Succinic semialdehyde dehydrogenase deficiency: an inborn error of gamma-aminobutyric acid metabolism

Kenneth M. Gibson, Lawrence Sweetman, William L. Nyhan, Cornells Jakobs, Dietz Rating, Hartmut Siemes, Folker Hanefeld

Research output: Contribution to journalArticlepeer-review

65 Scopus citations

Abstract

Gamma-hydroxybutyric aciduria is a disorder of gamma-aminobutyric acid metabolism in which a compound of known neuropharmacologic activity accumulates. We have studied two patients in whom high levels of gamma-hydroxybutyric acid were found in blood, urine and cerebrospinal fluid. A coupled assay has been developed which estimates succinic semialdehyde dehydrogenase activity in isolated human lymphocytes. The mean activity of succinic semialdehyde dehydrogenase in a control and the four parents and two healthy siblings of these patients was 8.8 ±1.9 pmol · min-1 · mg-1 protein. In the patients the activities were 0.8 and 1.1 pmol · min-1 · mg-1 protein, approximately 9-13% of control. In the presence of saturating amounts of NAD+, lymphocyte sonicates, derived from the patients accumulated a significant amount of 14C-succinic semialdehyde from 14C-gamma aminobutyric acid, whereas none could be detected in controls. The data suggest a deficiency of succinic semialdehyde dehydrogenase in these patients, the first documented defect of the metabolism of gamma-aminobutyric acid in man.

Original languageEnglish (US)
Pages (from-to)33-42
Number of pages10
JournalClinica Chimica Acta
Volume133
Issue number1
DOIs
StatePublished - Sep 15 1983
Externally publishedYes

ASJC Scopus subject areas

  • Biochemistry
  • Clinical Biochemistry
  • Biochemistry, medical

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