Alpha-ketoglutarate dehydrogenase deficiency presenting as congenital lactic acidosis. 1992

J P Bonnefont, and D Chretien, and P Rustin, and B Robinson, and A Vassault, and J Aupetit, and C Charpentier, and D Rabier, and J M Saudubray, and A Munnich
INSERM U-12, Département de Pédiatrie Hôpital des Enfants-Malades, Paris, France.

We report an inborn error of the tricarboxylic acid cycle, alpha-ketoglutarate dehydrogenase deficiency, in three siblings with hypotonia, metabolic acidosis, and hyperlactatemia immediately after birth. Neurologic deterioration resulted in death at about 30 months of age. We propose low molar ratios of ketone bodies in plasma of neonates with congenital lactic acidosis as an indication of dysfunction of the tricarboxylic acid cycle.

UI MeSH Term Description Entries
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D007655 Ketoglutarate Dehydrogenase Complex 2-Keto-4-Hydroxyglutarate Dehydrogenase,2-Oxoglutarate Dehydrogenase,2-Oxoglutarate Dehydrogenase Complex,Oxoglutarate Dehydrogenase,alpha-Ketoglutarate Dehydrogenase,alpha-Ketoglutarate Dehydrogenase Complex,2 Keto 4 Hydroxyglutarate Dehydrogenase,2 Oxoglutarate Dehydrogenase,2 Oxoglutarate Dehydrogenase Complex,Complex, 2-Oxoglutarate Dehydrogenase,Complex, Ketoglutarate Dehydrogenase,Complex, alpha-Ketoglutarate Dehydrogenase,Dehydrogenase Complex, 2-Oxoglutarate,Dehydrogenase Complex, Ketoglutarate,Dehydrogenase Complex, alpha-Ketoglutarate,Dehydrogenase, 2-Keto-4-Hydroxyglutarate,Dehydrogenase, 2-Oxoglutarate,Dehydrogenase, Oxoglutarate,Dehydrogenase, alpha-Ketoglutarate,alpha Ketoglutarate Dehydrogenase,alpha Ketoglutarate Dehydrogenase Complex
D007657 Ketone Bodies The metabolic substances ACETONE; 3-HYDROXYBUTYRIC ACID; and acetoacetic acid (ACETOACETATES). They are produced in the liver and kidney during FATTY ACIDS oxidation and used as a source of energy by the heart, muscle and brain. Acetone Bodies,Bodies, Acetone,Bodies, Ketone
D007773 Lactates Salts or esters of LACTIC ACID containing the general formula CH3CHOHCOOR.
D008297 Male Males
D011773 Pyruvates Derivatives of PYRUVIC ACID, including its salts and esters.
D012008 Recurrence The return of a sign, symptom, or disease after a remission. Recrudescence,Relapse,Recrudescences,Recurrences,Relapses
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000140 Acidosis, Lactic Acidosis caused by accumulation of lactic acid more rapidly than it can be metabolized. It may occur spontaneously or in association with diseases such as DIABETES MELLITUS; LEUKEMIA; or LIVER FAILURE. Lactic Acidosis
D019289 Pyruvic Acid An intermediate compound in the metabolism of carbohydrates, proteins, and fats. In thiamine deficiency, its oxidation is retarded and it accumulates in the tissues, especially in nervous structures. (From Stedman, 26th ed) Pyruvate,Acid, Pyruvic

Related Publications

J P Bonnefont, and D Chretien, and P Rustin, and B Robinson, and A Vassault, and J Aupetit, and C Charpentier, and D Rabier, and J M Saudubray, and A Munnich
December 1977, Pediatric research,
J P Bonnefont, and D Chretien, and P Rustin, and B Robinson, and A Vassault, and J Aupetit, and C Charpentier, and D Rabier, and J M Saudubray, and A Munnich
October 1981, European journal of pediatrics,
J P Bonnefont, and D Chretien, and P Rustin, and B Robinson, and A Vassault, and J Aupetit, and C Charpentier, and D Rabier, and J M Saudubray, and A Munnich
April 2002, Nihon rinsho. Japanese journal of clinical medicine,
J P Bonnefont, and D Chretien, and P Rustin, and B Robinson, and A Vassault, and J Aupetit, and C Charpentier, and D Rabier, and J M Saudubray, and A Munnich
January 2001, Ryoikibetsu shokogun shirizu,
J P Bonnefont, and D Chretien, and P Rustin, and B Robinson, and A Vassault, and J Aupetit, and C Charpentier, and D Rabier, and J M Saudubray, and A Munnich
January 1993, Acta neuropathologica,
J P Bonnefont, and D Chretien, and P Rustin, and B Robinson, and A Vassault, and J Aupetit, and C Charpentier, and D Rabier, and J M Saudubray, and A Munnich
October 1976, Pediatrics,
J P Bonnefont, and D Chretien, and P Rustin, and B Robinson, and A Vassault, and J Aupetit, and C Charpentier, and D Rabier, and J M Saudubray, and A Munnich
November 1979, Minerva pediatrica,
J P Bonnefont, and D Chretien, and P Rustin, and B Robinson, and A Vassault, and J Aupetit, and C Charpentier, and D Rabier, and J M Saudubray, and A Munnich
December 1975, Pediatric research,
J P Bonnefont, and D Chretien, and P Rustin, and B Robinson, and A Vassault, and J Aupetit, and C Charpentier, and D Rabier, and J M Saudubray, and A Munnich
March 1978, Annales de medecine interne,
J P Bonnefont, and D Chretien, and P Rustin, and B Robinson, and A Vassault, and J Aupetit, and C Charpentier, and D Rabier, and J M Saudubray, and A Munnich
December 1981, Israel journal of medical sciences,
Copied contents to your clipboard!