Tiglicaciduria in Propionicacidaemia By WILLIAM L . NYHAN , TOSHIYUKI ANDO

نویسنده

  • WILLIAM L. NYHAN
چکیده

Propionicacidaemia is an inborn error of organic acid metabolism in which there is a defect in propionyl-CoA carboxylase activity, and a clinical picture of overwhelming illness very early in life which was originally described as ketotic hyperglycinaemia (Childs et al., 1961; Hommes et al., 1968; Hsia et al., 1970). These patients have large amounts of glycine in their blood and urine. They also have large amounts of propionic acid in body fluids (Ando et al., 1971; Gompertz et al., 1970). The excretion of ethyl methyl ketone (Menkes, 1966) is considered to result from the accumulation of propionylCoA (in experiments with intact fibroblasts we have demonstrated the conversion of ['4C]propionate into ethyl methyl ketone). The finding of tiglic acid (2-methylcrotonic acid) excretion in this condition provides additional definition of the abnormal internal biochemical environment in this disorder.

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تاریخ انتشار 2005