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Pyruvate carboxylase deficiency, studies on patients and on an animal model system

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Inherited Disorders of Carbohydrate Metabolism

Abstract

Pyruvate carboxylase plays a central role in the regulation of the flux of carbon in metabolism1, not only in liver and kidney tissues with a high activity of pyruvate carboxylase but in other tissues as well, particularly in the developing brain2. A deficiency of this enzyme may therefore give rise to a variety of biochemical abnormalities and clinical symptoms. A further complication is the possible relationship with subacute necrotizing encephalomyelopathy (Leigh) or SNE3. However, this histopathologically defined disease may be associated with more than one biochemical abnormality4, such as disorders in thiamine triphosphate metabolism5, pyruvate dehydrogenase deficiency6 and pyruvate carboxylase deficiency7.

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References

  1. R. M. Denton, (1979). Pathways and regulation of pyruvate metabolism. This volume, p. 209

    Google Scholar 

  2. J. M. Land and J. B. Clark, (1975). The changing pattern of brain mitochondrial substrate utilization during development. In F. A. Hommes and C. J. van den Berg (eds.). Normal and Pathological Development of Energy Metabolism, pp. 155–167. (Academic Press London)

    Google Scholar 

  3. D. Leigh, (1951). Subacute necrotizing encephalomyelopathy in an infant. J. Neurol. Neurosurg. Psychiatry, 14, 216

    Article  PubMed  CAS  Google Scholar 

  4. J. P. Blass, S. D. Cederbaum and H. G. Dunn, (1976). Biochemical abnormalities in Leigh’s disease. Lancet, 1, 1237

    Article  PubMed  CAS  Google Scholar 

  5. J. R. Cooper, Y. Itokawa and J. H. Pincus, (1969). Thiamin triphosphate deficiency in subacute necrotizing encephalomyelopathy. Science, 164, 72

    Article  Google Scholar 

  6. F. W. Farmer, L. Veath, A. L. Miller, J. S. O‖Brien and R. M. Rosenberg, (1973). Pyruvate decarboxylase deficiency in familial intermittent cerebellar ataxia. Neurology, 23, 429

    Google Scholar 

  7. F. A. Hommes, H. A. Polman and J. D. Reerink, (1968). Leigh’s encephalomyelopathy: an inborn error of gluconeogenesis. Arch. Dis. Child., 43, 423

    Article  PubMed  CAS  Google Scholar 

  8. M. M. Daalmans-De Lange and F. A. Hommes, (1974). The urinary lactate excretion in children. Helv. Paediatr. Acta, 29, 599

    PubMed  CAS  Google Scholar 

  9. M. M. Daalmans-De Lange and F. A. Hommes, (1978). A rapid screening test for lactaciduria. J. Clin. Chem. Clin. Biochem., 16, 349

    PubMed  CAS  Google Scholar 

  10. B. I. Brown and D. H. Brown, (1968). Glycogen-storage diseases: Types I, III, IV, V, VII and unclassified glycogenoses. In Carbohydrate Metabolism and its Disorders, Vol. II, p. 23 (Academic Press New York)

    Google Scholar 

  11. A. S. Pagliara I. E. Karl J. P. Keating B. I. Brown and D. M. Kipnis 1972. Hepatic fructose 16-diphosphatase deficiency. A cause of lactic acidosis and hypoglycemia in infancy. J. Clin. Invest. 51 211

    Google Scholar 

  12. F. A. Hommes, K. Bendien, J. D. Elema, H. J. Bremer and I. Lombeck, (1976). Two cases of phosphoenolpyruvate carboxykinase deficiency. Acta Paediatr. Scand., 65, 233

    Article  PubMed  CAS  Google Scholar 

  13. J. Fernandes and W. Blom, (1974). The intravenous L-alanine tolerance test as a means for investigating gluconeogenesis. Metabolism, 23, 1149

    Article  PubMed  CAS  Google Scholar 

  14. M. C. Scrutton and M. D. White, (1974). Purification and properties of human liver pyruvate carboxylase. Biochem. Med., 9, 271

    Article  CAS  Google Scholar 

  15. Schrijver, J. (1978). Thesis, University of Groningen

    Google Scholar 

  16. C. Marsac, J. M. Saudubray, A. Moncion and J. P. Leroux, (1976). Development of gluconeogenic enzymes in the liver of human newborns. Biol. Neonate, 28, 317

    Article  Google Scholar 

  17. O. Wieland, E. Evertz-Prusse and B. Stukowski, (1968). Distribution of pyruvate carboxylase and phosphoenolpyruvate carboxykinase in human liver. FEBS Lett., 2, 26

