MCID: CMB040
MIFTS: 28

Combined D-2- and L-2-Hydroxyglutaric Aciduria

Categories: Genetic diseases, Neuronal diseases, Metabolic diseases, Rare diseases

Aliases & Classifications for Combined D-2- and L-2-Hydroxyglutaric Aciduria

MalaCards integrated aliases for Combined D-2- and L-2-Hydroxyglutaric Aciduria:

Name: Combined D-2- and L-2-Hydroxyglutaric Aciduria 53 71 28 13 69
D2l2ad 53 71
Combined D-2-Hydroxyglutaric Acidemia and L-2-Hydroxyglutaric Acidemia 55
Combined D-2-Hydroxyglutaric Aciduria and L-2-Hydroxyglutaric Aciduria 55
D,l-2-Hydroxyglutaric Aciduria 55
D,l-2-Hydroxyglutaric Acidemia 55
D,l-2-Hga 55

Characteristics:

Orphanet epidemiological data:

55
d,l-2-hydroxyglutaric aciduria
Inheritance: Autosomal recessive; Prevalence: <1/1000000 (Worldwide); Age of onset: Infancy,Neonatal;

OMIM:

53
Inheritance:
autosomal recessive

Miscellaneous:
onset in the neonatal period
death by age 3 years


HPO:

31
combined d-2- and l-2-hydroxyglutaric aciduria:
Inheritance autosomal recessive inheritance


Classifications:



Summaries for Combined D-2- and L-2-Hydroxyglutaric Aciduria

OMIM : 53 Combined D-2- and L-2-hydroxyglutaric aciduria (D-2-HG and L-2-HG) is an autosomal recessive neurometabolic disorder characterized by neonatal-onset encephalopathy with severe muscular weakness, intractable seizures, respiratory distress, and lack of psychomotor development resulting in early death. Brain imaging shows abnormalities including enlarged ventricles, delayed myelination, and germinal layer cysts (summary by Muntau et al., 2000). See also isolated L-2-hydroxyglutaric aciduria (236792) and isolated D-2-hydroxyglutaric aciduria (see 600721). (615182)

MalaCards based summary : Combined D-2- and L-2-Hydroxyglutaric Aciduria, also known as d2l2ad, is related to l-2-hydroxyglutaric aciduria and 2-hydroxyglutaric aciduria, and has symptoms including dyspnea, seizures and stridor. An important gene associated with Combined D-2- and L-2-Hydroxyglutaric Aciduria is SLC25A1 (Solute Carrier Family 25 Member 1). Affiliated tissues include brain and eye.

UniProtKB/Swiss-Prot : 71 Combined D-2- and L-2-hydroxyglutaric aciduria: An autosomal recessive neurometabolic disorder characterized by neonatal-onset encephalopathy with severe muscular weakness, intractable seizures, respiratory distress, and lack of psychomotor development resulting in early death. Brain imaging shows abnormalities including enlarged ventricles, delayed myelination, and germinal layer cysts.

Related Diseases for Combined D-2- and L-2-Hydroxyglutaric Aciduria

Diseases related to Combined D-2- and L-2-Hydroxyglutaric Aciduria via text searches within MalaCards or GeneCards Suite gene sharing:

# Related Disease Score Top Affiliating Genes
1 l-2-hydroxyglutaric aciduria 11.8
2 2-hydroxyglutaric aciduria 11.7
3 d-2-hydroxyglutaric aciduria 1 11.4
4 encephalopathy 10.2

Symptoms & Phenotypes for Combined D-2- and L-2-Hydroxyglutaric Aciduria

Symptoms via clinical synopsis from OMIM:

53
Respiratory:
dyspnea
stridor
respiratory insufficiency

Head And Neck Eyes:
poor eye contact
cortical blindness (1 patient)

Muscle Soft Tissue:
hypotonia, severe

Abdomen Liver:
hepatomegaly (1 patient)

Neurologic Central Nervous System:
seizures
irritability
cerebellar hypoplasia
encephalopathy
delayed myelination
more
Abdomen Gastroin testinal:
poor feeding

Head And Neck Head:
macrocephaly (1 patient)
microcephaly (1 patient)

Laboratory Abnormalities:
increased urinary, plasma, and csf d-2-hydroxyglutaric acid
increased urinary, plasma, and csf l-2-hydroxyglutaric acid
predominance of the d-stereoisomer
increased urinary 2-oxoglutaric acid


Clinical features from OMIM:

615182

Human phenotypes related to Combined D-2- and L-2-Hydroxyglutaric Aciduria:

31 (show all 18)
# Description HPO Frequency HPO Source Accession
1 dyspnea 31 HP:0002094
2 seizures 31 HP:0001250
3 stridor 31 HP:0010307
4 macrocephaly 31 occasional (7.5%) HP:0000256
5 respiratory insufficiency 31 HP:0002093
6 global developmental delay 31 HP:0001263
7 hepatomegaly 31 occasional (7.5%) HP:0002240
8 microcephaly 31 occasional (7.5%) HP:0000252
9 irritability 31 HP:0000737
10 feeding difficulties 31 HP:0011968
11 ventriculomegaly 31 HP:0002119
12 cerebellar hypoplasia 31 HP:0001321
13 encephalopathy 31 HP:0001298
14 cortical visual impairment 31 occasional (7.5%) HP:0100704
15 severe muscular hypotonia 31 HP:0006829
16 poor eye contact 31 HP:0000817
17 delayed myelination 31 HP:0012448
18 l-2-hydroxyglutaric aciduria 31 HP:0040144

