Page last updated: 2024-10-20

pyruvic acid and Pyruvate Dehydrogenase Complex Deficiency Disease

pyruvic acid has been researched along with Pyruvate Dehydrogenase Complex Deficiency Disease in 27 studies

Pyruvic Acid: An intermediate compound in the metabolism of carbohydrates, proteins, and fats. In thiamine deficiency, its oxidation is retarded and it accumulates in the tissues, especially in nervous structures. (From Stedman, 26th ed)
pyruvic acid : A 2-oxo monocarboxylic acid that is the 2-keto derivative of propionic acid. It is a metabolite obtained during glycolysis.

Pyruvate Dehydrogenase Complex Deficiency Disease: An inherited metabolic disorder caused by deficient enzyme activity in the PYRUVATE DEHYDROGENASE COMPLEX, resulting in deficiency of acetyl CoA and reduced synthesis of acetylcholine. Two clinical forms are recognized: neonatal and juvenile. The neonatal form is a relatively common cause of lactic acidosis in the first weeks of life and may also feature an erythematous rash. The juvenile form presents with lactic acidosis, alopecia, intermittent ATAXIA; SEIZURES; and an erythematous rash. (From J Inherit Metab Dis 1996;19(4):452-62) Autosomal recessive and X-linked forms are caused by mutations in the genes for the three different enzyme components of this multisubunit pyruvate dehydrogenase complex. One of the mutations at Xp22.2-p22.1 in the gene for the E1 alpha component of the complex leads to LEIGH DISEASE.

Research Excerpts

ExcerptRelevanceReference
"Although the blood lactate-to-pyruvate (L:P) molar ratio is used to distinguish between pyruvate dehydrogenase deficiency (PDH-D) and other causes of congenital lactic acidosis (CLA), its diagnostic accuracy for differentiating between these 2 types of CLA has not been evaluated formally."7.74Diagnostic accuracy of blood lactate-to-pyruvate molar ratio in the differential diagnosis of congenital lactic acidosis. ( Allard, P; Debray, FG; Hanley, JA; Lambert, M; Mitchell, GA; Robinson, BH, 2007)
"Although the blood lactate-to-pyruvate (L:P) molar ratio is used to distinguish between pyruvate dehydrogenase deficiency (PDH-D) and other causes of congenital lactic acidosis (CLA), its diagnostic accuracy for differentiating between these 2 types of CLA has not been evaluated formally."3.74Diagnostic accuracy of blood lactate-to-pyruvate molar ratio in the differential diagnosis of congenital lactic acidosis. ( Allard, P; Debray, FG; Hanley, JA; Lambert, M; Mitchell, GA; Robinson, BH, 2007)
"In females with a pyruvate dehydrogenase deficiency E1alpha owing to the mutation in the subunit E1alpha of the pyruvate dehydrogenase complex West's syndrome associated with large ventricles and corpus callosum agenesis on magnetic resonance imaging can be the main feature of the disease."2.41Defects of pyruvate metabolism and the Krebs cycle. ( De Meirleir, L, 2002)
"The patient was diagnosed with pyruvate dehydrogenase complex deficiency by sequence analysis of PDHA1 gene."1.40[Clinical features of pyruvate dehydrogenase complex deficiency and gene testing in one case]. ( Cai, Y; Cheng, J; Fan, L; Li, X; Lin, R; Liu, H; Liu, L; Lu, Z; Sheng, H; Wu, M; Yin, X; Zhou, Z, 2014)
"Although confirmation of PDH deficiency depends on specialized biochemical analyses, neonatal MRI plays a role in evaluating the pattern and extent of brain damage, and potentially in early diagnosis and clinical decision making."1.35Neonatal pyruvate dehydrogenase deficiency due to a R302H mutation in the PDHA1 gene: MRI findings. ( Cruz, R; Leijser, LM; Magalhães, Z; Ribeiro, M; Rocha, JF; Soares-Fernandes, JP; Teixeira-Gomes, R, 2008)
"The major cause of PDHc deficiency is a defect in the E1alpha component."1.33A family with pyruvate dehydrogenase complex deficiency due to a novel C>T substitution at nucleotide position 407 in exon 4 of the X-linked Epsilon1alpha gene. ( Darin, N; De Meirleir, L; Eriksson, JE; Holmberg, E; Holme, E; Lissens, W; Tulinius, M; Wiklund, LM, 2005)
"The majority of patients with PDHC deficiency have abnormalities in the major catalytic and regulatory subunit, E1 alpha, which is encoded on the X chromosome."1.29Cerebral dysgenesis and lactic acidemia: an MRI/MRS phenotype associated with pyruvate dehydrogenase deficiency. ( Arnold, DL; Brown, GK; Brown, RM; Legris, M; Matthews, PM; Otero, LJ; Scriver, CR; Shevell, MI, 1994)
"We experienced a case of pyruvate dehydrogenase deficiency observed by proton magnetic resonance spectroscopy (1H MRS)."1.29Therapeutic efficacy of a case of pyruvate dehydrogenase complex deficiency monitored by localized proton magnetic resonance spectroscopy. ( Arai, K; Harada, M; Hashimoto, T; Miyoshi, H; Nishitani, H; Tanouchi, M, 1996)
"To elucidate the etiology of Leigh syndrome, biochemical analyses and mitochondrial DNA analyses were performed on cultured lymphoblastoid cells from 20 patients with the clinical characteristics of this disorder."1.29[Defects of pyruvate metabolism in cultured lymphoblastoid cells of 20 patients with Leigh syndrome]. ( Ito, M; Kimura, S; Kuroda, Y; Matsuda, J; Naito, E; Osaka, H; Saijo, T; Yokota, I, 1996)
"Isolated pyruvate carboxylase deficiency was found to present in two different forms, one with lactic acidaemia and mental retardation, the other with lactic acidaemia, hyperammonaemia citrullinaemia and hyperlysinaemia."1.27Lactic acidaemia. ( Robinson, BH; Sherwood, WG, 1984)
"Pyruvate dehydrogenase complex deficiency is thought to be a common cause of lactic acidosis."1.27Fatal lactic acidosis due to deficiency of E1 component of the pyruvate dehydrogenase complex. ( Aynsley-Green, A; Birch-Machin, MA; Gardner-Medwin, D; Lindsay, JG; Shepherd, IM; Sherratt, HS; Solomon, M; Turnbull, DM; Yeaman, SJ, 1988)

