Page last updated: 2024-09-27

Carboxylase Deficiency, Multiple, Neonatal Form

The neonatal form of MULTIPLE CARBOXYLASE DEFICIENCY that is caused by a defect or deficiency in holocarboxylase synthetase. HLCS is the enzyme that covalently links biotin to the biotin dependent carboxylases (propionyl-CoA-carboxylase, pyruvate carboxylase, and beta-methylcrotonyl-CoA carboxylase).

Synonyms(10)

Synonym
Holocarboxylase Synthetase Deficiency
Deficiency, Multiple Carboxylase, Neonatal Form
Early-Onset Combined Carboxylase Deficiency
HLCS Deficiency
Infantile Multiple Carboxylase Deficiency
Multiple Carboxylase Deficiency, Neonatal Form
Early-Onset Biotin-Responsive Multiple Carboxylase Deficiency
Deficiency, Holocarboxylase Synthetase
Carboxylase Deficiency, Multiple, Neonatal Form
Multiple Carboxylase Deficiency, Early Onset

Research Excerpts

Overview

ExcerptReference
"HLCS deficiency is a potentially fatal condition if left untreated, although the majority of patients respond to oral supplementation of 10-20 mg/day of biotin."( Bailey, LM; Ivanov, RA; Jitrapakdee, S; Polyak, SW; Wallace, JC; Wilson, CJ, 2008)

Treatment

ExcerptReference
"We investigated in a patient with holocarboxylase synthetase deficiency, the relation between the biochemical and genetic factors of the mutant protein with the pharmacokinetic factors of successful biotin treatment."( Barshop, BA; Cervantes-Roldán, R; Chiang, PW; Freehauf, C; Josefsberg, S; León-Del-Río, A; Meneses-Morales, I; Mock, DM; Spector, E; Thomas, JA; Thuy, le P; Van Hove, JL; Woontner, M, 2008)

Research

Studies (28)

TimeframeStudies, This Condition (%)All Conditions %
pre-19900 (0.00)23.3326
1990's0 (0.00)12.5806
2000's13 (46.43)18.1394
2010's6 (21.43)28.8240
2020's9 (32.14)9.53
DrugIndicatedRelationship StrengthStudiesTrials
acetylcarnitine0low10
carnitine0low40
creatine0low10
pyridoxine0low10
lysine0low10
beta-hydroxyisovaleric acid0low20
valerates0low20
biotin0medium250
isomethyleugenol0low10
tamoxifen0low10
3-hydroxyisovalerylcarnitine0low10
cyclic gmp0low10

Protein Targets (258)

