L‐2‐Hydroxyglutaric aciduria: an inborn error of metabolism?
Abstract
A 5‐year‐old boy, excreting large amounts of 2‐hydroxyglutaric acid in the urine (3.3–7.6 mmol/l), is described. The patient presented with psychomotor retardation and dystrophy. His skeletal age was delayed. The EEG was not well differentiated; it resembled that observed in 2‐year‐old children. There was a severe anaemia, which reacted well to iron supplements. The 2‐hydroxyglutaric acid was found to have the l ‐configuration, as analysed by capillary gas chromatography of the O ‐acetylated di‐(‐)‐2‐butyl ester derivative. The relation of l ‐2‐hydroxyglutarate excretion to known metabolic pathways is discussed.
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D-2-HG produced by mIDH1/2 drives a CpG island methylator phenotype in glioma and ICC tumours to promote tumorigenesis.
“D-2-HG produced by mIDH1/2 has been shown to drive a CpG island methylator phenotype (G-CIMP) in both glioma and ICC tumours to promote tumorigenesis, and has also been found to occupy the active site of histone demethylases thereby increasing histone methylation in primary gliomas121,123-125.”
From Coupling Krebs cycle metabolites to signalling in immunity and cancer (2018) · cites this paper as [121]
D-2-HG occupies the active site of histone demethylases, increasing histone methylation in primary gliomas.
“D-2-HG produced by mIDH1/2 has been shown to drive a CpG island methylator phenotype (G-CIMP) in both glioma and ICC tumours to promote tumorigenesis, and has also been found to occupy the active site of histone demethylases thereby increasing histone methylation in primary gliomas121,123-125.”
From Coupling Krebs cycle metabolites to signalling in immunity and cancer (2018) · cites this paper as [121]
D-2-HG acts as a competitive inhibitor of α-KGDDs including TET family and JMJD family.
“As with succinate and fumarate, D-2-HG acts as a competitive inhibitor of α-KGDDs including, but not limited to, the TET family and JMJD family of DNA and histone demethylases, respectively121,22.”
From Coupling Krebs cycle metabolites to signalling in immunity and cancer (2018) · cites this paper as [121]
The IC50 of D-2-HG toward KDM family members is in the low micromolar range (24-106 μM).
“Although the IC50 of D-2-HG toward KDM family members is in the low micromolar range (24-106 μM), it can also inhibit FIH and PHD2, with IC50 values of 1.5 and 7.3 mM, respectively121.”
From Coupling Krebs cycle metabolites to signalling in immunity and cancer (2018) · cites this paper as [121]
D-2-HG inhibits FIH and PHD2 with IC50 values of 1.5 and 7.3 mM, respectively.
“Although the IC50 of D-2-HG toward KDM family members is in the low micromolar range (24-106 μM), it can also inhibit FIH and PHD2, with IC50 values of 1.5 and 7.3 mM, respectively121.”
From Coupling Krebs cycle metabolites to signalling in immunity and cancer (2018) · cites this paper as [121]
D-2-HG inhibits α-KG-dependent ALKBH2 and ALKBH3, DNA damage repair enzymes that detoxify 1-methyladenine and 3-methylcytosine lesions.
“D-2-HG has been shown to inhibit α-KG-dependent alkylation repair homologs, ALKBH2 and ALKBH3, critical DNA damage repair enzymes that detoxify 1-methyladenine (1 mA) and 3-methlycytosine (3mC) lesions in DNA derived from alkylating agents121,131.”
From Coupling Krebs cycle metabolites to signalling in immunity and cancer (2018) · cites this paper as [121]
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D‐2‐hydroxyglutaric aciduria: Case report and biochemical studies
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- Authors
- Duran, M., Kamerling, J. P., Bakker, H. D., van Gennip, A. H., & Wadman, S. K.
- Affiliations
- University Children's Hospital ‘Het Wilhelmina Kinderziekenhuis’ Nieuwe Gracht 137 Utrecht The Netherlands
- Utrecht University (NL)
- Emma Kinderziekenhuis (NL)
- Emma Children's Hospital Spinozastraat 51 Amsterdam The Netherlands
- Wilhelmina Children's Hospital (NL)
- Venue
- Journal of Inherited Metabolic Disease
- Publisher
- Wiley
- Published
- 1980-12
- Volume
- 3
- Issue
- 1
- Pages
- 109-112
- ISSN
- 0141-8955 (ISSN-L)
- 1573-2665
- OpenAlex
- W2000639840
- Cited by
- 226
- References
- 15
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 10 · 2023: 5 · 2022: 4 · 2021: 9 · 2020: 7 · 2019: 8 · 2018: 9 · 2017: 5 · 2016: 13 · 2015: 8 · 2014: 10 · 2013: 6 · 2012: 7
- FWCI
- 1.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Inherited Metabolic Disease (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Metabolism and Genetic Disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Amino Acid Enzymes and Metabolism
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Biochemical Acid Research Studies
- Keywords
- L-2-hydroxyglutaric aciduria, 2-hydroxyglutarate, inborn errors of metabolism, psychomotor retardation, dystrophy, anemia, iron supplementation, L-configuration, capillary gas chromatography, metabolic pathways
- MeSH terms
- Child, Preschool, Glutarates, Humans, Hydroxy Acids, Ketoglutaric Acids, Male, Metabolism, Inborn Errors
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