A síndrome de Lesch-Nyhan (SLN) é a forma mais grave da falta de uma enzima chamada HPRT (hipoxantina-guanina fosforribosiltransferase), uma condição genética que afeta o metabolismo das purinas. Ela está associada à produção excessiva de ácido úrico, problemas neurológicos e problemas de comportamento.
Introdução
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A síndrome de Lesch-Nyhan (SLN) é a forma mais grave da falta de uma enzima chamada HPRT (hipoxantina-guanina fosforribosiltransferase), uma condição genética que afeta o metabolismo das purinas. Ela está associada à produção excessiva de ácido úrico, problemas neurológicos e problemas de comportamento.
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Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Partes do corpo afetadas
+ 19 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 40 características clínicas mais associadas, ordenadas por frequência.
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Genética e causas
O que está alterado no DNA e como passa nas famílias
Genes associados
1 gene identificado com associação a esta condição. Padrão de herança: X-linked recessive.
Converts guanine to guanosine monophosphate, and hypoxanthine to inosine monophosphate. Transfers the 5-phosphoribosyl group from 5-phosphoribosylpyrophosphate onto the purine. Plays a central role in the generation of purine nucleotides through the purine salvage pathway
Cytoplasm
Lesch-Nyhan syndrome
Characterized by complete lack of enzymatic activity that results in hyperuricemia, choreoathetosis, intellectual disability, and compulsive self-mutilation.
Medicamentos e terapias
Mecanismo: Phenylalanine-4-hydroxylase activator
Mecanismo: Dopamine D1 receptor antagonist
Variantes genéticas (ClinVar)
315 variantes patogênicas registradas no ClinVar.
Classificação de variantes (ClinVar)
Distribuição de 227 variantes classificadas pelo ClinVar.
Vias biológicas (Reactome)
3 vias biológicas associadas aos genes desta condição.
Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
Onde tratar no SUS
Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)
🇧🇷 Atendimento SUS — Síndrome Lesch-Nyhan
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Outros ensaios clínicos
6 ensaios clínicos encontrados, 1 ativos.
Publicações mais relevantes
Nonextraction solution for self-injurious behavior in children with Lesch-Nyhan syndrome: a retrospective case series with up to 14 years of follow-up.
Lesch-Nyhan syndrome (LNS) is a rare X-linked disorder characterized by hyperuricemia, neurological impairment, and severe self-injurious behavior (SIB), frequently involving the oral tissues. Dental management of oral SIB remains challenging, and irreversible tooth extraction is still commonly employed. This retrospective case series describes four unrelated patients with LNS (aged 2.5-16 years) treated over a 20-year period using a customized dual-laminate thermoplastic intraoral appliance. The primary outcome was cessation of oral self-injury; secondary outcomes included tissue healing, appliance tolerance, and adverse effects. Follow-up ranged from 16 months to 14 years. All patients demonstrated complete clinical cessation of oral self-biting, with healing of soft tissues and no need for tooth extraction. The appliances were well tolerated, easily fabricated, and demonstrated durable performance without reported complications during long-term follow-up. This conservative, fully intraoral approach may represent an effective and reversible alternative to irreversible dental extractions for managing oral SIB in patients with LNS, particularly when implemented in experienced clinical settings. The technique appears most appropriate for dentists trained in special care or hospital-based dentistry to ensure safety, comfort, and long-term functional outcomes.
When the kidneys speak for the brain: a nephrological presentation of a rare neurological disorder.
Lesch-Nyhan syndrome (LNS) is a rare X-linked recessive disorder caused by complete deficiency of hypoxanthine-guanine phosphoribosyltransferase (HPRT). While the disease is classically characterized by severe neurological manifestations and self-injurious behavior, kidney involvement is an underrecognized but important aspect of the clinical spectrum.
Modeling rare genetic disease with gene-edited induced pluripotent stem cells: relevance of the starting stock line.
