ArticleFrontiers in genetics2025
Clinical and genetic analysis of
Article in Frontiers in genetics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Uric acid is an important metabolic end-product in the human body, and metabolic abnormalities involving uric acid are receiving increasing attention. Methods: This study involved clinical assessment and genetic testing of a 40-year-old male patient who presented with the main complaint of hypouricemia for 7 years. Results: In addition to hypouricemia, the patient showed low urinary uric acid levels, low uric acid excretion rate, and nephrolithiasis. His younger brother also showed extremely low serum uric acid levels. Trio-whole-genome sequencing (trio-WGS) showed that the proband and his younger brother had a compound heterozygous molybdenum cofactor sulfurase (MOCOS) genotype with the pathogenic variant c.1272T>A (p.Cys424Ter) and the likely pathogenic variant c.1418C>T (p.Ser473Leu). The final diagnosis was Xanthinuria type II. A review of the literature for cases of Xanthinuria type II revealed reports describing 25 patients from 17 families. All 25 patients showed very low serum uric acid levels, eight showed urinary tract stones, and three reported joint or limb pain. Truncation pathogenic or likely pathogenic variants of the Conclusion: Sustained low serum uric acid levels may indicate monogenic uric acid metabolism disorders, and these patients should undergo genetic testing. In patients diagnosed with xanthinuria type II caused by
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