nih-gov/www.ncbi.nlm.nih.gov/omim/248610

4397 lines
319 KiB
Text

<!DOCTYPE html>
<html xmlns="http://www.w3.org/1999/xhtml" lang="en-us" xml:lang="en-us" >
<head>
<!--
################################# CRAWLER WARNING #################################
- The terms of service and the robots.txt file disallows crawling of this site,
please see https://omim.org/help/agreement for more information.
- A number of data files are available for download at https://omim.org/downloads.
- We have an API which you can learn about at https://omim.org/help/api and register
for at https://omim.org/api, this provides access to the data in JSON & XML formats.
- You should feel free to contact us at https://omim.org/contact to figure out the best
approach to getting the data you need for your work.
- WE WILL AUTOMATICALLY BLOCK YOUR IP ADDRESS IF YOU CRAWL THIS SITE.
- WE WILL ALSO AUTOMATICALLY BLOCK SUB-DOMAINS AND ADDRESS RANGES IMPLICATED IN
DISTRIBUTED CRAWLS OF THIS SITE.
################################# CRAWLER WARNING #################################
-->
<meta http-equiv="content-type" content="text/html; charset=utf-8" />
<meta http-equiv="cache-control" content="no-cache" />
<meta http-equiv="pragma" content="no-cache" />
<meta name="robots" content="index, follow" />
<meta name="viewport" content="width=device-width, initial-scale=1" />
<meta http-equiv="X-UA-Compatible" content="IE=edge" />
<meta name="title" content="Online Mendelian Inheritance in Man (OMIM)" />
<meta name="description" content="Online Mendelian Inheritance in Man (OMIM) is a comprehensive, authoritative
compendium of human genes and genetic phenotypes that is freely available and updated daily. The full-text,
referenced overviews in OMIM contain information on all known mendelian disorders and over 15,000 genes.
OMIM focuses on the relationship between phenotype and genotype. It is updated daily, and the entries
contain copious links to other genetics resources." />
<meta name="keywords" content="Mendelian Inheritance in Man, OMIM, Mendelian diseases, Mendelian disorders, genetic diseases,
genetic disorders, genetic disorders in humans, genetic phenotypes, phenotype and genotype, disease models, alleles,
genes, dna, genetics, dna testing, gene testing, clinical synopsis, medical genetics" />
<meta name="theme-color" content="#333333" />
<link rel="icon" href="/static/omim/favicon.png" />
<link rel="apple-touch-icon" href="/static/omim/favicon.png" />
<link rel="manifest" href="/static/omim/manifest.json" />
<script id='mimBrowserCapability'>
function _0x5069(){const _0x4b1387=['91sZIeLc','mimBrowserCapability','15627zshTnf','710004yxXedd','34LxqNYj','match','disconnect','1755955rnzTod','observe','1206216ZRfBWB','575728fqgsYy','webdriver','documentElement','close','open','3086704utbakv','7984143PpiTpt'];_0x5069=function(){return _0x4b1387;};return _0x5069();}function _0xe429(_0x472ead,_0x43eb70){const _0x506916=_0x5069();return _0xe429=function(_0xe42949,_0x1aaefc){_0xe42949=_0xe42949-0x1a9;let _0xe6add8=_0x506916[_0xe42949];return _0xe6add8;},_0xe429(_0x472ead,_0x43eb70);}(function(_0x337daa,_0x401915){const _0x293f03=_0xe429,_0x5811dd=_0x337daa();while(!![]){try{const _0x3dc3a3=parseInt(_0x293f03(0x1b4))/0x1*(-parseInt(_0x293f03(0x1b6))/0x2)+parseInt(_0x293f03(0x1b5))/0x3+parseInt(_0x293f03(0x1b0))/0x4+-parseInt(_0x293f03(0x1b9))/0x5+parseInt(_0x293f03(0x1aa))/0x6+-parseInt(_0x293f03(0x1b2))/0x7*(parseInt(_0x293f03(0x1ab))/0x8)+parseInt(_0x293f03(0x1b1))/0x9;if(_0x3dc3a3===_0x401915)break;else _0x5811dd['push'](_0x5811dd['shift']());}catch(_0x4dd27b){_0x5811dd['push'](_0x5811dd['shift']());}}}(_0x5069,0x84d63),(function(){const _0x9e4c5f=_0xe429,_0x363a26=new MutationObserver(function(){const _0x458b09=_0xe429;if(document!==null){let _0x2f0621=![];navigator[_0x458b09(0x1ac)]!==![]&&(_0x2f0621=!![]);for(const _0x427dda in window){_0x427dda[_0x458b09(0x1b7)](/cdc_[a-z0-9]/ig)&&(_0x2f0621=!![]);}_0x2f0621===!![]?document[_0x458b09(0x1af)]()[_0x458b09(0x1ae)]():(_0x363a26[_0x458b09(0x1b8)](),document['getElementById'](_0x458b09(0x1b3))['remove']());}});_0x363a26[_0x9e4c5f(0x1a9)](document[_0x9e4c5f(0x1ad)],{'childList':!![]});}()));
</script>
<link rel='preconnect' href='https://cdn.jsdelivr.net' />
<link rel='preconnect' href='https://cdnjs.cloudflare.com' />
<link rel="preconnect" href="https://www.googletagmanager.com" />
<script src="https://cdn.jsdelivr.net/npm/jquery@3.7.1/dist/jquery.min.js" integrity="sha256-/JqT3SQfawRcv/BIHPThkBvs0OEvtFFmqPF/lYI/Cxo=" crossorigin="anonymous"></script>
<script src="https://cdn.jsdelivr.net/npm/jquery-migrate@3.5.2/dist/jquery-migrate.js" integrity="sha256-ThFcNr/v1xKVt5cmolJIauUHvtXFOwwqiTP7IbgP8EU=" crossorigin="anonymous"></script>
<script src="https://cdn.jsdelivr.net/npm/bootstrap@3.4.1/dist/js/bootstrap.min.js" integrity="sha256-nuL8/2cJ5NDSSwnKD8VqreErSWHtnEP9E7AySL+1ev4=" crossorigin="anonymous"></script>
<link rel="stylesheet" href="https://cdn.jsdelivr.net/npm/bootstrap@3.4.1/dist/css/bootstrap.min.css" integrity="sha256-bZLfwXAP04zRMK2BjiO8iu9pf4FbLqX6zitd+tIvLhE=" crossorigin="anonymous">
<link rel="stylesheet" href="https://cdn.jsdelivr.net/npm/bootstrap@3.4.1/dist/css/bootstrap-theme.min.css" integrity="sha256-8uHMIn1ru0GS5KO+zf7Zccf8Uw12IA5DrdEcmMuWLFM=" crossorigin="anonymous">
<script src="https://cdn.jsdelivr.net/npm/moment@2.29.4/min/moment.min.js" integrity="sha256-80OqMZoXo/w3LuatWvSCub9qKYyyJlK0qnUCYEghBx8=" crossorigin="anonymous"></script>
<script src="https://cdn.jsdelivr.net/npm/eonasdan-bootstrap-datetimepicker@4.17.49/build/js/bootstrap-datetimepicker.min.js" integrity="sha256-dYxUtecag9x4IaB2vUNM34sEso6rWTgEche5J6ahwEQ=" crossorigin="anonymous"></script>
<link rel="stylesheet" href="https://cdn.jsdelivr.net/npm/eonasdan-bootstrap-datetimepicker@4.17.49/build/css/bootstrap-datetimepicker.min.css" integrity="sha256-9FNpuXEYWYfrusiXLO73oIURKAOVzqzkn69cVqgKMRY=" crossorigin="anonymous">
<script src="https://cdn.jsdelivr.net/npm/qtip2@3.0.3/dist/jquery.qtip.min.js" integrity="sha256-a+PRq3NbyK3G08Boio9X6+yFiHpTSIrbE7uzZvqmDac=" crossorigin="anonymous"></script>
<link rel="stylesheet" href="https://cdn.jsdelivr.net/npm/qtip2@3.0.3/dist/jquery.qtip.min.css" integrity="sha256-JvdVmxv7Q0LsN1EJo2zc1rACwzatOzkyx11YI4aP9PY=" crossorigin="anonymous">
<script src="https://cdn.jsdelivr.net/npm/devbridge-autocomplete@1.4.11/dist/jquery.autocomplete.min.js" integrity="sha256-BNpu3uLkB3SwY3a2H3Ue7WU69QFdSRlJVBrDTnVKjiA=" crossorigin="anonymous"></script>
<script src="https://cdn.jsdelivr.net/npm/jquery-validation@1.21.0/dist/jquery.validate.min.js" integrity="sha256-umbTaFxP31Fv6O1itpLS/3+v5fOAWDLOUzlmvOGaKV4=" crossorigin="anonymous"></script>
<script src="https://cdn.jsdelivr.net/npm/js-cookie@3.0.5/dist/js.cookie.min.js" integrity="sha256-WCzAhd2P6gRJF9Hv3oOOd+hFJi/QJbv+Azn4CGB8gfY=" crossorigin="anonymous"></script>
<script src="https://cdnjs.cloudflare.com/ajax/libs/ScrollToFixed/1.0.8/jquery-scrolltofixed-min.js" integrity="sha512-ohXbv1eFvjIHMXG/jY057oHdBZ/jhthP1U3jES/nYyFdc9g6xBpjDjKIacGoPG6hY//xVQeqpWx8tNjexXWdqA==" crossorigin="anonymous"></script>
<script async src="https://www.googletagmanager.com/gtag/js?id=G-HMPSQC23JJ"></script>
<script>
window.dataLayer = window.dataLayer || [];
function gtag(){window.dataLayer.push(arguments);}
gtag("js", new Date());
gtag("config", "G-HMPSQC23JJ");
</script>
<script src="/static/omim/js/site.js?version=Zmk5Y1" integrity="sha256-fi9cXywxCO5p0mU1OSWcMp0DTQB4s8ncFR8j+IO840s="></script>
<link rel="stylesheet" href="/static/omim/css/site.css?version=VGE4MF" integrity="sha256-Ta80Qpm3w1S8kmnN0ornbsZxdfA32R42R4ncsbos0YU=" />
<script src="/static/omim/js/entry/entry.js?version=anMvRU" integrity="sha256-js/EBOBZzGDctUqr1VhnNPzEiA7w3HM5JbFmOj2CW84="></script>
<div id="mimBootstrapDeviceSize">
<div class="visible-xs" data-mim-bootstrap-device-size="xs"></div>
<div class="visible-sm" data-mim-bootstrap-device-size="sm"></div>
<div class="visible-md" data-mim-bootstrap-device-size="md"></div>
<div class="visible-lg" data-mim-bootstrap-device-size="lg"></div>
</div>
<title>
Entry
- *248610 - DIHYDROLIPOAMIDE BRANCHED-CHAIN TRANSACYLASE; DBT
- OMIM
</title>
</head>
<body>
<div id="mimBody">
<div id="mimHeader" class="hidden-print">
<nav class="navbar navbar-inverse navbar-fixed-top mim-navbar-background">
<div class="container-fluid">
<!-- Brand and toggle get grouped for better mobile display -->
<div class="navbar-header">
<button type="button" class="navbar-toggle collapsed" data-toggle="collapse" data-target="#mimNavbarCollapse" aria-expanded="false">
<span class="sr-only"> Toggle navigation </span>
<span class="icon-bar"></span>
<span class="icon-bar"></span>
<span class="icon-bar"></span>
</button>
<a class="navbar-brand" href="/"><img alt="OMIM" src="/static/omim/icons/OMIM_davinciman.001.png" height="30" width="30"></a>
</div>
<div id="mimNavbarCollapse" class="collapse navbar-collapse">
<ul class="nav navbar-nav">
<li>
<a href="/help/about"><span class="mim-navbar-menu-font"> About </span></a>
</li>
<li class="dropdown">
<a href="#" id="mimStatisticsDropdown" class="dropdown-toggle" data-toggle="dropdown" role="button" aria-haspopup="true" aria-expanded="false"><span class="mim-navbar-menu-font"> Statistics <span class="caret"></span></span></a>
<ul class="dropdown-menu" role="menu" aria-labelledby="statisticsDropdown">
<li>
<a href="/statistics/update"> Update List </a>
</li>
<li>
<a href="/statistics/entry"> Entry Statistics </a>
</li>
<li>
<a href="/statistics/geneMap"> Phenotype-Gene Statistics </a>
</li>
<li>
<a href="/statistics/paceGraph"> Pace of Gene Discovery Graph </a>
</li>
</ul>
</li>
<li class="dropdown">
<a href="#" id="mimDownloadsDropdown" class="dropdown-toggle" data-toggle="dropdown" role="button" aria-haspopup="true" aria-expanded="false"><span class="mim-navbar-menu-font"> Downloads <span class="caret"></span></span></a>
<ul class="dropdown-menu" role="menu" aria-labelledby="downloadsDropdown">
<li>
<a href="/downloads/"> Register for Downloads </a>
</li>
<li>
<a href="/api"> Register for API Access </a>
</li>
</ul>
</li>
<li>
<a href="/contact?mimNumber=248610"><span class="mim-navbar-menu-font"> Contact Us </span></a>
</li>
<li>
<a href="/mimmatch/">
<span class="mim-navbar-menu-font">
<span class="mim-tip-bottom" qtip_title="<strong>MIMmatch</strong>" qtip_text="MIMmatch is a way to follow OMIM entries that interest you and to find other researchers who may share interest in the same entries. <br /><br />A bonus to all MIMmatch users is the option to sign up for updates on new gene-phenotype relationships.">
MIMmatch
</span>
</span>
</a>
</li>
<li class="dropdown">