Induced pluripotent stem cells (iPSCs) are commonly used to model human genetic diseases. Two main strategies are used. The first involves making iPSC lines from individual cases with a disease, and the second involves making disease-relevant gene edits in established iPSC lines. Because generating gene-edited lines is time consuming and expensive, most studies begin with one starting iPSC stock line and evaluate several gene-edited sublines. The current studies focus on gene-editing to model Lesch-Nyhan disease (LND), which is caused by mutations in the HPRT1 gene. The same pathogenic c.508C>T edit was made in four well-established stock lines, and three gene-edited lines were isolated from each. RNA sequencing (RNAseq) was, then, used to evaluate the impact of the gene edit. Gene-edited lines were compared to their corresponding stock lines, as well as to each other. An aggregate analysis of all lines combined was also conducted to determine the most robust findings across all lines. Results from gene editing were further compared with iPSC lines derived from individual cases with LND, to determine how closely findings from gene editing match results obtained with case-derived lines. There were two main findings. First, the same gene edit has a different impact on gene expression when starting with different starting stock lines. Second, the gene editing strategy does not produce the same results as the case-derived strategy. Potential explanations for these differences are addressed, along with the relevance of these two different strategies for disease modeling.
Uncovering Proteomic and Biochemical Alterations in Plasma from Lesch-Nyhan Disease Patients.
Lesch-Nyhan disease (LND) is an ultra-rare X-linked inborn error of metabolism caused by complete or partial deficiency of hypoxanthine-guanine phosphoribosyltransferase (HPRT), a key enzyme in the purine salvage pathway. This defect leads to uric acid overproduction and a broad spectrum of neurological and behavioral manifestations, whose severity depends on the degree of residual enzymatic activity. Although emerging evidence implicates HPRT deficiency in widespread cellular dysfunctions, particularly within midbrain dopaminergic neurons, the molecular mechanisms underlying the neurobehavioral phenotype of HPRT deficiency remain poorly understood and are not adequately explained by purine metabolism dysfunctions alone. Although proteomics represents a powerful approach for elucidating molecular alterations underlying disease, it has so far found only limited application in LND research. To address this gap, we provide here the first proteomic study combined with clinical biochemistry data and pro-inflammatory cytokines profiling of plasma samples from 29 HPRT deficient individuals (21 with classic LND and 8 with Lesch-Nyhan variants - LNV). We suggest that plasma proteomics might be a potential tool in LND for monitoring disease progression and therapeutic response, potentially paving the way for targeted treatment strategies that extend beyond the purine salvage pathway to address the currently unmet clinical needs of LND patients.
Association of alcohol responsiveness and non-motor symptoms in isolated adult-onset dystonia.
About 30% of patients with isolated adult-onset dystonia report an improvement of their motor symptoms after the consumption of alcohol. In this cross-sectional study, we sought to investigate whether the observed improvement is attributable to the anxiolytic, euphoric, and analgesic properties of alcohol, rather than or in addition to its effect on dystonic movements, as psychiatric symptoms and pain frequently occur in dystonia patients and as emotional stress is a well-established trigger for symptom exacerbation. We analyzed data from 339 prospectively enrolled participants with recently diagnosed isolated dystonia (mean age: 55.2 ± 12.5 years, 228 female) of the Natural History Project of the Dystonia Coalition, a large international multicenter study. Alcohol responsiveness was determined by patients´ self-report. Symptoms of depression, as well as generalized and social anxiety, were assessed using the Hospital Anxiety and Depression Scale and the Liebowitz Social Anxiety Scale. Severity of pain was measured using question 21 of the RAND 36-Item Health Survey. Participants with more severe pain reported greater response to alcohol than those with less severe pain (p = .004), whereas symptoms of depression (p = .986), generalized anxiety (p = .395) and social anxiety (p = .953) were not associated. Alcohol responsiveness in isolated dystonia is associated with higher levels of pain, whereas self-reported alcohol-related improvements in dystonic movements or tremor do not depend on the euphoric or anxiolytic effects of alcohol. This finding underscores the potential role of pain management in alleviating motor symptoms in dystonia.
Publicações recentes
Recurrent Oral Ulcers and Self-Mutilation in Infancy: Distinguishing Congenital Insensitivity to Pain with Anhidrosis from Lesch-Nyhan Syndrome.
Nonextraction solution for self-injurious behavior in children with Lesch-Nyhan syndrome: a retrospective case series with up to 14 years of follow-up.
When the kidneys speak for the brain: a nephrological presentation of a rare neurological disorder.
Umbilical Cord Blood Transplantation in Lesch-Nyhan Syndrome: A Case Report and Literature Review.
🥈 ObservacionalLesch-Nyhan syndrome a dental approach: case report.
