2005
DOI: 10.1002/humu.9319
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A novel mutation in the dihydrolipoamide dehydrogenase E3 subunit gene (DLD) resulting in an atypical form of α-ketoglutarate dehydrogenase deficiency

Abstract: The α-ketoglutarate dehydrogenase complex (KGDC) catalyses the decarboxylation of α-ketoglutarate into succinyl-coenzyme A in the Krebs cycle. This enzymatic complex is made up of three subunits (E1, encoded by PDHA1; E2, encoded by DLST; and E3, encoded by DLD). The E3 subunit is common to two other enzymatic complexes, namely pyruvate dehydrogenase complex (PDC) and branched-chain ketoacid dehydrogenase complex (BCKDC). KGDC deficiency is a rare autosomal recessive disorder, most often presenting with severe… Show more

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Cited by 78 publications
(65 citation statements)
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“…In humans, DLD mutations that affect the DLD activity are linked to a severe metabolic disorder (23). We analyzed a pathogenic mutation (D444V) in the DLD homodimer interface previously hypothesized to result in loss of DLD activity by perturbing the stability of the homodimer (24).…”
Section: Resultsmentioning
confidence: 99%
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“…In humans, DLD mutations that affect the DLD activity are linked to a severe metabolic disorder (23). We analyzed a pathogenic mutation (D444V) in the DLD homodimer interface previously hypothesized to result in loss of DLD activity by perturbing the stability of the homodimer (24).…”
Section: Resultsmentioning
confidence: 99%
“…It has been proposed that moonlighting proteins can enhance the phenotypic variability of single-gene disorders (14). In this respect, it is noteworthy that patients with point mutations at the DLD homodimer interface (D444V or R447G) were affected with hypertrophic cardiomyopathy, which is one of the manifestations of Friedreich ataxia (47) and has not been observed in association with other DLD mutations (23). Conversely, partial DLD deficiency was observed in a subset of Friedreich ataxia patients (48,49).…”
Section: Discussionmentioning
confidence: 99%
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“…Clinical complications generally appear at the neonatal age and often lead to premature death [32,[34][35][36][37][38][39][40][41][42][43][44]. Pathogenic mutations of LADH reside mostly either in the cofactor-binding sites, or in the disulfide active center or in the dimerization surface [27,32].…”
Section: Introductionmentioning
confidence: 99%
“…One mutation found in patients with low E3 activity is the Arg-447 to Gly mutation. 5 Patients with this mutation suffer from neurological deterioration and generally die within 3 years. Figure 2 presents the sequence alignment of the sequence around the Arg-447 region of human E3 with the corresponding regions of E3s from a range of sources, such as pigs, yeast, Escherichia coli, and Pseudomonas fluorescens.…”
mentioning
confidence: 99%