3-Hydroxy-3-Methylglutaric Aciduria

被引:17
作者
Greene, Carol L. [1 ]
Cann, Howard M. [1 ]
Robinson, Brian H. [2 ,3 ,4 ]
Gibson, Kenneth M. [5 ,6 ]
Sweetman, Lawrence [5 ,6 ]
Holm, Jan [5 ,6 ]
Nyhan, William L. [5 ,6 ]
机构
[1] Stanford Univ, Med Ctr, Dept Pediat, Stanford, CA 94305 USA
[2] Univ Toronto, Dept Biochem, Toronto, ON, Canada
[3] Univ Toronto, Dept Pediat, Toronto, ON, Canada
[4] Hosp Sick Children, Res Inst, Toronto, ON M5G 1X8, Canada
[5] Univ Calif San Diego, Dept Pediat, M-009, La Jolla, CA 92093 USA
[6] Univ Calif San Diego, Dept Chem, La Jolla, CA 92093 USA
基金
美国国家卫生研究院;
关键词
3-hydroxy-3-methylglutaric aciduria; 3-hydroxy-3-methylglutaryl-CoA lyase; hypoglycemia; metabolic acidosis without ketonuria; hyperammonemia;
D O I
10.3109/01677068409107082
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
3-Hydroxy-3-methylglutaric aciduria was found in a newborn infant whose parents are first cousins. The patient presented at 5 days of life with hyperammonemia, hypoglecemia, and metabolic acidosis. There was no ketonuria. Diagnosis was made by analysis of the pattern of organic acids excreted in the urine. A profound deficiency in activity of 3-hydroxy-3-methylglutaryl-coenzym A lyase was found in cultured skin fibroblasts. The parents had intermediate levels of enzyme activity.
引用
收藏
页码:165 / 173
页数:9
相关论文
共 18 条
[1]   TREATMENT OF HYPERAMMONEMIC COMA CAUSED BY INBORN-ERRORS OF UREA SYNTHESIS [J].
BATSHAW, ML ;
BRUSILOW, SW .
JOURNAL OF PEDIATRICS, 1980, 97 (06) :893-900
[2]   INHIBITION BY PROPIONYL-COENZYME-A OF N-ACETYLGLUTAMATE SYNTHETASE IN RAT-LIVER MITOCHONDRIA - POSSIBLE EXPLANATION FOR HYPER-AMMONEMIA IN PROPIONIC AND METHYLMALONIC ACIDEMIA [J].
COUDE, FX ;
SWEETMAN, L ;
NYHAN, WL .
JOURNAL OF CLINICAL INVESTIGATION, 1979, 64 (06) :1544-1551
[3]   3-HYDROXY-3-METHYLGLUTARIC ACIDURIA COMBINED WITH 3-METHYLGLUTACONIC ACIDURIA - A NEW CASE [J].
DIVRY, P ;
ROLLAND, MO ;
TEYSSIER, J ;
COTTE, J ;
FERNANDES, MCF ;
DEALMEIDA, IT ;
DASILVEIRA, C .
JOURNAL OF INHERITED METABOLIC DISEASE, 1981, 4 (03) :173-174
[4]   3-HYDROXY-3-METHYLGLUTARYL COENZYME-A LYASE DEFICIENCY - POSTNATAL MANAGEMENT FOLLOWING PRENATAL DIAGNOSIS BY ANALYSIS OF MATERNAL URINE [J].
DURAN, M ;
SCHUTGENS, RBH ;
KETEL, A ;
HEYMANS, H ;
BERNTSSEN, MWJ ;
KETTING, D ;
WADMAN, SK .
JOURNAL OF PEDIATRICS, 1979, 95 (06) :1004-1007
[5]  
FAULL K, 1976, NEW ENGL J MED, V294, P1013
[6]   GLUCOSE-METABOLISM IN A CHILD WITH "3-HYDROXY-3-METHYLGLUTARYL-COENZYME A LYASE DEFICIENCY [J].
FRANCOIS, B ;
BACHMANN, C ;
SCHUTGENS, RBH .
JOURNAL OF INHERITED METABOLIC DISEASE, 1981, 4 (03) :163-164
[7]  
LEONARD JV, 1979, LANCET, V1, P680
[8]   3-HYDROXY-3-METHYLGLUTARYL-COA LYASE DEFICIENCY IN AN INFANT WITH MACROCEPHALY AND MILD METABOLIC-ACIDOSIS [J].
LEUPOLD, D ;
BOJASCH, M ;
JAKOBS, C .
EUROPEAN JOURNAL OF PEDIATRICS, 1982, 138 (01) :73-76
[9]  
NORMAN EJ, 1982, CLIN CHEM, V28, P137
[10]   HYDROXYMETHYLGLUTARYL COA LYASE DEFICIENCY - FEATURES RESEMBLING REYE SYNDROME [J].
ROBINSON, BH ;
OEI, J ;
SHERWOOD, WG ;
SLYPER, AH ;
HEININGER, J ;
MAMER, OA .
NEUROLOGY, 1980, 30 (07) :714-718