🥈 Observacional📚 EuropePMC504 artigos no totalmostrando 179
Nonextraction solution for self-injurious behavior in children with Lesch-Nyhan syndrome: a retrospective case series with up to 14 years of follow-up.
Quintessence international (Berlin, Germany : 1985)When the kidneys speak for the brain: a nephrological presentation of a rare neurological disorder.
Pediatric nephrology (Berlin, Germany)Umbilical Cord Blood Transplantation in Lesch-Nyhan Syndrome: A Case Report and Literature Review.
CureusModeling rare genetic disease with gene-edited induced pluripotent stem cells: relevance of the starting stock line.
Stem cells translational medicineUncovering Proteomic and Biochemical Alterations in Plasma from Lesch-Nyhan Disease Patients.
Cellular and molecular neurobiologyAssociation of alcohol responsiveness and non-motor symptoms in isolated adult-onset dystonia.
Journal of neurologyDevelopment of a Patient-Centered Outcome Tool for Blepharospasm: A Stepwise Modified Delphi Study.
ToxinsLesch-Nyhan syndrome a dental approach: case report.
African health sciencesGuanine is an inhibitor of c-jun terminal kinases.
Scientific reports[Clinical characteristics and treatment of two children with Lesch-Nyhan syndrome].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsModeling rare genetic disease with patient-derived induced pluripotent stem cells: reassessment of the minimum numbers of lines needed.
Stem cells translational medicineGene Expression Analysis of HPRT-Deficient Cells Maintained with Physiological Levels of Folic Acid.
CellsThe diagnosis and treatment of disorders of nucleic acid/nucleotide metabolism associated with epilepsy.
Acta epileptologica[Lesch-Nyhan syndrome in dizygotic twins].
MedicinaCase report: Whole exome sequencing identifies a novel variant in the HPRT1 gene in a male with developmental delay.
Frontiers in geneticsPurine Metabolism and Dystonia: Perspectives of a Long-Promised Relationship.
Annals of neurologyThe Role of Purine Metabolism and Uric Acid in Postnatal Neurologic Development.
Molecules (Basel, Switzerland)Kidney Stones in Children: Causes, Consequences, and Concerns.
Indian pediatricsLesch-Nyhan Syndrome and Oral Self-injury: A Systematic Review of Case Reports.
International journal of clinical pediatric dentistryWhole Exome Sequencing Facilitates Early Diagnosis of Lesch-Nyhan Syndrome: A Case Series.
Diagnostics (Basel, Switzerland)Lesch-Nyhan Syndrome with Neurological Symptoms and Nephrocalcinosis.
Indian journal of pediatricsGenetic Diversity and Expanded Phenotypes in Dystonia: Insights from Large-Scale Exome Sequencing.
medRxiv : the preprint server for health sciencesA narrative review of monogenic disorders causing nephrolithiasis and chronic kidney disease.
Nephrology (Carlton, Vic.)Unleashing the Power of Induced Pluripotent stem Cells in in vitro Modelling of Lesch-Nyhan Disease.
Stem cell reviews and reportsGenetic Risk Factors in Isolated Dystonia Escape Genome-Wide Association Studies.
Movement disorders : official journal of the Movement Disorder SocietyManagement of neurological symptoms in Lesch-Nyhan disease: A systematic review.
Neuroscience and biobehavioral reviewsAdenylyl cyclase 2 expression and function in neurological diseases.
CNS neuroscience & therapeuticsRecurrent Fevers, Dysautonomia, and Dehydration in a Patient With Lesch-Nyhan Syndrome.
CureusDuration of botulinum toxin efficacy in cervical dystonia clinical trials: A scoping review.
Parkinsonism & related disordersEstablishment and characterization of Lesch-Nyhan syndrome rabbit model.
Yi chuan = HereditasMetabolic and neurobehavioral disturbances induced by purine recycling deficiency in Drosophila.
eLifeA rare case of congenital insensitivity to pain with anhidrosis.
Paediatrics and international child healthVery Early Levodopa May Prevent Self-Injury in Lesch-Nyhan Disease.
Pediatric neurologyA Wearable Electrochemical Biosensor Utilizing Functionalized Ti3C2Tx MXene for the Real-Time Monitoring of Uric Acid Metabolite.
