Abstract:
:Lipoic acid is an essential prosthetic group of four mitochondrial enzymes involved in the oxidative decarboxylation of pyruvate, α-ketoglutarate, and branched chain amino acids and in the glycine cleavage. Lipoic acid is synthesized stepwise within mitochondria through a process that includes lipoic acid synthetase. We identified the homozygous mutation c.746G>A (p.Arg249His) in LIAS in an individual with neonatal-onset epilepsy, muscular hypotonia, lactic acidosis, and elevated glycine concentration in plasma and urine. Investigation of the mitochondrial energy metabolism showed reduced oxidation of pyruvate and decreased pyruvate dehydrogenase complex activity. A pronounced reduction of the prosthetic group lipoamide was found in lipoylated proteins.
journal_name
Am J Hum Genetjournal_title
American journal of human geneticsauthors
Mayr JA,Zimmermann FA,Fauth C,Bergheim C,Meierhofer D,Radmayr D,Zschocke J,Koch J,Sperl Wdoi
10.1016/j.ajhg.2011.11.011subject
Has Abstractpub_date
2011-12-09 00:00:00pages
792-7issue
6eissn
0002-9297issn
1537-6605pii
S0002-9297(11)00489-7journal_volume
89pub_type
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