Unexplained neonatal respiratory distress due to congenital surfactant deficiency

J Pediatr. 2007 Jun;150(6):649-53, 653.e1. doi: 10.1016/j.jpeds.2007.03.008.

Abstract

Genetic abnormalities of pulmonary surfactant were identified by DNA sequence analysis in 14 (12 full-term, 2 preterm) of 17 newborn infants with fatal respiratory distress of unknown etiology. Deficiency of adenosine triphosphate-binding cassette protein, member A3 (n = 12) was a more frequent cause of this phenotype than deficiency of surfactant protein B (n = 2).

MeSH terms

  • ATP-Binding Cassette Transporters / genetics*
  • Birth Weight
  • Female
  • Gestational Age
  • Humans
  • Immunohistochemistry
  • Infant, Newborn
  • Lung / diagnostic imaging
  • Male
  • Mutation, Missense
  • Phenotype
  • Pulmonary Surfactant-Associated Protein B / genetics*
  • Pulmonary Surfactant-Associated Protein B / metabolism
  • Pulmonary Surfactant-Associated Protein C / genetics*
  • Pulmonary Surfactants*
  • Respiratory Distress Syndrome, Newborn / genetics*
  • Sequence Analysis, DNA*
  • Ultrasonography

Substances

  • ABCA3 protein, human
  • ATP-Binding Cassette Transporters
  • Pulmonary Surfactant-Associated Protein B
  • Pulmonary Surfactant-Associated Protein C
  • Pulmonary Surfactants
  • SFTPC protein, human