    Article  PubMed  CAS  Google Scholar 

  18. W. D. Grover, V. H. Auerbach and M. S. Patel, (1972). Biochemical studies and therapy in subacute necrotizing encephalomyopathy (Leigh). J. Pediatr., 81, 39

    Article  PubMed  CAS  Google Scholar 

  19. A. B. Gruskin, M. S. Patel, M. Linshaw, R. Ettenger, D. Huff and W. Grover, (1973). Renal function studies and kidney pyruvate carboxylase in subacute necrotizing encephalomyelopathy (Leigh’s Syndrome). Pediatr. Res., 7, 832

    Article  PubMed  CAS  Google Scholar 

  20. H. Maesaka, K. Kaniga, K. Misugi and K. Tada, (1976). Hyperalaninemia, hyperpyruvicemia and lactic acidosis due to pyruvate carboxylase deficiency of the liver, treatment with thiamin and lipoic acid. Eur. J. Pediatr., 122, 159

    Article  PubMed  CAS  Google Scholar 

  21. J. V. Murphy, (1974). Efficacy of recommended therapeutic regimes in Leigh’s disease. Dev. Med. Child. Neurol, 16, 362

    Article  PubMed  CAS  Google Scholar 

  22. B. H. Robinson, D. G. Gall and E. Cutz, (1977). Deficient activity of hepatic pyruvate dehydrogenase and pyruvate carboxylase in Reye’s syndrome. Pediatr. Res., 11, 279

    PubMed  CAS  Google Scholar 

  23. J. M. Saudubray, C. Marsac, C. Charpentier, L. Cathelineau, M. Besson Leaud and J. P. Leroux, (1976). Neonatal congenital lactic acidosis with pyruvate carboxylase deficiency in two siblings. Acta Paediatr. Scand., 65, 717

    PubMed  CAS  Google Scholar 

  24. K. Tada, K. Sugita, K. Fujikawi, T. Kesaki, G. Takada and K. Omura, (1973). Hyperalaninemia with pyruvicemia in a patient suggestive of Leigh’s encephalomyelopathy. Tohoku. K. Exp. Med., 109, 13

    Article  CAS  Google Scholar 

  25. T. T. Tang Th. A. Good P. R. Dyken S. D. Johnson S. R. McCready S. T. Sy H. A. Lardy and F. B. Rudolph (1972). Pathogenesis of Leigh’s encephaloyelopathy. J. Pediatr. 81 189

    Google Scholar 

  26. B. Stormer and B. Staib (1971). Activities of pyruvate carboxylase, phosphoenolpyruvate carboxykinase and pyruvate kinase of New Zealand obese mice liver during different phases of diabetes after starvation, Cortisol and insulin treatment. In H. D. Soling and B. Willms (eds.). Regulation of Gluconeogenesis, pp. 63–65 (Thieme Verlag Stuttgart)

    Google Scholar 

  27. M. G. Brunette, E. Delvin, B. Hazel and C. R. Scriver, (1972). Thiamin responsive lactic acidosis in a patient with deficient low Km pyruvate carboxylase activity in liver. Pediatrics, 50, 702

    PubMed  CAS  Google Scholar 

  28. E. Delvin, C. R. Scriver and J. C. Neal, (1974). Pyruvate carboxylase in human liver. Apparent loss of a component of catalytic activity in a form of lactic acidosis with hypoglycemia. Biochem. Med., 10, 97

    Article  PubMed  CAS  Google Scholar 

  29. C. J. De Groot J. H. P. Jonxis and F. A. Hommes (1972). Further studies on Leigh’s encephalomyelopathy. In J. Stern and C. Toothill (eds). Organic Acidurias pp. 40–45. (J. F. Churchill and Livingstone London

    Google Scholar 

  30. B. E. Clayton, R. H. Dobbs and A. D. Patrick, (1967). Leigh’s subacute necrotizing encephalopathy: clinical and biochemical study, with special reference to therapy with lipoate. Arch. Dis. Child., 42, 467

    Article  PubMed  CAS  Google Scholar 

  31. L. Crome and J. Stern, (1967). The Pathology of Mental Retardation, p. 314. (J. and A. Churchill London)

    Google Scholar 

  32. C. J. De Groot and F. A. Hommes, (1973). Further speculation on the pathogenesis of Leigh’s encephalomyelopathy. J. Pediatr., 82, 541

    Article  PubMed  Google Scholar 

  33. R. Hems, M. Stubbs and H. A. Krebs, (1968). Restricted permeability of rat liver for glutamate and succinate. Biochem. J., 107, 807

    PubMed  CAS  Google Scholar 

  34. W. H. Oldendorf, (1971). Brain uptake of radiolabeled amino acids, amines and hexoses after arterial injection. Am. J. Physiol., 221, 1629