<a href="#" id="mimDonateDropdown" class="dropdown-toggle" data-toggle="dropdown" role="button" aria-haspopup="true" aria-expanded="false"><span class="mim-navbar-menu-font"> Donate <span class="caret"></span></span></a>
<ul class="dropdown-menu" role="menu" aria-labelledby="donateDropdown">
<li>
<a href="https://secure.jhu.edu/form/OMIM" target="_blank" onclick="gtag('event', 'mim_donation', {'destination': 'secure.jhu.edu'})"> Donate! </a>
</li>
<li>
<a href="/donors"> Donors </a>
</li>
</ul>
</li>
<li class="dropdown">
<a href="#" id="mimHelpDropdown" class="dropdown-toggle" data-toggle="dropdown" role="button" aria-haspopup="true" aria-expanded="false"><span class="mim-navbar-menu-font"> Help <span class="caret"></span></span></a>
<ul class="dropdown-menu" role="menu" aria-labelledby="helpDropdown">
<li>
<a href="/help/faq"> Frequently Asked Questions (FAQs) </a>
</li>
<li role="separator" class="divider"></li>
<li>
<a href="/help/search"> Search Help </a>
</li>
<li>
<a href="/help/linking"> Linking Help </a>
</li>
<li>
<a href="/help/api"> API Help </a>
</li>
<li role="separator" class="divider"></li>
<li>
<a href="/help/external"> External Links </a>
</li>
<li role="separator" class="divider"></li>
<li>
<a href="/help/agreement"> Use Agreement </a>
</li>
<li>
<a href="/help/copyright"> Copyright </a>
</li>
</ul>
</li>
<li>
<a href="#" id="mimShowTips" class="mim-tip-hint" title="Click to reveal all tips on the page. You can also hover over individual elements to reveal the tip."><span class="mim-navbar-menu-font"><span class="glyphicon glyphicon-question-sign" aria-hidden="true"></span></span></a>
</li>
</ul>
</div>
</div>
</nav>
</div>
<div id="mimSearch" class="hidden-print">
<div class="container">
<form method="get" action="/search" id="mimEntrySearchForm" name="entrySearchForm" class="form-horizontal">
<input type="hidden" id="mimSearchIndex" name="index" value="entry" />
<input type="hidden" id="mimSearchStart" name="start" value="1" />
<input type="hidden" id="mimSearchLimit" name="limit" value="10" />
<input type="hidden" id="mimSearchSort" name="sort" value="score desc, prefix_sort desc" />
<div class="row">
<div class="col-lg-8 col-md-8 col-sm-8 col-xs-8">
<div class="form-group">
<div class="input-group">
<input type="search" id="mimEntrySearch" name="search" class="form-control" value="" placeholder="Search OMIM..." maxlength="5000" autocomplete="off" autocorrect="off" autocapitalize="none" spellcheck="false" autofocus />
<div class="input-group-btn">
<button type="submit" id="mimEntrySearchSubmit" class="btn btn-default" style="width: 5em;"><span class="glyphicon glyphicon-search"></span></button>
<button type="button" class="btn btn-default dropdown-toggle" data-toggle="dropdown"> Options <span class="caret"></span></button>
<ul class="dropdown-menu dropdown-menu-right">
<li class="dropdown-header">
Advanced Search
</li>
<li style="margin-left: 0.5em;">
<a href="/search/advanced/entry"> OMIM </a>
</li>
<li style="margin-left: 0.5em;">
<a href="/search/advanced/clinicalSynopsis"> Clinical Synopses </a>
</li>
<li style="margin-left: 0.5em;">
<a href="/search/advanced/geneMap"> Gene Map </a>
</li>
<li role="separator" class="divider"></li>
<li>
<a href="/history"> Search History </a>
</li>
</ul>
</div>
</div>
<div class="autocomplete" id="mimEntrySearchAutocomplete"></div>
</div>
</div>
<div class="col-lg-4 col-md-4 col-sm-4 col-xs-4">
<span class="small">
</span>
</div>
</div>
</form>
<div class="row">
<p />
</div>
</div>
</div>
<!-- <div id="mimSearch"> -->
<div id="mimContent">
<div class="container hidden-print">
<div class="row">
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
<div id="mimAlertBanner">
</div>
</div>
</div>
<div class="row">
<div class="col-lg-2 col-md-2 col-sm-2 hidden-sm hidden-xs">
<div id="mimFloatingTocMenu" class="small" role="navigation">
<p>
<span class="h4">*248610</span>
<br />
<strong>Table of Contents</strong>
</p>
<nav>
<ul id="mimFloatingTocMenuItems" class="nav nav-pills nav-stacked mim-floating-toc-padding">
<li role="presentation">
<a href="#title"><strong>Title</strong></a>
</li>
<li role="presentation">
<a href="#geneMap"><strong>Gene-Phenotype Relationships</strong></a>
</li>
<li role="presentation">
<a href="#text"><strong>Text</strong></a>
</li>
<li role="presentation" style="margin-left: 1em">
<a href="#description">Description</a>
</li>
<li role="presentation" style="margin-left: 1em">
<a href="#cloning">Cloning and Expression</a>
</li>
<li role="presentation" style="margin-left: 1em">
<a href="#geneFunction">Gene Function</a>
</li>
<li role="presentation" style="margin-left: 1em">
<a href="#geneStructure">Gene Structure</a>
</li>
<li role="presentation" style="margin-left: 1em">
<a href="#mapping">Mapping</a>
</li>
<li role="presentation" style="margin-left: 1em">
<a href="#molecularGenetics">Molecular Genetics</a>
</li>
<li role="presentation">
<a href="#allelicVariants"><strong>Allelic Variants</strong></a>
</li>
<li role="presentation" style="margin-left: 1em">
<a href="/allelicVariants/248610">Table View</a>
</li>
<li role="presentation">
<a href="#seeAlso"><strong>See Also</strong></a>
</li>
<li role="presentation">
<a href="#references"><strong>References</strong></a>
</li>
<li role="presentation">
<a href="#contributors"><strong>Contributors</strong></a>
</li>
<li role="presentation">
<a href="#creationDate"><strong>Creation Date</strong></a>
</li>
<li role="presentation">
<a href="#editHistory"><strong>Edit History</strong></a>
</li>
</ul>
</nav>
</div>
</div>
<div class="col-lg-2 col-lg-push-8 col-md-2 col-md-push-8 col-sm-2 col-sm-push-8 col-xs-12">
<div id="mimFloatingLinksMenu">
<div class="panel panel-primary" style="margin-bottom: 0px; border-radius: 4px 4px 0px 0px">
<div class="panel-heading mim-panel-heading" role="tab" id="mimExternalLinks">
<h4 class="panel-title">
<a href="#mimExternalLinksFold" id="mimExternalLinksToggle" class="mimTriangleToggle" role="button" data-toggle="collapse">
<div style="display: table-row">
<div id="mimExternalLinksToggleTriangle" class="small" style="color: white; display: table-cell;">&#9660;</div>
&nbsp;
<div style="display: table-cell;">External Links</div>
</div>
</a>
</h4>
</div>
</div>
<div id="mimExternalLinksFold" class="collapse in">
<div class="panel-group" id="mimExternalLinksAccordion" role="tablist" aria-multiselectable="true">
<div class="panel panel-default" style="margin-top: 0px; border-radius: 0px">
<div class="panel-heading mim-panel-heading" role="tab" id="mimGenome">
<span class="panel-title">
<span class="small">
<a href="#mimGenomeLinksFold" id="mimGenomeLinksToggle" class="collapsed mimSingletonTriangleToggle" role="button" data-toggle="collapse" data-parent="#mimExternalLinksAccordion">
<span id="mimGenomeLinksToggleTriangle" class="small mimSingletonTriangle" style="color: #337CB5">&#9658;</span> Genome
</a>
</span>
</span>
</div>
<div id="mimGenomeLinksFold" class="panel-collapse collapse mimLinksFold" role="tabpanel" aria-labelledby="genome">
<div class="panel-body small mim-panel-body">
<div><a href="https://www.ensembl.org/Homo_sapiens/Location/View?db=core;g=ENSG00000137992;t=ENST00000370132" class="mim-tip-hint" title="Genome databases for vertebrates and other eukaryotic species." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Ensembl', 'domain': 'ensembl.org'})">Ensembl</a></div>
<div><a href="https://www.ncbi.nlm.nih.gov/genome/gdv/browser/gene/?id=1629" class="mim-tip-hint" title="Detailed views of the complete genomes of selected organisms from vertebrates to protozoa." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'NCBI Genome Viewer', 'domain': 'ncbi.nlm.nih.gov'})">NCBI Genome Viewer</a></div>
<div><a href="https://genome.ucsc.edu/cgi-bin/hgTracks?db=hg38&hgFind=omimGeneAcc&position=248610" class="mim-tip-hint" title="UCSC Genome Browser; reference sequences and working draft assemblies for a large collection of genomes." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'UCSC Genome Browser', 'domain': 'genome.ucsc.edu'})">UCSC Genome Browser</a></div>
</div>
</div>
</div>
<div class="panel panel-default" style="margin-top: 0px; border-radius: 0px">
<div class="panel-heading mim-panel-heading" role="tab" id="mimDna">
<span class="panel-title">
<span class="small">
<a href="#mimDnaLinksFold" id="mimDnaLinksToggle" class="collapsed mimSingletonTriangleToggle" role="button" data-toggle="collapse" data-parent="#mimExternalLinksAccordion">
<span id="mimDnaLinksToggleTriangle" class="small mimSingletonTriangle" style="color: #337CB5">&#9658;</span> DNA
</a>
</span>
</span>
</div>
<div id="mimDnaLinksFold" class="panel-collapse collapse mimLinksFold" role="tabpanel">
<div class="panel-body small mim-panel-body">
<div><a href="https://www.ensembl.org/Homo_sapiens/Transcript/Sequence_cDNA?db=core;g=ENSG00000137992;t=ENST00000370132" class="mim-tip-hint" title="Transcript-based views for coding and noncoding DNA." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Ensembl', 'domain': 'ensembl.org'})">Ensembl (MANE Select)</a></div>
<div><a href="https://www.ncbi.nlm.nih.gov/nuccore/NM_001399969,NM_001399972,NM_001918,NR_174363,NR_174364,NR_174365,NR_174366,XM_017000468,XR_007095647" class="mim-tip-hint" title="A collection of genome, gene, and transcript sequence data from several sources, including GenBank, RefSeq." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'NCBI RefSeq', 'domain': 'ncbi.nlm.nih'})">NCBI RefSeq</a></div>
<div><a href="https://www.ncbi.nlm.nih.gov/nuccore/NM_001918" class="mim-tip-hint" title="A collection of genome, gene, and transcript sequence data from several sources, including GenBank, RefSeq." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'NCBI RefSeq (MANE)', 'domain': 'ncbi.nlm.nih'})">NCBI RefSeq (MANE Select)</a></div>
<div><a href="https://genome.ucsc.edu/cgi-bin/hgTracks?db=hg38&hgFind=omimGeneAcc&position=248610" class="mim-tip-hint" title="UCSC Genome Browser; reference sequences and working draft assemblies for a large collection of genomes." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'UCSC Genome Browser', 'domain': 'genome.ucsc.edu'})">UCSC Genome Browser</a></div>
</div>
</div>
</div>
<div class="panel panel-default" style="margin-top: 0px; border-radius: 0px">
<div class="panel-heading mim-panel-heading" role="tab" id="mimProtein">
<span class="panel-title">
<span class="small">
<a href="#mimProteinLinksFold" id="mimProteinLinksToggle" class="collapsed mimSingletonTriangleToggle" role="button" data-toggle="collapse" data-parent="#mimExternalLinksAccordion">
<span id="mimProteinLinksToggleTriangle" class="small mimSingletonTriangle" style="color: #337CB5">&#9658;</span> Protein
</a>
</span>
</span>
</div>
