Hypertrophic cardiomyopathy, cataract, developmental delay, lactic acidosis: a novel subtype of 3-methylglutaconic aciduria

Autor: Ronald J.A. Wanders, Carlo Dionisi-Vici, Gabriella Di Rosa, Enrico Bertini, Federica Deodato, Sara Boenzi, Andrea Maiorana, Giulia Tozzi, Adele D'Amico, Ference J. Loupatty, Filippo M. Santorelli, Cristiano Rizzo, Rosalba Carrozzo
Přispěvatelé: Amsterdam Gastroenterology Endocrinology Metabolism, Laboratory Genetic Metabolic Diseases
Jazyk: angličtina
Rok vydání: 2006
Předmět:
Zdroj: Journal of inherited metabolic disease, 29(4), 546-550. Springer Netherlands
ISSN: 0141-8955
DOI: 10.1007/s10545-006-0279-y
Popis: 3-Methylglutaconic aciduria is the biochemical marker of several inherited metabolic diseases. Four types of 3-methylglutaconic aciduria can be distinguished. In the type I form, accumulation of 3-methylglutaconate is due to deficient activity of 3-methylglutaconyl-CoA hydratase, an enzyme of the leucine degradation pathway. In the other forms, 3-methylglutaconic acid is not derived from leucine but is of unidentified origin, possibly derived from other metabolic pathways, such as mevalonate metabolism. We report five patients, all presenting a severe early-onset phenotype characterized by 3-methylglutaconic aciduria, hypertrophic cardiomyopathy, cataract, hypotonia/developmental delay, lactic acidosis, and normal 3-methylglutaconyl-CoA hydratase activity. This peculiar phenotype, for which a primary mitochondrial disorder is hypothesized, identifies a novel subtype of 3-methylglutaconic aciduria.
Databáze: OpenAIRE