raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:255182

Pyruvate dehydrogenase E3-binding protein deficiency

Synonyms: 2-oxoglutarate complex deficiency · Branched chain alpha-ketoacid dehydrogenase complex deficiency · Diaphorase deficiency · Dihydrolipoyl dehydrogenase deficiency · Glycine cleavage system L protein deficiency · Lipoamide dehydrogenase deficiency · Pyruvate dehydrogenase complex component E3 deficiency · Pyruvate dehydrogenase protein X component deficiency

Type
Clinical subtype
Group
Subtype of disorder
Inheritance
Autosomal recessive
Age of onset
Infancy, Neonatal
Status
active

Pyruvate dehydrogenase E3-binding protein deficiency is a rare mild form of pyruvate dehydrogenase deficiency (PDHD) characterized by variable lactic acidosis and neurological dysfunction.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enPyruvate dehydrogenase E3-binding protein deficiency2-oxoglutarate complex deficiency · Branched chain alpha-ketoacid dehydrogenase complex deficiency · Diaphorase deficiency · Dihydrolipoyl dehydrogenase deficiency · Glycine cleavage system L protein deficiency · Lipoamide dehydrogenase deficiency · Pyruvate dehydrogenase complex component E3 deficiency · Pyruvate dehydrogenase protein X component deficiency
frDéficit en protéine de liaison E3 du complexe pyruvate déshydrogénaseDéficit en complexe 2-oxoglutarate · Déficit en complexe déshydrogénase des alpha-cétoacides à chaînes ramifiées · Déficit en composé E3 du complexe pyruvate déshydrogénase · Déficit en diaphorase · Déficit en dihydrolipoyl déshydrogénase · Déficit en lipoamide déshydrogénase · Déficit en protéine L du système de clivage de la glycine · Déficit en protéine X du complexe pyruvate déshydrogénase
dePyruvat-Dehydrogenase-E3-bindendes Protein-Mangel2-Oxo-Glutarat-Komplex-Mangel · Diaphorase-Mangel · Dihydrolipoamid-Dehydrogenase-bindendes Protein-Mangel des Pyruvat-Dehydrogenase-Komplex · Dihydrolipoyl-Dehydrogenase-Mangel · GCSL-Mangel · Lipoamid-Dehydrogenase-Mangel · Pyruvat-Dehydrogenase-Protein-X-Komponenten-Mangel · Verzweigtkettige-alpha-Ketosäuren-Dehydrogenase-Komplex-Mangel
esDeficiencia de la proteína de unión E3 de la piruvato deshidrogenasaDeficiencia de diaforasa · Deficiencia de dihidrolipoil deshidrogenasa · Deficiencia de lipoamida deshidrogenasa · Deficiencia de proteína X del complejo piruvato deshidrogenasa · Deficiencia del complejo 2-oxo-glutarato · Deficiencia del complejo de deshidrogenasas de cetoácidos de cadena ramificada · Deficiencia del componente E3 del complejo piruvato deshidrogenasa · Deficiencia en la proteína L del sistema de clivaje de la glicina
itDeficit della proteina legante E3 della piruvato deidrogenasiDeficit del complesso 2-oxo-glutarato · Deficit del complesso della chetoacido deidrogenasi a catena ramificata · Deficit della componente E3 del complesso della piruvato deidrogenasi · Deficit della componente proteica X della piruvato deidrogenasi · Deficit della proteina L del sistema di clivaggio della glicina · Deficit di diaforasi · Deficit di diidrolipoil deidrogenasi · Deficit di lipoamide deidrogenasi
nlPyruvaatdehydrogenase E3-bindend proteïnedeficiëntie2-oxo-glutaraatcomplexdeficiëntie · Diaforasedeficiëntie · Dihydrolipoyldehydrogenasedeficiëntie · Glycine-cleavagesysteem L-proteïnedeficiëntie · Lipoamidedehydrogenasedeficiëntie · Pyruvaatdehydrogenase proteïne X-componentdeficiëntie · Pyruvaatdehydrogenasecomplex component E3-deficiëntie · Vertakte keten-ketozuurdehydrogenasecomplexdeficiëntie
ptDeficiência de proteína de ligação E3 da piruvato desidrogenaseDeficiência da proteína de ligação a E3 · Deficiência de componente X da proteína da piruvato desidrogenase · Deficiência do componente X do complexo desidrogenase piruvato contendo lipoil · Proteína de ligação de dihidrolipoamido desidrogenase do complexo desidrogenase-piruvato
plNiedobór białka wiążącego E3 dehydrogenazy pirogronianowejDihydrolipoyl dehydrogenase deficiency · Glycine cleavage system L protein deficiency · Niedobór dehydrogenazy lipamidowej · Niedobór diaforazy · Niedobór kompleksu 2-oksoglutarowego · Niedobór kompleksu dehydrogenazy rozgałęzionych łańcuchów alfa-ketokwasów · Niedobór składnika białka X dehydrogenazy pirogronianowej · Niedobór składnika kompleksu E dehydrogenazy pirogronianowej
csDeficit E3-binding proteinu pyruvát dehydrogenázyDeficit komplexu 2-oxoglutarátu · Deficit diaforázy · Deficit dihydrolipoyl dehydrogenázy · Deficit lipoamid dehydrogenázy · Deficit komponenty E3 komplexu pyruvát dehydrogenázy · Deficit komponenty proteinu X pyruvát dehydrogenázy · Deficit komplexu dehydrogenázy rozvětveného řetězce alfa-ketokyselin · Deficit proteinu L v systému štěpení glycinu
ukДефіцит E3-звязуючого білка піруватдегідрогеназиДефіцит 2-оксоглутаратного комплексу · Дефіцит альфа-кетокислотного дегідрогеназного комплексу з розгалуженим ланцюгом · Дефіцит діафорази · Дефіцит дигідроліпоїлдегідрогенази · Дефіцит білка системи розщеплення гліцину L · Дефіцит ліпоаміддегідрогенази · Дефіцит компонента Е3 піруватдегідрогеназного комплексу · Дефіцит компонента протеїну Х піруватдегідрогенази
zh丙酮酸脱氢酶E3结合蛋白缺陷病支链α-酮酸脱氢酶复合物缺乏症
trPiruvat dehidrojenaz E3 bağlayıcı protein eksikliğiDiyaforaz eksikliği · 2-oksoglutarat kompleks eksikliği · Lipoamid dehidrojenaz eksikliği · Dihidrolipoyil dehidrogenaz eksikliği · Glisin yarıklanma sistemi L protein eksikliği · Piruvat dehidrogenaz protein X bileşen eksikliği · Piruvat dehidrojenaz kompleks bileşeni E3 eksikliği · Dallı zincirli alfa-ketoasit dehidrojenaz kompleksi eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM245349Evalidated
ICD-10E74.4NTBTattributedvalidated
ICD-115C53.02NTBTindexvalidated
MONDO0009503Evalidated
MeSHC565447Evalidated
UMLSC1855553Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
PDHXDisease-causing germline mutation(s) inAssessedHGNC:21350ENSG0000011043560876911p13pyruvate dehydrogenase complex component X9399911[PMID]
5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

