Abstract
Glutaric aciduria type II (multiple acyl-CoA dehydrogenase deficiency) (McKusick 23168) is an inherited metabolic disease associated clinically with severe hypoglycaemia, metabolic acidosis, hepatomegaly, hypotonia, neurological symptoms and death in the neonatal period. Biochemically it is characterised by increased urinary excretion of several organic acids, particularly glutarate, 2-hydroxyglutarate, 3-hydroxy-isovalerate, adipate and other dicarboxylic acids, and isovalerylglycine and other acylglycines. Pathologically, there is fatty infiltration of the liver and heart and a number of cases have been described in which grossly enlarged polycystic kidneys occur together with severe dysmorphic features. We report here prenatal diagnosis for severe neonatal dysmorphic glutaric aciduria type II using both chemical analysis of amniotic fluid supernatant with quantitative selected ion monitoring (SIM) on GC-MS and also enzymology on cultured amniocytes. Affected and unaffected fetuses have been correctly predicted with results being duplicated in three independent laboratories.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Bennett, M. J., Curnock, D. A., Engel, P. C., Shaw, L., Gray, R. G. F., Hull, D., Patrick, A. D. and Pollitt, R. J. Glutaric aciduria type II: Biochemical investigation and treatment of a child diagnosed prenatally. J. Inker. Metab. Dis. 7 (1984) 57–61
Boué, J., Chalmers, R. A., Tracey, B. M., Watson, D., Gray, R. G. F., Keeling, J. W., King, G. S., Pettit, B. R., Lindenbaum, R. H., Rocchiccioli, F. and Saudubray, J.-M. Prenatal diagnosis of dysmorphic neonatal-lethal type II glutaric aciduria. Lancet 1 (1984) 846–847
Jakobs, C., Sweetman, L., Wadman, S. K., Duran, M., Saudubray, J.-M. and Nyhan, W. L. Prenatal diagnosis of glutaric aciduria type II by direct chemical analysis of dicarboxylic acids in amniotic fluid. Eur. J. Pediatr. 141 (1984) 153–157
Mitchell, G., Saudubray, J.-M., Benoit, Y., Rocchiccioli, F., Charpentier, C., Ogier, H. and Boué, J. Antenatal diagnosis of glutaric aciduria type II. Lancet 1 (1983) 1099
Author information
Authors and Affiliations
Editor information
Rights and permissions
Copyright information
© 1985 SSIEM and MTP Press Limited
About this chapter
Cite this chapter
Chalmers, R.A. et al. (1985). The Prenatal Diagnosis of Glutaric Aciduria Type II, using Quantitative GC-MS. In: Addison, G.M., Bartlett, K., Harkness, R.A., Pollitt, R.J. (eds) Inherited Disorders of Vitamins and Cofactors. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-8019-1_45
Download citation
DOI: https://doi.org/10.1007/978-94-011-8019-1_45
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-011-8021-4
Online ISBN: 978-94-011-8019-1
eBook Packages: Springer Book Archive