Analytical chemistryAmyloidogenic Propensity of Metabolites in the Uric Acid Pathway and Urea Cycle Critically Impacts the Etiology of Metabolic Disorders.
ACS chemical neuroscienceAn Exploratory, Randomized, Double-Blind Clinical Trial of Dipraglurant for Blepharospasm.
Movement disorders : official journal of the Movement Disorder SocietyA new physiological medium uncovers biochemical and cellular alterations in Lesch-Nyhan disease fibroblasts.
Molecular medicine (Cambridge, Mass.)Comments regarding the paper "Lesch-Nyhan syndrome: a case report" published recently by Park et al. in J Korean Assoc Oral Maxillofac Surg.
Journal of the Korean Association of Oral and Maxillofacial SurgeonsGeneration of an iPSC line (SDQLCHi030-A) derived from PBMCs of a patient with Lesch-Nyhan syndrome caused by HPRT1 mutation.
Stem cell researchNaringin corrects renal failure related to Lesch-Nyhan disease in a rat model via NOS-cAMP-PKA and BDNF/TrkB pathways.
Journal of biochemical and molecular toxicologyRed Blood Cells from Individuals with Lesch-Nyhan Syndrome: Multi-Omics Insights into a Novel S162N Mutation Causing Hypoxanthine-Guanine Phosphoribosyltransferase Deficiency.
Antioxidants (Basel, Switzerland)Lesch-Nyhan syndrome: a case report.
Journal of the Korean Association of Oral and Maxillofacial SurgeonsThe Role of Video-EEG Monitoring in Lesch-Nyhan Syndrome.
MaedicaClinical and genetic characteristics of 36 children with Joubert syndrome.
Frontiers in pediatricsRenal function, sex and age influence purines and pyrimidines in urine and could lead to diagnostic misinterpretation.
Molecular genetics and metabolismDiscovering functionally important sites in proteins.
Nature communicationsCRISPR/Cas9-mediated generation of human embryonic stem cell sub-lines with HPRT1 gene knockout to model Lesch Nyhan disease.
Stem cell researchHalf-chromatid mutation as a possible cause of mosaic males and females in Hymenoptera and rare fertile male tortoiseshell cats.
Genome[Genetic analysis of a Chinese pedigree with Lesch-Nyhan syndrome].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsSingle-Electrode Deep Brain Stimulation of Bilateral Posterolateral Globus Pallidus Internus in Patients With Medically Resistant Lesch-Nyhan Syndrome.
CureusElectro-optical behaviour of CuFe2 O4 @rGO nanocomposite for nonenzymatic detection of uric acid via the electrochemical method.
Luminescence : the journal of biological and chemical luminescenceTherapeutic gene correction for Lesch-Nyhan syndrome using CRISPR-mediated base and prime editing.
Molecular therapy. Nucleic acidsComments regarding the paper "Oral Self-Mutilation in Lesch-Nyhan Patients: A Cross-Sectional Study" by Gaetano et al. published recently in the Journal of Clinical Medicine. 2022; 11: 5981. and concerning a topic related to pediatric dental practice.
European archives of paediatric dentistry : official journal of the European Academy of Paediatric DentistryHPRT1 Deficiency Induces Alteration of Mitochondrial Energy Metabolism in the Brain.
Molecular neurobiologyDetailed genetic and clinical analysis of a novel de novo variant in HPRT1: Case report of a female patient from Saudi Arabia with Lesch-Nyhan syndrome.
Frontiers in geneticsDeep brain stimulation in Lesch-Nyhan syndrome: a systematic review.
Neurosurgical review[Analysis of HPRT1 gene variant and prenatal diagnosis for a Chinese pedigree with Lesch-Nyhan syndrome but no specimen from affected probands].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsOral Self-Mutilation in Lesch-Nyhan Patients: A Cross-Sectional Study.
Journal of clinical medicineAbnormalities of neural stem cells in Lesch-Nyhan disease.
Journal of neurogeneticsMonogenic urinary lithiasis in Tunisian children: 25 years' experience of a referral center.
La Tunisie medicaleTeeth Mutilation: Review and Two Case Reports.
Journal of pharmacy & bioallied sciencesOral Self-Mutilation in Lesch-Nyhan Syndrome: A Case Report.
