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D-2-hydroxyglutaric aciduria

W L Nyhan1, G D Shelton, C Jakobs

  • 1Department of Pediatrics, University of California San Diego, La Jolla, USA.

Journal of Child Neurology
|March 1, 1995
PubMed
Summary
This summary is machine-generated.

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D-2-hydroxyglutaric aciduria, a rare condition, presents distinct neurological symptoms compared to the L-form. This study details the phenotype in three patients and an animal model, highlighting key clinical features.

Area of Science:

  • Biochemistry
  • Genetics
  • Neurology

Background:

  • Hydroxyglutaric aciduria is a metabolic disorder.
  • Gas chromatographic-mass spectrometric analysis is used for detection.
  • D and L forms of hydroxyglutaric acid exist, with differing clinical presentations.

Observation:

  • Patients accumulating the D-form of hydroxyglutaric acid exhibit a distinct phenotype.
  • Three patients and an animal model with D-2-hydroxyglutaric aciduria were studied.
  • Clinical manifestations varied among patients, even within families.

Findings:

  • D-2-hydroxyglutaric aciduria is associated with mental retardation, macrocephaly, hypotonia, seizures, and involuntary movements.
  • The phenotype of D-2-hydroxyglutaric aciduria is notably different from that of L-2-hydroxyglutaric aciduria.

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  • Neurologic and systemic manifestations showed considerable variability.
  • Implications:

    • Understanding the D-form phenotype aids in diagnosis and management.
    • Further research into D-2-hydroxyglutaric aciduria can elucidate pathogenic mechanisms.
    • This study contributes to the differential diagnosis of neurometabolic disorders.