Articles

Dilated Cardiomyopathy in Two Patients with Xeroderma Pigmentosum Disease: A Case Report

Abstract

Xerodermapigmentosum (XP), is an autosomal recessivegenetic disorder of DNA repair in which the ability to repair damage caused by ultraviolet (UV) light is deficient. The oxidative stress caused by decline catalase activity as an antioxidant enzyme, has been illustrated in these patients. This is the first case report of dilated cardiomyopathy in two patients with XP, A 26 year old girl and her younger brother. Laboratory studies demonstrated severe vitamin D deficiency in both of them. Cardiac dysfunction in the presented cases with XP might be caused by vitamin D deficiency. But this question still remains: whether chronic oxidative stress can involve the heart and can be a predisposing factor or even an underlying factor for dilated cardiomyopathy in XP, or not. More studies are needed for demonstrating this hypothesis.

Burns T, Breathnach S, Cox N, Griffiths C.Rook's Textbook of Dermatology. 7th ed. Vol. 1. Malden, MA: Blackwell Publishing; 2004:12.56-12.63.

Zittermann A, Schleithoff SS, Tenderich G, Berthold HK,=Körfer R, Stehle P. Low vitamin D status: a contributing factor in the pathogenesis of congestive heart failure? J Am CollCardiol2003;41(1):105-12.

Pilz S, März W, Wellnitz B, Seelhorst U, Fahrleitner- Pammer A, Dimai HP, Boehm BO, Dobnig H.Association of vitamin D deficiency with heart failure and sudden cardiac death in a large cross-sectional study of patients referred for coronary angiography. J ClinEndocrinolMetab2008;93(10):3927-35.

Zittermann A, Schleithoff SS, Koerfer R.Vitamin D insufficiency in congestive heart failure: why and what to do about it? Heart Fail Rev2006;11(1):25-33.

Kim BG, Chang SK, Kim SM, Hwang JS, Jung JW.Dilated cardiomyopathy in a 2 month-old infant: a severe form of hypocalcemia with vitamin d deficient rickets. Korean Circ J 2010;40(4):201-3.

Maiya S, Sullivan I, Allgrove J, Yates R, Malone M, Brain C, Archer N, Mok Q, Daubeney P, Tulloh R, Burch M.Hypocalcaemia and vitamin D deficiency: an important, but preventable, cause of life-threatening infant heart failure.Heart 2008;94(5):581-4.

Arbault S, Sojic N, Bruce D, Amatore C, Sarasin A, Vuillaume M. Oxidative stress in cancer prone xerodermapigmentosum fibroblasts. Real-time and single cell monitoring of superoxide and nitric oxide production with microelectrodes. Carcinogenesis 2004;25(4):509-15.

Vuillaume M, Decroix Y, Calvayrac R, Vallot R, Best-= Belpomme M. Xerodermapigmentosum: development of photoformation of hydrogen peroxide and catalytic activity in skin cells; application to an early diagnosis and to a tentative treatment.C R SeancesAcadSci III1983;296(18):845-50.

Vuillaume M, Calvayrac R, Best-Belpomme M, Tarroux P,Hubert M, Decroix Y, Sarasin A. Deficiency in the catalase activity of xerodermapigmentosum cell and simian virus 40-transformed human cell extracts. Cancer Res 1986;46(2):538-44.

Hayashi M, Araki S, Kohyama J, Shioda K, Fukatsu R.Oxidative nucleotide damage and superoxide dismutase expression in the brains of xerodermapigmentosum groupA and Cockayne syndrome. Brain Dev 2005;27(1):34-8.

Low GK, Fok ED, Ting AP, Hande MP. Oxidative damage induced genotoxic effects in human fibroblasts from XerodermaPigmentosum group A patients. Int J Biochem Cell Biol2008;40(11):2583-95.

Gupta M, Singal PK.Time course of structure, function, and metabolic changes due to an exogenous source of oxygen metabolites in rat heart.Can J PhysiolPharmacol 1989;67(12):1549-59.

Singal PK, Hill MF, Ganguly NK, Khaper N, Kirshenbaum LA, Pichardo J. Role of oxidative stress in heart failure subsequent to myocardial infarction. L'Information Cardiologique 1996; 20:343-62.

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IssueVol 50, No 2 (2012) QRcode
SectionArticles
Keywords
Xerodermapigmentosum (XP) Ultraviolet (UV) Vitamin D deficiency Oxidative stress Dilated cardiomyopathy

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How to Cite
1.
Hajsadeghi S, Hejrati M, Moghadami S, Rismantab S, Namiranian P. Dilated Cardiomyopathy in Two Patients with Xeroderma Pigmentosum Disease: A Case Report. Acta Med Iran. 1;50(2):147-150.