    PubMed  CAS  Google Scholar 

  35. D. C. De Vivo, M. W. Haymond, M. P. Leckie, Y. L. Bursmann, D. B. McDougal and A. S. Pagliara, (1977). The clinical and biochemical implications of pyruvate carboxylase deficiency. J. Clin. Exp. Med., 45, 1281

    Google Scholar 

  36. D. Lonsdale, W. R. Faulkner, J. W. Price and R. R. Smelby, (1969). Intermittent cerebellar ataxia associated with hyperpyruvic acidemia, hyperalaninemia and hyperalaninuria. Pediatrics, 43, 1025

    PubMed  CAS  Google Scholar 

  37. J. H. Pincus, J. R. Cooper, J. V. Murphy, E. F. Robe, D. Lonsdale and H. G. Dunn, (1973). Thiamine derivatives in subacute necrotizing encephalomyelopathy. Pediatrics, 51, 716

    PubMed  CAS  Google Scholar 

  38. A. D. Thompson, O. Frank, H. Baker and C. M. Leevy, (1971). Thiamin propyldisulphide: absorption and utilization. Ann. Intern. Med., 74, 529

    Google Scholar 

  39. J. Schrijver, Th. Dias and F. A. Hommes, (1978). Studies on ATP-thiamin diphosphate phosphotransferase activity in rat brain. Neurochem. Res., 3, 699

    Article  PubMed  CAS  Google Scholar 

  40. T. P. Ruenwongsa and J. R. Cooper, (1977). The role of bound thiamin pyrophosphate in the synthesis of thiamin triphosphate in rat liver. Biochim. Biophys. Acta, 482, 64

    PubMed  CAS  Google Scholar 

  41. D. Hoekstra, R. Berger and F. A. Hommes, (1974). The thiamin diphosphate content of liver mitochondria of the pregnant and developing rat. Nutr. Metab., 16, 317

    Article  PubMed  CAS  Google Scholar 

  42. Y. Itokawa, (1976). Assay method and some properties of thiamin diphosphate-adenosine triphosphate phosphoryl transferase in rat brain. In C. J. Gubler, M. Fujiwara and P. M. Dreyfus (eds). Thiamin, pp. 361–368 (John Wiley and Sons New York)

    Google Scholar 

  43. G. Rindi and L. de Giuseppe, (1961). A new chromatographic method for the determination of thiamin and its mono-, di and tri-phosphates in animal tissues. Biochem. J., 78, 602

    PubMed  CAS  Google Scholar 

  44. D. Hoekstra, R. Berger and F. A. Hommes, (1974). Control of pyruvate oxidation in fetal and maternal tissue by the thiamin level. Pediatr. Res., 8, 132

    Article  Google Scholar 

  45. F. A. Hommes, R. Berger and G. Luit-De Haan, (1973). The effect of thiamin treatment on the activity of pyruvate dehydrogenase: relation to thetreatment of Leigh’s encephalomyelopathy. Pediatr. Res., 7, 616

    Article  PubMed  CAS  Google Scholar 

  46. S. Whitehouse, R. H. Cooper and P. J. Randle, (1974). Mechanism of activation of pyruvate dehydrogenase by dichloroacetate and other halogenated carboxylic acids. Biochem. J., 141, 761

    PubMed  CAS  Google Scholar 

  47. S. Whitehouse and P. J. Randle, (1973). Activation of pyruvate dehydrogenase in perfused rat heart by dichloroacetate. Biochem. J., 134, 651

    PubMed  CAS  Google Scholar 

  48. P. W. Stacpoole, G. W. Moore and D. M. Kornhauser, (1978). Metabolic effects of dichloroacetate in patients with diabetes mellitus and hyperlipoproteinemia. N. Engl. J. Med., 298, 526

    Article  PubMed  CAS  Google Scholar 

  49. P. J. Blackshear, P. A. H. Holloway and K. G. M. M. Alberti, (1974). The metabolic effects of sodium dichloroacetate in the starved rat. Biochem. J., 142, 279

    PubMed  CAS  Google Scholar 

  50. Stacpoole, P. W. and Felts, J. M. (1970). Di-isopropylammonium dichloroacetate (DIPA) and sodium dichloroacetate (DCA): Effect on glucose and fat metabolism in normal and diabetic tissue. Metabolism, 19, 71

    Article  PubMed  CAS  Google Scholar 

  51. P. W. Stacpoole, (1977). Effect of dichloroacetate on gluconeogenesis in isolated rat hepatocytes. Metabolism, 26, 107