<div id="mimProteinLinksFold" class="panel-collapse collapse mimLinksFold" role="tabpanel">
<div class="panel-body small mim-panel-body">
<div><a href="https://hprd.org/summary?hprd_id=02010&isoform_id=02010_1&isoform_name=Isoform_1" class="mim-tip-hint" title="The Human Protein Reference Database; manually extracted and visually depicted information on human proteins." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'HPRD', 'domain': 'hprd.org'})">HPRD</a></div>
<div><a href="https://www.proteinatlas.org/search/DBT" class="mim-tip-hint" title="The Human Protein Atlas contains information for a large majority of all human protein-coding genes regarding the expression and localization of the corresponding proteins based on both RNA and protein data." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'HumanProteinAtlas', 'domain': 'proteinatlas.org'})">Human Protein Atlas</a></div>
<div><a href="https://www.ncbi.nlm.nih.gov/protein/30490,179354,307078,579832,736675,16741763,30583583,119593369,189053756,194384192,1034555981,1859259997,2037090398,2037090400,2037090402,2037090404,2037090406,2180230534,2180230545,2737872839" class="mim-tip-hint" title="NCBI protein data." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'NCBI Protein', 'domain': 'ncbi.nlm.nih.gov'})">NCBI Protein</a></div>
<div><a href="https://www.uniprot.org/uniprotkb/P11182" class="mim-tip-hint" title="Comprehensive protein sequence and functional information, including supporting data." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'UniProt', 'domain': 'uniprot.org'})">UniProt</a></div>
</div>
</div>
</div>
<div class="panel panel-default" style="margin-top: 0px; border-radius: 0px">
<div class="panel-heading mim-panel-heading" role="tab" id="mimGeneInfo">
<span class="panel-title">
<span class="small">
<a href="#mimGeneInfoLinksFold" id="mimGeneInfoLinksToggle" class="collapsed mimSingletonTriangleToggle" role="button" data-toggle="collapse" data-parent="#mimExternalLinksAccordion">
<div style="display: table-row">
<div id="mimGeneInfoLinksToggleTriangle" class="small mimSingletonTriangle" style="color: #337CB5; display: table-cell;">&#9658;</div>
&nbsp;
<div style="display: table-cell;">Gene Info</div>
</div>
</a>
</span>
</span>
</div>
<div id="mimGeneInfoLinksFold" class="panel-collapse collapse mimLinksFold" role="tabpanel">
<div class="panel-body small mim-panel-body">
<div><a href="http://biogps.org/#goto=genereport&id=1629" class="mim-tip-hint" title="The Gene Portal Hub; customizable portal of gene and protein function information." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'BioGPS', 'domain': 'biogps.org'})">BioGPS</a></div>
<div><a href="https://www.ensembl.org/Homo_sapiens/Gene/Summary?db=core;g=ENSG00000137992;t=ENST00000370132" class="mim-tip-hint" title="Orthologs, paralogs, regulatory regions, and splice variants." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Ensembl', 'domain': 'ensembl.org'})">Ensembl</a></div>
<div><a href="https://www.genecards.org/cgi-bin/carddisp.pl?gene=DBT" class="mim-tip-hint" title="The Human Genome Compendium; web-based cards integrating automatically mined information on human genes." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'GeneCards', 'domain': 'genecards.org'})">GeneCards</a></div>
<div><a href="http://amigo.geneontology.org/amigo/search/annotation?q=DBT" class="mim-tip-hint" title="Terms, defined using controlled vocabulary, representing gene product properties (biologic process, cellular component, molecular function) across species." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'GeneOntology', 'domain': 'amigo.geneontology.org'})">Gene Ontology</a></div>
<div><a href="https://www.genome.jp/dbget-bin/www_bget?hsa+1629" class="mim-tip-hint" title="Kyoto Encyclopedia of Genes and Genomes; diagrams of signaling pathways." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'KEGG', 'domain': 'genome.jp'})">KEGG</a></div>
<dd><a href="http://v1.marrvel.org/search/gene/DBT" class="mim-tip-hint" title="Model organism Aggregated Resources for Rare Variant ExpLoration." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'MARRVEL', 'domain': 'marrvel.org'})">MARRVEL</a></dd>
<dd><a href="https://monarchinitiative.org/NCBIGene:1629" class="mim-tip-hint" title="Monarch Initiative." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Monarch', 'domain': 'monarchinitiative.org'})">Monarch</a></dd>
<div><a href="https://www.ncbi.nlm.nih.gov/gene/1629" class="mim-tip-hint" title="Gene-specific map, sequence, expression, structure, function, citation, and homology data." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'NCBI Gene', 'domain': 'ncbi.nlm.nih.gov'})">NCBI Gene</a></div>
<div><a href="https://genome.ucsc.edu/cgi-bin/hgGene?db=hg38&hgg_chrom=chr1&hgg_gene=ENST00000370132.8&hgg_start=100186919&hgg_end=100249834&hgg_type=knownGene" class="mim-tip-hint" title="UCSC Genome Bioinformatics; gene-specific structure and function information with links to other databases." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'UCSC', 'domain': 'genome.ucsc.edu'})">UCSC</a></div>
</div>
</div>
</div>
<div class="panel panel-default" style="margin-top: 0px; border-radius: 0px">
<div class="panel-heading mim-panel-heading" role="tab" id="mimClinicalResources">
<span class="panel-title">
<span class="small">
<a href="#mimClinicalResourcesLinksFold" id="mimClinicalResourcesLinksToggle" class="collapsed mimSingletonTriangleToggle" role="button" data-toggle="collapse" data-parent="#mimExternalLinksAccordion">
<div style="display: table-row">
<div id="mimClinicalResourcesLinksToggleTriangle" class="small mimSingletonTriangle" style="color: #337CB5; display: table-cell;">&#9658;</div>
&nbsp;
<div style="display: table-cell;">Clinical Resources</div>
</div>
</a>
</span>
</span>
</div>
<div id="mimClinicalResourcesLinksFold" class="panel-collapse collapse mimLinksFold" role="tabpanel" aria-labelledby="clinicalResources">
<div class="panel-body small mim-panel-body">
<div><a href="https://search.clinicalgenome.org/kb/gene-dosage/HGNC:2698" class="mim-tip-hint" title="A ClinGen curated resource of genes and regions of the genome that are dosage sensitive and should be targeted on a cytogenomic array." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'ClinGen Dosage', 'domain': 'dosage.clinicalgenome.org'})">ClinGen Dosage</a></div>
<div><a href="https://search.clinicalgenome.org/kb/genes/HGNC:2698" class="mim-tip-hint" title="A ClinGen curated resource of ratings for the strength of evidence supporting or refuting the clinical validity of the claim(s) that variation in a particular gene causes disease." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'ClinGen Validity', 'domain': 'search.clinicalgenome.org'})">ClinGen Validity</a></div>
<div><a href="https://medlineplus.gov/genetics/gene/dbt" class="mim-tip-hint" title="Consumer-friendly information about the effects of genetic variation on human health." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'MedlinePlus Genetics', 'domain': 'medlineplus.gov'})">MedlinePlus Genetics</a></div>
<div><a href="https://www.ncbi.nlm.nih.gov/gtr/all/tests/?term=248610[mim]" class="mim-tip-hint" title="Genetic Testing Registry." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'GTR', 'domain': 'ncbi.nlm.nih.gov'})">GTR</a></div>
</div>
</div>
</div>
<div class="panel panel-default" style="margin-top: 0px; border-radius: 0px">
<div class="panel-heading mim-panel-heading" role="tab" id="mimVariation">
<span class="panel-title">
<span class="small">
<a href="#mimVariationLinksFold" id="mimVariationLinksToggle" class=" mimSingletonTriangleToggle" role="button" data-toggle="collapse" data-parent="#mimExternalLinksAccordion">
<span id="mimVariationLinksToggleTriangle" class="small mimSingletonTriangle" style="color: #337CB5">&#9660;</span> Variation
</a>
</span>
</span>
</div>
<div id="mimVariationLinksFold" class="panel-collapse collapse in mimLinksFold" role="tabpanel">
<div class="panel-body small mim-panel-body">
<div><a href="https://www.ncbi.nlm.nih.gov/clinvar?term=248610[MIM]" class="mim-tip-hint" title="ClinVar aggregates information about sequence variation and its relationship to human health." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">ClinVar</a></div>
<div><a href="https://gnomad.broadinstitute.org/gene/ENSG00000137992" class="mim-tip-hint" title="The Genome Aggregation Database (gnomAD), Broad Institute." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'gnomAD', 'domain': 'gnomad.broadinstitute.org'})">gnomAD</a></div>
<div><a href="https://www.ebi.ac.uk/gwas/search?query=DBT" class="mim-tip-hint" title="GWAS Catalog; NHGRI-EBI Catalog of published genome-wide association studies." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'GWAS Catalog', 'domain': 'gwascatalog.org'})">GWAS Catalog&nbsp;</a></div>
<div><a href="https://www.gwascentral.org/search?q=DBT" class="mim-tip-hint" title="GWAS Central; summary level genotype-to-phenotype information from genetic association studies." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'GWAS Central', 'domain': 'gwascentral.org'})">GWAS Central&nbsp;</a></div>
<div><a href="http://www.hgmd.cf.ac.uk/ac/gene.php?gene=DBT" class="mim-tip-hint" title="Human Gene Mutation Database; published mutations causing or associated with human inherited disease; disease-associated/functional polymorphisms." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'HGMD', 'domain': 'hgmd.cf.ac.uk'})">HGMD</a></div>
<div><a href="https://evs.gs.washington.edu/EVS/PopStatsServlet?searchBy=Gene+Hugo&target=DBT&upstreamSize=0&downstreamSize=0&x=0&y=0" class="mim-tip-hint" title="National Heart, Lung, and Blood Institute Exome Variant Server." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'NHLBI EVS', 'domain': 'evs.gs.washington.edu'})">NHLBI EVS</a></div>
<div><a href="https://www.pharmgkb.org/gene/PA27167" class="mim-tip-hint" title="Pharmacogenomics Knowledge Base; curated and annotated information regarding the effects of human genetic variations on drug response." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PharmGKB', 'domain': 'pharmgkb.org'})">PharmGKB</a></div>
</div>
</div>
</div>
<div class="panel panel-default" style="margin-top: 0px; border-radius: 0px">
<div class="panel-heading mim-panel-heading" role="tab" id="mimAnimalModels">
<span class="panel-title">
<span class="small">
<a href="#mimAnimalModelsLinksFold" id="mimAnimalModelsLinksToggle" class="collapsed mimSingletonTriangleToggle" role="button" data-toggle="collapse" data-parent="#mimExternalLinksAccordion">
<div style="display: table-row">
<div id="mimAnimalModelsLinksToggleTriangle" class="small mimSingletonTriangle" style="color: #337CB5; display: table-cell;">&#9658;</div>
