Pyruvate dehydrogenase deficiency

Pyruvate dehydrogenase deficiency (PDHD) is a rare neurometabolic disorder characterized by a wide range of clinical signs with metabolic and neurological components of varying severity. Manifestations range from often fatal, severe, neonatal lactic acidosis to later-onset neurological disorders. Six subtypes related to the affected subunit of the PDH complex have been recognized with significant clinical overlap: PDHD due to E1-alpha, E1-beta, E2 and E3 deficiency, PDHD due to E3-binding protein deficiency, and PDH phosphatase deficiency (see these terms).



Input patient's signs and symptoms


Narrow down the case reports



Total: 81 (papers)

  


(per page)
Matched Phenotype  Gene  Mutation  MeSH
Rank
(Similarity)
PMID
(PMCID)
1
(75.3%)
9141261
Pyruvate dehydrogenase complex deficiency with multiple minor anomalies.
Saijo H, Tanaka H, Ito J, Tasaki T, Cho K, Tokumitsu A, Takahashi S, Miyamoto A, Oki J.
Acta Paediatr Jpn. 1997;39(2):230-2.
Long philtrum Upslanted palpebral fissure Small hand
PDP1
Females Homo sapiens Infant Pyruvate Dehydrogenase Complex Deficiency Disease
2
(39.0%)
27896109
(5121365)
Somatic mosaicism for a novel PDHA1 mutation in a male with severe pyruvate dehydrogenase complex deficiency.
Deeb KK, Bedoyan JK, Wang R, Sremba L, Schroeder MC, Grahame GJ, Boyer M, McCandless SE, Kerr DS, Zhang S.
Mol Genet Metab Rep. 2014;1:362-367.
Congenital microcephaly
PDHA1
rs137853252 rs1555934336 rs1555934376 rs1555934843 rs606231189 rs863224148
2
(39.0%)
26865159
Phenotypic and Neuropathological Characterization of Fetal Pyruvate Dehydrogenase Deficiency.
Pirot N, Crahes M, Adle-Biassette H, Soares A, Bucourt M, Boutron A, Carbillon L, Mignot C, Trestard L, Bekri S, Laquerriere A.
J Neuropathol Exp Neurol. 2016;75(3):227-38.
Microcephaly
PDHA1 PDHB PDP1
rs137853252
Adult Females Fetal Diseases Fetus Homo sapiens Magnetic Resonance Imaging Mutation Phenotype Pregnancy Pyruvate Dehydrogenase (Lipoamide) Pyruvate Dehydrogenase Complex Deficiency Disease Ultrasonography, Prenatal
2
(39.0%)
15944905
Neonatal lactic acidosis, complex I/IV deficiency, and fetal cerebral disruption.
van Straaten HL, van Tintelen JP, Trijbels JM, van den Heuvel LP, Troost D, Rozemuller JM, Duran M, de Vries LS, Schuelke M, Barth PG.
Neuropediatrics. 2005;36(3):193-9.
Microcephaly
Acidosis, Lactic Brain Cytochrome-c Oxidase Deficiency Electron Transport Complex I Fatal Outcome Females Homo sapiens Infant, Newborn Male
2
(39.0%)
10486093
Cerebral palsy and pyruvate dehydrogenase deficiency: identification of two new mutations in the E1alpha gene.
Lissens W, Vreken P, Barth PG, Wijburg FA, Ruitenbeek W, Wanders RJ, Seneca S, Liebaers I, De Meirleir L.
Eur J Pediatr. 1999;158(10):853-7.
Microcephaly
p|SUB|R|288|H rs137853258 rs1555935690
Acidosis, Lactic Cerebral Palsy DNA Mutational Analysis Differential Diagnosis Females Homo sapiens Hypocalcemia Microcephaly Mutation Pyruvate Dehydrogenase (Lipoamide) Pyruvate Dehydrogenase Complex Pyruvate Dehydrogenase Complex Deficiency Disease Quadriplegia Western Blotting X Chromosome
2
(39.0%)
8983728
[Pyruvate dehydrogenase deficiency and cerebral malformations].
Eiris J, Alvarez-Moreno A, Briones P, Alonso-Alonso C, Castro-Gago M.
Rev Neurol. 1996;24(134):1272-5.
Microcephaly
PDP1
Brain Child, Preschool Exons Females Fibroblasts Homo sapiens Infant Magnetic Resonance Imaging Pyruvate Dehydrogenase Complex Pyruvate Dehydrogenase Complex Deficiency Disease
7
(26.3%)
8352855
Pyruvate dehydrogenase deficiency: clinical and biochemical diagnosis.
De Meirleir L, Lissens W, Denis R, Wayenberg JL, Michotte A, Brucher JM, Vamos E, Gerlo E, Liebaers I.
Pediatr Neurol. 1993;9(3):216-20.
High forehead
PDP1
Brain Chromosome Mapping Electron Microscopy Females Homo sapiens Infant, Newborn Lactates Liver Magnetic Resonance Imaging Muscle Tissue Neurologic Examination Pyruvate Dehydrogenase (Lipoamide) Pyruvate Dehydrogenase Complex Pyruvate Dehydrogenase Complex Deficiency Disease Pyruvates
8
(17.5%)
30304514
Bi-allelic mutations of LONP1 encoding the mitochondrial LonP1 protease cause pyruvate dehydrogenase deficiency and profound neurodegeneration with progressive cerebellar atrophy.
Nimmo GAM, Venkatesh S, Pandey AK, Marshall CR, Hazrati LN, Blaser S, Ahmed S, Cameron J, Singh K, Ray PN, Suzuki CK, Yoon G.
Hum Mol Genet. 2019;28(2):290-306.
Intellectual disability Muscle weakness
c|SUB|C|2282|T;RS#:373182816 p|SUB|P|761|L;RS#:373182816
ATP-Dependent Proteases Alleles Cerebellar Diseases DNA, Mitochondrial Homo sapiens Homozygote Infant, Newborn Lactates Male Mitochondrial Proteins Mutation Neurodegenerative Disorders Phosphorylation Protein Subunits Proteolysis Pyruvate Dehydrogenase Complex Deficiency Disease
8
(17.5%)
30098254
[Analysis of a female neonate with pyruvate dehydrogenase complex deficiency].
Zhang K, Li H, Li X, Liu Y, Gai Z.
Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2018;35(4):548-552.
Muscle weakness
c|SUB|G|1133|A;RS#:137853250(Expired) p|SUB|R|378|H;RS#:137853250(Expired)
Brain Females Homo sapiens Infant, Newborn Magnetic Resonance Imaging Missense Mutation Pyruvate Dehydrogenase (Lipoamide) Pyruvate Dehydrogenase Complex Deficiency Disease
8
(17.5%)
28262162
Schizophrenia-like symptoms in a patient with Leigh syndrome.
Satogami K, Takahashi S, Kose A, Shinosaki K.
Asian J Psychiatr. 2017;25:249-250.
Delusions Progressive muscle weakness
Homo sapiens Leigh Disease Male Psychotic Disorders Schizophrenia
        

