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         Propionic Acidemia:     more detail
  1. Propionic acidemia: An entry from Thomson Gale's <i>Gale Encyclopedia of Genetic Disorders, 2nd ed.</i> by Linnea, MS Wahl, 2005
  2. Propionic Acidemia - A Bibliography and Dictionary for Physicians, Patients, and Genome Researchers by Philip M. Parker, 2007-07-18

61. Causes And Treatments Of Seizures
Propionic and methylmalonic acidemias may produce pancytopenia. In addition, neonates with propionic acidemia should be given biotin and those with
http://pediatricneuro.com/alfonso/pg77.htm
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Methylmalonic acidemia has amino and organic acid profiles similar to propionic acidemia, but also has very high levels of methylmalonic acid and higher lactic acid levels than propionic acidemia due to inhibition of pyruvate carboxylase. Some patients with methylmalonic acidemia also show homocystinuria, hypomethioninemia, and cystothioninuria.
Propionic and methylmalonic acidemias may produce pancytopenia. The diagnosis of propionic and methylmalonic acidemias are established by finding decreased activity of propionyl-CoA carboxylase in leukocytes or cultured skin fibroblasts and decreased activity of methylmalonyl-CoA mutase in liver and cultured fibroblasts. A neutral pH does not exclude propionic and methylmalonic acidemias since the lactic acid elevation that occurs with these organic acidemias is usually in the 3 to 6 mmol/L range and a neutral pH is maintained until levels of lactic acids are at least 5 mmol/L.
Treatment of propionic and methylmalonic acidemias consists of metabolic support, elimination of protein intake, removal of ammonia, and carnitine supplementation. In addition, neonates with propionic acidemia should be given biotin and those with methylmalonic acidemia should be given vitamin B12. Propionyl-CoA carboxylase deficiency also occurs in multiple carboxylase deficiency.

62. PCCB - Propionyl-CoA Carboxylase Beta Chain, Mitochondrial Precursor
propionic acidemia can result from mutations in the PCCA or PCCB genes encoding The inherited metabolic disease propionic acidemia (PA) can result from
http://www.pdg.cnb.uam.es/UniPub/iHOP/gg/90850.html
We report 24 novel PA mutations, nine affecting the PCCA gene and 15 affecting the PCCB gene. Abstract-9722924
Two PstI RFLPs in the PCCB gene on the long arm of chromosome 3 Abstract-5808342
Affected patients may have mutations of either the PCCA or PCCB gene. Abstract-9002936
An enzyme deficiency can result from mutations in either PCCA or PCCB Abstract-10418797
Overview of mutations in the PCCA and PCCB genes causing propionic acidemia. Abstract-8286627
Mutation spectrum of the PCCA and PCCB genes in Japanese patients with propionic acidemia. Abstract-10418797
PCC consists of two subunits, alpha and beta, encoded by the PCCA and PCCB genes, respectively. Abstract-8412544
The alpha- and beta-subunits of the enzyme are encoded by the PCCA and PCCB genes, respectively. Abstract-6636369
PCC is composed of two subunits, alpha and beta, encoded by the PCCA and PCCB genes, respectively. Abstract-1757511
Sequence analyses showed that accC and accB are co-transcribed and that pccB is transcribed separately.

63. 606054 PROPIONIC ACIDEMIA
A number sign ( ) is used with this entry because propionic acidemia is caused by The features of propionic acidemia are episodic vomiting, lethargy and
http://srs.sanger.ac.uk/srsbin/cgi-bin/wgetz?[omim-ID:606054] -e

64. *232000 PROPIONYL-CoA CARBOXYLASE, ALPHA SUBUNIT; PCCA
Cells from patients with propionic acidemia (606054) with mutations in the PCCA gene Among 15 Japanese patients with propionic acidemia, Ohura et al.
http://srs.sanger.ac.uk/srsbin/cgi-bin/wgetz?[omim-ID:232000] -e

