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Glutaric Aciduria Type I and Related Cerebral Organic Acid Disorders

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Abstract

Neurological manifestations are very common in organic acid disorders and sometimes the leading and/or presenting feature [1]. One group presents exclusively with characteristic (progressive) neurological symptoms of ataxia, myoclonus, extrapyramidal symptoms, metabolic stroke, and macrocephaly [2]. These “cerebral” organic acid disorders include glutaric aciduria type I, 2-oxoglutaric aciduria, L-2-hydroxyglutaric aciduria, and mevalonic aciduria. Strikingly, in all these disorders the pathological compound is a five-carbon organic acid.

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References

  1. Ozand PT, Gascon GG (1991) Organic acidurias: a review, part 1. J Child Neurol 6: 196–219

    Article  PubMed  CAS  Google Scholar 

  2. Hoffmann GF, Gibson KM, Trefz FK, Nyhan WL, Bremer HJ Rating D (1994) Neurological manifestations of organic acid disorders. Eur J Pediatr (in press)

    Google Scholar 

  3. Kohlschütter A (1994) Neuroradiological and neurophysiological indices for neurometabolic disorders. Eur J Pediatr (in press)

    Google Scholar 

  4. Amir N, Elpeleg ON, Shalev RS, Christensen E (1989) Glutaric aciduria type I: enzymatic and neuroradiologic investigations of two kindreds. J Pediatr 114: 983–989

    Article  PubMed  CAS  Google Scholar 

  5. Haworth JC, Booth FA, Chudley AE, Degroot GW, Dilling LA, Goodman SI, Greenberg CR, Mallory CJ, McClarty BM, Seshia SS, Seargeant LE (1991) Phenotypic variability in glutaric aciduria type I: report of fourteen cases in five Canadian indian kindreds. J Pediatr 118: 52–58

    Article  PubMed  CAS  Google Scholar 

  6. Hoffmann GF, Trefz FK, Barth P, Böhles HJ, Biggemann B, Bremer HJ, Christensen E, Frosch

    Google Scholar 

  7. M, Hanefeld F, Hunneman DH, Jacobi H, 17. Kurlemann G, Lawrenz-Wolf B, Rating D, Roe CR, Schutgens RB, Ullrich K, Weisser J, Wendel U, Lehnert W (1991) Glutaryl-CoA dehydrogease deficiency: a distinct encephalopathy. Pediatrics 88: 1194–1203

    Google Scholar 

  8. Morton DH, Bennett MJ, Seargeant LE, Nichter CA, Kelley RI (1991) Glutaric aciduria type I: a common cause of episodic encephalopathy and spastic paralysis in the Amish of Lancaster county, Pennsylvania. Am J Med Genet 41: 89–95

    Google Scholar 

  9. Kyllerman M, Skjeldal OH, Lundberg M, Holme I, 19. Jellum E, von Döbeln U, Fossen A, Carlsson G (1994) Dystonia and dyskinesia in glutaric aciduria type I: clinical heterogeneity and therapeutic considerations. Mov Disord 9: 22–30

    CAS  Google Scholar 

  10. Gregersen N, Brandt NJ, Christensen E, Grön I, Rasmussen K, Brandt S (1977) Glutaric aciduria: clinical and laboratory findings in two brothers. J Pediatr 90: 740–745 20.

    Google Scholar 

  11. Stokke O, Goodman SI, Moe PG (1976) Inhibition of brain glutamate decarboxylase by glutarate, glutaconate, and ß-hydroxyglutarate: explanation of the symptoms in glutaric aciduria? Clin Chim Acta 66: 411–415

    Article  PubMed  CAS  Google Scholar 

  12. Lipkin PH, Roe CR, Goodman SI, Batshaw ML (1988) A case of glutaric aciduria type I: effect of 21. riboflavin and carnitine. J Pediatr 112: 62–65

    Article  PubMed  CAS  Google Scholar 

  13. Bergman I, Finegold D, Gartner JC, Zitelli BJ, Claassen D, Scarano J, Roe CR, Stanley C, Goodman SI (1989) Acute profound dystonia in infants with glutaric acidemia. Pediatrics 83: 228— 22. 234

    Google Scholar 

  14. Christensen E (1993) A fibroblast glutaryl-CoA dehydrogenase assay using detritiation of;H-labelled glutaryl-CoA: application in the genotyping of the glutaryl-CoA dehydrogenase locus. Clin Chim Acta 220: 71–80 23.

