BCKDK loss-of-function mutations do not phosphorylate BCKDH

Stable Identifier
R-HSA-9912480
Type
Reaction [transition]
Species
Homo sapiens
Compartment
ReviewStatus
5/5
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Mutations in branched-chain ketoacid dehydrogenase kinase (BCKDK) that disrupt the dimer interface and/or destabilize the protein prevent the inhibitory phosphorylation of the E1 subunit of BCKDH, allowing unregulated oxidative decarboxylation of branched-chain amino acids. This causes a depletion of the essential amino acids and is associated with a disorder known as BCKDK deficiency, characterized by neurological delays, autism, and microencephaly (Novarino et al, 2012; Garcia-Cazorla et al, 2014; Tangeraas et al, 2023). The following mutations in BCKDK have been identified in patients showing clinical symptoms of BCKDK deficiency, sexhibit decreased kinase activity and reduced or absent levels of phosphorylated substrate BCKDHA: R156*, R224P (Novarino et al, 2012; both designated "pathogenic" or "likely pathogenic" in ClinVar); L389P, R174Gfs1* (Garcia-Carzola et al, 2014; no ClinVar pathogenicity designations).
Literature References
PubMed ID Title Journal Year
24449431 Two novel mutations in the BCKDK (branched-chain keto-acid dehydrogenase kinase) gene are responsible for a neurobehavioral deficit in two pediatric unrelated patients

Sanz, P, Castejón, E, Nunes, V, Ruiz-Sala, P, Agulló, SB, Palacin, M, Vilaseca, MA, Robles, C, Rodríguez-Pombo, P, Ugarte, M, Lopez-Sala, A, Fort, J, Pristoupilova, A, Dopazo, J, Bodoy, S, Ormaizabal, A, Artuch, R, Garcia-Cazorla, A, Navarrete, R, Font-Llitjós, M, Alcaide, P, Merinero, B, Oyarzabal, A

Hum. Mutat. 2014
36729635 BCKDK deficiency: a treatable neurodevelopmental disease amenable to newborn screening

Ozturk-Hism, B, Constante, JR, Martinez, C, Machado, I, Debray, FG, Ummuhan, O, Backe, PH, Pajares, S, Stoway, SD, Mørkrid, L, Footitt, E, Ozturkmen-Akay, H, De Los Santos, M, López, JM, Boemer, F, Ormazabal, A, Davison, J, Karaca, M, Evren, G, Dixon, M, Tuba, EF, Al-Sannaa, N, Weinhold, N, Bueno, C, Neugebauer, J, García-Cazorla, A, Tangeraas, T, Rodríguez-Pombo, P, Tekin, M, Artuch, R, Oyarzabal, A

Brain 2023
22956686 Mutations in BCKD-kinase lead to a potentially treatable form of autism with epilepsy

Khalil, RO, Harris, RA, Ben-Omran, T, State, MW, Gleeson, JG, Hashish, AF, El-Fishawy, P, Schroth, J, Novarino, G, Scott, EM, Meguid, NA, Ercan-Sencicek, AG, Gabriel, S, Sanders, SJ, Matern, D, Hashem, HS, Kara, M, Kayserili, H, Sweetman, L, Gupta, AR, Rahimi, Y, Silhavy, JL

Science 2012
Participants
Participates
Catalyst Activity

[3-methyl-2-oxobutanoate dehydrogenase (acetyl-transferring)] kinase activity of BCKDK mutant dimers [mitochondrial matrix]

Normal reaction
Functional status

Loss of function of BCKDK mutant dimers [mitochondrial matrix]

Status
Disease
Name Identifier Synonyms
branched-chain keto acid dehydrogenase kinase deficiency DOID:0090126 BCKDKD, BCKDK deficiency, autism-epilepsy syndrome due to branched chain ketoacid dehydrogenase kinase deficiency
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