An overview of L-2-hydroxyglutarate dehydrogenase gene (L2HGDH) variants: a genotype–phenotype study†
Marjan E. Steenweg
Department of Child Neurology and VU University Medical Center, Amsterdam, The Netherlands
Search for more papers by this authorCornelis Jakobs
Metabolic Unit of the Department of Clinical Chemistry, VU University Medical Center, Amsterdam, The Netherlands
Search for more papers by this authorSilvy J.M. van Dooren
Metabolic Unit of the Department of Clinical Chemistry, VU University Medical Center, Amsterdam, The Netherlands
Search for more papers by this authorMaria T. Adeva Bartolomé
Hospital Virgen del Puerto, Plasencia, Céceres, Spain
Search for more papers by this authorPeter Aerssens
Department of Pediatrics, Virga Jesse Hospital, Hasselt, Belgium
Search for more papers by this authorPersephone Augoustides-Savvapoulou
Department of Pediatrics-Metabolic Lab., Aristotle University of Thessaloniki, Hippocration General Hospital, Thessaloniki, Greece
Search for more papers by this authorIvo Baric
Department of Pediatrics, University Hospital Center, Zagreb, Croatia
Search for more papers by this authorMatthias Baumann
Department of Pediatrics, Division of Pediatric Neurology and Inherited Metabolic Disorders, Medical University of Innsbruck, Austria
Search for more papers by this authorLuisa Bonafé
Division of Molecular Pediatrics, Centre Hospitalier Universitaire Vaudois, Lausanna, Switzerland
Search for more papers by this authorBrigitte Chabrol
Department of Metabolic Disease, Hospital Timone Enfants, Marseille, France
Search for more papers by this authorJoe T.R. Clarke
Division of Clinical & Metabolic Genetics, Hospital for Sick Children, Toronto, Canada
Search for more papers by this authorPeter Clayton
Department of Paediatric Metabolic Disease and Hepatology, Institute of Child Health, University College London, Great Ormond Street Hospital for Children, London, United Kingdom
Search for more papers by this authorMahmut Coker
Department of Pediatrics, Ege University Medical Faculty, Bornova, Izmir, Turkey
Search for more papers by this authorSarah Cooper
Department of Neurology, Southern General Hospital, Glasgow, United Kingdom
Search for more papers by this authorTzipora Falik-Zaccai
Institute of Human Genetics, Western Galilee Hospital, Naharia, Rappaport Faculty of Medicine, Haifa, Israel
Search for more papers by this authorMark Gorman
Department of Neurology, Children's Hospital Boston, Boston, Massachusetts
Search for more papers by this authorAndreas Hahn
Department of Pediatric Neurology, Giessen, Germany
Search for more papers by this authorAlev Hasanoglu
Department of Pediatric Metabolism and Nutrition, At Gazi University Faculty of Medicine, Turkey
Search for more papers by this authorMary D. King
Department of Pediatric Neurology, Children's University Hospital, Dublin, Ireland
Search for more papers by this authorHans B.C. de Klerk
Department of Pediatrics, Erasmus mc/Sophia Childrens Hospital Rotterdam, Rotterdam, The Netherlands
Search for more papers by this authorStanley H. Korman
Metabolic Disease Unit, Hadassah-Hebrew University Medical Center, Jerusalem, Israel
Search for more papers by this authorCéline Lee
Children's Hospital, University of Bonn, Bonn, Germany
Search for more papers by this authorAllan Meldgaard Lund
Department of Clinical Genetics, Copenhagen University Hospital, Copenhagen, Denmark
Search for more papers by this authorVlatka Mejaški-Bošnjak
Department of Child Neurology, Children's Hospital Zagreb, Zagreb, Croatia
Search for more papers by this authorIgnacio Pascual-Castroviejo
Department of Pediatric Neurology, Hospital “La Paz,” Madrid, Spain
Search for more papers by this authorAparna Raadhyaksha
Medical Genetics, University of Miami, Florida
Search for more papers by this authorTerje Rootwelt
Division of Pediatrics, Rikshospitalet, Oslo University Hospital, Norway
Search for more papers by this authorAgathe Roubertie
CHU Montpellier, Department of Pediatric Neurology, Hospital Gui de Chauliac, Montpellier, France