&nbsp;
<div style="display: table-cell;">Animal Models</div>
</div>
</a>
</span>
</span>
</div>
<div id="mimAnimalModelsLinksFold" class="panel-collapse collapse mimLinksFold" role="tabpanel">
<div class="panel-body small mim-panel-body">
<div><a href="https://www.alliancegenome.org/gene/HGNC:2698" class="mim-tip-hint" title="Search Across Species; explore model organism and human comparative genomics." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Alliance Genome', 'domain': 'alliancegenome.org'})">Alliance Genome</a></div>
<div><a href="https://flybase.org/reports/FBgn0030612.html" class="mim-tip-hint" title="A Database of Drosophila Genes and Genomes." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'FlyBase', 'domain': 'flybase.org'})">FlyBase</a></div>
<div><a href="https://www.mousephenotype.org/data/genes/MGI:105386" class="mim-tip-hint" title="International Mouse Phenotyping Consortium." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'IMPC', 'domain': 'knockoutmouse.org'})">IMPC</a></div>
<div><a href="http://v1.marrvel.org/search/gene/DBT#HomologGenesPanel" class="mim-tip-hint" title="Model organism Aggregated Resources for Rare Variant ExpLoration." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'MARRVEL', 'domain': 'marrvel.org'})">MARRVEL</a></div>
<div><a href="http://www.informatics.jax.org/marker/MGI:105386" class="mim-tip-hint" title="Mouse Genome Informatics; international database resource for the laboratory mouse, including integrated genetic, genomic, and biological data." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'MGI Mouse Gene', 'domain': 'informatics.jax.org'})">MGI Mouse Gene</a></div>
<div><a href="https://www.mmrrc.org/catalog/StrainCatalogSearchForm.php?search_query=" class="mim-tip-hint" title="Mutant Mouse Resource & Research Centers." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'MMRRC', 'domain': 'mmrrc.org'})">MMRRC</a></div>
<div><a href="https://www.ncbi.nlm.nih.gov/gene/1629/ortholog/" class="mim-tip-hint" title="Orthologous genes at NCBI." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'NCBI Orthologs', 'domain': 'ncbi.nlm.nih.gov'})">NCBI Orthologs</a></div>
<div><a href="https://www.orthodb.org/?ncbi=1629" class="mim-tip-hint" title="Hierarchical catalogue of orthologs." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'OrthoDB', 'domain': 'orthodb.org'})">OrthoDB</a></div>
<div><a href="https://wormbase.org/db/gene/gene?name=WBGene00014054;class=Gene" class="mim-tip-hint" title="Database of the biology and genome of Caenorhabditis elegans and related nematodes." target="_blank" onclick="gtag('event', 'mim_outbound', {'name'{'name': 'Wormbase Gene', 'domain': 'wormbase.org'})">Wormbase Gene</a></div>
<div><a href="https://zfin.org/ZDB-GENE-050320-85" class="mim-tip-hint" title="The Zebrafish Model Organism Database." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'ZFin', 'domain': 'zfin.org'})">ZFin</a></div>
</div>
</div>
</div>
<div class="panel panel-default" style="margin-top: 0px; border-radius: 0px">
<div class="panel-heading mim-panel-heading" role="tab" id="mimCellLines">
<span class="panel-title">
<span class="small">
<a href="#mimCellLinesLinksFold" id="mimCellLinesLinksToggle" class="collapsed mimSingletonTriangleToggle" role="button" data-toggle="collapse" data-parent="#mimExternalLinksAccordion">
<div style="display: table-row">
<div id="mimCellLinesLinksToggleTriangle" class="small mimSingletonTriangle" style="color: #337CB5; display: table-cell;">&#9658;</div>
&nbsp;
<div style="display: table-cell;">Cell Lines</div>
</div>
</a>
</span>
</span>
</div>
<div id="mimCellLinesLinksFold" class="panel-collapse collapse mimLinksFold" role="tabpanel">
<div class="panel-body small mim-panel-body">
<div><a href="https://catalog.coriell.org/Search?q=OmimNum:248610" class="definition" title="Coriell Cell Repositories; cell cultures and DNA derived from cell cultures." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'CCR', 'domain': 'ccr.coriell.org'})">Coriell</a></div>
</div>
</div>
</div>
<div class="panel panel-default" style="margin-top: 0px; border-radius: 0px">
<div class="panel-heading mim-panel-heading" role="tab" id="mimCellularPathways">
<span class="panel-title">
<span class="small">
<a href="#mimCellularPathwaysLinksFold" id="mimCellularPathwaysLinksToggle" class="collapsed mimSingletonTriangleToggle" role="button" data-toggle="collapse" data-parent="#mimExternalLinksAccordion">
<div style="display: table-row">
<div id="mimCellularPathwaysLinksToggleTriangle" class="small mimSingletonTriangle" style="color: #337CB5; display: table-cell;">&#9658;</div>
&nbsp;
<div style="display: table-cell;">Cellular Pathways</div>
</div>
</a>
</span>
</span>
</div>
<div id="mimCellularPathwaysLinksFold" class="panel-collapse collapse mimLinksFold" role="tabpanel">
<div class="panel-body small mim-panel-body">
<div><a href="https://www.genome.jp/dbget-bin/get_linkdb?-t+pathway+hsa:1629" class="mim-tip-hint" title="Kyoto Encyclopedia of Genes and Genomes; diagrams of signaling pathways." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'KEGG', 'domain': 'genome.jp'})">KEGG</a></div>
<div><a href="https://reactome.org/content/query?q=DBT&species=Homo+sapiens&types=Reaction&types=Pathway&cluster=true" class="definition" title="Protein-specific information in the context of relevant cellular pathways." target="_blank" onclick="gtag('event', 'mim_outbound', {{'name': 'Reactome', 'domain': 'reactome.org'}})">Reactome</a></div>
</div>
</div>
</div>
</div>
</div>
</div>
<span>
<span class="mim-tip-bottom" qtip_title="<strong>Looking for this gene or this phenotype in other resources?</strong>" qtip_text="Select a related resource from the dropdown menu and click for a targeted link to information directly relevant.">
&nbsp;
</span>
</span>
</div>
<div class="col-lg-8 col-lg-pull-2 col-md-8 col-md-pull-2 col-sm-8 col-sm-pull-2 col-xs-12">
<div>
<a id="title" class="mim-anchor"></a>
<div>
<a id="number" class="mim-anchor"></a>
<div class="text-right">
&nbsp;
</div>
<div>
<span class="h3">
<span class="mim-font mim-tip-hint" title="Gene description">
<span class="text-danger"><strong>*</strong></span>
248610
</span>
</span>
</div>
</div>
<div>
<a id="preferredTitle" class="mim-anchor"></a>
<h3>
<span class="mim-font">
DIHYDROLIPOAMIDE BRANCHED-CHAIN TRANSACYLASE; DBT
</span>
</h3>
</div>
<div>
<br />
</div>
<div>
<a id="alternativeTitles" class="mim-anchor"></a>
<div>
<p>
<span class="mim-font">
<em>Alternative titles; symbols</em>
</span>
</p>
</div>
<div>
<h4>
<span class="mim-font">
BRANCHED-CHAIN ACYLTRANSFERASE, E2 COMPONENT; BCATE2<br />
BRANCHED-CHAIN KETO ACID DEHYDROGENASE COMPLEX, E2 COMPONENT
</span>
</h4>
</div>
</div>
<div>
<br />
</div>
</div>
<div>
<a id="approvedGeneSymbols" class="mim-anchor"></a>
<p>
<span class="mim-text-font">
<strong><em>HGNC Approved Gene Symbol: <a href="https://www.genenames.org/tools/search/#!/genes?query=DBT" class="mim-tip-hint" title="HUGO Gene Nomenclature Committee." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'HGNC', 'domain': 'genenames.org'})">DBT</a></em></strong>
</span>
</p>
</div>
<div>
<a id="cytogeneticLocation" class="mim-anchor"></a>
<p>
<span class="mim-text-font">
<strong>
<em>
Cytogenetic location: <a href="/geneMap/1/836?start=-3&limit=10&highlight=836">1p21.2</a>
&nbsp;
Genomic coordinates <span class="small">(GRCh38)</span> : <a href="https://genome.ucsc.edu/cgi-bin/hgTracks?db=hg38&position=chr1:100186919-100249834&dgv=pack&knownGene=pack&omimGene=pack" class="mim-tip-hint" title="UCSC Genome Browser; reference sequences and working draft assemblies for a large collection of genomes." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'UCSC Genome Browser', 'domain': 'genome.ucsc.edu'})">1:100,186,919-100,249,834</a> </span>
</em>
</strong>
<a href="https://www.ncbi.nlm.nih.gov/" target="_blank" class="small"> (from NCBI) </a>
</span>
</p>
</div>
<div>
<br />
</div>
<div>
<a id="geneMap" class="mim-anchor"></a>
<div style="margin-bottom: 10px;">
<span class="h4 mim-font">
<strong>Gene-Phenotype Relationships</strong>
</span>
</div>
<div>
<table class="table table-bordered table-condensed table-hover small mim-table-padding">
<thead>
<tr class="active">
<th>
Location
</th>
<th>
Phenotype
</th>
<th>
Phenotype <br /> MIM number
</th>
<th>
Inheritance
</th>
<th>
Phenotype <br /> mapping key
</th>
</tr>
</thead>
<tbody>
<tr>
<td rowspan="1">
<span class="mim-font">
<a href="/geneMap/1/836?start=-3&limit=10&highlight=836">
1p21.2
</a>
</span>
</td>
<td>
<span class="mim-font">
Maple syrup urine disease, type II
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/620699"> 620699 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known">3</abbr>
</span>
</td>
</tr>
</tbody>
</table>
</div>
</div>
<div>
<div class="btn-group">
<button type="button" class="btn btn-success dropdown-toggle" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false">
PheneGene Graphics <span class="caret"></span>
</button>
<ul class="dropdown-menu" style="width: 17em;">
<li><a href="/graph/linear/248610" target="_blank" onclick="gtag('event', 'mim_graph', {'destination': 'Linear'})"> Linear </a></li>
<li><a href="/graph/radial/248610" target="_blank" onclick="gtag('event', 'mim_graph', {'destination': 'Radial'})"> Radial </a></li>
</ul>
</div>
<span class="glyphicon glyphicon-question-sign mim-tip-hint" title="OMIM PheneGene graphics depict relationships between phenotypes, groups of related phenotypes (Phenotypic Series), and genes.<br /><a href='/static/omim/pdf/OMIM_Graphics.pdf' target='_blank'>A quick reference overview and guide (PDF)</a>"></span>
</div>
<div>
<br />
</div>
<div>
<a id="text" class="mim-anchor"></a>
<h4>
<span class="mim-font">
<span class="mim-tip-floating" qtip_title="<strong>Looking For More References?</strong>" qtip_text="Click the 'reference plus' icon &lt;span class='glyphicon glyphicon-plus-sign'&gt;&lt;/span&gt at the end of each OMIM text paragraph to see more references related to the content of the preceding paragraph.">
<strong>TEXT</strong>
</span>
</span>
</h4>
<div>
<a id="description" class="mim-anchor"></a>
<h4 href="#mimDescriptionFold" id="mimDescriptionToggle" class="mimTriangleToggle" style="cursor: pointer;" data-toggle="collapse">
<span id="mimDescriptionToggleTriangle" class="small mimTextToggleTriangle">&#9660;</span>
<span class="mim-font">
<strong>Description</strong>
</span>
</h4>
</div>
<div id="mimDescriptionFold" class="collapse in ">
<span class="mim-text-font">
