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Mol Genet Metab. 2017 Aug;121(4):314-319. doi: 10.1016/j.ymgme.2017.06.009. Epub 2017 Jun 24.

Analyses of SLC13A5-epilepsy patients reveal perturbations of TCA cycle.

Author information

1
Human Genome Sequencing Center, Baylor College of Medicine, Houston, TX, United States; Codified Genomics LLC, Houston, TX, United States; Institute for Genomic Medicine, Rady Children's Hospital, San Diego, CA, United States.
2
Dept. of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, United States.
3
Metabolon, Morrisville, NC, United States.
4
Human Genome Sequencing Center, Baylor College of Medicine, Houston, TX, United States.
5
Department of Neurology, Stanford University Medical School, Palo Alto, CA, United States.
6
Dept. of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, United States. Electronic address: bgraham@bcm.edu.

Abstract

OBJECTIVE:

To interrogate the metabolic profile of five subjects from three families with rare, nonsense and missense mutations in SLC13A5 and Early Infantile Epileptic Encephalopathies (EIEE) characterized by severe, neonatal onset seizures, psychomotor retardation and global developmental delay.

METHODS:

Mass spectrometry of plasma, CSF and urine was used to identify consistently dysregulated analytes in our subjects.

RESULTS:

Distinctive elevations of citrate and dysregulation of citric acid cycle intermediates, supporting the hypothesis that loss of SLC13A5 function alters tricarboxylic acid cycle (TCA) metabolism and may disrupt metabolic compartmentation in the brain.

SIGNIFICANCE:

Our results indicate that analysis of plasma citrate and other TCA analytes in SLC13A5 deficient patients define a diagnostic metabolic signature that can aid in diagnosing children with this disease.

KEYWORDS:

Metabolomics; SLC13A5; Seizure; Tricarboxylic acid cycle

PMID:
28673551
DOI:
10.1016/j.ymgme.2017.06.009
[Indexed for MEDLINE]

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