65. Welcome To THE MIDDLE EAST JOURNAL OF EMERGENCY MEDICINE
MANAGEMENT OF METABOLIC CRISIS IN propionic acidemia. Nadeem Qureshi propionic acidemia is a rare inorganic acid disorder and as such, the aspects of
http://www.hmc.org.qa/mejem/sept2002/oral/oral6.htm
Volume 2/ Number 2/September 2002 Pages (10): TRAUMA AND HEAD INJURY: THE KHOULA HOSPITAL EXPERIENCE Mohammad Shahbaz
Oman Introduction: Subject and Methods: This study was carried out retrospectively on head injury patients due to trauma admitted through accident and emergency department of Khoula Hospital, Muscat, Sultanate of Oman for the period of two years starting from January 1999 to December 2000. Glasgow Coma Scale was used to assess the level of severity of head injury and was classified as mild, moderate and severe. Objectives: The main aim of the study was to determine the morbidity and mortality due to head injury among trauma victims admitted in Khoula Hospital. Results: Of the total head injury patients due to trauma received at accident and emergency department Khoula Hospital, 54.2% were due to falls, 42.1% due to road traffic accidents, 3.2% due to assaults and 0.5 % due to sports injuries. Mortality was 7.4% in admitted head injury patients. Among them 86.6% died due to road traffic accidents, 12.8% due to falls and 0.6% due to assaults.

66. Indian Pediatrics - Editorial
Apart from solitary cases of propionic acidemia, biotinidase deficiency, Although acidosis is the hallmark of propionic acidemia, an uncommon
http://www.indianpediatrics.net/may2001/may-518-524.htm
Home Past Issue About IP About IAP ... Subscription Brief Reports Indian Pediatrics 2001; 38: 518-524 Clinical Features of Organic Acidemias: Experience at a Tertiary Care Center in Mumbai
Mamta N. Muranjan
Pratima Kondurkar
From the Genetics Division, Department of Pediatrics, K.E.M. Hospital, Parel, Mumbai 400 012, India.
Correspondence to: Dr. M.N. Muranjan, 3rd Floor, 16-B, Naushir Bharucha Marg, Tardeo, Mumbai 400 007, India.
E-mail: drsuji@vsnl.com Manuscript received: July 4, 2000;
Initial review completed: August 1, 2000;
Revision accepted: November 2, 2000.
Patients and Methods Results Inborn errors of metabolism were suspected in 231 patients. The diagnosis of organic acidemias was confirmed in 32 patients in whom results of GC-MS were available. In 24 patients, the mean age at presentation was 12.5 months (range 2-48 months). The remaining 8 were neonates and their clinical characteristics were studied as a separate group. There were 22 boys and 10 girls. Parental consanguinity was found in 11 (34.3%). Propionic acidemia and respiratory chain disorders seen in 19.3% each were the commonest organic acidemias diagnosed in this series followed by tricarboxylic acid cycle defects in 12.9% and methylmalonic acidemia in 9.6%. Rare disorders detected in this study were glutaric aciduria type I, holocarboxylase synthase deficiency, 3-methylglutaconic acid-uria type X, beta ketothiolase deficiency and carnitine-palmitoyltransferase deficiency with distal renal tubular acidosis (RTA).

67. Beach Center On Disability
Both boys take Carnitor and Biotin for their propionic acidemia, supplemented with I have learned that diet is critical to the boys’ propionic acidemia.
http://www.beachcenter.org/stories/print_friendly_story.asp?intResourceID=666&st

68. DBGET Result: OMIM 606054
MIM Entry 606054 Title 606054 propionic acidemia ;;PROPIONYLCoA CLINICAL FEATURES The features of propionic acidemia are episodic vomiting,
http://www.genome.jp/dbget-bin/www_bget?omim 606054

69. South African Journal Of Science
In propionic acidemia, a deficiency of PCC causes accumulation of the The latter is one of the key metabolites in propionic acidemia and is therefore
http://www.nrf.ac.za/sajs/sm_feb98.stm
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HIV/AIDS research in South Africa ... The Complete Modeller: papers in honour of Tony Starfield BOOK REVIEWS Advice to reviewers Volume 94 No. 2 February 1998 Prenatal detection of inborn errors of metabolism The latest developments in mass spectrometry provide a highly sensitive and flexible means of automatically screening for biological markers. This extends the range of detecting sometimes fatal genetic disorders, in an unborn baby for instance, from the presence and ratios of certain chemicals in a blood sample. The Department of Biochemistry and Microbiology at Potchefstroom University considers that more than 400 human disorders may be caused by mutations of a single gene. Most of the individual diseases are quite rare but collectively their incidence is considerable. Approximately 100 inborn errors of metabolism can now be detected prenatally, most by testing for the primary enzyme defect, some by measuring abnormal amounts of specific metabolites or high molecular weight storage material, and some by demonstrating the mutation at DNA level. Having recently acquired a Micromass Quatro II triple quadrupole LCMS/MS for tandem mass spectrometry, the department has progressed from its earlier gas phase system to a liquid one able rapidly to analyse acylcarnitine metabolites, amino acids and bile acids in whole blood and urine. The apparatus is so versatile that it can also be used for peptide and protein analysis.

