PMID- 10400999 OWN - NLM STAT- MEDLINE DCOM- 19990914 LR - 20190513 IS - 0964-6906 (Print) IS - 0964-6906 (Linking) VI - 8 IP - 8 DP - 1999 Aug TI - Enoyl-CoA hydratase deficiency: identification of a new type of D-bifunctional protein deficiency. PG - 1509-16 AB - D-bifunctional protein is involved in the peroxisomal beta-oxidation of very long chain fatty acids, branched chain fatty acids and bile acid intermediates. In line with the central role of D-bifunctional protein in the beta-oxidation of these three types of fatty acids, all patients with D-bifunctional protein deficiency so far reported in the literature show elevated levels of very long chain fatty acids, branched chain fatty acids and bile acid inter-mediates. In contrast, we now report two novel patients with D-bifunctional protein deficiency who both have normal levels of bile acid intermediates. Complementation analysis and D-bifunctional protein activity measurements revealed that both patients had an isolated defect in the enoyl-CoA hydratase domain of D-bifunctional protein. Subsequent mutation analysis showed that both patients are homozygous for a missense mutation (N457Y), which is located in the enoyl-CoA hydratase coding part of the D-bifunctional protein gene. Expression of the mutant protein in the yeast Saccharomyces cerevisiae confirmed that the N457Y mutation is the disease-causing mutation. Immunoblot analysis of patient fibroblast homogenates showed that the protein levels of full-length D-bifunctional protein were strongly reduced while the enoyl-CoA hydratase component produced after processing within the peroxisome was undetectable, which indicates that the mutation leads to an unstable protein. FAU - van Grunsven, E G AU - van Grunsven EG AD - Department of Pediatrics, University of Amsterdam, Academic Medical Center, The Netherlands. FAU - Mooijer, P A AU - Mooijer PA FAU - Aubourg, P AU - Aubourg P FAU - Wanders, R J AU - Wanders RJ LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Hum Mol Genet JT - Human molecular genetics JID - 9208958 RN - 0 (Multienzyme Complexes) RN - EC 1.1.- (17-Hydroxysteroid Dehydrogenases) RN - EC 1.1.1.- (3-Hydroxyacyl CoA Dehydrogenases) RN - EC 4.2.1.- (Hydro-Lyases) RN - EC 4.2.1.107 (Peroxisomal Multifunctional Protein-2) RN - EC 4.2.1.119 (HSD17B4 protein, human) RN - EC 4.2.1.17 (Enoyl-CoA Hydratase) SB - IM MH - *17-Hydroxysteroid Dehydrogenases MH - 3-Hydroxyacyl CoA Dehydrogenases/deficiency/genetics MH - Amino Acid Substitution MH - Cells, Cultured MH - DNA Mutational Analysis MH - Enoyl-CoA Hydratase/*deficiency/genetics MH - Fatal Outcome MH - Genetic Complementation Test MH - Humans MH - Hydro-Lyases/deficiency/genetics MH - Infant MH - Male MH - Multienzyme Complexes/deficiency/genetics MH - Peroxisomal Disorders/enzymology/genetics/pathology MH - Peroxisomal Multifunctional Protein-2 MH - Point Mutation EDAT- 1999/07/13 00:00 MHDA- 1999/07/13 00:01 CRDT- 1999/07/13 00:00 PHST- 1999/07/13 00:00 [pubmed] PHST- 1999/07/13 00:01 [medline] PHST- 1999/07/13 00:00 [entrez] AID - ddc163 [pii] AID - 10.1093/hmg/8.8.1509 [doi] PST - ppublish SO - Hum Mol Genet. 1999 Aug;8(8):1509-16. doi: 10.1093/hmg/8.8.1509.