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3-hydroxy-3-methylglutaryl-coenzyme A lyase deficiency: one disease - many faces

BACKGROUND: 3-hydroxy-3-methylglutaryl-coenzyme A lyase deficiency (HMGCLD) is an autosomal recessive disorder of ketogenesis and leucine degradation due to mutations in HMGCL. METHOD: We performed a systematic literature search to identify all published cases. Two hundred eleven patients of whom re...

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Autores principales: Grünert, Sarah C., Sass, Jörn Oliver
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7023732/
https://www.ncbi.nlm.nih.gov/pubmed/32059735
http://dx.doi.org/10.1186/s13023-020-1319-7
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author Grünert, Sarah C.
Sass, Jörn Oliver
author_facet Grünert, Sarah C.
Sass, Jörn Oliver
author_sort Grünert, Sarah C.
collection PubMed
description BACKGROUND: 3-hydroxy-3-methylglutaryl-coenzyme A lyase deficiency (HMGCLD) is an autosomal recessive disorder of ketogenesis and leucine degradation due to mutations in HMGCL. METHOD: We performed a systematic literature search to identify all published cases. Two hundred eleven patients of whom relevant clinical data were available were included in this analysis. Clinical course, biochemical findings and mutation data are highlighted and discussed. An overview on all published HMGCL variants is provided. RESULTS: More than 95% of patients presented with acute metabolic decompensation. Most patients manifested within the first year of life, 42.4% already neonatally. Very few individuals remained asymptomatic. The neurologic long-term outcome was favorable with 62.6% of patients showing normal development. CONCLUSION: This comprehensive data analysis provides a systematic overview on all published cases with HMGCLD including a list of all known HMGCL mutations.
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spelling pubmed-70237322020-02-20 3-hydroxy-3-methylglutaryl-coenzyme A lyase deficiency: one disease - many faces Grünert, Sarah C. Sass, Jörn Oliver Orphanet J Rare Dis Research BACKGROUND: 3-hydroxy-3-methylglutaryl-coenzyme A lyase deficiency (HMGCLD) is an autosomal recessive disorder of ketogenesis and leucine degradation due to mutations in HMGCL. METHOD: We performed a systematic literature search to identify all published cases. Two hundred eleven patients of whom relevant clinical data were available were included in this analysis. Clinical course, biochemical findings and mutation data are highlighted and discussed. An overview on all published HMGCL variants is provided. RESULTS: More than 95% of patients presented with acute metabolic decompensation. Most patients manifested within the first year of life, 42.4% already neonatally. Very few individuals remained asymptomatic. The neurologic long-term outcome was favorable with 62.6% of patients showing normal development. CONCLUSION: This comprehensive data analysis provides a systematic overview on all published cases with HMGCLD including a list of all known HMGCL mutations. BioMed Central 2020-02-14 /pmc/articles/PMC7023732/ /pubmed/32059735 http://dx.doi.org/10.1186/s13023-020-1319-7 Text en © The Author(s). 2020 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Grünert, Sarah C.
Sass, Jörn Oliver
3-hydroxy-3-methylglutaryl-coenzyme A lyase deficiency: one disease - many faces
title 3-hydroxy-3-methylglutaryl-coenzyme A lyase deficiency: one disease - many faces
title_full 3-hydroxy-3-methylglutaryl-coenzyme A lyase deficiency: one disease - many faces
title_fullStr 3-hydroxy-3-methylglutaryl-coenzyme A lyase deficiency: one disease - many faces
title_full_unstemmed 3-hydroxy-3-methylglutaryl-coenzyme A lyase deficiency: one disease - many faces
title_short 3-hydroxy-3-methylglutaryl-coenzyme A lyase deficiency: one disease - many faces
title_sort 3-hydroxy-3-methylglutaryl-coenzyme a lyase deficiency: one disease - many faces
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7023732/
https://www.ncbi.nlm.nih.gov/pubmed/32059735
http://dx.doi.org/10.1186/s13023-020-1319-7
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