70. Definitions Of Genetic Disorders -P
propionic acidemia acidprop.htm propionic acidemia propacid.htm propionic acidemia Type I (PCCA Deficiency) propacid.htm propionic acidemia Type II (PCCB
http://www.icomm.ca/geneinfo/def-p.htm

71. IngentaConnect Functional Characterization Of PCCA Mutations Causing Propionic A
propionic acidemia (PA, MIM 232000 and 232050) is caused by a deficiency of mitochondrial biotindependent propionyl-CoA carboxylase (PCC, EC 6.4.1.3),
http://www.ingentaconnect.com/content/els/09254439/2002/00001588/00000002/art001

72. The Turkish Journal Of Pediatrics
Neonatal onset propionic acidemia without acidosis a case report propionic acidemia is an inherited disorder of organic acid metabolism characterized
http://tjp.dergisi.org/summary_en.php3?id=14

73. The Effects Of Spacing Protein Intake On Nitrogen Balance And Plasma Amino Acids
on nitrogen balance and plasma amino acids in a child with propionic acidemia was studied in a 34month-old male child with propionic acidemia.
http://www.jacn.org/cgi/content/abstract/1/3/305
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JOURNAL ARTICLE
The effects of spacing protein intake on nitrogen balance and plasma amino acids in a child with propionic acidemia
P. M. Queen, P. B. Acosta and P. M. Fernhoff
The effect of protein distribution on nitrogen balance and the plasma aminogram was studied in a 34-month-old male child with propionic acidemia. Protein provided 4.8% of energy of which high biological value protein was given either as a bolus or evenly distributed in three meals per day. Analysis of nitrogen balance including estimated sweat nitrogen losses revealed no major difference between the two diets. No marked differences in the fasting plasma concentrations of essential amino acids were noted with protein distribution. A generalized increase in concentration of all

74. Adult-onset Chorea And Dementia With Propionic Acidemia -- Sethi Et Al. 39 (10):
propionic acidemia usually presents in the newborn period with severe metabolic acidosis and Neurologic Nonmetabolic Presentation of propionic acidemia
http://www.neurology.org/cgi/content/abstract/39/10/1343
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ARTICLES
Adult-onset chorea and dementia with propionic acidemia
KD Sethi, R Ray, RA Roesel, AL Carter, BB Gallagher, DW Loring and FA Hommes
Department of Neurology, Medical College of Georgia, Augusta. Propionic acidemia usually presents in the newborn period with severe metabolic acidosis and lethargy. A 31-year-old man with adult onset chorea and dementia had propionic acidemia due to propionyl CoA carboxylase deficiency. Metabolic investigations may prove useful in patients with movement disorder of unknown etiology.

75. Propionic Acidemia
Prev Term Propionibacterium Next Term propionyl coA carboxylase. propionic acidemia. Use. ketotic hyperglycinemia. Send your comments to MultiTes.
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76. Propionic Acidemia In A Four-Month-Old Male: A Case Study And Anesthetic Implica
Implications propionic acidemia is a rare genetic disease associated with This case report provides information regarding propionic acidemia and its
http://www.anesthesia-analgesia.org/cgi/content/abstract/91/2/309
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International Anesthesia Research Society
PEDIATRIC ANESTHESIA
Propionic Acidemia in a Four-Month-Old Male: A Case Study and Anesthetic Implications
H. Eugene Harker, MD, PhD John D. Emhardt, MD , and Bryan E. Hainline, MD, PhD Departments of *Anesthesia and Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana Address correspondence and reprint requests to John D. Emhardt, MD, Department of Anesthesia, Indiana University School of Medicine, James Whitcomb Riley Hospital for Children, Room 2001, 702 Barnhill Dr., Indianapolis, IN 46202-5225. Implications: Propionic acidemia is a rare genetic disease associated with significant medical problems. When patients with this disease

