Phenotypic heterogeneity in the syndromes of 3-methylglutaconic aciduria

Combined 3-methylglutaconic and 3-methylglutaric aciduria, one of the more common urinary organic acid abnormalities, has been observed in at least three clinical syndromes. We studied an additional seven patients with 3-methylglutaconic aciduria, four of whom were best categorized as having the typ...

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Veröffentlicht in:The Journal of pediatrics 1991-06, Vol.118 (6), p.885-890
Hauptverfasser: Gibson, K.M., Sherwood, W.G., Hoffmann, G.F., Stumpf, D.A., Dianzanl, I., Schutgens, R.B.H., Barth, P.G., Weismann, U., Bachmann, C., Schrynemackers-Pitance, P., Verloes, A., Narisawa, K., Mino, M., Ohya, N., Kelley, R.I.
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container_end_page 890
container_issue 6
container_start_page 885
container_title The Journal of pediatrics
container_volume 118
creator Gibson, K.M.
Sherwood, W.G.
Hoffmann, G.F.
Stumpf, D.A.
Dianzanl, I.
Schutgens, R.B.H.
Barth, P.G.
Weismann, U.
Bachmann, C.
Schrynemackers-Pitance, P.
Verloes, A.
Narisawa, K.
Mino, M.
Ohya, N.
Kelley, R.I.
description Combined 3-methylglutaconic and 3-methylglutaric aciduria, one of the more common urinary organic acid abnormalities, has been observed in at least three clinical syndromes. We studied an additional seven patients with 3-methylglutaconic aciduria, four of whom were best categorized as having the type II syndrome, two as having an “unspecified” syndrome, and one who may have had a primary urea cycle defect. In cultured cells and autopsy tissues derived from patients with the type II and unspecified syndromes, we were unsuccessful In identifying a defect in the leucine degradative pathway distal to 3-methylcrotonyl-coenzyme A carboxylase and in the cholesterol biosynthetic pathway between 3-hydroxy-3-methylglutaryl-coenzyme A reductase and diphosphom-evalonate decarboxylase. Further assessment of the cholesterol biosynthetic pathway in several patients with one of the two types of disease also provided no defined abnormality. The primary metabolic defects in the type II and unspecified syndromes remain undefined.
doi_str_mv 10.1016/S0022-3476(05)82199-7
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subjects Amino Acid Metabolism, Inborn Errors - enzymology
Amino Acid Metabolism, Inborn Errors - genetics
Amino Acid Metabolism, Inborn Errors - urine
Biological and medical sciences
Coenzyme A - metabolism
Glutarates - metabolism
Glutarates - urine
Humans
Hydroxymethylglutaryl CoA Reductases
Medical sciences
Meglutol - analogs & derivatives
Meglutol - metabolism
Meglutol - urine
Metabolic diseases
Phenotype
title Phenotypic heterogeneity in the syndromes of 3-methylglutaconic aciduria
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