1976
DOI: 10.1111/j.1651-2227.1976.tb16543.x
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Two Cases of Phosphoenolpyruvate Carboxykinase Deficiency

Abstract: Two children are described who suffered from hypoglycemia and liver impairment. Assays of gluconeogenic enzymes in liver samples taken immediately after death demonstrated a deficiency of phosphoenolpyruvate carboxykinase, a key enzyme of gluconeogenesis. Post mortem examination demonstrated massive fat deposition in liver and kidney and to a lesser extent in other tissues. The fatty changes in liver and kidney could be explained by the absence of phosphoenolpyruvate carboxykinase, which would cause an alterat… Show more

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Cited by 58 publications
(24 citation statements)
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References 41 publications
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“…A primary deficiency of this enzyme has therefore been sought in infants presenting with hypoglycaemia and accumulation of the gluconeogenic precursors, lactate, pyruvate and alanine. Reduced enzyme activity has been reported in five such infants [7,9,14,18]. They form a heterogeneous group, which may in part be explained by the presence of distinct mitochondrial and cytosolic isoenzymes, which serve different functions.…”
Section: Introductionmentioning
confidence: 96%
“…A primary deficiency of this enzyme has therefore been sought in infants presenting with hypoglycaemia and accumulation of the gluconeogenic precursors, lactate, pyruvate and alanine. Reduced enzyme activity has been reported in five such infants [7,9,14,18]. They form a heterogeneous group, which may in part be explained by the presence of distinct mitochondrial and cytosolic isoenzymes, which serve different functions.…”
Section: Introductionmentioning
confidence: 96%
“…These conditions are accompanied to a variable degree by hyperalaninemia, hypoglycemia, neurologic impairment, and muscular hypotonia. The differential diagnosis of this group of disorders involves distinguishing among glycogen storage diseases (1,2), organic acidemias (3), carnitine deficiency (4), primary deficiencies in the enzymes of gluconeogenesis (including pyruvate carboxylase [PC]' (5,6), phosphoenolpyruvate carboxykinase [PEPCK] (7,8), and fructose 1,6-bisphosphatase [9]), defects in the pyruvate dehydrogenase complex (PDC) (10-12), pyridine nucleotide shuttle mechanisms (13), and defects in mitochondrial electron transport (14). Recently, there has been a brief report (15) of two infants in one family with congenital lactic acidosis associated with a defect in the functional activity of mitochondrial NADH-ubiquinone oxidoreductase (complex I).…”
Section: Introductionmentioning
confidence: 99%
“…PCK1 encodes phosphoenolpyruvate carboxykinase 1, which catalyzes the formation of phosphoenolpyruvate from oxaloacetate, releasing carbon dioxide and GDP. Defect in this gene cause cytosolic phosphoenolpyruvate carboxykinase deficiency (Hommes et al, 1976). LDHB encodes lactate dehydrogenase B, which catalyzes the reversible conversion of lactate and pyruvate, as well as NAD and NADH, in the glycolytic pathway.…”
Section: Scd Acaca Fasn Cd74mentioning
confidence: 99%