Research

Studies (27)

TimeframeStudies, this research(%)All Research%
pre-199010 (37.04)18.7374
1990's6 (22.22)18.2507
2000's7 (25.93)29.6817
2010's3 (11.11)24.3611
2020's1 (3.70)2.80

Authors

AuthorsStudies
de Gusmao, CM1
Peixoto de Barcelos, I1
Pinto, ALR1
Silveira-Moriyama, L1
Della-Flora Nunes, G1
Mueller, L1
Silvestri, N1
Patel, MS4
Wrabetz, L1
Feltri, ML1
Poitelon, Y1
Wu, M1
Liu, L1
Cai, Y1
Sheng, H1
Cheng, J1
Li, X1
Yin, X1
Lu, Z1
Lin, R1
Zhou, Z1
Fan, L1
Liu, H1
Van den Bossche, D1
Schiettecatte, J1
Vekens, E1
De Smet, D1
Gorus, FK1
Martens, GA1
De Meirleir, L2
Zand, DJ1
Simon, EM1
Pulitzer, SB1
Wang, DJ1
Wang, ZJ1
Rorke, LB1
Palmieri, M1
Berry, GT1
Abramson, CJ1
Platt, SR1
Shelton, GD1
Tulinius, M1
Darin, N1
Wiklund, LM1
Holmberg, E1
Eriksson, JE1
Lissens, W1
Holme, E1
Debray, FG1
Mitchell, GA1
Allard, P1
Robinson, BH2
Hanley, JA1
Lambert, M1
Soares-Fernandes, JP1
Teixeira-Gomes, R1
Cruz, R1
Ribeiro, M1
Magalhães, Z1
Rocha, JF1
Leijser, LM1
Leonard, JV1
Sherwood, WG1
Johnston, K1
Newth, CJ1
Sheu, KF1
Heldt, GP1
Schmidt, KA1
Packman, S1
Zhou, YP1
Ostenson, CG1
Ling, ZC1
Grill, V1
Shevell, MI1
Matthews, PM1
Scriver, CR1
Brown, RM1
Otero, LJ1
Legris, M1
Brown, GK1
Arnold, DL1
Harada, M1
Tanouchi, M1
Arai, K1
Nishitani, H1
Miyoshi, H1
Hashimoto, T1
Naito, E4
Ito, M1
Yokota, I2
Saijo, T1
Matsuda, J1
Osaka, H1
Kimura, S1
Kuroda, Y3
Tripatara, A1
Korotchkina, LG1
Di Rocco, M1
Lamba, LD1
Minniti, G1
Caruso, U1
Merinero, B1
Pérez-Cerda, C1
Ugarte, M1
Takeda, E1
Kobashi, H1
Miyao, M1
Stansbie, D1
Wallace, SJ1
Marsac, C1
Kerr, DS1
Berry, SA1
Lusk, MM1
Ho, L1
Birch-Machin, MA1
Shepherd, IM1
Solomon, M1
Yeaman, SJ1
Gardner-Medwin, D1
Sherratt, HS1
Lindsay, JG1
Aynsley-Green, A1
Turnbull, DM1
Venizelos, N1
Hagenfeldt, L1
Siemes, H1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Phase 3 Trial of Coenzyme Q10 in Mitochondrial Disease[NCT00432744]Phase 324 participants (Actual)Interventional2007-01-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