ProteinPotency MeasurementsInhibition MeasurementsActivation MeasurementsDrugs
Chain A, Avidin0011
Chain A, Protein (streptavidin)0011
Chain B, Protein (streptavidin)0011
Chain A, Streptavidin0011
Chain D, Streptavidin0011
Chain A, Streptavidin0011
Chain D, Streptavidin0011
Chain A, Streptavidin0011
Chain D, Streptavidin0011
Chain A, Streptavidin Complex With Biotin0011
Chain D, Circularly Permuted Core-streptavidin E51/a460011
Chain A, Core-streptavidin0011
Chain D, Core-streptavidin0011
Chain A, Core-streptavidin0011
Chain D, Core-streptavidin0011
Chain A, Core-streptavidin0011
Chain D, Core-streptavidin0011
Chain A, Core-streptavidin0011
Chain D, Core-streptavidin0011
Chain A, Avidin0011
Chain A, Streptavidin0011
Chain B, Streptavidin0011
Chain A, Streptavidin0011
Chain B, Streptavidin0011
Chain A, JmjC domain-containing histone demethylation protein 3A2002
RAR-related orphan receptor gamma2002
apical membrane antigen 1, AMA12002
nonstructural protein 10101
estrogen nuclear receptor alpha2002
green fluorescent protein, partial0101
vitamin D3 receptor isoform VDRA2002
insulin-degrading enzyme isoform 10011
Streptavidin0011
Receptor-type tyrosine-protein phosphatase beta0001
Solute carrier family 22 member 50001
Solute carrier family 22 member 50001
Bile salt export pump0303
Solute carrier family 22 member 160001
Solute carrier family 22 member 210001
Solute carrier family 22 member 50001
Sodium- and chloride-dependent creatine transporter 10101
Proton-coupled amino acid transporter 10101
Phosphodiesterase 0101
Multidrug resistance-associated protein 40102
Multidrug resistance-associated protein 50001
cGMP-inhibited 3',5'-cyclic phosphodiesterase B0101
cGMP-inhibited 3',5'-cyclic phosphodiesterase A0101
estrogen-related nuclear receptor alpha2002
Chain A, Ribulose-1,5 bisphosphate carboxylase/oxygenase large subunit N-methyltransferase, chloroplast0101
Chain A, Ribulose-1,5 bisphosphate carboxylase/oxygenase large subunit N-methyltransferase, chloroplast0101
potassium voltage-gated channel subfamily H member 2 isoform d1001
Glutathione reductase, mitochondrial0202
Cationic amino acid transporter 30101
Chain A, HADH2 protein1001
Chain B, HADH2 protein1001
Chain A, 2-oxoglutarate Oxygenase1001
AR protein2002
aldehyde dehydrogenase 1 family, member A11001
activating transcription factor 62002
15-hydroxyprostaglandin dehydrogenase [NAD(+)] isoform 11001
Pyridoxal kinase0001
Bile salt export pump0101
Chain A, CES1 protein0101
Chain A, Beta-lactamase1001
Chain A, Ferritin light chain1001
acetylcholinesterase1001
phosphopantetheinyl transferase1001
hypoxia-inducible factor 1 alpha subunit1001
SMAD family member 21001
Fumarate hydratase1001
USP1 protein, partial1001
PPM1D protein1001
SMAD family member 31001
TDP1 protein1001
GLI family zinc finger 31001
Microtubule-associated protein tau1001
DNA polymerase III, partial1001
caspase 7, apoptosis-related cysteine protease1001
estrogen receptor 2 (ER beta)1001
nuclear receptor subfamily 1, group I, member 31001
progesterone receptor1001
regulator of G-protein signaling 41001
glucocorticoid receptor [Homo sapiens]1001
retinoic acid nuclear receptor alpha variant 11001
retinoid X nuclear receptor alpha1001
farnesoid X nuclear receptor1001
pregnane X nuclear receptor1001
polyprotein1001
67.9K protein1001
glucocerebrosidase1001
bromodomain adjacent to zinc finger domain 2B1001
peroxisome proliferator-activated receptor delta1001
peroxisome proliferator activated receptor gamma1001
vitamin D (1,25- dihydroxyvitamin D3) receptor1001
arylsulfatase A1001
caspase-31001
IDH11001
euchromatic histone-lysine N-methyltransferase 21001
cytochrome P450, family 19, subfamily A, polypeptide 1, isoform CRA_a1001
thyroid stimulating hormone receptor1001
thyrotropin-releasing hormone receptor1001
nuclear factor of kappa light polypeptide gene enhancer in B-cells 1 (p105), isoform CRA_a1001
v-jun sarcoma virus 17 oncogene homolog (avian)1001
Histone H2A.x1001
Caspase-71001
Spike glycoprotein0011
Replicase polyprotein 1ab0011
cytochrome P450 2D6 isoform 11001
NPC intracellular cholesterol transporter 1 precursor1001
cellular tumor antigen p53 isoform a1001
interferon gamma precursor0001
D(1A) dopamine receptor1001
chromobox protein homolog 11001
transcriptional regulator ERG isoform 31001
caspase-31001
thyroid hormone receptor beta isoform 21001
heat shock protein beta-11001
ubiquitin-conjugating enzyme E2 N0101
ras-related protein Rab-9A1001
serine/threonine-protein kinase mTOR isoform 11001
nuclear factor erythroid 2-related factor 2 isoform 11001
nuclear receptor ROR-gamma isoform 11001
geminin1001
cytochrome P450 3A4 isoform 11001
M-phase phosphoprotein 81001
streptokinase A precursor0011
lethal factor (plasmid)1001