CureusEthical implications of early genetic diagnosis in an infant with Lesch-Nyhan syndrome.
Journal of genetic counselingHGprt deficiency disrupts dopaminergic circuit development in a genetic mouse model of Lesch-Nyhan disease.
Cellular and molecular life sciences : CMLSArchitecture of a multi-channel and easy-to-make microfluidic paper-based colorimetric device (μPCD) towards selective and sensitive recognition of uric acid by AuNPs: an innovative portable tool for the rapid and low-cost identification of clinically relevant biomolecules.
RSC advancesLiquid crystal-based sensitive and selective detection of uric acid and uricase in body fluids.
TalantaPUS7 deficiency in human patients causes profound neurodevelopmental phenotype by dysregulating protein translation.
Molecular genetics and metabolismCongenital anomalies-associated Riga-Fede disease as an early manifestation of Lesch-Nyhan syndrome: rare entities in the same pediatric patient-a case report.
BMC oral healthSafety and Efficacy of Botulinum Toxin in the Treatment of Self-Biting Behavior in Lesch-Nyhan Disease.
Pediatric neurologyParoxysmal hyperthermia, dysautonomia and rhabdomyolysis in a patient with Lesch-Nyhan syndrome.
JIMD reportsMicrostructural white matter abnormalities in Lesch-Nyhan disease.
The European journal of neuroscience50 Years Ago in TheJournalofPediatrics: Diagnosis of Self-Mutilation and Hyperuricemia.
The Journal of pediatricsCerebral Venous Sinus Thrombosis in a Child with Lesch-Nyhan Syndrome.
Neurology IndiaSelecting for and Checking Cells with HGPRT Deficiency for Hybridoma Production.
Cold Spring Harbor protocolsLesch-Nyhan disease causes impaired energy metabolism and reduced developmental potential in midbrain dopaminergic cells.
Stem cell reports[Living with Lesch-Nyhan disease].
La Revue du praticienInborn Errors of Metabolism Associated With Autism Spectrum Disorders: Approaches to Intervention.
Frontiers in neuroscienceLesch-Nyhan syndrome due to a splice-site mutation in a 14-month-old boy presenting as acute renal failure.
Clinical nephrologyInduced pluripotent stem cells from subjects with Lesch-Nyhan disease.
Scientific reportsReduction of self-mutilating behavior and improved oromotor function in a patient with Lesch-Nyhan syndrome following botulinum toxin injection: A case report.
Journal of pediatric rehabilitation medicineDeep brain stimulation in Lesch-Nyhan disease: outcomes from the patient's perspective.
Developmental medicine and child neurologyRecurrent Xanthine Stones in a Young Patient with Lesch-Nyhan Syndrome.
Journal of endourology case reportsOxidopamine and oxidative stress: Recent advances in experimental physiology and pharmacology.
Chemico-biological interactionsClinical and molecular findings in a Turkish family with an ultra-rare condition, ELP2-related neurodevelopmental disorder.
Molecular biology reportsCT, US and MRI of xanthine urinary stones: in-vitro and in-vivo analyses.
BMC urologyAtypical Cadherin FAT3 Is a Novel Mediator for Morphological Changes of Microglia.
eNeuroHypoxanthine phosphoribosyltransferase (HPRT)-deficiency is associated with impaired fertility in the female rat.
Molecular reproduction and developmentDelayed emergence from propofol anesthesia in a patient with Lesch-Nyhan syndrome: A case report.
MedicineAn electrochemical biosensor based on multi-wall carbon nanotube-modified screen-printed electrode immobilized by uricase for the detection of salivary uric acid.
Analytical and bioanalytical chemistryDeep Brain Stimulation of the Internal Pallidum in Lesch-Nyhan Syndrome: Clinical Outcomes and Connectivity Analysis.
Neuromodulation : journal of the International Neuromodulation SocietyA case of a 'rude' but not to be missed manifestation of epilepsy: ictal swearing.
The journal of the Royal College of Physicians of EdinburghSelf-injurious behaviour in movement disorders: systematic review.
Journal of neurology, neurosurgery, and psychiatryPhysiological levels of folic acid reveal purine alterations in Lesch-Nyhan disease.
Proceedings of the National Academy of Sciences of the United States of AmericaLesch-Nyhan disease: I. Construction of expression vectors for hypoxanthine-guanine phosphoribosyltransferase (HGprt) enzyme and amyloid precursor protein (APP).