McMaster Gross Motor Function (GMFM 88)

The McMaster Gross Motor Function is a validated scale ranging from 0 to 100 (the higher the better). Since there was the possibility of a subject becoming totally disabled our FDA peer reviewed design called for its use as follows: If the subject completed both periods, the score was calculated as the difference in scores between the end of Period 2 (at 12 months) minus that at the end of Period 1 (6 months). If a subject became totally disabled, this difference was considered as plus infinity if it occurred in period 1 (Penalizes period 1), and minus infinity if it occurred in Period 2 (Penalizes period 2). The two treatments were compared via the Wilcoxon test, and the effect size was estimated using Kendall's Tau-B. This is interpreted in a similar manner to correlation with positive values favoring COQenzyme10 and negative values favoring placebo. One of the links in this report is to the the GMFM scale and how it is scored. A link to the instrument is included. (NCT00432744)
Timeframe: Taken at 6 and 12 Months

Interventionunits on a scale (Median)
Placebo First-0.002
CoenzymeQ10 Frist-0.12

Non-parametric Hotelling T-square Bivariate Analysis of GMGF 88 and OPeds QOL.

This is a multivariate analysis of the first two outcomes: Period 2 minus Period 1 GMFM88 and Peds Quality of Life, analyzed as follows: First, to be in the analysis, subjects must contribute at least one of these endpoints. Second, if the subject became totally disabled during period 1, the difference was defined as + infinity, (highest possible evidence favoring period 2), and if the subject became totally disabled in period 2, the subject was scored as - infinity (highest possible evidence favoring period 1). Period 2 minus period 1 differences were ranked form low to high with missing values scores at the mid-rank. The Hotelling T-square was computed on these ranks and the P-value was obtained from 100,000 rerandomizations as the fraction of rerandomizations with T-sq at least as large as that observed. (NCT00432744)
Timeframe: end of 12 month minus end of 6 month difference.

Interventionparticipants (Number)
Placebo First7
CoenzymeQ10 Frist8

Pediatric Quality of Life Scale

"The Pediatric Quality of Life Scale is a validated scale ranging from 0 to 100 (the higher the better). Since there was the possibility of a subject becoming totally disabled our FDA peer reviewed design called for its use as follows: If the subject completed both periods, the score was calculated as the difference in scores between the end of Period 2 (at 12 months) minus that at the end of Period 1 (6 months). If a subject became totally disabled, this difference was considered as plus infinity if it occurred in period 1 (Penalizes period 1), and minus infinity if it occurred in Period 2 (Penalizes period 2). The two treatments were compared via the Wilcoxon test, and the effect size was estimated using Kendall's Tau-B. This is interpreted in a similar manner to correlation with positive values favoring COQenzyme10 and negative values favoring placebo. Goggle pedsQL and Mapi to browse the copyrighted manual. A link to the instrument is included." (NCT00432744)
Timeframe: At 6 and 12 Months

Interventionunits on a scale (Median)
Placebo First-1.1
CoenzymeQ10 Frist-11.9

Reviews

2 reviews available for pyruvic acid and Pyruvate Dehydrogenase Complex Deficiency Disease

ArticleYear
Defects of pyruvate metabolism and the Krebs cycle.
    Journal of child neurology, 2002, Volume: 17 Suppl 3

    Topics: Brain; Citric Acid Cycle; Diagnosis, Differential; Fumarate Hydratase; Humans; Magnetic Resonance Im

2002
Disorders of the pyruvate dehydrogenase complex.
    Journal of inherited metabolic disease, 1986, Volume: 9, Issue:2

