Human Molecular Genetics, Vol 6, 1215-1224, Copyright © 1997 by Oxford University Press
KE Orii, T Aoyama, K Wakui, Y Fukushima, H Miyajima, S Yamaguchi, T Orii, N Kondo and T Hashimoto
Mitochondrial trifunctional protein (TP), an enzyme of beta-oxidation, is a
multienzyme complex composed of four molecules of the alpha- subunit
(HADHA) containing the enoyl-CoA hydratase and 3-hydroxyacyl- CoA
dehydrogenase domains and four molecules of the beta-subunit (HADHB)
containing the 3-ketoacyl-CoA thiolase domain. An inborn error of this
enzyme complex can cause sudden infant death syndrome, acute hepatic
encephalopathy or liver failure, skeletal myopathy, or hypertrophic
cardiomyopathy. TP deficiency is classified into two different biochemical
phenotypes: one represents the existence of both subunits and the lack of
only the 3-hydroxyacyl-CoA dehydrogenase activity and the other represents
the absence of both subunits and the lack of all three TP activities,
although their clinical features are similar. We have identified two
Japanese patients with this disorder. Three enzyme activities of TP were
undetectable in fibroblasts from these two patients. We detected two
mutations in the HADHB gene from two Japanese patients, an exonic single T
insertion which created a new cryptic 5' splice site and a G1331A
transition (R411 K). Patient 1 was a compound heterozygote, while patient 2
was a homozygote of a G1331A transition.
ARTICLES
Genomic and mutational analysis of the mitochondrial trifunctional protein beta-subunit (HADHB) gene in patients with trifunctional protein deficiency
Department of Pediatrics, Gifu University School of Medicine, Tsukasa- machi, Japan. kenjior-gif@umin.u-tokyo.ac.jp
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