: 2024

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