23 annotations · validated 2020-10-14
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0500231Abnormal CSF pyruvate family amino acid concentration
HP:0002490Increased CSF lactate
HP:0002151Increased circulating lactate concentration
Frequent (79-30%)
HP:0010915Abnormal circulating pyruvate family amino acid concentration
HP:0001273Abnormal corpus callosum morphology
HP:0002928Decreased activity of the pyruvate dehydrogenase complex
HP:0003128Lactic acidosis
HP:0001250Seizure
HP:0001264Spastic diplegia
HP:0002273Tetraparesis
Occasional (29-5%)
HP:0002134Abnormal basal ganglia morphology
HP:0001274Agenesis of corpus callosum
HP:0008936Axial hypotonia
HP:0001508Failure to thrive
HP:0001263Global developmental delay
HP:0002079Hypoplasia of the corpus callosum
HP:0010864Intellectual disability, severe
HP:0000252Microcephaly
HP:0007109Periventricular cysts
HP:0002119Ventriculomegaly
Very rare (<4-1%)
HP:0002363Abnormal brainstem morphology
HP:0001317Abnormal cerebellum morphology
HP:0002059Cerebral atrophy

Run the differential on the 3 obligate / very frequent terms

Annotation source: 25087164[PMID]_22079328[PMID]

7

Sources for this card