KEGG   DISEASE: メープルシロップ尿症
エントリ  
H00172                                                             
名称    
メープルシロップ尿症
  下位グループ
ジヒドロリポアミド脱水素酵素欠損症 [DS:H02000]
概要    
Maple syrup urine disease (MSUD) is an autosomal recessive inherited disorder caused by a defect in the oxidative decarboxylation of branched-chain amino acids (BCAA) leading to mental and physical retardation, feeding problems, and a maple syrup odor to the urine. Currently, there are effective therapies that are in use for MSUD; the dietary therapy and thiamin supplementation. The dietary therapy, which involves feeding patients with a synthetic diet containing reduced BCAA contents.
カテゴリ  
先天性代謝異常症
階層分類  
ICD-11 による疾患分類 [BR:jp08403]
 05 内分泌, 栄養, 代謝の疾患
  代謝疾患
   先天性代謝異常
    5C50  アミノ酸または他の有機酸代謝の先天性異常
     H00172  メープルシロップ尿症
パスウェイに基づく疾患分類 [BR:jp08402]
 アミノ酸代謝
  nt06024  バリン、ロイシン、イソロイシンの分解
   H00172  メープルシロップ尿症
指定難病 [jp08407.html]
 H00172
パスウェイ 
hsa00280  Valine, leucine and isoleucine degradation
ネットワーク
nt06024 Valine, leucine and isoleucine degradation
病因遺伝子 
(MSUD1A) BCKDHA [HSA:593] [KO:K00166]
(MSUD1B) BCKDHB [HSA:594] [KO:K00167]
(MSUD2) DBT [HSA:1629] [KO:K09699]
(DLDD) DLD [HSA:1738] [KO:K00382]
(MSUDMV) PPM1K [HSA:152926] [KO:K17505]
治療薬   
特殊粉乳 [DR:D08831]
リンク   
ICD-11: 5C50.D0
ICD-10: E71.0
MeSH: D008375
OMIM: 248600 620698 620699 246900 615135
文献    
  著者
Chuang DT, Chuang JL, Wynn RM
  タイトル
Lessons from genetic disorders of branched-chain amino acid metabolism.
  雑誌
J Nutr 136:243S-9S (2006)
DOI:10.1093/jn/136.1.243S
文献    
PMID:9546032
  著者
Chuang DT
  タイトル
Maple syrup urine disease: it has come a long way.
  雑誌
J Pediatr 132:S17-23 (1998)
DOI:10.1016/S0022-3476(98)70523-2
文献    
PMID:9266218
  著者
Schadewaldt P, Wendel U
  タイトル
Metabolism of branched-chain amino acids in maple syrup urine disease.
  雑誌
Eur J Pediatr 156 Suppl 1:S62-6 (1997)
DOI:10.1007/PL00014274
文献    
PMID:2703538 (MSUD1A)
  著者
Zhang B, Edenberg HJ, Crabb DW, Harris RA
  タイトル
Evidence for both a regulatory mutation and a structural mutation in a family with maple syrup urine disease.
  雑誌
J Clin Invest 83:1425-9 (1989)
DOI:10.1172/JCI114033
文献    
PMID:2022752 (MSUD1B)
  著者
Nobukuni Y, Mitsubuchi H, Akaboshi I, Indo Y, Endo F, Yoshioka A, Matsuda I
  タイトル
Maple syrup urine disease. Complete defect of the E1 beta subunit of the branched chain alpha-ketoacid dehydrogenase complex due to a deletion of an 11-bp repeat sequence which encodes a mitochondrial targeting leader peptide in a family with  the disease.
  雑誌
J Clin Invest 87:1862-6 (1991)
DOI:10.1172/JCI115209
文献    
PMID:1990841 (MSUD2)
  著者
Herring WJ, Litwer S, Weber JL, Danner DJ
  タイトル
Molecular genetic basis of maple syrup urine disease in a family with two defective alleles for branched chain acyltransferase and localization of the gene  to human chromosome 1.
  雑誌
Am J Hum Genet 48:342-50 (1991)
文献    
PMID:8506365 (DLD)
  著者
Liu TC, Kim H, Arizmendi C, Kitano A, Patel MS
  タイトル
Identification of two missense mutations in a dihydrolipoamide dehydrogenase-deficient patient.
  雑誌
Proc Natl Acad Sci U S A 90:5186-90 (1993)
DOI:10.1073/pnas.90.11.5186
文献    
PMID:23086801 (MSUDMV)
  著者
Oyarzabal A, Martinez-Pardo M, Merinero B, Navarrete R, Desviat LR, Ugarte M, Rodriguez-Pombo P
  タイトル
A novel regulatory defect in the branched-chain alpha-keto acid dehydrogenase complex due to a mutation in the PPM1K gene causes a mild variant phenotype of maple syrup urine disease.
  雑誌
Hum Mutat 34:355-62 (2013)
DOI:10.1002/humu.22242
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