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一名患有乳酸性酸中毒和支链酮酸尿症的患者存在丙酮酸脱氢酶亚复合物伴硫辛酰胺脱氢酶缺乏症。

Pyruvate dehydrogenase subcomplex with lipoamide dehydrogenase deficiency in a patient with lactic acidosis and branched chain ketoaciduria.

作者信息

Matuda S, Kitano A, Sakaguchi Y, Yoshino M, Saheki T

出版信息

Clin Chim Acta. 1984 Jun 27;140(1):59-64. doi: 10.1016/0009-8981(84)90151-7.

DOI:10.1016/0009-8981(84)90151-7
PMID:6430599
Abstract

The overall and three component activities of pyruvate dehydrogenase complex were measured in the liver and muscle from a patient who died at 1.9 years with increased concentrations of serum lactate, alpha-ketoglutarate and branched chain amino acids. The component activities of both lipoate acetyltransferase and pyruvate dehydrogenase were similar to those of normal controls, but the overall pyruvate dehydrogenase complex activity was 11 to 30% of controls and lipoamide dehydrogenase activity was not detected. The overall activity was significantly increased by the addition of lipoamide dehydrogenase purified from human liver. Immunochemical studies carried out with antibody prepared against lipoamide dehydrogenase from rat liver, could detect no immunoreactive material in liver and muscle homogenates from the patient, suggesting that the deficiency of lipoamide dehydrogenase activity was due to the lack of enzyme protein.

摘要

在一名1.9岁死亡患者的肝脏和肌肉中,测定了丙酮酸脱氢酶复合体的总体活性及三个组分的活性。该患者血清乳酸、α-酮戊二酸和支链氨基酸浓度升高。硫辛酰乙酰转移酶和丙酮酸脱氢酶的组分活性与正常对照相似,但丙酮酸脱氢酶复合体的总体活性仅为对照的11%至30%,且未检测到二氢硫辛酰胺脱氢酶活性。加入从人肝脏纯化的二氢硫辛酰胺脱氢酶后,总体活性显著增加。用针对大鼠肝脏二氢硫辛酰胺脱氢酶制备的抗体进行免疫化学研究,在该患者的肝脏和肌肉匀浆中未检测到免疫反应性物质,提示二氢硫辛酰胺脱氢酶活性缺乏是由于酶蛋白缺失所致。

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1
Pyruvate dehydrogenase subcomplex with lipoamide dehydrogenase deficiency in a patient with lactic acidosis and branched chain ketoaciduria.一名患有乳酸性酸中毒和支链酮酸尿症的患者存在丙酮酸脱氢酶亚复合物伴硫辛酰胺脱氢酶缺乏症。
Clin Chim Acta. 1984 Jun 27;140(1):59-64. doi: 10.1016/0009-8981(84)90151-7.
2
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Immunochemical comparison of lipoamide dehydrogenases from various sources and reactivity of various lipoamide dehydrogenases with rat heart pyruvate dehydrogenase-subcomplex.不同来源的硫辛酰胺脱氢酶的免疫化学比较以及各种硫辛酰胺脱氢酶与大鼠心脏丙酮酸脱氢酶亚复合物的反应性
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The spectrum of pyruvate dehydrogenase complex deficiency: clinical, biochemical and genetic features in 371 patients.丙酮酸脱氢酶复合物缺陷症谱:371 例患者的临床、生化和遗传学特征。
Mol Genet Metab. 2012 Jul;106(3):385-94. doi: 10.1016/j.ymgme.2012.03.017.
2
The spectrum of pyruvate dehydrogenase complex deficiency: clinical, biochemical and genetic features in 371 patients.丙酮酸脱氢酶复合物缺陷症的谱:371 例患者的临床、生化和遗传特征。
Mol Genet Metab. 2012 Jan;105(1):34-43. doi: 10.1016/j.ymgme.2011.09.032. Epub 2011 Oct 7.
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Proton MR spectroscopy of mitochondrial diseases: analysis of brain metabolic abnormalities and their possible diagnostic relevance.
线粒体疾病的质子磁共振波谱分析:脑代谢异常分析及其可能的诊断意义
AJNR Am J Neuroradiol. 2003 Nov-Dec;24(10):1958-66.
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Identification of two missense mutations in a dihydrolipoamide dehydrogenase-deficient patient.在一名二氢硫辛酰胺脱氢酶缺乏症患者中鉴定出两个错义突变。
Proc Natl Acad Sci U S A. 1993 Jun 1;90(11):5186-90. doi: 10.1073/pnas.90.11.5186.
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Fatal lactic acidosis due to deficiency of E1 component of the pyruvate dehydrogenase complex.丙酮酸脱氢酶复合体E1亚基缺乏所致的致死性乳酸性酸中毒
J Inherit Metab Dis. 1988;11(2):207-17. doi: 10.1007/BF01799876.
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A decrease in glycine cleavage activity in the liver of a patient with dihydrolipoyl dehydrogenase deficiency.二氢硫辛酰胺脱氢酶缺乏症患者肝脏中甘氨酸裂解活性降低。
J Inherit Metab Dis. 1986;9(4):399-400. doi: 10.1007/BF01800493.
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Deficiency of the pyruvate dehydrogenase component in pyruvate dehydrogenase complex-deficient human fibroblasts. Immunological identification.丙酮酸脱氢酶复合体缺乏的人类成纤维细胞中丙酮酸脱氢酶成分的缺乏。免疫学鉴定。
J Clin Invest. 1986 Sep;78(3):844-7. doi: 10.1172/JCI112651.
8
Disorders of the pyruvate dehydrogenase complex.丙酮酸脱氢酶复合体紊乱
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9
Three genes for enzymes of the pyruvate dehydrogenase complex map to human chromosomes 3, 7, and X.丙酮酸脱氢酶复合体的三种酶基因定位于人类的3号、7号和X染色体上。
Am J Hum Genet. 1990 Feb;46(2):340-9.