    Topics: Acetyl Coenzyme A; Acetyltransferases; Acidosis; Brain; Carbon Dioxide; Child; Child, Preschool; Coe

1986

Other Studies

25 other studies available for pyruvic acid and Pyruvate Dehydrogenase Complex Deficiency Disease

ArticleYear
Pearls & Oy-sters: Paroxysmal Exercise-Induced Dyskinesias Due to Pyruvate Dehydrogenase Deficiency.
    Neurology, 2023, 07-04, Volume: 101, Issue:1

    Topics: Child, Preschool; Chorea; Dystonia; Humans; Lactic Acid; Male; Pyruvate Dehydrogenase Complex Defici

2023
Acetyl-CoA production from pyruvate is not necessary for preservation of myelin.
    Glia, 2017, Volume: 65, Issue:10

    Topics: 2',3'-Cyclic Nucleotide 3'-Phosphodiesterase; Acetyl Coenzyme A; Adenosine Diphosphate; Adenosine Tr

2017
[Clinical features of pyruvate dehydrogenase complex deficiency and gene testing in one case].
    Zhonghua er ke za zhi = Chinese journal of pediatrics, 2014, Volume: 52, Issue:11

    Topics: Brain; Carnitine; Child, Preschool; Exons; Humans; Magnetic Resonance Imaging; Male; Mutation; Pheno

2014
Enzymatic pyruvate measurement by Cobas 6000 open channel assay.
    Clinical laboratory, 2012, Volume: 58, Issue:9-10

    Topics: Blood Chemical Analysis; Calibration; Humans; Lactic Acid; Limit of Detection; Point-of-Care Systems

2012
In vivo pyruvate detected by MR spectroscopy in neonatal pyruvate dehydrogenase deficiency.
    AJNR. American journal of neuroradiology, 2003, Volume: 24, Issue:7

    Topics: Abnormalities, Multiple; Cerebral Ventricles; Female; Humans; Infant, Newborn; Magnetic Resonance Sp

2003
Pyruvate dehydrogenase deficiency in a Sussex spaniel.
    The Journal of small animal practice, 2004, Volume: 45, Issue:3

    Topics: Animals; Diagnosis, Differential; Dog Diseases; Dogs; Female; Lactic Acid; Pedigree; Physical Condit

2004
A family with pyruvate dehydrogenase complex deficiency due to a novel C>T substitution at nucleotide position 407 in exon 4 of the X-linked Epsilon1alpha gene.
    European journal of pediatrics, 2005, Volume: 164, Issue:2

    Topics: Amino Acid Substitution; Brain; Carnitine; Child, Preschool; Exons; Humans; Infant; Lactic Acid; Lei

2005
Diagnostic accuracy of blood lactate-to-pyruvate molar ratio in the differential diagnosis of congenital lactic acidosis.
    Clinical chemistry, 2007, Volume: 53, Issue:5

    Topics: Acidosis, Lactic; Child; Diagnosis, Differential; Female; Hospitals, Pediatric; Humans; Lactic Acid;

2007
Neonatal pyruvate dehydrogenase deficiency due to a R302H mutation in the PDHA1 gene: MRI findings.
    Pediatric radiology, 2008, Volume: 38, Issue:5

    Topics: Brain; Diagnosis, Differential; Diffusion Magnetic Resonance Imaging; Humans; Infant, Newborn; Lacti

2008
Problems in the congenital lactic acidoses.
    Ciba Foundation symposium, 1982, Volume: 87

    Topics: Acidosis; Child; Child, Preschool; Citric Acid Cycle; Female; Fructose-1,6-Diphosphatase Deficiency;

1982
Lactic acidaemia.
    Journal of inherited metabolic disease, 1984, Volume: 7 Suppl 1

    Topics: Abnormalities, Multiple; Child; Humans; Lactates; Lactic Acid; Metabolism, Inborn Errors; Pyruvate C

1984
Central hypoventilation syndrome in pyruvate dehydrogenase complex deficiency.
    Pediatrics, 1984, Volume: 74, Issue:6

    Topics: Almitrine; Cells, Cultured; Chemoreceptor Cells; Child; Decarboxylation; Doxapram; Fibroblasts; Huma

1984
Deficiency of pyruvate dehydrogenase activity in pancreatic islets of diabetic GK rats.
    Endocrinology, 1995, Volume: 136, Issue:8

