2019
DOI: 10.1002/jmd2.12054
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A novel null mutation in the pyruvate dehydrogenase phosphatase catalytic subunit gene (PDP1) causing pyruvate dehydrogenase complex deficiency

Abstract: Congenital lactic acidosis due to pyruvate dehydrogenase phosphatase (PDP) deficiency is very rare. PDP regulates pyruvate dehydrogenase complex (PDC) and defective PDP leads to PDC deficiency. We report a case with functional PDC deficiency with low activated (+dichloroacetate) and inactivated (+fluoride) PDC activities in lymphocytes and fibroblasts, normal activity of other mitochondrial enzymes in fibroblasts, and novel biallelic frameshift mutation in the PDP1 gene, c.575dupT (p… Show more

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Cited by 14 publications
(9 citation statements)
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“…The mitochondrial pyruvate dehydrogenase complex is crucial for glucose homeostasis in mammalian cells, as it plays a crucial role in the fate of pyruvate, converting pyruvate to acetyl coenzyme A. The upregulation of PDP1 and PDP2 leads to hyperphosphorylation and the inhibition of pyruvate dehydrogenase complex activity and the ratio of pyruvate inversion to acetyl coenzyme A and the level of lactate catalyzed by lactate dehydrogenase (Maj et al, 2006; Bedoyan et al, 2019; Sugden & Holness, 2006). Moreover, in this study, the expression levels of LDHB and MCT4 , which participate in pyruvate conversion to lactate and transport across the plasma membrane, were downregulated by corticosterone.…”
Section: Discussionmentioning
confidence: 99%
“…The mitochondrial pyruvate dehydrogenase complex is crucial for glucose homeostasis in mammalian cells, as it plays a crucial role in the fate of pyruvate, converting pyruvate to acetyl coenzyme A. The upregulation of PDP1 and PDP2 leads to hyperphosphorylation and the inhibition of pyruvate dehydrogenase complex activity and the ratio of pyruvate inversion to acetyl coenzyme A and the level of lactate catalyzed by lactate dehydrogenase (Maj et al, 2006; Bedoyan et al, 2019; Sugden & Holness, 2006). Moreover, in this study, the expression levels of LDHB and MCT4 , which participate in pyruvate conversion to lactate and transport across the plasma membrane, were downregulated by corticosterone.…”
Section: Discussionmentioning
confidence: 99%
“…Активность аэробной реакции лактатдегидрогеназы определяет уровень синтеза пирувата, который может затем транспортироваться в митохондриальный компартмент, где он полностью окисляется в цикле трикарбоновых кислот в процессе аэробного дыхания клеток [2,14]. В связи с этим у пациентов с рецидивом болезни Грейвса, во-первых, может возрастать уровень лактата, что приводит к изменению функциональной активности клеток [15], и, во-вторых, снижение активности аэробного дыхания также приведет к изменению реактивности лимфоцитов [4]. При этом ингибирование Г3ФДГ также вносит отрицательный вклад в поддержание интенсивности субстратного потока по гликолизу, так как данный фермент осуществляет перенос продуктов липидного катаболизма на окислительно-восстановительные реакции гликолиза [2].…”
Section: Discussionunclassified
“…PDP1 localises to the mitochondrial matrix, where it catalyses the dephosphorylation of pyruvate dehydrogenase, thus activating it ( Lawson et al, 1993 ; Maj et al, 2006 ). Variants in PDP1 can cause pyruvate dehydrogenase complex deficiency, a heterogeneous mitochondrial disorder with varying phenotypes, such as fatal infantile lactic acidosis, chronic neurological dysfunction, and intermittent ataxia ( Maj et al, 2006 ; Cameron et al, 2009 ; Bedoyan et al, 2019 ). So far, three homozygous mutations that cause pyruvate dehydrogenase complex deficiency have been identified in PDP1 : a 3-bp-deletion leading to deletion of leucine 213, a G-T transversion leading to a premature stop codon at amino acid 93, and a 1-bp-duplication at base pair 575, leading to a premature stop codon at amino acid 192 ( Figure 5 ).…”
Section: Ser/thr Phosphatases In Congenital Diseasesmentioning
confidence: 99%