Volume 31, Issue 4 p. 380-390
Mutation Update
Free Access

An overview of L-2-hydroxyglutarate dehydrogenase gene (L2HGDH) variants: a genotype–phenotype study

Marjan E. Steenweg

Marjan E. Steenweg

Department of Child Neurology and VU University Medical Center, Amsterdam, The Netherlands

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Cornelis Jakobs

Cornelis Jakobs

Metabolic Unit of the Department of Clinical Chemistry, VU University Medical Center, Amsterdam, The Netherlands

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Abdellatif Errami

Abdellatif Errami

MRC Holland, Amsterdam, The Netherlands

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Silvy J.M. van Dooren

Silvy J.M. van Dooren

Metabolic Unit of the Department of Clinical Chemistry, VU University Medical Center, Amsterdam, The Netherlands

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Maria T. Adeva Bartolomé

Maria T. Adeva Bartolomé

Hospital Virgen del Puerto, Plasencia, Céceres, Spain

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Peter Aerssens

Peter Aerssens

Department of Pediatrics, Virga Jesse Hospital, Hasselt, Belgium

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Persephone Augoustides-Savvapoulou

Persephone Augoustides-Savvapoulou

Department of Pediatrics-Metabolic Lab., Aristotle University of Thessaloniki, Hippocration General Hospital, Thessaloniki, Greece

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Ivo Baric

Ivo Baric

Department of Pediatrics, University Hospital Center, Zagreb, Croatia

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Matthias Baumann

Matthias Baumann

Department of Pediatrics, Division of Pediatric Neurology and Inherited Metabolic Disorders, Medical University of Innsbruck, Austria

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Luisa Bonafé

Luisa Bonafé

Division of Molecular Pediatrics, Centre Hospitalier Universitaire Vaudois, Lausanna, Switzerland

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Brigitte Chabrol

Brigitte Chabrol

Department of Metabolic Disease, Hospital Timone Enfants, Marseille, France

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Joe T.R. Clarke

Joe T.R. Clarke

Division of Clinical & Metabolic Genetics, Hospital for Sick Children, Toronto, Canada

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Peter Clayton

Peter Clayton

Department of Paediatric Metabolic Disease and Hepatology, Institute of Child Health, University College London, Great Ormond Street Hospital for Children, London, United Kingdom

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Mahmut Coker

Mahmut Coker

Department of Pediatrics, Ege University Medical Faculty, Bornova, Izmir, Turkey

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Sarah Cooper

Sarah Cooper

Department of Neurology, Southern General Hospital, Glasgow, United Kingdom

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Tzipora Falik-Zaccai

Tzipora Falik-Zaccai

Institute of Human Genetics, Western Galilee Hospital, Naharia, Rappaport Faculty of Medicine, Haifa, Israel

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Mark Gorman

Mark Gorman

Department of Neurology, Children's Hospital Boston, Boston, Massachusetts

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Andreas Hahn

Andreas Hahn

Department of Pediatric Neurology, Giessen, Germany

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Alev Hasanoglu

Alev Hasanoglu

Department of Pediatric Metabolism and Nutrition, At Gazi University Faculty of Medicine, Turkey

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Mary D. King

Mary D. King

Department of Pediatric Neurology, Children's University Hospital, Dublin, Ireland

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Hans B.C. de Klerk

Hans B.C. de Klerk

Department of Pediatrics, Erasmus mc/Sophia Childrens Hospital Rotterdam, Rotterdam, The Netherlands

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Stanley H. Korman

Stanley H. Korman

Metabolic Disease Unit, Hadassah-Hebrew University Medical Center, Jerusalem, Israel

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Céline Lee

Céline Lee

Children's Hospital, University of Bonn, Bonn, Germany

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Allan Meldgaard Lund

Allan Meldgaard Lund

Department of Clinical Genetics, Copenhagen University Hospital, Copenhagen, Denmark

