{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T07:03:28Z","timestamp":1760425408971},"reference-count":22,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,3,4]],"date-time":"2016-03-04T00:00:00Z","timestamp":1457049600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Fondazione Meyer ONLUS"},{"name":"Giovani Ricercatori-2a edizione"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Genetics"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:p>Barth syndrome (<jats:styled-content style=\"fixed-case\">BTHS<\/jats:styled-content>) is an X\u2010linked inborn error of metabolism which affects males. The main manifestations are cardiomyopathy, myopathy, hypotonia, growth delay, intermittent neutropenia and 3\u2010methylglutaconic aciduria. Diagnosis is confirmed by mutational analysis of the <jats:italic><jats:styled-content style=\"fixed-case\">TAZ<\/jats:styled-content><\/jats:italic> gene and biochemical dosage of the monolysocardiolipin\/tetralinoleoyl cardiolipin (<jats:styled-content style=\"fixed-case\">MLCL<\/jats:styled-content>:<jats:styled-content style=\"fixed-case\">L4\u2010CL<\/jats:styled-content>) ratio. We report a 6\u2010year\u2010old boy who presented with severe hypoglycemia, lactic acidosis and severe dilated cardiomyopathy soon after birth. The <jats:styled-content style=\"fixed-case\">MLCL<\/jats:styled-content>:<jats:styled-content style=\"fixed-case\">L4\u2010CL<\/jats:styled-content> ratio confirmed <jats:styled-content style=\"fixed-case\">BTHS<\/jats:styled-content> (3.90 on patient's fibroblast, normal: 0\u20130.3). Subsequent sequencing of the <jats:italic><jats:styled-content style=\"fixed-case\">TAZ<\/jats:styled-content><\/jats:italic> gene revealed only the new synonymous variant NM_000116.3 (<jats:italic><jats:styled-content style=\"fixed-case\">TAZ<\/jats:styled-content><\/jats:italic>):c.<jats:styled-content style=\"fixed-case\">348C<\/jats:styled-content>&gt;T p.(<jats:styled-content style=\"fixed-case\">Gly116Gly<\/jats:styled-content>), which did not appear to affect the protein sequence. <jats:italic>In silico<\/jats:italic> prediction analysis suggested the new c.<jats:styled-content style=\"fixed-case\">348C<\/jats:styled-content>&gt;T nucleotide change could alter the <jats:italic><jats:styled-content style=\"fixed-case\">TAZ<\/jats:styled-content><\/jats:italic> <jats:styled-content style=\"fixed-case\">mRNA<\/jats:styled-content> splicing processing. We analyzed <jats:italic><jats:styled-content style=\"fixed-case\">TAZ<\/jats:styled-content><\/jats:italic> <jats:styled-content style=\"fixed-case\">mRNAs<\/jats:styled-content> in the patient's fibroblasts and found an abnormal skipping of 24 bases (NM_000116.3:c.346_371), with the consequent ablation of 8 amino acid residues in the tafazzin protein (NP_000107.1:p.Lys117_Gly124del). Molecular analysis of at risk female family members identified the patient's sister and mother as heterozygous carriers. Apparently harmless synonymous variants in the <jats:italic><jats:styled-content style=\"fixed-case\">TAZ<\/jats:styled-content><\/jats:italic> gene can damage gene expression. Such findings widen our knowledge of molecular heterogeneity in <jats:styled-content style=\"fixed-case\">BTHS<\/jats:styled-content>.<\/jats:p>","DOI":"10.1111\/cge.12756","type":"journal-article","created":{"date-parts":[[2016,2,8]],"date-time":"2016-02-08T09:08:15Z","timestamp":1454922495000},"page":"461-465","source":"Crossref","is-referenced-by-count":15,"title":["When silence is noise: infantile\u2010onset Barth syndrome caused by a synonymous substitution affecting <i><scp>TAZ<\/scp><\/i> gene transcription"],"prefix":"10.1111","volume":"90","author":[{"given":"L.","family":"Ferri","sequence":"first","affiliation":[{"name":"Paediatric Neurology Unit and Laboratories, Neuroscience Department Meyer Children's Hospital  Florence Italy"},{"name":"Neuroscience, Psychology, Pharmacology and Child Health Department University of Florence  Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Dionisi\u2010Vici","sequence":"additional","affiliation":[{"name":"Department of Pediatric Medicine, Division of Metabolism and Research Unit of Metabolic Biochemistry Bambino Ges\u00f9 Children's Research Hospital  Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Taurisano","sequence":"additional","affiliation":[{"name":"Department of Pediatric Medicine, Division of Metabolism and Research Unit of Metabolic Biochemistry Bambino Ges\u00f9 Children's Research Hospital  Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F. M.","family":"Vaz","sequence":"additional","affiliation":[{"name":"Department of Clinical Chemistry and Paediatrics, Academic Medical Center University of Amsterdam  Amsterdam Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Guerrini","sequence":"additional","affiliation":[{"name":"Paediatric Neurology Unit and Laboratories, Neuroscience Department Meyer Children's Hospital  Florence Italy"},{"name":"Neuroscience, Psychology, Pharmacology and Child Health Department University of Florence  Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Morrone","sequence":"additional","affiliation":[{"name":"Paediatric Neurology Unit and Laboratories, Neuroscience Department Meyer Children's Hospital  Florence Italy"},{"name":"Neuroscience, Psychology, Pharmacology and Child Health Department University of Florence  Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,3,4]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-510X(83)90209-5"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/1750-1172-8-27"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2005-2667"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/1750-1172-8-23"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/ng0496-385"},{"key":"e_1_2_6_7_1","first-page":"2003","article-title":"The enigmatic role of tafazzin in cardiolipin metabolism","volume":"2009","author":"Houtkooper RH","year":"1788","journal-title":"Biochim Biophys Acta"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0163-7827(00)00005-9"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10495-007-0718-8"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ana.10176"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.a.30661"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1139\/o04-055"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1074\/jbc.M109.016642"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ab.2009.01.032"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1373\/clinchem.2007.095711"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10545-014-9747-y"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tig.2014.04.006"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrg3051"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mgene.2015.04.001"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/jmg.35.6.456"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/hmg\/ddt180"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajhg.2007.09.009"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0022951"}],"container-title":["Clinical Genetics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcge.12756","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcge.12756","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cge.12756","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,9]],"date-time":"2023-09-09T12:06:26Z","timestamp":1694261186000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cge.12756"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,3,4]]},"references-count":22,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2016,11]]}},"alternative-id":["10.1111\/cge.12756"],"URL":"https:\/\/doi.org\/10.1111\/cge.12756","archive":["Portico"],"relation":{},"ISSN":["0009-9163","1399-0004"],"issn-type":[{"value":"0009-9163","type":"print"},{"value":"1399-0004","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,3,4]]}}}