Phenotype(s) retrieved from Orphanet

    Total: 35

HPO ID Term Frequency
HP:0001252 Muscular hypotonia Very frequent (99-80%)
HP:0001254 Lethargy Very frequent (99-80%)
HP:0001510 Growth delay Very frequent (99-80%)
HP:0001999 Abnormal facial shape Very frequent (99-80%)
HP:0008872 Feeding difficulties in infancy Very frequent (99-80%)
HP:0000252 Microcephaly Frequent (79-30%)
HP:0000496 Abnormality of eye movement Frequent (79-30%)
HP:0001250 Seizures Frequent (79-30%)
HP:0001251 Ataxia Frequent (79-30%)
HP:0001257 Spasticity Frequent (79-30%)
HP:0001260 Dysarthria Frequent (79-30%)
HP:0001263 Global developmental delay Frequent (79-30%)
HP:0001266 Choreoathetosis Frequent (79-30%)
HP:0001288 Gait disturbance Frequent (79-30%)
HP:0001337 Tremor Frequent (79-30%)
HP:0001511 Intrauterine growth retardation Frequent (79-30%)
HP:0002789 Tachypnea Frequent (79-30%)
HP:0007256 Abnormal pyramidal sign Frequent (79-30%)
HP:0007370 Aplasia/Hypoplasia of the corpus callosum Frequent (79-30%)
HP:0100453 Osteolytic defects of the middle phalanx of the 4th toe Frequent (79-30%)
HP:0000218 High palate Occasional (29-5%)
HP:0000243 Trigonocephaly Occasional (29-5%)
HP:0000275 Narrow face Occasional (29-5%)
HP:0000286 Epicanthus Occasional (29-5%)
HP:0000316 Hypertelorism Occasional (29-5%)
HP:0000343 Long philtrum Occasional (29-5%)
HP:0000431 Wide nasal bridge Occasional (29-5%)
HP:0000582 Upslanted palpebral fissure Occasional (29-5%)
HP:0000767 Pectus excavatum Occasional (29-5%)
HP:0001012 Multiple lipomas Occasional (29-5%)
HP:0001332 Dystonia Occasional (29-5%)
HP:0002007 Frontal bossing Occasional (29-5%)
HP:0002094 Dyspnea Occasional (29-5%)
HP:0002119 Ventriculomegaly Occasional (29-5%)
HP:0100021 Cerebral palsy Occasional (29-5%)


Phenotype(s) retrieved from case reports

    Total: 26

HPO ID Term # of case reports
HP:0003128 Lactic acidosis 9
HP:0001332 Dystonia 4
HP:0001251 Ataxia 3
HP:0004902 Congenital lactic acidosis 3
HP:0001138 Optic neuropathy 1
HP:0001250 Seizures 1
HP:0001272 Cerebellar atrophy 1
HP:0001290 Generalized hypotonia 1
HP:0001298 Encephalopathy 1
HP:0001321 Cerebellar hypoplasia 1
HP:0001941 Acidosis 1
HP:0001953 Diabetic ketoacidosis 1
HP:0001987 Hyperammonemia 1
HP:0002119 Ventriculomegaly 1
HP:0002180 Neurodegeneration 1
HP:0002304 Akinesia 1
HP:0002329 Drowsiness 1
HP:0002578 Gastroparesis 1
HP:0002878 Respiratory failure 1
HP:0004900 Severe lactic acidosis 1
HP:0006976 Necrotizing encephalopathy 1
HP:0007110 Central hypoventilation 1
HP:0008288 Nonketotic hyperglycinemia 1
HP:0009830 Peripheral neuropathy 1
HP:0031273 Shock 1
HP:0100021 Cerebral palsy 1


Causative gene(s) retrieved from Orphanet

    Total: 0

Gene Symbol Gene Name Entrez Gene ID