Combined D-2-and L-2-hydroxyglutaric aciduria with neonatal onset encephalopathy:: A third biochemical variant of 2-hydroxyglutaric aciduria?

被引:45
作者
Muntau, AC
Röschinger, W
Merkenschlager, A
van der Knaap, MS
Jakobs, C
Duran, M
Hoffmann, GF
Roscher, AA
机构
[1] Univ Munich, Childrens Hosp, Dept Metab Dis, D-80337 Munich, Germany
[2] Univ Munich, Childrens Hosp, Dept Neuropediat, D-80337 Munich, Germany
[3] Free Univ Amsterdam Hosp, Dept Child Neurol, Amsterdam, Netherlands
[4] Free Univ Amsterdam Hosp, Dept Clin Chem, Metab Unit, Amsterdam, Netherlands
[5] Univ Utrecht, Childrens Hosp, Het Wilhelmina Kinderziekenhuis, Utrecht, Netherlands
[6] Univ Heidelberg, Childrens Hosp, Dept Neuropediat & Metab Dis, D-6900 Heidelberg, Germany
关键词
inherited metabolic disorder; organic aciduria; neonatal onset encephalopathy; infantile epilepsy; prenatal diagnosis; hydroxyglutaric aciduria;
D O I
10.1055/s-2000-7497
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Two distinct disorders with elevated urinary excretion of 2-hydroxyglutaric acid are known: L-2-hydroxyglutaric aciduria and D-2-hydroxyglutaric aciduria. This paper presents clinical and biochemical studies in three patients and unsuccessful prenatal diagnosis in one case with combined D-2- and L-2-hydroxyglutaric aciduria. We suggest that these patients, who displayed a phenotype of neonatal onset metabolic encephalopathy, present a third variant of 2-hydroxyglutaric aciduria, Prenatal diagnosis is not reliable in this disorder.
引用
收藏
页码:137 / 140
页数:4
相关论文
共 19 条
[1]   L-2-hydroxyglutaric aciduria and lactic acidosis [J].
Barth, PG ;
Wanders, RJA ;
Scholte, HR ;
Abeling, N ;
Jakobs, C ;
Schutgens, RBH ;
Vreken, P .
JOURNAL OF INHERITED METABOLIC DISEASE, 1998, 21 (03) :251-254
[2]   L-2-HYDROXYGLUTARIC ACIDEMIA - CLINICAL AND BIOCHEMICAL FINDINGS IN 12 PATIENTS AND PRELIMINARY-REPORT ON L-2-HYDROXYACID DEHYDROGENASE [J].
BARTH, PG ;
HOFFMANN, GF ;
JAEKEN, J ;
WANDERS, RJA ;
DURAN, M ;
JANSEN, GA ;
JAKOBS, C ;
LEHNERT, W ;
HANEFELD, F ;
VALK, J ;
SCHUTGENS, RBH ;
TREFZ, FK ;
HARTUNG, HP ;
CHAMOLES, NA ;
SFAELLO, Z ;
CARUSO, U .
JOURNAL OF INHERITED METABOLIC DISEASE, 1993, 16 (04) :753-761
[3]  
Chalmers R A, 1980, J Inherit Metab Dis, V3, P11, DOI 10.1007/BF02312516
[4]   L-2-Hydroxyglutaric aciduria: Neuropathological correlations and first report of severe neurodegenerative disease and neonatal death [J].
Chen, E ;
Nyhan, WL ;
Jakobs, C ;
Greco, CM ;
Barkovich, AJ ;
Cox, VA ;
Packman, S .
JOURNAL OF INHERITED METABOLIC DISEASE, 1996, 19 (03) :335-343
[5]  
Duran M, 1980, J Inherit Metab Dis, V3, P109, DOI 10.1007/BF02312543
[6]   STABLE-ISOTOPE DILUTION ANALYSIS OF D-2-HYDROXYGLUTARIC AND L-2-HYDROXYGLUTARIC ACID - APPLICATION TO THE DETECTION AND PRENATAL-DIAGNOSIS OF D-2-HYDROXYGLUTARIC AND L-2-HYDROXYGLUTARIC ACIDEMIAS [J].
GIBSON, KM ;
TENBRINK, HJ ;
SCHOR, DSM ;
KOK, RM ;
BOOTSMA, AH ;
HOFFMANN, GF ;
JAKOBS, C .
PEDIATRIC RESEARCH, 1993, 34 (03) :277-280
[7]   D-2-HYDROXYGLUTARIC ACIDURIA IN A NEWBORN WITH NEUROLOGICAL ABNORMALITIES - A NEW NEUROMETABOLIC DISORDER [J].
GIBSON, KM ;
CRAIGEN, W ;
HERMAN, GE ;
JAKOBS, C .
JOURNAL OF INHERITED METABOLIC DISEASE, 1993, 16 (03) :497-500
[8]   GLUTARIC ACIDEMIA TYPE-II - A FORM WITH DELETERIOUS INTRAUTERINE EFFECTS [J].
GOODMAN, SI ;
REALE, M ;
BERLOW, S .
JOURNAL OF PEDIATRICS, 1983, 102 (03) :411-413
[9]   3-phosphoglycerate dehydrogenase deficiency: An inborn error of serine biosynthesis [J].
Jaeken, J ;
Detheux, M ;
VanMaldergem, L ;
Foulon, M ;
Carchon, H ;
VanSchaftingen, E .
ARCHIVES OF DISEASE IN CHILDHOOD, 1996, 74 (06) :542-545
[10]  
KAUFMAN EE, 1988, J BIOL CHEM, V263, P16872