1986
DOI: 10.1007/bf00441851
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Mitochondrial phosphoenolpyruvate carboxykinase deficiency

Abstract: A 3-month-old girl presented with anorexia, failure to thrive and drowsiness. She was mildly icteric with hepatomegaly and peripheral oedema. Disordered liver function tests were associated with the biopsy appearances of a giant cell hepatitis and with a Fanconi syndrome. At the age of 16 weeks she collapsed with profound hypoglycaemia. Fasting also provoked hypoglycaemia with lactic acidaemia. She became increasingly irritable and hypotonic and, although initially liver and renal function improved, she deteri… Show more

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Cited by 45 publications
(15 citation statements)
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“…In addition to PCK, gluconeogenesis is catalyzed by three other enzymes, pyruvate carboxylase, glucose‐6‐phosphatase and fructose‐1,6‐bisphosphatase, and is regulated by various other factors, such as insulin and glucagon . Patients congenitally deficient in PCK tend to show hypoglycemia and growth failure due to impaired gluconeogenesis . As none of the anti‐PCK2 positive AIH patients showed hypoglycemia and growth failure, it is unlikely that this antibody inhibits enzyme activity.…”
Section: Discussionsupporting
confidence: 50%
“…In addition to PCK, gluconeogenesis is catalyzed by three other enzymes, pyruvate carboxylase, glucose‐6‐phosphatase and fructose‐1,6‐bisphosphatase, and is regulated by various other factors, such as insulin and glucagon . Patients congenitally deficient in PCK tend to show hypoglycemia and growth failure due to impaired gluconeogenesis . As none of the anti‐PCK2 positive AIH patients showed hypoglycemia and growth failure, it is unlikely that this antibody inhibits enzyme activity.…”
Section: Discussionsupporting
confidence: 50%
“…Meanwhile, Pck1, also known as phosphoenolpyruvate carboxykinase (PEPCK), encodes a rate-limiting enzyme for gluconeogenesis. PCK1 deficiency is lethal in both mice and humans [34,35]. However, liver hypertrophy and steatosis have been observed in liver-specific PCK1-deficient mice [34]; after 14 hours of fasting, such mice have a 71% increase in liver weight along with significant hepatic lipid accumulation.…”
Section: Resultsmentioning
confidence: 99%
“…Very little is known about neuroimaging and histopathological findings. Astrocytosis of the cerebral cortex, basal ganglia and thalamus, in combination with small neuronal heterotopias in the cerebellar white matter and medulla, has been found in histopathological examination (Clayton et al 1986). Variable cerebral and cerebellar atrophy has been reported in MRI (Brismar and Ozand 1994).…”
Section: Gluconeogenesis Defectsmentioning
confidence: 98%