    Google Scholar 

  52. J. Schrijver, Th. Dias and F. A. Hommes, (1979). Some biochemical observations on biotin deficiency in the rat as a model for human pyruvate carboxylase deficiency. Nutr. Metab., 23,179

    Article  PubMed  CAS  Google Scholar 

  53. B. Atkin, M. F. Utter, M. B. Winberg and N. R. M. Buist, (1977). Detection of pyruvate carboxylase deficiency in leucocytes and fibroblasts. Pediatr. Res., 11, 452

    Article  Google Scholar 

  54. T. L. Hanson, C. Christensen and N. J. Brandt, (1977). Pyruvate carboxylase activity in cultured human fibroblasts and amniotic fluid cells. Proc. llth FEBS Meeting, Copenhagen, AI-8.0

    Google Scholar 

  55. R. Raghunathen, J. D. Russell and J. J. Arinze, (1977) Pyruvate carboxylase and phosphoenolpyruvate carboxykinase in cultured human fibroblasts. J. Cell Physiol., 92, 285

    Google Scholar 

  56. J. P. Blass, S. D. Cederbaum and G. E. Gibson, (1975). Clinical and metabolic abnormalities accompanying deficiencies in pyruvate oxidation. In F. A. Hommes and PC. J. van den Berg (eds). Normal and Pathological Development of Energy Metabolism, pp. 193–210 (Academic Press London)

    Google Scholar 

  57. Itokawa, Y. (1977). (Personal communication)

    Google Scholar 

  58. H. D. Soling, B. Willms and J. Kleineke, (1971). Regulation of gluconeogenesis in rat and guinea pig. In H. D. Soling and B. W. Willms (eds). Regulation of Gluconeogenesis, pp. 210–229 (Thieme Verlag Stuttgart)

    Google Scholar 

  59. T. Yoshida, K. Tada, T. Konno and T. Arakawa, (1969). Hyperalaninemia with pyruvicemia due to pyruvate carboxylase deficiency. Tohoku J. Exp. Med., 99, 121

    Article  PubMed  CAS  Google Scholar 

  60. T. Yoshida, K. Tada and T. Arakawa, (1970). Abnormally high levels of lactate and pyruvate in cerebrospinal fluid of hyperalaninemia with hyperpyruvicemia. Tohoku J. Exp. Med., 101, 375

    Article  PubMed  CAS  Google Scholar 

  61. A. Moosa and E. A. Hughes, (1974). L-glutamine therapy in Leigh’s encephalomyelopathy. Arch. Dis. Child. 43, 246

    Article  Google Scholar 

  62. H. Grdbe, D. B. von Bassewitz, H. C. Donenick and R. A. Pfeiffer, (1975). Subacute necrotizing encephalomyelopathy. Clinical, ultrastructural, biochemical and therapeutic studies in an infant. Acta. Paediatr. Scand., 64, 755

    Article  Google Scholar 

  63. K. Tada, G. Takada, K. Omura and Y. Itokawa, (1978). Congenital lactic acidosis due to pyruvate carboxylase deficiency: absence of an inhibitor of TPP-ATP phosphoryl transferase. Eur. J. Pediatr., 127, 141

    Article  PubMed  CAS  Google Scholar 

  64. J. P. G. M. van Biervliet, L. Bruinvis, C. van der Heiden, D. Ketting, S. K. Wad-man, J. L. Willemse and L. A. H. Monnens, (1977). Report of a patient with severe, chronic lactic acidaemia and pyruvate carboxylase deficiency. Dev. Med. Child. Neurol., 19, 392

    Article  PubMed  Google Scholar 

  65. M. F. Utter and D. B. Keech, (1963). Pyruvate carboxylase. I. Nature of the reaction. J. Biol. Chem., 283, 2603

    Google Scholar 

  66. H. Koike and T. Yusa, (1970). Thiamin and its phosphoric esters: estimation by an ion exchange method. In D. B. McCormick and L. D. Wright (eds). Methods of Enzymology. Vol. 18A, pp. 105–108 (Academic Press New York)

    Google Scholar 

  67. M. M. Berry and D. S. Friens, (1969). High yield preparation of isolated rat liver parenchymal cells: a biochemical and fine structural study. J. Cell Biol., 43, 506

    Article  PubMed  CAS  Google Scholar 

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© 1980 The Society for the Study of Inborn Errors of Metabolism

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Hommes, F.A., Schrijver, J., Dias, T. (1980). Pyruvate carboxylase deficiency, studies on patients and on an animal model system. In: Burman, D., Holton, J.B., Pennock, C.A. (eds) Inherited Disorders of Carbohydrate Metabolism. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-9215-3_16

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  • DOI: https://doi.org/10.1007/978-94-009-9215-3_16

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