Article
ECHS1 mutations in Leigh disease: a new inborn error of metabolism affecting valine metabolism.
Brain : a journal of neurology - 1 Nov 2014
Peters Heidi, Buck Nicole, Wanders Ronald, Ruiter Jos, Waterham Hans, Koster Janet, Yaplito-Lee Joy, Ferdinandusse Sacha, Pitt James
Abstract excerpt
Two siblings with fatal Leigh disease had increased excretion of S-(2-carboxypropyl)cysteine and several other metabolites that are features of 3-hydroxyisobutyryl-CoA hydrolase (HIBCH) deficiency, a rare defect in the valine catabolic pathway associated with Leigh-like disease. However, this diagnosis was excluded by HIBCH sequencing and normal enzyme activity. In contrast to HIBCH deficiency, the excretion of...
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