<p>The second major step in the catabolism of the branched-chain amino acids, isoleucine, leucine, and valine, is catalyzed by the branched-chain alpha-keto acid dehydrogenase complex (BCKD; <a href="https://enzyme.expasy.org/EC/1.2.4.4" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'EC\', \'domain\': \'expasy.org\'})">EC 1.2.4.4</a>), an inner-mitochondrial enzyme complex that consists of 3 catalytic components: a heterotetrameric (alpha2, beta2) branched-chain alpha-ketoacid decarboxylase (E1-alpha; <a href="/entry/608348">608348</a> and E1-beta; <a href="/entry/248611">248611</a>), a homo-24-meric dihydrolipoyl transacylase (E2), and a homodimeric dihydrolipoamide dehydrogenase (E3; <a href="/entry/238331">238331</a>). The reaction is irreversible and constitutes the first committed step in BCAA oxidation. The complex also contains 2 regulatory enzymes, a kinase and a phosphorylase. The DBT gene encodes the E2 component.</p>
</span>
<div>
<br />
</div>
</div>
<div>
<a id="cloning" class="mim-anchor"></a>
<h4 href="#mimCloningFold" id="mimCloningToggle" class="mimTriangleToggle" style="cursor: pointer;" data-toggle="collapse">
<span id="mimCloningToggleTriangle" class="small mimTextToggleTriangle">&#9660;</span>
<span class="mim-font">
<strong>Cloning and Expression</strong>
</span>
</h4>
</div>
<div id="mimCloningFold" class="collapse in mimTextToggleFold">
<span class="mim-text-font">
<p><a href="#16" class="mim-tip-reference" title="Litwer, S., Danner, D. J. &lt;strong&gt;Identification of a cDNA clone in lambda-gt11 for the transacylase component of branched chain ketoacid dehydrogenase.&lt;/strong&gt; Biochem. Biophys. Res. Commun. 131: 961-967, 1985.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/2932110/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;2932110&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1016/0006-291x(85)91333-6&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="2932110">Litwer and Danner (1985)</a>, <a href="#10" class="mim-tip-reference" title="Hummel, K. B., Litwer, S., Bradford, A. P., Aitken, A., Danner, D. J., Yeaman, S. J. &lt;strong&gt;Nucleotide sequence of a cDNA for branched chain acyltransferase with analysis of the deduced protein structure.&lt;/strong&gt; J. Biol. Chem. 263: 6165-6168, 1988.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/3245861/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;3245861&lt;/a&gt;]" pmid="3245861">Hummel et al. (1988)</a>, and <a href="#13" class="mim-tip-reference" title="Lau, K. S., Griffin, T. A., Hu, C.-W. C., Chuang, D. T. &lt;strong&gt;Conservation of primary structure in the lipoyl-bearing and dihydrolipoyl dehydrogenase binding domains of mammalian branched-chain alpha-keto acid dehydrogenase complex: molecular cloning of human and bovine transacylase (E2) cDNAs.&lt;/strong&gt; Biochemistry 27: 1972-1981, 1988.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/2837277/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;2837277&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1021/bi00406a025&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="2837277">Lau et al. (1988)</a> reported partial cloning of the DBT gene. Analysis of the deduced protein structure showed similarities to the acyltransferase proteins of the pyruvate and alpha-ketoglutarate dehydrogenase complexes (<a href="#10" class="mim-tip-reference" title="Hummel, K. B., Litwer, S., Bradford, A. P., Aitken, A., Danner, D. J., Yeaman, S. J. &lt;strong&gt;Nucleotide sequence of a cDNA for branched chain acyltransferase with analysis of the deduced protein structure.&lt;/strong&gt; J. Biol. Chem. 263: 6165-6168, 1988.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/3245861/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;3245861&lt;/a&gt;]" pmid="3245861">Hummel et al., 1988</a>). <a href="https://pubmed.ncbi.nlm.nih.gov/?term=2932110+3245861+2837277" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#6" class="mim-tip-reference" title="Danner, D. J., Litwer, S., Herring, W. J., Pruckler, J. &lt;strong&gt;Construction and nucleotide sequence of a cDNA encoding the full-length preprotein for human branched chain acyltransferase.&lt;/strong&gt; J. Biol. Chem. 264: 7742-7746, 1989.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/2708389/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;2708389&lt;/a&gt;]" pmid="2708389">Danner et al. (1989)</a> isolated cDNAs encoding the carboxyl terminal of E2 and constructed a cDNA which encodes the entire precursor molecule, a 477-amino acid protein with a molecular mass of 57 kD. Mouse liver mitochondria imported and processed the protein to a 52-kD protein. <a href="#20" class="mim-tip-reference" title="Nobukuni, Y., Mitsubuchi, H., Endo, F., Matsuda, I. &lt;strong&gt;Complete primary structure of the transacylase (E2b) subunit of the human branched chain alpha-keto acid dehydrogenase complex.&lt;/strong&gt; Biochem. Biophys. Res. Commun. 161: 1035-1041, 1989.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/2742576/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;2742576&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1016/0006-291x(89)91347-8&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="2742576">Nobukuni et al. (1989)</a> isolated a cDNA clone for the human E2 precursor from a placenta cDNA library. They found that the deduced mature human protein contains 421 amino acids and has a molecular mass of 46 kD. The deduced protein contains a leader peptide of 56 amino acids, a lipoyl-bearing domain, an E3-binding domain, and an inner core domain, connected by flexible hinge regions (see also <a href="#14" class="mim-tip-reference" title="Lau, K. S., Herring, W. J., Chuang, J. L., McKean, M., Danner, D. J., Cox, R. P., Chuang, D. T. &lt;strong&gt;Structure of the gene encoding dihydrolipoyl transacylase (E2) component of human branched chain alpha-keto acid dehydrogenase and characterization of an E2 pseudogene.&lt;/strong&gt; J. Biol. Chem. 267: 24090-24096, 1992.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/1429740/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;1429740&lt;/a&gt;]" pmid="1429740">Lau et al., 1992</a>). <a href="https://pubmed.ncbi.nlm.nih.gov/?term=2742576+1429740+2708389" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
</span>
<div>
<br />
</div>
</div>
<div>
<a id="geneFunction" class="mim-anchor"></a>
<h4 href="#mimGeneFunctionFold" id="mimGeneFunctionToggle" class="mimTriangleToggle" style="cursor: pointer;" data-toggle="collapse">
<span id="mimGeneFunctionToggleTriangle" class="small mimTextToggleTriangle">&#9660;</span>
<span class="mim-font">
<strong>Gene Function</strong>
</span>
</h4>
</div>
<div id="mimGeneFunctionFold" class="collapse in mimTextToggleFold">
<span class="mim-text-font">
<p><a href="#18" class="mim-tip-reference" title="Mersey, B. D., Jin, P., Danner, D. J. &lt;strong&gt;Human microRNA (miR29b) expression controls the amount of branched chain alpha-ketoacid dehydrogenase complex in a cell.&lt;/strong&gt; Hum. Molec. Genet. 14: 3371-3377, 2005.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/16203741/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;16203741&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1093/hmg/ddi368&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="16203741">Mersey et al. (2005)</a> demonstrated that the microRNA MIRN29B1 (<a href="/entry/610783">610783</a>) is targeted to DBT mRNA and prevents translation when bound in HEK293 cells. This was the first demonstration of the use of a microRNA to exert control on a metabolic pathway of amino acid catabolism in mammals, and offers an explanation for the observed differences in the amount of the BCKD complex present in different tissues and under varying nutritional states. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=16203741" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p>Mitochondrial nucleoids are large complexes containing, on average, 5 to 7 mitochondrial DNA (mtDNA) genomes and several proteins involved in mtDNA replication and transcription, as well as related processes. <a href="#1" class="mim-tip-reference" title="Bogenhagen, D. F., Rousseau, D., Burke, S. &lt;strong&gt;The layered structure of human mitochondrial DNA nucleoids.&lt;/strong&gt; J. Biol. Chem. 283: 3665-3675, 2008.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/18063578/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;18063578&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1074/jbc.M708444200&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="18063578">Bogenhagen et al. (2008)</a> had previously shown that DBT was associated with native purified HeLa cell nucleoids. Using a formaldehyde crosslinking technique, they found that DBT copurified with mtDNA and was a core nucleoid protein. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=18063578" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
</span>
<div>
<br />
</div>
</div>
<div>
<a id="geneStructure" class="mim-anchor"></a>
<h4 href="#mimGeneStructureFold" id="mimGeneStructureToggle" class="mimTriangleToggle" style="cursor: pointer;" data-toggle="collapse">
<span id="mimGeneStructureToggleTriangle" class="small mimTextToggleTriangle">&#9660;</span>
<span class="mim-font">
<strong>Gene Structure</strong>
</span>
</h4>
</div>
<div id="mimGeneStructureFold" class="collapse in mimTextToggleFold">
<span class="mim-text-font">
<p><a href="#14" class="mim-tip-reference" title="Lau, K. S., Herring, W. J., Chuang, J. L., McKean, M., Danner, D. J., Cox, R. P., Chuang, D. T. &lt;strong&gt;Structure of the gene encoding dihydrolipoyl transacylase (E2) component of human branched chain alpha-keto acid dehydrogenase and characterization of an E2 pseudogene.&lt;/strong&gt; J. Biol. Chem. 267: 24090-24096, 1992.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/1429740/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;1429740&lt;/a&gt;]" pmid="1429740">Lau et al. (1992)</a> determined that the DBT gene contains 11 exons. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=1429740" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
</span>
<div>
<br />
</div>
</div>
<div>
<a id="mapping" class="mim-anchor"></a>
<h4 href="#mimMappingFold" id="mimMappingToggle" class="mimTriangleToggle" style="cursor: pointer;" data-toggle="collapse">
<span id="mimMappingToggleTriangle" class="small mimTextToggleTriangle">&#9660;</span>
<span class="mim-font">
<strong>Mapping</strong>
</span>
</h4>
</div>
<div id="mimMappingFold" class="collapse in mimTextToggleFold">
<span class="mim-text-font">
