1998
DOI: 10.1055/s-2007-973527
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4-Hydroxybutyric Acid and the Clinical Phenotype of Succinic Semialdehyde Dehydrogenase Deficiency, an Inborn Error of GABA Metabolism

Abstract: SSADH deficiency, a rare inborn error of human metabolism, disrupts the normal metabolism of the inhibitory neurotransmitter GABA. In response to the defect, physiologic fluids from patients accumulate GHB, a compound with numerous neuromodulatory properties. Clinical and bio-chemical findings in patients are contrasted with existing neuropharmacologic data on GHB in animals and men. We conclude that GHB contributes to the pathogenesis of SSADH deficiency; whether this effect is mediated by GHB, by GABA follow… Show more

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Cited by 127 publications
(98 citation statements)
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“…This rate is similar to the uptake of oleate by the perfused rat liver (37). Note that part of the carbon derived from the catabolism of 4-hydroxy- [3,[4][5][6][7][8][9][10][11][12][13] C 2 ]nonanoate is not converted to acetyl-CoA but is released as shorter carboxylic acids into the perfusate (supplemental Table 2). …”
Section: ⅐Gmentioning
confidence: 53%
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“…This rate is similar to the uptake of oleate by the perfused rat liver (37). Note that part of the carbon derived from the catabolism of 4-hydroxy- [3,[4][5][6][7][8][9][10][11][12][13] C 2 ]nonanoate is not converted to acetyl-CoA but is released as shorter carboxylic acids into the perfusate (supplemental Table 2). …”
Section: ⅐Gmentioning
confidence: 53%
“…The mass isotopomer distribution of acetyl-CoA labeled from 4-hydroxy- [3,[4][5][6][7][8][9][10][11][12][13] C 2 ]nonanoate allows us to calculate the contributions of pathways A and B to the production of acetyl-CoA from this substrate. Pathways A and B yield three and four acetyl-CoA, respectively, with one acetyl-CoA being labeled in each pathway.…”
Section: -Phosphoacyl-coas In 4-hydroxyacid Metabolismmentioning
confidence: 99%
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“…8 The degree of impairment resulting from SSADH deficiency is highly variable, from severe neurological impairment to mild developmental delay. 9 This led us to postulate that common sequence variants in the gene with less dramatic effects on the SSADH protein might influence cognitive ability across the broader spectrum of cognitive ability. Our interest was also fueled by the observation that the SSADH gene maps to a region of the genome (6p22), showing both genetic linkage and genetic association to the cognitive phenotype dyslexia.…”
Section: Introductionmentioning
confidence: 99%