2011
DOI: 10.1111/j.1399-0004.2010.01457.x
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Ethylmalonic encephalopathy: application of improved biochemical and molecular diagnostic approaches

Abstract: Ethylmalonic encephalopathy (EE, OMIM # 602473) is an autosomal recessive metabolic disorder of infancy affecting the brain, the gastrointestinal tract and peripheral vessels. It is caused by a defect in the ETHE1 gene product, which was recently shown to be part of a metabolic pathway devoted to sulphide detoxification. We report the application of improved biochemical and molecular approaches to the diagnosis of three cases of EE from two unrelated Cypriot families. The children presented all the typical bio… Show more

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Cited by 39 publications
(14 citation statements)
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“…Inhibition of this pathway will prevent H 2 S binding to SQR and enable H 2 S and thiosulfate to accumulate. This has been shown in human and animal models of ETHE1 deficiencies (28,36,46,166).…”
Section: Effectors Of H 2 S Metabolismmentioning
confidence: 63%
“…Inhibition of this pathway will prevent H 2 S binding to SQR and enable H 2 S and thiosulfate to accumulate. This has been shown in human and animal models of ETHE1 deficiencies (28,36,46,166).…”
Section: Effectors Of H 2 S Metabolismmentioning
confidence: 63%
“…4). ETHE1 deficiency in either experimental animals or humans prevents H 2 S binding and is characterized by greatly elevated tissue H 2 S and thiosulfate (3,7,10,41). Because of the O 2 dependency of this reaction, hypoxia would be expected to achieve the same result.…”
Section: H 2 S Thiosulfate and Oxygen Sensingmentioning
confidence: 99%
“…Data from patients with defects in mitochondrial sulfide oxidation due to mutations in ETHE1 (ethylmalonic encephalopathy) as well as studies in Ethe1 knockout mice indicate that elevated levels of H 2 S lead to impairments in fatty acid and branchedchain amino acid oxidation in the mitochondria, along with elevated levels of C4-C6 acylcarnitines in the blood and excretion of ethylmalonic acid and thiosulfate in the urine. 23,35,36 Ethe1 encodes a homodimeric persulfide dioxygenase of the mitochondrial matrix that uses molecular oxygen to oxidize the sulfane sulfur of the persulfide generated by action of the inner mitochondrial membrane sulfide:quinone oxidoreductase on H 2 S, resulting in sulfite formation. ETHE1-deficient patients and mice exhibit a loss of tissue COX activity as well as the loss of holoenzyme and abundance of specific COX subunits, such as COX4 and COX5b, all of which are attributed to the toxicity of H 2 S on COX.…”
Section: Discussionmentioning
confidence: 99%