KEGG   DISEASE: Diseases of the tricarboxylic acid cycle
Entry
H01022                      Disease                                
Name
Diseases of the tricarboxylic acid cycle
  Subgroup
Fumarase (FH) deficiency [DS:H02004]
Succinate dehydrogenase (SDH) deficiency
Alpha-ketoglutarate dehydrogenase (AKGDH) deficiency [DS:H02006]
  Supergrp
Mitochondrial disease [DS:H01427]
Description
Diseases of the tricarboxylic acid cycle (TCA cycle) constitute a group of rare human diseases that affect core mitochondrial metabolism. The Fumarase deficiency is caused by impairment of the fumarate hydratase enzyme. The symptoms of the disorder include developmental delay, severe mental retardation, language impairment, seizures and dysmorphic facial features. The succinate dehydrogenase deficiency [DS:H02005] affects mitochondrial complex II, which links the TCA cycle with the electron transport chain. The phenotype is highly variable and can include Leigh syndrome, leukodystrophy, cardiomyopathy and mental and motor skill deterioration. The alpha-ketoglutarate dehydrogenase deficiency is extremely rare and characterised by encephalopathy and hyperlactatemia resulting in death in early childhood.
Category
Inherited metabolic disorder
Brite
Human diseases in ICD-11 classification [BR:br08403]
 05 Endocrine, nutritional or metabolic diseases
  Metabolic disorders
   Inborn errors of metabolism
    5C53  Inborn errors of energy metabolism
     H01022  Diseases of the tricarboxylic acid cycle
Pathway-based classification of diseases [BR:br08402]
 Carbohydrate metabolism
  nt06031  Citrate cycle and pyruvate metabolism
   H01022  Diseases of the tricarboxylic acid cycle
Pathway
hsa00020  Citrate cycle (TCA cycle)
Network
nt06031 Citrate cycle and pyruvate metabolism
Gene
(FMRD) FH [HSA:2271] [KO:K01679]
(MC2DN1) SDHA [HSA:6389] [KO:K00234]
(OGDHD) OGDH [HSA:4967] [KO:K00164]
Comment
Succinate dehydrogenase deficiency is also included in mitochondrial respiratory chain deficiencies. [DS:H00473]
Other DBs
ICD-11: 5C53.1
ICD-10: E88.8
MeSH: C538191 C565375 C536582
OMIM: 606812 252011 203740
Reference
  Authors
Smith AC, Robinson AJ
  Title
A metabolic model of the mitochondrion and its use in modelling diseases of the tricarboxylic acid cycle.
  Journal
BMC Syst Biol 5:102 (2011)
DOI:10.1186/1752-0509-5-102
Reference
PMID:9300800
  Authors
Rustin P, Bourgeron T, Parfait B, Chretien D, Munnich A, Rotig A
  Title
Inborn errors of the Krebs cycle: a group of unusual mitochondrial diseases in human.
  Journal
Biochim Biophys Acta 1361:185-97 (1997)
DOI:10.1016/S0925-4439(97)00035-5
Reference
PMID:8200987 (FMRD)
  Authors
Bourgeron T, Chretien D, Poggi-Bach J, Doonan S, Rabier D, Letouze P, Munnich A, Rotig A, Landrieu P, Rustin P
  Title
Mutation of the fumarase gene in two siblings with progressive encephalopathy and fumarase deficiency.
  Journal
J Clin Invest 93:2514-8 (1994)
DOI:10.1172/JCI117261
Reference
PMID:7550341 (MC2DN1)
  Authors
Bourgeron T, Rustin P, Chretien D, Birch-Machin M, Bourgeois M, Viegas-Pequignot E, Munnich A, Rotig A
  Title
Mutation of a nuclear succinate dehydrogenase gene results in mitochondrial respiratory chain deficiency.
  Journal
Nat Genet 11:144-9 (1995)
DOI:10.1038/ng1095-144
Reference
PMID:32383294 (OGDHD)
  Authors
Yap ZY, Strucinska K, Matsuzaki S, Lee S, Si Y, Humphries K, Tarnopolsky MA, Yoon WH
  Title
A biallelic pathogenic variant in the OGDH gene results in a neurological disorder with features of a mitochondrial disease.
  Journal
J Inherit Metab Dis 44:388-400 (2021)
DOI:10.1002/jimd.12248
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