Nucleosides, nucleotides & nucleic acidsAnimal Model Contributions to Congenital Metabolic Disease.
Advances in experimental medicine and biologyHPRT-related hyperuricemia with a novel p.V35M mutation in HPRT1 presenting familial juvenile gout.
CEN case reportsRescuing compounds for Lesch-Nyhan disease identified using stem cell-based phenotypic screening.
JCI insightLate diagnosis of Lesch-Nyhan disease complicated with end-stage renal disease and tophi burst: a case report.
Renal failureAnaesthetic management of a child with Lesch Nyhan syndrome.
Indian journal of anaesthesia[Generation of cell strains containing point mutations in HPRT1 by CRISPR/Cas9].
Yi chuan = HereditasHPRT and Purine Salvaging Are Critical for Hematopoietic Stem Cell Function.
Stem cells (Dayton, Ohio)Gout and the risk of advanced chronic kidney disease in the UK health system: a national cohort study.
BMJ openReduced Graphene Oxide-based Covalent Hybrid Film Electrode Self-assembled with Gold Nanoparticles for the Enzyme-Free Amperometric Sensing of Serum Uric Acid.
Analytical sciences : the international journal of the Japan Society for Analytical ChemistryTongue Protrusion Dystonia in Pantothenate Kinase-Associated Neurodegeneration.
Pediatric neurologyAnimal Models of Self-Injurious Behavior: An Update.
Methods in molecular biology (Clifton, N.J.)Clinical, biochemical and genetic characteristics of a cohort of 101 French and Italian patients with HPRT deficiency.
Molecular genetics and metabolismPhenotypic and molecular spectrum of Korean patients with Lesch-Nyhan syndrome and attenuated clinical variants.
Metabolic brain diseaseDystonia in Handcuffs: A Picture Typical of Lesch-Nyhan Syndrome.
Movement disorders clinical practiceMicroglial histamine H4R in the pathophysiology of Parkinson's disease-a new actor on the stage?
Naunyn-Schmiedeberg's archives of pharmacologyGenetic mimics of cerebral palsy.
Movement disorders : official journal of the Movement Disorder SocietyUnderstanding the structure-function relationship of HPRT1 missense mutations in association with Lesch-Nyhan disease and HPRT1-related gout by in silico mutational analysis.
Computers in biology and medicineAnalysis of synonymous codon usage patterns of HPRT1 gene across twelve mammalian species.
GenomicsInhibiting PNP for the therapy of hyperuricemia in Lesch-Nyhan disease: Preliminary in vitro studies with analogues of immucillin-G.
Journal of inherited metabolic diseaseSpinal Tophi Causing Cord Compression and Mimicking Epidural Abscess in a Young Man With Lesch-Nyhan Variant.
Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseasesRecurrent kidney stones in a child with Lesch-Nyhan syndrome: Answers.
Pediatric nephrology (Berlin, Germany)Recurrent kidney stones in a child with Lesch-Nyhan syndrome: Questions.
Pediatric nephrology (Berlin, Germany)Compositional complexity of rods and rings.
Molecular biology of the cellXanthine calculi in a patient with Lesch-Nyhan syndrome and factor V Leiden treated with allopurinol: case report.
BMC pediatricsCongenital and acquired diseases related to stone formation.
Current opinion in urologyGLUT9 influences uric acid concentration in patients with Lesch-Nyhan disease.
International journal of rheumatic diseasesMacrocytic anemia in Lesch-Nyhan disease and its variants.
Genetics in medicine : official journal of the American College of Medical GeneticsA review of HPRT and its emerging role in cancer.
Medical oncology (Northwood, London, England)Oral self-mutilation in Lesch-Nyhan Syndrome. Case Report.
Revista chilena de pediatriaInborn Errors of Metabolism with Cognitive Impairment: Metabolism Defects of Phenylalanine, Homocysteine and Methionine, Purine and Pyrimidine, and Creatine.
Pediatric clinics of North AmericaLesch-Nyhan Syndrome in a Chinese Family with Mutation in the Hypoxanthine-Guanine Phosphoribosyltransferase Gene.
Clinical laboratoryLeveraging Rational Protein Engineering to Improve mRNA Therapeutics.