    Topics: Acetates; Animals; Diabetes Mellitus, Type 2; Epoxy Compounds; Female; Glucose; Hypoglycemic Agents;

1995
Cerebral dysgenesis and lactic acidemia: an MRI/MRS phenotype associated with pyruvate dehydrogenase deficiency.
    Pediatric neurology, 1994, Volume: 11, Issue:3

    Topics: Acidosis, Lactic; Agenesis of Corpus Callosum; Brain; Brain Damage, Chronic; Brain Diseases, Metabol

1994
Therapeutic efficacy of a case of pyruvate dehydrogenase complex deficiency monitored by localized proton magnetic resonance spectroscopy.
    Magnetic resonance imaging, 1996, Volume: 14, Issue:1

    Topics: Brain; Brain Chemistry; Dichloroacetic Acid; Humans; Infant; Lactates; Lactic Acid; Magnetic Resonan

1996
[Defects of pyruvate metabolism in cultured lymphoblastoid cells of 20 patients with Leigh syndrome].
    No to hattatsu = Brain and development, 1996, Volume: 28, Issue:6

    Topics: Biomarkers; Cells, Cultured; Cytochrome-c Oxidase Deficiency; DNA, Mitochondrial; Female; Humans; In

1996
Characterization of point mutations in patients with pyruvate dehydrogenase deficiency: role of methionine-181, proline-188, and arginine-349 in the alpha subunit.
    Archives of biochemistry and biophysics, 1999, Jul-01, Volume: 367, Issue:1

    Topics: 2,6-Dichloroindophenol; Acetylation; Acetyltransferases; Amino Acid Substitution; Apoenzymes; Argini

1999
Outcome of thiamine treatment in a child with Leigh disease due to thiamine-responsive pyruvate dehydrogenase deficiency.
    European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society, 2000, Volume: 4, Issue:3

    Topics: Child; Diagnosis, Differential; Dose-Response Relationship, Drug; Fibroblasts; Follow-Up Studies; Hu

2000
Investigation of enzyme defects in children with lactic acidosis.
    Journal of inherited metabolic disease, 1992, Volume: 15, Issue:5

    Topics: Acidosis, Lactic; Body Fluids; Child; Citrate (si)-Synthase; Electron Transport Complex IV; Fibrobla

1992
Detection of pyruvate metabolism disorders by culture of skin fibroblasts with dichloroacetate.
    Pediatric research, 1988, Volume: 23, Issue:6

    Topics: Acetates; Acidosis, Lactic; Cells, Cultured; Child; Dichloroacetic Acid; Enzyme Activation; Female;

1988
A deficiency of both subunits of pyruvate dehydrogenase which is not expressed in fibroblasts.
    Pediatric research, 1988, Volume: 24, Issue:1

    Topics: Child, Preschool; Electrophoresis, Polyacrylamide Gel; Fibroblasts; Humans; Immunoassay; Infant; Kid

1988
Fatal lactic acidosis due to deficiency of E1 component of the pyruvate dehydrogenase complex.
    Journal of inherited metabolic disease, 1988, Volume: 11, Issue:2

    Topics: Acidosis, Lactic; Humans; Infant; Male; Oxidation-Reduction; Pyruvate Dehydrogenase Complex; Pyruvat

1988
Pyruvate and acetate oxidation by leukocytes in vitro. Activation of the pyruvate dehydrogenase complex by uncoupling of oxidative phosphorylation.
    Scandinavian journal of clinical and laboratory investigation, 1985, Volume: 45, Issue:4

    Topics: Acetates; Acidosis; Adult; Carbonyl Cyanide m-Chlorophenyl Hydrazone; Female; Granulocytes; Humans;

1985
[Congenital lactic acidemia].
    Tanpakushitsu kakusan koso. Protein, nucleic acid, enzyme, 1988, Volume: 33, Issue:5

    Topics: Acidosis, Lactic; Biological Transport; Energy Metabolism; Humans; Mitochondria; NAD; Pyruvate Dehyd

1988
[Mitochondrial myopathies and encephalomyopathies. Neuromuscular and central nervous system diseases caused by defects in mitochondrial oxidative metabolism].
    Monatsschrift Kinderheilkunde : Organ der Deutschen Gesellschaft fur Kinderheilkunde, 1985, Volume: 133, Issue:11

    Topics: Brain; Brain Diseases, Metabolic; Carnitine O-Acetyltransferase; Child; Citric Acid Cycle; Cytochrom

1985