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Vlatka Mejaški-Bošnjak

Vlatka Mejaški-Bošnjak

Department of Child Neurology, Children's Hospital Zagreb, Zagreb, Croatia

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Ignacio Pascual-Castroviejo

Ignacio Pascual-Castroviejo

Department of Pediatric Neurology, Hospital “La Paz,” Madrid, Spain

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Aparna Raadhyaksha

Aparna Raadhyaksha

Medical Genetics, University of Miami, Florida

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Terje Rootwelt

Terje Rootwelt

Division of Pediatrics, Rikshospitalet, Oslo University Hospital, Norway

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Agathe Roubertie

Agathe Roubertie

CHU Montpellier, Department of Pediatric Neurology, Hospital Gui de Chauliac, Montpellier, France

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Maria L. Ruiz-Falco

Maria L. Ruiz-Falco

Department of Pediatric Neurology, Hospital Niño Jesús, Madrid, Spain

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Emmanuel Scalais

Emmanuel Scalais

Department of Pediatrics, Centre Hospitalier de Luxembourg, Luxembourg, Luxembourg

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Ulf Schimmel

Ulf Schimmel

General Hospital Hagen, Hagen, Germany

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Manuel Seijo-Martinez

Manuel Seijo-Martinez

Department of Neurology, Hospital do Salnes, Villagarcia, Spain

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Mohnish Suri

Mohnish Suri

Nottingham City Hospital, Clinical Genetics, Nottingham, United Kingdom

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Jolanta Sykut-Cegielska

Jolanta Sykut-Cegielska

Department of Metabolic Diseases, Endocrinology and Diabetology, Children's Memorial Health Institute, Warsaw, Poland

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Friedrich K. Trefz

Friedrich K. Trefz

Department of Pediatrics, Klinikum am Steinenberg, Reutlingen, Germany

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Graziella Uziel

Graziella Uziel

Child Neurology Department, National Institute for Neurology “Carlo Besta,” Milan, Italy

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Vassili Valayannopoulos

Vassili Valayannopoulos

Department of Neuro-Metabolism, Hospital Necker Des Enfants Malades, Paris, France

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Christine Vianey-Saban

Christine Vianey-Saban

Centre de Biotechnology Cellulaire, Hopital Debrousse, Lyon, France

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Stefan Vlaho

Stefan Vlaho

Department of Pediatric Neurology, Klinik für Kinder-und Jugendmedizin, Johann Wolfgang Goethe-University, Frankfurt, Germany

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Julia Vodopiutz

Julia Vodopiutz

Department for Inborn Errors of Metabolism and Pediatric Genetics, University Children's Hospital Vienna, Vienna, Austria

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Moacir Wajner

Moacir Wajner

Department of Medical Genetics, Hospital de Clínicas de Porto Alegre, Porto Alegre RS, Brasil

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John Walter

John Walter

Willink Biochemical Genetics Unit, Royal Manchester Children's Hospital, Manchester, United Kingdom

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Claudia Walter-Derbort

Claudia Walter-Derbort

Department of Pediatrics, Marienhospital Gelsenkirchen, Gelsenkirchen, Germany

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Zuhal Yapici

Zuhal Yapici

Department of Neurology, Istanbul University, Faculty of Medicine, Istanbul, Turkey

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Dimitrios I. Zafeiriou

Dimitrios I. Zafeiriou

Department of Child Neurology and Developmental Pediatrics, Aristotle University of Thessaloniki, Thessaloniki, Greece

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Marieke D. Spreeuwenberg

Marieke D. Spreeuwenberg

Department of Clinical Epidemiology and Biostatistics, VU University Medical Center, Amsterdam, The Netherlands

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Jacopo Celli

Jacopo Celli

Leiden Genome Technology Center, Human and Clinical Genetics, Leiden University Medical Center, The Netherlands

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Johan T. den Dunnen

Johan T. den Dunnen

Leiden Genome Technology Center, Human and Clinical Genetics, Leiden University Medical Center, The Netherlands

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Marjo S. van der Knaap

Marjo S. van der Knaap

Department of Child Neurology and VU University Medical Center, Amsterdam, The Netherlands

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Gajja S. Salomons

Corresponding 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 author
First published: 26 March 2010
Citations: 91

Communicated 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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