Case report: Infantile pulmonary alveolar proteinosis associated with cytosolic isoleucyl-tRNA synthetase deficiency

Cytosolic isoleucyl-tRNA synthetase (IARS1) deficiency, an exceptionally rare autosomal recessive inherited disorder, is characterized by multiple system involvement, including growth retardation, intellectual developmental disorder, hypotonia, and hepatopathy. Pulmonary alveolar proteinosis (PAP) i...

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Main Authors: Jie Wu, Yimu Fan, Feng Huo, Jie Deng, Quan Wang, Yuelin Shen
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Pharmacology
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Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2025.1487993/full
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author Jie Wu
Yimu Fan
Feng Huo
Jie Deng
Quan Wang
Yuelin Shen
Yuelin Shen
author_facet Jie Wu
Yimu Fan
Feng Huo
Jie Deng
Quan Wang
Yuelin Shen
Yuelin Shen
author_sort Jie Wu
collection DOAJ
description Cytosolic isoleucyl-tRNA synthetase (IARS1) deficiency, an exceptionally rare autosomal recessive inherited disorder, is characterized by multiple system involvement, including growth retardation, intellectual developmental disorder, hypotonia, and hepatopathy. Pulmonary alveolar proteinosis (PAP) is a rare phenotype of IARS1 deficiency, having been reported in only two siblings from the same family. In this study, we present a case of IARS1 deficiency in a 5-month-old boy, who exhibited PAP as the initial and predominant manifestation. Additionally, whole-exome sequencing identified compound heterozygous variants in the IARS1 gene (c.2428C>T/c.128T>C), both of which are novel observations.
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series Frontiers in Pharmacology
spelling doaj-art-edecc6127bb34eb9b9b02fe8e13c4c992025-01-30T06:22:42ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122025-01-011610.3389/fphar.2025.14879931487993Case report: Infantile pulmonary alveolar proteinosis associated with cytosolic isoleucyl-tRNA synthetase deficiencyJie Wu0Yimu Fan1Feng Huo2Jie Deng3Quan Wang4Yuelin Shen5Yuelin Shen6Emergency Department, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, ChinaEmergency Department, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, ChinaEmergency Department, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, ChinaNeurology Department, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, ChinaPediatric Intensive Care Unit, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, ChinaRespiratory Department II, National Clinical Research Center for Respiratory Diseases, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, ChinaRespiratory Department, Children’s Hospital Affiliated to Zhengzhou University, Henan Children’s hospital, Zhengzhou Children’s Hospital, Zhengzhou, ChinaCytosolic isoleucyl-tRNA synthetase (IARS1) deficiency, an exceptionally rare autosomal recessive inherited disorder, is characterized by multiple system involvement, including growth retardation, intellectual developmental disorder, hypotonia, and hepatopathy. Pulmonary alveolar proteinosis (PAP) is a rare phenotype of IARS1 deficiency, having been reported in only two siblings from the same family. In this study, we present a case of IARS1 deficiency in a 5-month-old boy, who exhibited PAP as the initial and predominant manifestation. Additionally, whole-exome sequencing identified compound heterozygous variants in the IARS1 gene (c.2428C>T/c.128T>C), both of which are novel observations.https://www.frontiersin.org/articles/10.3389/fphar.2025.1487993/fullIARS1 genepulmonary alveolar proteinosis (PAP)infantgene muatationcase repoort
spellingShingle Jie Wu
Yimu Fan
Feng Huo
Jie Deng
Quan Wang
Yuelin Shen
Yuelin Shen
Case report: Infantile pulmonary alveolar proteinosis associated with cytosolic isoleucyl-tRNA synthetase deficiency
Frontiers in Pharmacology
IARS1 gene
pulmonary alveolar proteinosis (PAP)
infant
gene muatation
case repoort
title Case report: Infantile pulmonary alveolar proteinosis associated with cytosolic isoleucyl-tRNA synthetase deficiency
title_full Case report: Infantile pulmonary alveolar proteinosis associated with cytosolic isoleucyl-tRNA synthetase deficiency
title_fullStr Case report: Infantile pulmonary alveolar proteinosis associated with cytosolic isoleucyl-tRNA synthetase deficiency
title_full_unstemmed Case report: Infantile pulmonary alveolar proteinosis associated with cytosolic isoleucyl-tRNA synthetase deficiency
title_short Case report: Infantile pulmonary alveolar proteinosis associated with cytosolic isoleucyl-tRNA synthetase deficiency
title_sort case report infantile pulmonary alveolar proteinosis associated with cytosolic isoleucyl trna synthetase deficiency
topic IARS1 gene
pulmonary alveolar proteinosis (PAP)
infant
gene muatation
case repoort
url https://www.frontiersin.org/articles/10.3389/fphar.2025.1487993/full
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