UMLS symptoms related to Combined D-2- and L-2-Hydroxyglutaric Aciduria:


stridor, seizures, dyspnea

Drugs & Therapeutics for Combined D-2- and L-2-Hydroxyglutaric Aciduria

Search Clinical Trials , NIH Clinical Center for Combined D-2- and L-2-Hydroxyglutaric Aciduria

Genetic Tests for Combined D-2- and L-2-Hydroxyglutaric Aciduria

Genetic tests related to Combined D-2- and L-2-Hydroxyglutaric Aciduria:

# Genetic test Affiliating Genes
1 Combined D-2- and L-2-Hydroxyglutaric Aciduria 28 SLC25A1

Anatomical Context for Combined D-2- and L-2-Hydroxyglutaric Aciduria

MalaCards organs/tissues related to Combined D-2- and L-2-Hydroxyglutaric Aciduria:

38
Brain, Eye

Publications for Combined D-2- and L-2-Hydroxyglutaric Aciduria

Articles related to Combined D-2- and L-2-Hydroxyglutaric Aciduria:

# Title Authors Year
1
An overview of combined D-2- and L-2-hydroxyglutaric aciduria: functional analysis of CIC variants. ( 29238895 )
2017
2
Deficiency in SLC25A1, encoding the mitochondrial citrate carrier, causes combined D-2- and L-2-hydroxyglutaric aciduria. ( 23561848 )
2013
3
Combined D-2- and L-2-hydroxyglutaric aciduria with neonatal onset encephalopathy: a third biochemical variant of 2-hydroxyglutaric aciduria? ( 10963100 )
2000

Variations for Combined D-2- and L-2-Hydroxyglutaric Aciduria

UniProtKB/Swiss-Prot genetic disease variations for Combined D-2- and L-2-Hydroxyglutaric Aciduria:

71
# Symbol AA change Variation ID SNP ID
1 SLC25A1 p.Pro45Leu VAR_069490
2 SLC25A1 p.Glu144Gln VAR_069491
3 SLC25A1 p.Gly167Arg VAR_069492
4 SLC25A1 p.Ser193Trp VAR_069493 rs781925968
5 SLC25A1 p.Met202Thr VAR_069494 rs782335811
6 SLC25A1 p.Arg282Cys VAR_069495 rs431905509
7 SLC25A1 p.Arg282Gly VAR_069496 rs431905509
8 SLC25A1 p.Tyr297Cys VAR_069497
9 SLC25A1 p.Arg198His VAR_077511

ClinVar genetic disease variations for Combined D-2- and L-2-Hydroxyglutaric Aciduria:

6
# Gene Variation Type Significance SNP ID Assembly Location
1 SLC25A1 NM_005984.4(SLC25A1): c.844C> G (p.Arg282Gly) single nucleotide variant Pathogenic rs431905509 GRCh37 Chromosome 22, 19163735: 19163735
2 SLC25A1 NM_005984.4(SLC25A1): c.844C> T (p.Arg282Cys) single nucleotide variant Pathogenic rs431905509 GRCh37 Chromosome 22, 19163735: 19163735
3 SLC25A1 NM_005984.4(SLC25A1): c.845G> A (p.Arg282His) single nucleotide variant Pathogenic rs431905510 GRCh37 Chromosome 22, 19163734: 19163734
4 SLC25A1 NM_005984.4(SLC25A1): c.389G> A (p.Gly130Asp) single nucleotide variant Pathogenic rs368647424 GRCh37 Chromosome 22, 19165292: 19165292
5 SLC25A1 NM_005984.4(SLC25A1): c.821C> T (p.Ala274Val) single nucleotide variant Pathogenic rs483352910 GRCh37 Chromosome 22, 19163934: 19163934
6 SLC25A1 NM_005984.4(SLC25A1): c.517_526delCGGGAACAAG (p.Arg173Glyfs) deletion Pathogenic/Likely pathogenic rs483352911 GRCh37 Chromosome 22, 19164633: 19164642

Expression for Combined D-2- and L-2-Hydroxyglutaric Aciduria

Search GEO for disease gene expression data for Combined D-2- and L-2-Hydroxyglutaric Aciduria.

Pathways for Combined D-2- and L-2-Hydroxyglutaric Aciduria

GO Terms for Combined D-2- and L-2-Hydroxyglutaric Aciduria

Sources for Combined D-2- and L-2-Hydroxyglutaric Aciduria

3 CDC
7 CNVD
9 Cosmic
10 dbSNP
11 DGIdb
16 ExPASy
18 FMA
27 GO
28 GTR
29 HGMD
30 HMDB
31 HPO
32 ICD10
33 ICD10 via Orphanet
34 ICD9CM
35 IUPHAR
36 KEGG
37 LifeMap
39 MedGen
41 MeSH
42 MESH via Orphanet
43 MGI
45 NCI
46 NCIt
47 NDF-RT
50 NINDS
51 Novoseek
53 OMIM
54 OMIM via Orphanet
58 PubMed
60 QIAGEN
65 SNOMED-CT via HPO
66 SNOMED-CT via Orphanet
67 TGDB
68 Tocris
69 UMLS
70 UMLS via Orphanet
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