Nucleic acid therapeuticsAltered gastrointestinal motility in an animal model of Lesch-Nyhan disease.
Autonomic neuroscience : basic & clinicalLesch-Nyhan syndrome and its variants: examining the behavioral and neurocognitive phenotype.
Current opinion in psychiatryNovel mutation in the human HPRT1 gene and the Lesch-Nyhan disease.
Nucleosides, nucleotides & nucleic acidsSkewed X inactivation in Lesch-Nyhan disease carrier females.
Journal of human geneticsUric acid, an important screening tool to detect inborn errors of metabolism: a case series.
BMC research notesA Case of Attempted Bilateral Self-Enucleation in a Patient with Bipolar Disorder.
Mental illnessCRISPR/Cas9-Mediated Scanning for Regulatory Elements Required for HPRT1 Expression via Thousands of Large, Programmed Genomic Deletions.
American journal of human geneticsLesch-Nyhan disease in two families from Chiloé Island with mutations in the HPRT1 gene.
Nucleosides, nucleotides & nucleic acidsA Trivalent Enzymatic System for Uricolytic Therapy of HPRT Deficiency and Lesch-Nyhan Disease.
Pharmaceutical researchLesch-Nyhan syndrome: The saga of metabolic abnormalities and self-injurious behavior.
Intractable & rare diseases researchThe renal phenotype of allopurinol-treated HPRT-deficient mouse.
PloS oneQuantification of various APP-mRNA isoforms and epistasis in Lesch-Nyhan disease.
Neuroscience lettersOral Hemorrhage in a 3-year-old Boy Caused by Self-Mutilating Behavior.
Pakistan journal of medical sciencesHuman HPRT1 gene and the Lesch-Nyhan disease: Substitution of alanine for glycine and inversely in the HGprt enzyme protein.
Nucleosides, nucleotides & nucleic acids[Treatment of self-injurious behaviors in Lesch-Nyhan syndrome with S-adenosylmethionine].
No to hattatsu = Brain and developmentLesch-Nyhan Syndrome: Models, Theories, and Therapies.
Molecular syndromologyA review of the implication of hypoxanthine excess in the physiopathology of Lesch-Nyhan disease.
Nucleosides, nucleotides & nucleic acidsDevelopment of new forms of self-injurious behavior following total dental extraction in Lesch-Nyhan disease.
Nucleosides, nucleotides & nucleic acidsSelf-injurious Behavior in a Young Child with Lesch-Nyhan Syndrome.
Indian journal of psychological medicineNovel mutation in HPRT1 causing a splicing error with multiple variations.
Nucleosides, nucleotides & nucleic acidsHPRTYale proposed as a pathogenic variant for Lesch-Nyhan syndrome: a case report.
Genetics and molecular research : GMRMutation in the Human HPRT1 Gene and the Lesch-Nyhan Syndrome.
Nucleosides, nucleotides & nucleic acidsLesch-Nyhan Syndrome: Disorder of Self-mutilating Behavior.
International journal of clinical pediatric dentistryTowards rational drug treatment of Lesch-Nyhan disease.
Molecular genetics and metabolismNeurotransmitter and their metabolite concentrations in different areas of the HPRT knockout mouse brain.
Journal of the neurological sciencesAcute renal failure unmasking Lesch-Nyhan disease in a patient with tuberous sclerosis complex.
European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology SocietyReduced levels of dopamine and altered metabolism in brains of HPRT knock-out rats: a new rodent model of Lesch-Nyhan Disease.
Scientific reportsA double-blind, placebo-controlled, crossover trial of the selective dopamine D1 receptor antagonist ecopipam in patients with Lesch-Nyhan disease.
Molecular genetics and metabolismOvercoming the oral aspects of -self-mutilation: description of a method.
Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric DentistryNephrocalcinosis and Renal Failure in Lesch-Nyhan Syndrome: Report of Two Familial Cases and Review of the Literature.
UrologyThe Use of Perinatal 6-Hydroxydopamine to Produce a Rodent Model of Lesch-Nyhan Disease.
Current topics in behavioral neurosciencesA clinical trial of safety and tolerability for the selective dopamine D1 receptor antagonist ecopipam in patients with Lesch-Nyhan disease.
Molecular genetics and metabolismThe eye and the skin in nonendocrine metabolic disorders.