    Google Scholar 

  15. Bennett MJ, Pollitt RJ, Goodman SI, Hale DE, Vamecq J (1991) Atypical riboflavin-responsive glutaric aciduria, and deficient peroxisomal glutaryl-CoA oxidase activity: a new peroxisomal disorder. J Inherited Metab Dis 14: 165–173

    Article  PubMed  CAS  Google Scholar 

  16. Hoffmann GF, Trefz FK, Schöck V, Lehnert W, Barth PG, De Klerk JBC, Valk J, Bremer HJ, Rating D (1992) Glutaryl-CoA dehydrogenase defi- 24. ciency — a treatable organic acid disorder? Enzyme 46: 270

    Google Scholar 

  17. Yamaguchi S, Orii T, Yasuda K, Yoshinori K (1987) A case of glutaric aciduria type I with unique abnormalities in the cerebral CT findings. Tohoku J Exp Med 151: 293–299

    Article  PubMed  CAS  Google Scholar 

  18. Jakobs C, ten Brink HJ, Stellaard F (1990) Prenatal diagnosis of inherited metabolic disorders by direct chemical analysis of characteristic metabolites in amniotic fluid: facts and perspectives. Prenat Diagn 10: 265–271

    Article  Google Scholar 

  19. Barth PG, Hoffmann GF, Jacken J, Lehnert W, Hanefeld F, van Gennip AH, Duran M, Valk J, Schutgens RBH, Trefz FK, Reimann G, Hartung H-P (1992) L-2-Hydroxyglutaric acidemia: a novel inherited neurometabolic disease. Ann Neurol 32: 66–71

    Article  PubMed  CAS  Google Scholar 

  20. Barth PG, Hoffmann GF, Jaeken J, Wanders RJA, Duran M, Jansen GA, Jakobs C, Lehnert W, Hanefeld F, Valk J, Schutgens RBH, Trefz FK, Hartung H-P, Chamoles NA, Sfaello Z, Caruso U (1993) L-2-Hydroxyglutaric acidemia: clinical and biochemical findings in 12 patients and preliminary report on L-2-hydroxyacid dehydrogenase. J Inherited Metab Dis 16: 753–761

    Article  PubMed  CAS  Google Scholar 

  21. Gibson KM, Schor DSM, Kok RM, Bootsma A, ten Brink HJ, Hoffmann GF, Jakobs C (1993) Stable-isotope dilution analysis of D- and L-2-hydroxyglutaric acid: application to the detection and prenatal diagnosis of D- and L-2hydroxyglutaric acidemias. Pediatr Res 34: 277280

    Google Scholar 

  22. Gibson KM, Craigen W, Herman GE, Jakobs C (1993) D-2-hydroxyglutaric aciduria in a newborn with neurological abnormalities: a new neuro-metabolic disorder? J Inherited Metab Dis 16: 497500

    Google Scholar 

  23. Hoffmann GF, Charpentier C, Mayatepek E, Mancini J, Leichsenring M, Gibson KM, Divry P, Hrebicek M, Lehnert W, Sartor K, Trefz FK, Rating D, Bremer HJ, Nyhan WL (1993) Clinical and biochemical phenotype in eleven patients with mevalonic aciduria. Pediatrics 91: 915–921

    PubMed  CAS  Google Scholar 

  24. Hoffmann GF, Hunneman DH, Sweetman L, Nyhan WL, Speidel I, Lehnert W, Bremer Hi, Trefz FK, Kozich V. Gibson KM (1991) Facts and artefacts in mevalonic aciduria: development of a stable isotope dilution GCMS assay for mevalonic acid and its application to physiological fluids, tissue samples, prenatal diagnosis and carrier detection. Clin Chim Acta 198: 209–228

    CAS  Google Scholar 

  25. Schafer BL, Bishop RW, Kratunis VJ, Kalinowski SS, Mosley ST, Gibson KM, Tanaka RD (1992) Molecular cloning of human mevalonate kinase and identification of a missense mutation in the genetic disease mevalonic aciduria. J Biol Chem 267: 13229–13238.

    PubMed  CAS  Google Scholar 

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© 1995 Springer-Verlag Berlin Heidelberg

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Hoffmann, G.F. (1995). Glutaric Aciduria Type I and Related Cerebral Organic Acid Disorders. In: Fernandes, J., Saudubray, JM., Van den Berghe, G., Tada, K., Buist, N.R.M. (eds) Inborn Metabolic Diseases. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-03147-6_22

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  • DOI: https://doi.org/10.1007/978-3-662-03147-6_22

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-03149-0

  • Online ISBN: 978-3-662-03147-6

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