77. Arch Pediatr Adolesc Med -- Abstract: Propionic Acidemia And Anorectal Anomalies
The occurrence of propionic acidemia and anorectal anomalies in three siblings out of eight children in a consanguineous marriage suggests an autosomal
http://archpedi.ama-assn.org/cgi/content/abstract/131/12/1379
Select Journal or Resource JAMA Archives of Dermatology Facial Plastic Surgery Family Medicine (1992-2000) General Psychiatry Internal Medicine Neurology Ophthalmology Surgery Student JAMA (1998-2004) JAMA CareerNet For The Media Meetings Peer Review Congress
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Propionic acidemia and anorectal anomalies in three siblings
D. Branski, R. Gale, E. Gross-Kieselstein and A. Abrahamov
Three siblings suffering from recurrent vomiting, hypotonia, hyperpnea, dehydration, and ketoacidosis were diagnosed as having ketotic hyperglycinemia secondary to propionic acidemia. They also had leukopenia and thrombocytopenia, and two of them had anorectal malformations, one an imperforate anus with rectoperineal fistula, and the other an ectopic anus. The occurrence of propionic acidemia and anorectal anomalies in three siblings out of eight children in a consanguineous marriage suggests an autosomal recessive genetic inheritance.

78. Kinetic Characterization Of Mutations Found In Propionic Acidemia And Methylcrot
Kinetic Characterization of Mutations Found in propionic acidemia and Methylcrotonylglycinuria. EVIDENCE FOR COOPERATIVITY IN BIOTIN CARBOXYLASE*
http://www.jbc.org/cgi/content/full/279/16/15772

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Originally published In Press as doi:10.1074/jbc.M311982200 on February 11, 2004 J. Biol. Chem., Vol. 279, Issue 16, 15772-15778, April 16, 2004
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Kinetic Characterization of Mutations Found in Propionic Acidemia and Methylcrotonylglycinuria
EVIDENCE FOR COOPERATIVITY IN BIOTIN CARBOXYLASE
Valerie Sloane and Grover L. Waldrop From the Division of Biochemistry and Molecular Biology, Louisiana State University, Baton Rouge, Louisiana 70803 Received for publication, October 31, 2003 , and in revised form, January 20, 2004.

79. Fatal Propionic Acidemia In Mice Lacking Propionyl-CoA Carboxylase And Its Rescu
propionic acidemia (PA) is an inborn error of metabolism caused by the genetic deficiency of propionylCoA carboxylase (PCC).
http://www.jbc.org/cgi/content/full/276/38/35995

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Originally published In Press as doi:10.1074/jbc.M105467200 on July 18, 2001 J. Biol. Chem., Vol. 276, Issue 38, 35995-35999, September 21, 2001
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Fatal Propionic Acidemia in Mice Lacking Propionyl-CoA Carboxylase and Its Rescue by Postnatal, Liver-specific Supplementation via a Transgene
Toru Miyazaki Toshihiro Ohura Makio Kobayashi Yosuke Shigematsu Seiji Yamaguchi Yoichi Suzuki Ikue Hata Yoko Aoki Xue Yang Christina Minjares Ikuko Haruta Hirofumi Uto Yuriko Ito , and From the Center for Immunology, The University of Texas Southwestern Medical Center, Dallas Texas 75390-9093, the

80. ACTUALIZACION DEL SEGUIMIENTO DE 29 NIÑOS CON ACIDURIA ORGANICA EN CHILE
Parenteral nutrition in propionic acidemia and methylmalonic acidemia.
http://www.siicsalud.com/dato/dat041/04n22004.htm

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Artículos seleccionados para su compra ACTUALIZACION DEL SEGUIMIENTO DE 29 NIÑOS CON ACIDURIA ORGANICA EN CHILE
(especial para SIIC © Derechos reservados) El pronóstico de ésta patología depende estrechamente de la forma de presentación y del seguimiento frecuente y estricto. Autor:
Verónica del Carmen Cornejo Espinoza

Columnista Experta de SIIC
Institucion:
Instituto de Nutrición y Tecnología de los Alimentos, Universidad de Chile
Artículos publicados
por Verónica del Carmen Cornejo Espinoza participaron en la investigación
Marta Paulina Colombo Campbell* Alicia de la Parra Cieciwa** Paulina Mabe Santana*** Juan Francisco Cabello Andrade**** Alf Gunther Valiente Gallardo***** Erna Angela Raimann Ballas****** Prof. Titular, Neurólogo infantil. Hospital Van Buren , Valparaíso *****Bioquímico INTA, Universidad de Chile ******Profesor Asistente, Pediatra. INTA, Universidad de Chile Recepción del artículo: 3 de Mayo, 2004 Aprobación: 15 de Septiembre, 2004 Primera edición: 26 de Noviembre, 2004

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