Clinics in dermatology[Self injury in adolescence].
Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte GebieteAn unusual case of renal failure: Answers.
Pediatric nephrology (Berlin, Germany)An unusual case of renal failure: Questions.
Pediatric nephrology (Berlin, Germany)Altered histamine neurotransmission in HPRT-deficient mice.
Neuroscience lettersEpigenetic Regulation in Amyloid Precursor Protein with Genomic Rearrangements and the Lesch-Nyhan Syndrome.
Nucleosides, nucleotides & nucleic acidsMicroRNAs: tools of mechanistic insights and biological therapeutics discovery for the rare neurogenetic syndrome Lesch-Nyhan disease (LND).
Advances in geneticsDetermination of Activity of the Enzymes Hypoxanthine Phosphoribosyl Transferase (HPRT) and Adenine Phosphoribosyl Transferase (APRT) in Blood Spots on Filter Paper.
Current protocols in human geneticsLesch-Nyhan Syndrome in an Indian Child.
Indian journal of dermatologyDo clinical features of Lesch-Nyhan disease correlate more closely with hypoxanthine or guanine recycling?
Journal of inherited metabolic diseaseEfficient Gene Editing in Pluripotent Stem Cells by Bacterial Injection of Transcription Activator-Like Effector Nuclease Proteins.
Stem cells translational medicineLesch-Nyhan Syndrome in a Family with a Deletion Followed by an Insertion within the HPRT1 Gene.
Nucleosides, nucleotides & nucleic acidsHypoxanthine deregulates genes involved in early neuronal development. Implications in Lesch-Nyhan disease pathogenesis.
Journal of inherited metabolic diseaseNucleotide salvage deficiencies, DNA damage and neurodegeneration.
International journal of molecular sciencesAngelman syndrome: The blurred lines of interpretation in cognitive defects.
Journal of pediatric neurosciencesConsequences of impaired purine recycling on the proteome in a cellular model of Lesch-Nyhan disease.
Molecular genetics and metabolismSmall Duplication of HPRT 1 Gene May Be Causative For Lesh-Nyhan Disease in Iranian Patients.
Iranian journal of child neurologyThe human β-amyloid precursor protein: biomolecular and epigenetic aspects.
Biomolecular conceptsAlzheimer's disease shares gene expression aberrations with purinergic dysregulation of HPRT deficiency (Lesch-Nyhan disease).
Neuroscience lettersNew biomarkers for early diagnosis of Lesch-Nyhan disease revealed by metabolic analysis on a large cohort of patients.
Orphanet journal of rare diseasesRemarkable clinical improvement with bilateral globus pallidus internus deep brain stimulation in a case of Lesch-Nyhan disease: five-year follow-up.
Neuromodulation : journal of the International Neuromodulation SocietyAssociações
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Comunidades
Grupos ativos de quem convive com esta doença aqui no Raras
Ainda não existe comunidade no Raras para Síndrome Lesch-Nyhan
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Referências e fontes
Bases de dados externas citadas neste artigo
Publicações científicas
Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.
- Nonextraction solution for self-injurious behavior in children with Lesch-Nyhan syndrome: a retrospective case series with up to 14 years of follow-up.
- When the kidneys speak for the brain: a nephrological presentation of a rare neurological disorder.
- Modeling rare genetic disease with gene-edited induced pluripotent stem cells: relevance of the starting stock line.
- Uncovering Proteomic and Biochemical Alterations in Plasma from Lesch-Nyhan Disease Patients.
- Association of alcohol responsiveness and non-motor symptoms in isolated adult-onset dystonia.
- Recurrent Oral Ulcers and Self-Mutilation in Infancy: Distinguishing Congenital Insensitivity to Pain with Anhidrosis from Lesch-Nyhan Syndrome.
- Umbilical Cord Blood Transplantation in Lesch-Nyhan Syndrome: A Case Report and Literature Review.
- Lesch-Nyhan syndrome a dental approach: case report.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:510(Orphanet)
- OMIM OMIM:300322(OMIM)
- MONDO:0010298(MONDO)
- GARD:7226(GARD (NIH))
- Variantes catalogadas(ClinVar)
- Busca completa no PubMed(PubMed)
- Artigo Wikipedia(Wikipedia)
- Q727436(Wikidata)
Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.
Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar
