PMID- 21253826 OWN - NLM STAT- MEDLINE DCOM- 20110715 LR - 20211020 IS - 1573-2665 (Electronic) IS - 0141-8955 (Linking) VI - 34 IP - 2 DP - 2011 Apr TI - PTC124 improves readthrough and increases enzymatic activity of the CPT1A R160X nonsense mutation. PG - 443-7 LID - 10.1007/s10545-010-9265-5 [doi] AB - Deficiency of carnitine palmitoyltransferase 1A (CPT1A) results in impaired hepatic long-chain fatty acid oxidation and ketogenesis. We have previously described a patient with a severe CPT1A phenotype who is homozygous for the nonsense mutation 478 C > T (R160X). It has been known for some time that gentamicin can promote readthrough of nonsense codons. Recently, a new compound (PTC124) with less clinical toxicity than gentamicin has been indicated as a therapy for patients with nonsense mutations for multiple genetic diseases. The study is designed to investigate whether PTC124 can promote readthrough of the R160X CPT1A mutation and increase normal sized CPT1 protein expression and activity in the patient's skin fibroblasts. Our study demonstrated that after both PTC 124 and gentamicin treatment, there was an increase in CPT1 activity in patient fibroblasts to levels that are similar to that of the mild Inuit P479L variant. Our results provide additional evidence for proof of principle that PTC124 is a potential therapeutic agent for treating patients with any genetic condition that results from a nonsense mutation. FAU - Tan, Lu AU - Tan L AD - Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Narayan, Srinivas B AU - Narayan SB FAU - Chen, Jie AU - Chen J FAU - Meyers, Gail Ditewig AU - Meyers GD FAU - Bennett, Michael J AU - Bennett MJ LA - eng PT - Case Reports PT - Journal Article DEP - 20110121 PL - United States TA - J Inherit Metab Dis JT - Journal of inherited metabolic disease JID - 7910918 RN - 0 (Codon) RN - 0 (Codon, Nonsense) RN - 0 (Fatty Acids) RN - 0 (Gentamicins) RN - 0 (Ketones) RN - 0 (Oxadiazoles) RN - EC 2.3.1.21 (Carnitine O-Palmitoyltransferase) RN - K16AME9I3V (ataluren) RN - S88TT14065 (Oxygen) SB - IM MH - Carnitine O-Palmitoyltransferase/*genetics MH - Child, Preschool MH - Codon MH - *Codon, Nonsense MH - Fatty Acids/chemistry MH - Female MH - Fibroblasts/cytology/metabolism MH - Gentamicins/pharmacology MH - Homozygote MH - Humans MH - Hyperammonemia/genetics MH - Hypoglycemia/genetics MH - Ketones/metabolism MH - Liver Diseases/genetics MH - Mutation MH - Oxadiazoles/*chemistry MH - Oxygen/chemistry MH - Phenotype MH - Skin/metabolism EDAT- 2011/01/22 06:00 MHDA- 2011/07/16 06:00 CRDT- 2011/01/22 06:00 PHST- 2010/02/19 00:00 [received] PHST- 2010/12/23 00:00 [accepted] PHST- 2010/12/13 00:00 [revised] PHST- 2011/01/22 06:00 [entrez] PHST- 2011/01/22 06:00 [pubmed] PHST- 2011/07/16 06:00 [medline] AID - 10.1007/s10545-010-9265-5 [doi] PST - ppublish SO - J Inherit Metab Dis. 2011 Apr;34(2):443-7. doi: 10.1007/s10545-010-9265-5. Epub 2011 Jan 21.