Search for more papers by this authorMaria L. Ruiz-Falco
Department of Pediatric Neurology, Hospital Niño Jesús, Madrid, Spain
Search for more papers by this authorEmmanuel Scalais
Department of Pediatrics, Centre Hospitalier de Luxembourg, Luxembourg, Luxembourg
Search for more papers by this authorManuel Seijo-Martinez
Department of Neurology, Hospital do Salnes, Villagarcia, Spain
Search for more papers by this authorMohnish Suri
Nottingham City Hospital, Clinical Genetics, Nottingham, United Kingdom
Search for more papers by this authorJolanta Sykut-Cegielska
Department of Metabolic Diseases, Endocrinology and Diabetology, Children's Memorial Health Institute, Warsaw, Poland
Search for more papers by this authorFriedrich K. Trefz
Department of Pediatrics, Klinikum am Steinenberg, Reutlingen, Germany
Search for more papers by this authorGraziella Uziel
Child Neurology Department, National Institute for Neurology “Carlo Besta,” Milan, Italy
Search for more papers by this authorVassili Valayannopoulos
Department of Neuro-Metabolism, Hospital Necker Des Enfants Malades, Paris, France
Search for more papers by this authorChristine Vianey-Saban
Centre de Biotechnology Cellulaire, Hopital Debrousse, Lyon, France
Search for more papers by this authorStefan Vlaho
Department of Pediatric Neurology, Klinik für Kinder-und Jugendmedizin, Johann Wolfgang Goethe-University, Frankfurt, Germany
Search for more papers by this authorJulia Vodopiutz
Department for Inborn Errors of Metabolism and Pediatric Genetics, University Children's Hospital Vienna, Vienna, Austria
Search for more papers by this authorMoacir Wajner
Department of Medical Genetics, Hospital de Clínicas de Porto Alegre, Porto Alegre RS, Brasil
Search for more papers by this authorJohn Walter
Willink Biochemical Genetics Unit, Royal Manchester Children's Hospital, Manchester, United Kingdom
Search for more papers by this authorClaudia Walter-Derbort
Department of Pediatrics, Marienhospital Gelsenkirchen, Gelsenkirchen, Germany
Search for more papers by this authorZuhal Yapici
Department of Neurology, Istanbul University, Faculty of Medicine, Istanbul, Turkey
Search for more papers by this authorDimitrios I. Zafeiriou
Department of Child Neurology and Developmental Pediatrics, Aristotle University of Thessaloniki, Thessaloniki, Greece
Search for more papers by this authorMarieke D. Spreeuwenberg
Department of Clinical Epidemiology and Biostatistics, VU University Medical Center, Amsterdam, The Netherlands
Search for more papers by this authorJacopo Celli
Leiden Genome Technology Center, Human and Clinical Genetics, Leiden University Medical Center, The Netherlands
Search for more papers by this authorJohan T. den Dunnen
Leiden Genome Technology Center, Human and Clinical Genetics, Leiden University Medical Center, The Netherlands
Search for more papers by this authorMarjo S. van der Knaap
Department of Child Neurology and VU University Medical Center, Amsterdam, The Netherlands
Search for more papers by this authorCorresponding Author
Gajja S. Salomons
Metabolic Unit of the Department of Clinical Chemistry, VU University Medical Center, Amsterdam, The Netherlands
Department of Clinical Chemistry, Metabolic Unit, VU University Medical Center, De Boelelaan 1117, 1081 HV Amsterdam, The NetherlandsSearch for more papers by this authorMarjan E. Steenweg
Department of Child Neurology and VU University Medical Center, Amsterdam, The Netherlands
Search for more papers by this authorCornelis Jakobs
Metabolic Unit of the Department of Clinical Chemistry, VU University Medical Center, Amsterdam, The Netherlands
Search for more papers by this authorSilvy J.M. van Dooren
Metabolic Unit of the Department of Clinical Chemistry, VU University Medical Center, Amsterdam, The Netherlands
Search for more papers by this authorMaria T. Adeva Bartolomé
Hospital Virgen del Puerto, Plasencia, Céceres, Spain
Search for more papers by this authorPeter Aerssens
Department of Pediatrics, Virga Jesse Hospital, Hasselt, Belgium
Search for more papers by this authorPersephone Augoustides-Savvapoulou