<p>Using somatic cells hybrids, <a href="#9" class="mim-tip-reference" title="Herring, W. J., Litwer, S., Weber, J. L., Danner, D. J. &lt;strong&gt;Molecular genetic basis of maple syrup urine disease in a family with two defective alleles for branched chain acyltransferase and localization of the gene to human chromosome 1.&lt;/strong&gt; Am. J. Hum. Genet. 48: 342-350, 1991.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/1990841/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;1990841&lt;/a&gt;]" pmid="1990841">Herring et al. (1991)</a> and <a href="#12" class="mim-tip-reference" title="Lau, K. S., Eddy, R. L., Shows, T. B., Fisher, C. W., Chuang, D. T., Cox, R. P. &lt;strong&gt;Localization of the dihydrolipoamide branched-chain transacylase gene (DBT) of the human branched-chain keto acid dehydrogenase complex to chromosome 1.&lt;/strong&gt; Cytogenet. Cell Genet. 56: 33-35, 1991.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/2004553/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;2004553&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1159/000133041&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="2004553">Lau et al. (1991)</a> mapped the E2 gene to chromosome 1. Additional data with 2 hybrids containing fragments of chromosome 1 suggested that the gene is located on the short arm in region 1pter-p21. By in situ hybridization, <a href="#23" class="mim-tip-reference" title="Zneimer, S. M., Lau, K. S., Eddy, R. L., Shows, T. B., Chuang, J. L., Chuang, D. T., Cox, R. P. &lt;strong&gt;Regional assignment of two genes of the human branched-chain alpha-keto acid dehydrogenase complex: the E1-beta gene (BCKDHB) to chromosome 6p21-22 and the E2 gene (DBT) to chromosome 1p31.&lt;/strong&gt; Genomics 10: 740-747, 1991.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/1889817/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;1889817&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1016/0888-7543(91)90458-q&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="1889817">Zneimer et al. (1991)</a> regionalized the assignment to 1p31. <a href="https://pubmed.ncbi.nlm.nih.gov/?term=1990841+2004553+1889817" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><strong><em>Pseudogene</em></strong></p><p>
<a href="#3" class="mim-tip-reference" title="Chuang, D. T., Fisher, C. W., Lau, K. S., Griffin, T. A., Wynn, R. M., Cox, R. P. &lt;strong&gt;Maple syrup urine disease: domain structure, mutations and exon skipping in the dihydrolipoyl transacylase (E2) component of the branched-chain alpha-keto acid dehydrogenase complex.&lt;/strong&gt; Molec. Biol. Med. 8: 49-63, 1991.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/1943690/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;1943690&lt;/a&gt;]" pmid="1943690">Chuang et al. (1991)</a> characterized an E2 pseudogene which they mapped to 3q24 by in situ hybridization. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=1943690" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
</span>
<div>
<br />
</div>
</div>
<div>
<a id="molecularGenetics" class="mim-anchor"></a>
<h4 href="#mimMolecularGeneticsFold" id="mimMolecularGeneticsToggle" class="mimTriangleToggle" style="cursor: pointer;" data-toggle="collapse">
<span id="mimMolecularGeneticsToggleTriangle" class="small mimTextToggleTriangle">&#9660;</span>
<span class="mim-font">
<strong>Molecular Genetics</strong>
</span>
</h4>
</div>
<div id="mimMolecularGeneticsFold" class="collapse in mimTextToggleFold">
<span class="mim-text-font">
<p>In a case of classic maple syrup urine disease (MSUD2; <a href="/entry/620699">620699</a>), <a href="#9" class="mim-tip-reference" title="Herring, W. J., Litwer, S., Weber, J. L., Danner, D. J. &lt;strong&gt;Molecular genetic basis of maple syrup urine disease in a family with two defective alleles for branched chain acyltransferase and localization of the gene to human chromosome 1.&lt;/strong&gt; Am. J. Hum. Genet. 48: 342-350, 1991.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/1990841/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;1990841&lt;/a&gt;]" pmid="1990841">Herring et al. (1991)</a> identified a 124-bp deletion in the DBT gene (<a href="#0001">248610.0001</a>). <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=1990841" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p>In a cell line from a patient with thiamine-responsive MSUD2, <a href="#8" class="mim-tip-reference" title="Fisher, C. W., Lau, K. S., Fisher, C. R., Wynn, R. M., Cox, R. P., Chuang, D. T. &lt;strong&gt;A 17-bp insertion and a phe215-to-cys missense mutation in the dihydrolipoyl transacylase (E2) mRNA from a thiamine-responsive maple syrup urine disease patient WG-34.&lt;/strong&gt; Biochem. Biophys. Res. Commun. 174: 804-809, 1991.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/1847055/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;1847055&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1016/0006-291x(91)91489-y&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="1847055">Fisher et al. (1991)</a> identified compound heterozygosity for mutations in the DBT gene (<a href="#0002">248610.0002</a> and <a href="#0003">248610.0003</a>). <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=1847055" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p>In several Japanese patients with the intermediate form of maple syrup urine disease, <a href="#22" class="mim-tip-reference" title="Tsuruta, M., Mitsubuchi, H., Mardy, S., Miura, Y., Hayashida, Y., Kinugasa, A., Ishitsu, T., Matsuda, I., Indo, Y. &lt;strong&gt;Molecular basis of intermittent maple syrup urine disease: novel mutations in the E2 gene of the branched-chain alpha-keto acid dehydrogenase complex.&lt;/strong&gt; J. Hum. Genet. 43: 91-100, 1998.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/9621512/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;9621512&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1007/s100380050047&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="9621512">Tsuruta et al. (1998)</a> identified homozygosity or compound heterozygosity for mutations in the DBT gene (<a href="#0005">248610.0005</a>-<a href="#0008">248610.0008</a>). <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=9621512" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#21" class="mim-tip-reference" title="Patel, M. S., Harris, R. A. &lt;strong&gt;Mammalian alpha-keto acid dehydrogenase complexes: gene regulation and genetic defects.&lt;/strong&gt; FASEB J. 9: 1164-1172, 1995.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/7672509/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;7672509&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1096/fasebj.9.12.7672509&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="7672509">Patel and Harris (1995)</a> provided diagrams of the location of 4 substitution mutations, 4 small deletions, and 1 small insertion that had been reported in the DBT gene. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=7672509" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#4" class="mim-tip-reference" title="Chuang, J. L., Cox, R. P., Chuang, D. T. &lt;strong&gt;E2 transacylase-deficient (type II) maple syrup urine disease: aberrant splicing of E2 mRNA caused by internal intronic deletions and association with thiamine-responsive phenotype.&lt;/strong&gt; J. Clin. Invest. 100: 736-744, 1997.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/9239422/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;9239422&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1172/JCI119586&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="9239422">Chuang et al. (1997)</a> described 5 new mutations in the E2 gene causing both classic and intermediate/thiamine-responsive MSUD2. Several of these mutations involved rare deletions of internal intronic segments that led to secondary insertions/deletions in the transcript through utilization of cryptic or new splice sites. A 3.2-kb internal deletion in intron 4 was detected by amplification and analysis of the entire intron (normal size, 11.2 kb). <a href="#4" class="mim-tip-reference" title="Chuang, J. L., Cox, R. P., Chuang, D. T. &lt;strong&gt;E2 transacylase-deficient (type II) maple syrup urine disease: aberrant splicing of E2 mRNA caused by internal intronic deletions and association with thiamine-responsive phenotype.&lt;/strong&gt; J. Clin. Invest. 100: 736-744, 1997.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/9239422/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;9239422&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1172/JCI119586&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="9239422">Chuang et al. (1997)</a> emphasized that no loci other than E2 of the BCKD complex have been identified in documented thiamine-responsive patients. The findings strongly suggested that a normal E1 component is a prerequisite for the thiamine-responsive phenotype. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=9239422" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#15" class="mim-tip-reference" title="Lebo, R. V., Shapiro, L. R., Fenerci, E. Y., Hoover, J. M., Chuang, J. L., Chuang, D. T., Kronn, D. F. &lt;strong&gt;Rare etiology of autosomal recessive disease in a child with noncarrier parents.&lt;/strong&gt; Am. J. Hum. Genet. 67: 750-754, 2000.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/10915611/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;10915611&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=10915611[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1086/303042&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="10915611">Lebo et al. (2000)</a> studied a child with MSUD2 who was found to be homozygous for a 10-bp deletion of the DBT gene. Neither of the purported parents carried the gene deletion. Polymorphic simple-sequence repeat analysis at 15 loci on chromosome 1 and at 16 loci on other chromosomes confirmed parentage and revealed that a de novo mutation prior to maternal meiosis I, followed by nondisjunction in maternal meiosis II, resulted in an oocyte with 2 copies of the de novo mutant allele. Fertilization by a sperm that did not carry a paternal chromosome 1 or subsequent mitotic loss of the paternal chromosome 1 resulted in the propositus inheriting 2 mutant DBT alleles on 2 maternal number 1 chromosomes. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=10915611" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
</span>
<div>
<br />
</div>
</div>
</div>
<div>
<a id="allelicVariants" class="mim-anchor"></a>
<h4>
<span class="mim-font">
<span href="#mimAllelicVariantsFold" id="mimAllelicVariantsToggle" class="mimTriangleToggle" style="cursor: pointer;" data-toggle="collapse">
<span id="mimAllelicVariantsToggleTriangle" class="small mimTextToggleTriangle">&#9660;</span>