Gamma-aminobutyric acid receptor subunit pi1001
Polyunsaturated fatty acid lipoxygenase ALOX15B1001
Transmembrane protease serine 20011
ATP-binding cassette sub-family C member 30101
5-hydroxytryptamine receptor 40202
Voltage-dependent calcium channel gamma-2 subunit1001
Serine/threonine-protein kinase D30101
Epidermal growth factor receptor0101
Interferon beta1001
Estrogen receptor0214
Lysosomal acid glucosylceramidase0011
Receptor tyrosine-protein kinase erbB-20101
Cellular tumor antigen p531001
Integrin beta-31001
Protein kinase C gamma type0101
Protein kinase C alpha type0101
Protein kinase C beta type0101
Estrogen receptor0012
Tyrosine-protein kinase Lck0101
Tyrosine-protein kinase Fyn0101
Progesterone receptor0101
Procathepsin L0011
Aldo-keto reductase family 1 member B10202
Muscarinic acetylcholine receptor M20202
Muscarinic acetylcholine receptor M40202
ATP-dependent translocase ABCB10213
Integrin alpha-IIb1001
Beta-1 adrenergic receptor0202
Cytochrome P450 3A40101
Muscarinic acetylcholine receptor M50202
Alpha-2A adrenergic receptor0202
Protein kinase C delta type0101
Protein kinase C epsilon type0101
Protein kinase C zeta type0101
Polyunsaturated fatty acid 5-lipoxygenase0101
Replicase polyprotein 1a0011
Replicase polyprotein 1ab0011
Replicase polyprotein 1ab0011
Adenosine receptor A30202
Replicase polyprotein 1ab0011
Muscarinic acetylcholine receptor M10202
Steroid hormone receptor ERR10101
Transcriptional activator protein LuxR0101
Angiotensin-converting enzyme0202
Beta-3 adrenergic receptor0202
D(2) dopamine receptor0202
Androgen receptor0202
Gamma-aminobutyric acid receptor subunit beta-11001
Alpha-1B adrenergic receptor0202
Protein kinase C alpha type0101
Alpha-2B adrenergic receptor0202
Gamma-aminobutyric acid receptor subunit delta1001
Gamma-aminobutyric acid receptor subunit gamma-21001
5-hydroxytryptamine receptor 1A0202
Glutamate receptor 21001
Gamma-aminobutyric acid receptor subunit alpha-51001
Gamma-aminobutyric acid receptor subunit alpha-31001
Muscarinic acetylcholine receptor M30202
Cytochrome P450 2B60101
Substance-K receptor0202
D(1A) dopamine receptor0202
D(4) dopamine receptor0202
UDP-glucuronosyltransferase 1A40001
Prostaglandin G/H synthase 10101
Gamma-aminobutyric acid receptor subunit gamma-11001
Gamma-aminobutyric acid receptor subunit alpha-21001
Sodium-dependent noradrenaline transporter 0202
Thromboxane-A synthase 0101
Protein kinase C eta type0101
Histamine H2 receptor0202
Alpha-1D adrenergic receptor0202
Substance-P receptor0202
5-hydroxytryptamine receptor 2A0202
5-hydroxytryptamine receptor 2C0202
Gamma-aminobutyric acid receptor subunit alpha-41001
Gamma-aminobutyric acid receptor subunit gamma-31001
5-hydroxytryptamine receptor 1B0202
Adenosine receptor A2a0202
Gamma-aminobutyric acid receptor subunit alpha-61001
B2 bradykinin receptor0202
Adenosine receptor A10202
Sodium-dependent serotonin transporter0202
Melanocortin receptor 40202
C-8 sterol isomerase0101
Melanocortin receptor 50202
Mu-type opioid receptor0202
D(3) dopamine receptor0202
Alpha-synuclein1001
Delta-type opioid receptor0202
Kappa-type opioid receptor0202
5-hydroxytryptamine receptor 2B0202
Protein kinase C iota type0101
Melanocortin receptor 30202
Alpha-1A adrenergic receptor0202
Histamine H2 receptor1001
D(1A) dopamine receptor1001
5-hydroxytryptamine receptor 60202
Spike glycoprotein0011
Estrogen-related receptor gamma0101
Gamma-aminobutyric acid receptor subunit alpha-11001
Gamma-aminobutyric acid receptor subunit beta-31001
Gamma-aminobutyric acid receptor subunit beta-21001
Protein kinase C gamma type0101
Protein kinase C beta type0101
Phospholipase D1 0101
Sodium-dependent dopamine transporter 0202
Protein kinase C epsilon type0101
Protein kinase C theta type0101
Protein kinase C zeta type0101
Protein kinase C delta type0101
Serine/threonine-protein phosphatase 2B catalytic subunit alpha isoform0101
Potassium voltage-gated channel subfamily H member 20202
Platelet-activating factor acetylhydrolase0101
Phospholipase D10101
3-beta-hydroxysteroid-Delta(8),Delta(7)-isomerase0213
Serine/threonine-protein kinase D10101
Estrogen receptor beta0012
Protein kinase C eta type0101
Nuclear receptor subfamily 3 group C member 3 0202
GABA theta subunit1001
Estrogen receptor beta0213
Canalicular multispecific organic anion transporter 10101
ATPase family AAA domain-containing protein 51001
Ataxin-21001
Sigma non-opioid intracellular receptor 10202
Emopamil-binding protein-like0101
Angiotensin-converting enzyme 2 0011
Gamma-aminobutyric acid receptor subunit epsilon1001
7-dehydrocholesterol reductase0112
Protein kinase C theta type0101
Carbonic anhydrase0101
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]