Department of Pediatrics-Metabolic Lab., Aristotle University of Thessaloniki, Hippocration General Hospital, Thessaloniki, Greece
Search for more papers by this authorIvo Baric
Department of Pediatrics, University Hospital Center, Zagreb, Croatia
Search for more papers by this authorMatthias Baumann
Department of Pediatrics, Division of Pediatric Neurology and Inherited Metabolic Disorders, Medical University of Innsbruck, Austria
Search for more papers by this authorLuisa Bonafé
Division of Molecular Pediatrics, Centre Hospitalier Universitaire Vaudois, Lausanna, Switzerland
Search for more papers by this authorBrigitte Chabrol
Department of Metabolic Disease, Hospital Timone Enfants, Marseille, France
Search for more papers by this authorJoe T.R. Clarke
Division of Clinical & Metabolic Genetics, Hospital for Sick Children, Toronto, Canada
Search for more papers by this authorPeter Clayton
Department of Paediatric Metabolic Disease and Hepatology, Institute of Child Health, University College London, Great Ormond Street Hospital for Children, London, United Kingdom
Search for more papers by this authorMahmut Coker
Department of Pediatrics, Ege University Medical Faculty, Bornova, Izmir, Turkey
Search for more papers by this authorSarah Cooper
Department of Neurology, Southern General Hospital, Glasgow, United Kingdom
Search for more papers by this authorTzipora Falik-Zaccai
Institute of Human Genetics, Western Galilee Hospital, Naharia, Rappaport Faculty of Medicine, Haifa, Israel
Search for more papers by this authorMark Gorman
Department of Neurology, Children's Hospital Boston, Boston, Massachusetts
Search for more papers by this authorAndreas Hahn
Department of Pediatric Neurology, Giessen, Germany
Search for more papers by this authorAlev Hasanoglu
Department of Pediatric Metabolism and Nutrition, At Gazi University Faculty of Medicine, Turkey
Search for more papers by this authorMary D. King
Department of Pediatric Neurology, Children's University Hospital, Dublin, Ireland
Search for more papers by this authorHans B.C. de Klerk
Department of Pediatrics, Erasmus mc/Sophia Childrens Hospital Rotterdam, Rotterdam, The Netherlands
Search for more papers by this authorStanley H. Korman
Metabolic Disease Unit, Hadassah-Hebrew University Medical Center, Jerusalem, Israel
Search for more papers by this authorCéline Lee
Children's Hospital, University of Bonn, Bonn, Germany
Search for more papers by this authorAllan Meldgaard Lund
Department of Clinical Genetics, Copenhagen University Hospital, Copenhagen, Denmark
Search for more papers by this authorVlatka Mejaški-Bošnjak
Department of Child Neurology, Children's Hospital Zagreb, Zagreb, Croatia
Search for more papers by this authorIgnacio Pascual-Castroviejo
Department of Pediatric Neurology, Hospital “La Paz,” Madrid, Spain
Search for more papers by this authorAparna Raadhyaksha
Medical Genetics, University of Miami, Florida
Search for more papers by this authorTerje Rootwelt
Division of Pediatrics, Rikshospitalet, Oslo University Hospital, Norway
Search for more papers by this authorAgathe Roubertie
CHU Montpellier, Department of Pediatric Neurology, Hospital Gui de Chauliac, Montpellier, France
Search for more papers by this authorMaria L. Ruiz-Falco
Department of Pediatric Neurology, Hospital Niño Jesús, Madrid, Spain
Search for more papers by this authorEmmanuel Scalais
Department of Pediatrics, Centre Hospitalier de Luxembourg, Luxembourg, Luxembourg
Search for more papers by this authorManuel Seijo-Martinez
Department of Neurology, Hospital do Salnes, Villagarcia, Spain
Search for more papers by this authorMohnish Suri
Nottingham City Hospital, Clinical Genetics, Nottingham, United Kingdom
Search for more papers by this authorJolanta Sykut-Cegielska
Department of Metabolic Diseases, Endocrinology and Diabetology, Children's Memorial Health Institute, Warsaw, Poland
Search for more papers by this authorFriedrich K. Trefz
Department of Pediatrics, Klinikum am Steinenberg, Reutlingen, Germany
Search for more papers by this authorGraziella Uziel