<strong>ALLELIC VARIANTS (<a href="/help/faq#1_4"></strong>
</span>
<strong>12 Selected Examples</a>):</strong>
</span>
</h4>
<div>
<p />
</div>
<div id="mimAllelicVariantsFold" class="collapse in mimTextToggleFold">
<div>
<a href="/allelicVariants/248610" class="btn btn-default" role="button"> Table View </a>
&nbsp;&nbsp;<a href="https://www.ncbi.nlm.nih.gov/clinvar?term=248610[MIM]" class="btn btn-default mim-tip-hint" role="button" title="ClinVar aggregates information about sequence variation and its relationship to human health." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">ClinVar</a>
</div>
<div>
<p />
</div>
<div>
<div>
<a id="0001" class="mim-anchor"></a>
<h4>
<span class="mim-font">
<strong>.0001&nbsp;MAPLE SYRUP URINE DISEASE, TYPE II</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
<div style="float: left;">
DBT, 124-BP DEL
</div>
</span>
&nbsp;&nbsp;
<span class="mim-text-font">
<a href="https://www.ncbi.nlm.nih.gov/clinvar?term=RCV000012720" target="_blank" class="btn btn-default btn-xs mim-tip-hint" title="RCV000012720" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">RCV000012720</a>
</span>
</div>
<div>
<span class="mim-text-font">
<p>In a case of classic maple syrup urine disease type II (MSUD2; <a href="/entry/620699">620699</a>) identified by newborn screening, <a href="#9" class="mim-tip-reference" title="Herring, W. J., Litwer, S., Weber, J. L., Danner, D. J. &lt;strong&gt;Molecular genetic basis of maple syrup urine disease in a family with two defective alleles for branched chain acyltransferase and localization of the gene to human chromosome 1.&lt;/strong&gt; Am. J. Hum. Genet. 48: 342-350, 1991.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/1990841/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;1990841&lt;/a&gt;]" pmid="1990841">Herring et al. (1991)</a> identified compound heterozygosity for mutations in the DBT gene. One allele, inherited from the father, produced transcripts with 124 nucleotides deleted from the coding region, while a nonexpressing allele, inherited from the mother, resulted in cells containing 50% of the normal amount of E2 mRNA. A phenotypically normal sib was genetically similar to the mother, having inherited the mother's nonexpressing allele and the father's normal allele. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=1990841" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<a id="0002" class="mim-anchor"></a>
<h4>
<span class="mim-font">
<strong>.0002&nbsp;MAPLE SYRUP URINE DISEASE, TYPE II</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
<div style="float: left;">
DBT, PHE215CYS
</div>
</span>
&nbsp;&nbsp;
<div class="btn-group"> <button type="button" class="btn btn-default btn-xs dropdown-toggle mim-font" data-toggle="dropdown"><span class="text-primary">&#x25cf;</span> rs121964999 <span class="caret"></span></button> <ul class="dropdown-menu"> <li><a href="https://www.ensembl.org/Homo_sapiens/Variation/Summary?v=rs121964999;toggle_HGVS_names=open" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'ensembl.org'})">Ensembl</a></li> <li><a href="https://gnomad.broadinstitute.org/variant/rs121964999?dataset=gnomad_r2_1" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'gnomad.broadinstitute.org'})" style="padding-left: 8px;"><span class="text-primary">&#x25cf;</span> gnomAD</a></li> <li><a href="https://www.ncbi.nlm.nih.gov/snp/?term=rs121964999" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'www.ncbi.nlm.nih.gov'})">NCBI</a></li> <li><a href="https://genome.ucsc.edu/cgi-bin/hgTracks?org=Human&db=hg38&clinvar=pack&omimAvSnp=pack&position=rs121964999" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'genome.ucsc.edu'})">UCSC</a></li> </ul> </div>
<span class="mim-text-font">
<a href="https://www.ncbi.nlm.nih.gov/clinvar?term=RCV000079957 OR RCV000179835 OR RCV002251898 OR RCV003581558 OR RCV004566722" target="_blank" class="btn btn-default btn-xs mim-tip-hint" title="RCV000079957, RCV000179835, RCV002251898, RCV003581558, RCV004566722" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">RCV000079957...</a>
</span>
</div>
<div>
<span class="mim-text-font">
<p>In a cell line from a patient with thiamine-responsive maple syrup urine disease type II (MSUD2; <a href="/entry/620699">620699</a>), <a href="#8" class="mim-tip-reference" title="Fisher, C. W., Lau, K. S., Fisher, C. R., Wynn, R. M., Cox, R. P., Chuang, D. T. &lt;strong&gt;A 17-bp insertion and a phe215-to-cys missense mutation in the dihydrolipoyl transacylase (E2) mRNA from a thiamine-responsive maple syrup urine disease patient WG-34.&lt;/strong&gt; Biochem. Biophys. Res. Commun. 174: 804-809, 1991.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/1847055/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;1847055&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1016/0006-291x(91)91489-y&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="1847055">Fisher et al. (1991)</a> identified compound heterozygosity for mutations in the DBT gene: a T-G change, resulting in a phe215-to-cys (F215C) substitution, and a 17-bp insertion (<a href="#0003">248610.0003</a>) apparently resulting from aberrant splicing. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=1847055" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<a id="0003" class="mim-anchor"></a>
<h4>
<span class="mim-font">
<strong>.0003&nbsp;MAPLE SYRUP URINE DISEASE, TYPE II</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
<div style="float: left;">
DBT, 17-BP INS
</div>
</span>
&nbsp;&nbsp;
<span class="mim-text-font">
<a href="https://www.ncbi.nlm.nih.gov/clinvar?term=RCV003581559" target="_blank" class="btn btn-default btn-xs mim-tip-hint" title="RCV003581559" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">RCV003581559</a>
</span>
</div>
<div>
<span class="mim-text-font">
<p>For discussion of the 17-bp insertion in the DBT gene that was found in compound heterozygous state in a cell line from a patient with thiamine-responsive maple syrup urine disease type II (MSUD2; <a href="/entry/620699">620699</a>) by <a href="#3" class="mim-tip-reference" title="Chuang, D. T., Fisher, C. W., Lau, K. S., Griffin, T. A., Wynn, R. M., Cox, R. P. &lt;strong&gt;Maple syrup urine disease: domain structure, mutations and exon skipping in the dihydrolipoyl transacylase (E2) component of the branched-chain alpha-keto acid dehydrogenase complex.&lt;/strong&gt; Molec. Biol. Med. 8: 49-63, 1991.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/1943690/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;1943690&lt;/a&gt;]" pmid="1943690">Chuang et al. (1991)</a>, see <a href="#0002">248610.0002</a>. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=1943690" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<a id="0004" class="mim-anchor"></a>
<h4>
<span class="mim-font">
<strong>.0004&nbsp;MAPLE SYRUP URINE DISEASE, TYPE II</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
<div style="float: left;">
DBT, 78-BP DEL
</div>
</span>
&nbsp;&nbsp;
<div class="btn-group"> <button type="button" class="btn btn-default btn-xs dropdown-toggle mim-font" data-toggle="dropdown">rs796052134 <span class="caret"></span></button> <ul class="dropdown-menu"> <li><a href="https://www.ensembl.org/Homo_sapiens/Variation/Summary?v=rs796052134;toggle_HGVS_names=open" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'ensembl.org'})">Ensembl</a></li> <li><a href="https://www.ncbi.nlm.nih.gov/snp/?term=rs796052134" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'www.ncbi.nlm.nih.gov'})">NCBI</a></li> <li><a href="https://genome.ucsc.edu/cgi-bin/hgTracks?org=Human&db=hg38&clinvar=pack&omimAvSnp=pack&position=rs796052134" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'genome.ucsc.edu'})">UCSC</a></li> </ul> </div>
<span class="mim-text-font">
<a href="https://www.ncbi.nlm.nih.gov/clinvar?term=RCV000012723" target="_blank" class="btn btn-default btn-xs mim-tip-hint" title="RCV000012723" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">RCV000012723</a>
</span>
</div>
<div>
<span class="mim-text-font">
<p>In a patient with classic maple syrup urine disease type II (MSUD2; <a href="/entry/620699">620699</a>), <a href="#19" class="mim-tip-reference" title="Mitsubuchi, H., Nobukuni, Y., Akaboshi, I., Indo, Y., Endo, F., Matsuda, I. &lt;strong&gt;Maple syrup urine disease caused by a partial deletion in the inner E2 core domain of the branched chain alpha-keto acid dehydrogenase complex due to aberrant splicing: a single base deletion at a 5-prime-splice donor site of an intron of the E2 gene disrupts the consensus sequence in this region.&lt;/strong&gt; J. Clin. Invest. 87: 1207-1211, 1991.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/2010537/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;2010537&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1172/JCI115120&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="2010537">Mitsubuchi et al. (1991)</a> identified homozygosity for a 78-bp deletion in the E2 gene. The consanguineous parents and an unaffected sister were heterozygous for the deletion. Analysis of genomic DNA showed that the 78-bp deletion in the mRNA was caused by an exon skipping due to a single base deletion in an intronic 5-prime splice donor site. As a result, part of the inner E2 core domain was omitted. The authors noted that this region is highly homologous to the corresponding region of the E2 subunit of pyruvate dehydrogenase and alpha-ketoglutarate dehydrogenase. The findings indicated the biologic importance of the inner E2 core domain. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=2010537" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<a id="0005" class="mim-anchor"></a>
<h4>
<span class="mim-font">
<strong>.0005&nbsp;MAPLE SYRUP URINE DISEASE, TYPE II</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
<div style="float: left;">
DBT, 126-BP INS
</div>
</span>
&nbsp;&nbsp;
<div class="btn-group"> <button type="button" class="btn btn-default btn-xs dropdown-toggle mim-font" data-toggle="dropdown">rs796052135 <span class="caret"></span></button> <ul class="dropdown-menu"> <li><a href="https://www.ensembl.org/Homo_sapiens/Variation/Summary?v=rs796052135;toggle_HGVS_names=open" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'ensembl.org'})">Ensembl</a></li> <li><a href="https://www.ncbi.nlm.nih.gov/snp/?term=rs796052135" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'www.ncbi.nlm.nih.gov'})">NCBI</a></li> <li><a href="https://genome.ucsc.edu/cgi-bin/hgTracks?org=Human&db=hg38&clinvar=pack&omimAvSnp=pack&position=rs796052135" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'genome.ucsc.edu'})">UCSC</a></li> </ul> </div>