Child Neurology Department, National Institute for Neurology “Carlo Besta,” Milan, Italy
Search for more papers by this authorVassili Valayannopoulos
Department of Neuro-Metabolism, Hospital Necker Des Enfants Malades, Paris, France
Search for more papers by this authorChristine Vianey-Saban
Centre de Biotechnology Cellulaire, Hopital Debrousse, Lyon, France
Search for more papers by this authorStefan Vlaho
Department of Pediatric Neurology, Klinik für Kinder-und Jugendmedizin, Johann Wolfgang Goethe-University, Frankfurt, Germany
Search for more papers by this authorJulia Vodopiutz
Department for Inborn Errors of Metabolism and Pediatric Genetics, University Children's Hospital Vienna, Vienna, Austria
Search for more papers by this authorMoacir Wajner
Department of Medical Genetics, Hospital de Clínicas de Porto Alegre, Porto Alegre RS, Brasil
Search for more papers by this authorJohn Walter
Willink Biochemical Genetics Unit, Royal Manchester Children's Hospital, Manchester, United Kingdom
Search for more papers by this authorClaudia Walter-Derbort
Department of Pediatrics, Marienhospital Gelsenkirchen, Gelsenkirchen, Germany
Search for more papers by this authorZuhal Yapici
Department of Neurology, Istanbul University, Faculty of Medicine, Istanbul, Turkey
Search for more papers by this authorDimitrios I. Zafeiriou
Department of Child Neurology and Developmental Pediatrics, Aristotle University of Thessaloniki, Thessaloniki, Greece
Search for more papers by this authorMarieke D. Spreeuwenberg
Department of Clinical Epidemiology and Biostatistics, VU University Medical Center, Amsterdam, The Netherlands
Search for more papers by this authorJacopo Celli
Leiden Genome Technology Center, Human and Clinical Genetics, Leiden University Medical Center, The Netherlands
Search for more papers by this authorJohan T. den Dunnen
Leiden Genome Technology Center, Human and Clinical Genetics, Leiden University Medical Center, The Netherlands
Search for more papers by this authorMarjo S. van der Knaap
Department of Child Neurology and VU University Medical Center, Amsterdam, The Netherlands
Search for more papers by this authorCorresponding Author
Gajja S. Salomons
Metabolic Unit of the Department of Clinical Chemistry, VU University Medical Center, Amsterdam, The Netherlands
Department of Clinical Chemistry, Metabolic Unit, VU University Medical Center, De Boelelaan 1117, 1081 HV Amsterdam, The NetherlandsSearch for more papers by this authorCommunicated by Ronald Wanders
Abstract
L-2-Hydroxyglutaric aciduria (L2HGA) is a rare, neurometabolic disorder with an autosomal recessive mode of inheritance. Affected individuals only have neurological manifestations, including psychomotor retardation, cerebellar ataxia, and more variably macrocephaly, or epilepsy. The diagnosis of L2HGA can be made based on magnetic resonance imaging (MRI), biochemical analysis, and mutational analysis of L2HGDH. About 200 patients with elevated concentrations of 2-hydroxyglutarate (2HG) in the urine were referred for chiral determination of 2HG and L2HGDH mutational analysis. All patients with increased L2HG (n=106; 83 families) were included. Clinical information on 61 patients was obtained via questionnaires. In 82 families the mutations were detected by direct sequence analysis and/or multiplex ligation dependent probe amplification (MLPA), including one case where MLPA was essential to detect the second allele. In another case RT-PCR followed by deep intronic sequencing was needed to detect the mutation. Thirty-five novel mutations as well as 35 reported mutations and 14 nondisease-related variants are reviewed and included in a novel Leiden Open source Variation Database (LOVD) for L2HGDH variants (http://www.LOVD.nl/L2HGDH). Every user can access the database and submit variants/patients. Furthermore, we report on the phenotype, including neurological manifestations and urinary levels of L2HG, and we evaluate the phenotype–genotype relationship. Hum Mutat 30:1–11, 2010. © 2010 Wiley-Liss, Inc.
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