<span class="mim-text-font">
<a href="https://www.ncbi.nlm.nih.gov/clinvar?term=RCV000668558 OR RCV003415688 OR RCV003581560 OR RCV004566723" target="_blank" class="btn btn-default btn-xs mim-tip-hint" title="RCV000668558, RCV003415688, RCV003581560, RCV004566723" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">RCV000668558...</a>
</span>
</div>
<div>
<span class="mim-text-font">
<p>In a Japanese patient with the intermediate form of maple syrup urine disease type II (MSUD2; <a href="/entry/620699">620699</a>), <a href="#22" class="mim-tip-reference" title="Tsuruta, M., Mitsubuchi, H., Mardy, S., Miura, Y., Hayashida, Y., Kinugasa, A., Ishitsu, T., Matsuda, I., Indo, Y. &lt;strong&gt;Molecular basis of intermittent maple syrup urine disease: novel mutations in the E2 gene of the branched-chain alpha-keto acid dehydrogenase complex.&lt;/strong&gt; J. Hum. Genet. 43: 91-100, 1998.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/9621512/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;9621512&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1007/s100380050047&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="9621512">Tsuruta et al. (1998)</a> identified homozygosity for a single base substitution in intron 8, creating a new 5-prime splice site, and causing an insertion of 126 basepairs between exons 8 and 9 in the mRNA. The predicted mRNA encoded a truncated protein with 282 amino acids, including 4 novel amino acids at the carboxyl terminus. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=9621512" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<a id="0006" class="mim-anchor"></a>
<h4>
<span class="mim-font">
<strong>.0006&nbsp;MAPLE SYRUP URINE DISEASE, TYPE II</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
<div style="float: left;">
DBT, TER422LEU
</div>
</span>
&nbsp;&nbsp;
<div class="btn-group"> <button type="button" class="btn btn-default btn-xs dropdown-toggle mim-font" data-toggle="dropdown">rs121965000 <span class="caret"></span></button> <ul class="dropdown-menu"> <li><a href="https://www.ensembl.org/Homo_sapiens/Variation/Summary?v=rs121965000;toggle_HGVS_names=open" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'ensembl.org'})">Ensembl</a></li> <li><a href="https://www.ncbi.nlm.nih.gov/snp/?term=rs121965000" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'www.ncbi.nlm.nih.gov'})">NCBI</a></li> <li><a href="https://genome.ucsc.edu/cgi-bin/hgTracks?org=Human&db=hg38&clinvar=pack&omimAvSnp=pack&position=rs121965000" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'genome.ucsc.edu'})">UCSC</a></li> </ul> </div>
<span class="mim-text-font">
<a href="https://www.ncbi.nlm.nih.gov/clinvar?term=RCV003581561" target="_blank" class="btn btn-default btn-xs mim-tip-hint" title="RCV003581561" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">RCV003581561</a>
</span>
</div>
<div>
<span class="mim-text-font">
<p>In a Japanese patient with the intermediate form of maple syrup urine disease type II (MSUD2; <a href="/entry/620699">620699</a>), <a href="#22" class="mim-tip-reference" title="Tsuruta, M., Mitsubuchi, H., Mardy, S., Miura, Y., Hayashida, Y., Kinugasa, A., Ishitsu, T., Matsuda, I., Indo, Y. &lt;strong&gt;Molecular basis of intermittent maple syrup urine disease: novel mutations in the E2 gene of the branched-chain alpha-keto acid dehydrogenase complex.&lt;/strong&gt; J. Hum. Genet. 43: 91-100, 1998.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/9621512/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;9621512&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1007/s100380050047&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="9621512">Tsuruta et al. (1998)</a> identified homozygosity for a 1463G-T transversion in exon 11 of the DBT gene, resulting in a ter422-to-leu (X422L) substitution. The mutation was predicted to add 7 amino acids at the carboxyl terminus of the E2 protein. The consanguineous parents were heterozygous for the mutation. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=9621512" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<a id="0007" class="mim-anchor"></a>
<h4>
<span class="mim-font">
<strong>.0007&nbsp;MAPLE SYRUP URINE DISEASE, TYPE II</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
<div style="float: left;">
DBT, ILE37MET
</div>
</span>
&nbsp;&nbsp;
<div class="btn-group"> <button type="button" class="btn btn-default btn-xs dropdown-toggle mim-font" data-toggle="dropdown">rs121965001 <span class="caret"></span></button> <ul class="dropdown-menu"> <li><a href="https://www.ensembl.org/Homo_sapiens/Variation/Summary?v=rs121965001;toggle_HGVS_names=open" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'ensembl.org'})">Ensembl</a></li> <li><a href="https://www.ncbi.nlm.nih.gov/snp/?term=rs121965001" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'www.ncbi.nlm.nih.gov'})">NCBI</a></li> <li><a href="https://genome.ucsc.edu/cgi-bin/hgTracks?org=Human&db=hg38&clinvar=pack&omimAvSnp=pack&position=rs121965001" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'genome.ucsc.edu'})">UCSC</a></li> </ul> </div>
<span class="mim-text-font">
<a href="https://www.ncbi.nlm.nih.gov/clinvar?term=RCV003581562" target="_blank" class="btn btn-default btn-xs mim-tip-hint" title="RCV003581562" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">RCV003581562</a>
</span>
</div>
<div>
<span class="mim-text-font">
<p>In a Japanese patient with the intermediate form of maple syrup urine disease type II (MSUD2; <a href="/entry/620699">620699</a>), <a href="#22" class="mim-tip-reference" title="Tsuruta, M., Mitsubuchi, H., Mardy, S., Miura, Y., Hayashida, Y., Kinugasa, A., Ishitsu, T., Matsuda, I., Indo, Y. &lt;strong&gt;Molecular basis of intermittent maple syrup urine disease: novel mutations in the E2 gene of the branched-chain alpha-keto acid dehydrogenase complex.&lt;/strong&gt; J. Hum. Genet. 43: 91-100, 1998.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/9621512/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;9621512&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1007/s100380050047&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="9621512">Tsuruta et al. (1998)</a> described compound heterozygosity for a 309C-G transversion at nucleotide 309 in exon 4 of the DBT gene, and a 1165G-A transition in exon 9, resulting in an ile37-to-met (I37M) substitution and a gly323-to-ser (G323S) substitution (<a href="#0008">248610.0008</a>), respectively. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=9621512" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<a id="0008" class="mim-anchor"></a>
<h4>
<span class="mim-font">
<strong>.0008&nbsp;MAPLE SYRUP URINE DISEASE, TYPE II</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
<div style="float: left;">
DBT, GLY323SER
</div>
</span>
&nbsp;&nbsp;
<div class="btn-group"> <button type="button" class="btn btn-default btn-xs dropdown-toggle mim-font" data-toggle="dropdown"><span class="text-primary">&#x25cf;</span> rs12021720 <span class="caret"></span></button> <ul class="dropdown-menu"> <li><a href="https://www.ensembl.org/Homo_sapiens/Variation/Summary?v=rs12021720;toggle_HGVS_names=open" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'ensembl.org'})">Ensembl</a></li> <li><a href="https://gnomad.broadinstitute.org/variant/rs12021720?dataset=gnomad_r2_1" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'gnomad.broadinstitute.org'})" style="padding-left: 8px;"><span class="text-primary">&#x25cf;</span> gnomAD</a></li> <li><a href="https://www.ncbi.nlm.nih.gov/snp/?term=rs12021720" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'www.ncbi.nlm.nih.gov'})">NCBI</a></li> <li><a href="https://genome.ucsc.edu/cgi-bin/hgTracks?org=Human&db=hg38&clinvar=pack&omimAvSnp=pack&position=rs12021720" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'genome.ucsc.edu'})">UCSC</a></li> </ul> </div>
<span class="mim-text-font">
<a href="https://www.ncbi.nlm.nih.gov/clinvar?term=RCV000532824 OR RCV003581563" target="_blank" class="btn btn-default btn-xs mim-tip-hint" title="RCV000532824, RCV003581563" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">RCV000532824...</a>
</span>
</div>
<div>
<span class="mim-text-font">
<p>For discussion of the gly323-to-ser (G323S) mutation in the DBT gene that was found in a patient with the intermediate form of maple syrup urine disease type II (MSUD2; <a href="/entry/620699">620699</a>) by <a href="#22" class="mim-tip-reference" title="Tsuruta, M., Mitsubuchi, H., Mardy, S., Miura, Y., Hayashida, Y., Kinugasa, A., Ishitsu, T., Matsuda, I., Indo, Y. &lt;strong&gt;Molecular basis of intermittent maple syrup urine disease: novel mutations in the E2 gene of the branched-chain alpha-keto acid dehydrogenase complex.&lt;/strong&gt; J. Hum. Genet. 43: 91-100, 1998.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/9621512/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;9621512&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1007/s100380050047&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="9621512">Tsuruta et al. (1998)</a>, see <a href="#0007">248610.0007</a>. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=9621512" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<a id="0009" class="mim-anchor"></a>
<h4>
<span class="mim-font">
<strong>.0009&nbsp;MAPLE SYRUP URINE DISEASE, TYPE II</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
<div style="float: left;">
DBT, 2-BP DEL, 88AT
</div>
</span>
&nbsp;&nbsp;
<div class="btn-group"> <button type="button" class="btn btn-default btn-xs dropdown-toggle mim-font" data-toggle="dropdown"><span class="text-primary">&#x25cf;</span> rs768832921 <span class="caret"></span></button> <ul class="dropdown-menu"> <li><a href="https://www.ensembl.org/Homo_sapiens/Variation/Summary?v=rs768832921;toggle_HGVS_names=open" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'ensembl.org'})">Ensembl</a></li> <li><a href="https://gnomad.broadinstitute.org/variant/rs768832921?dataset=gnomad_r2_1" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'gnomad.broadinstitute.org'})" style="padding-left: 8px;"><span class="text-primary">&#x25cf;</span> gnomAD</a></li> <li><a href="https://www.ncbi.nlm.nih.gov/snp/?term=rs768832921" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'www.ncbi.nlm.nih.gov'})">NCBI</a></li> <li><a href="https://genome.ucsc.edu/cgi-bin/hgTracks?org=Human&db=hg38&clinvar=pack&omimAvSnp=pack&position=rs768832921" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'genome.ucsc.edu'})">UCSC</a></li> </ul> </div>
<span class="mim-text-font">
<a href="https://www.ncbi.nlm.nih.gov/clinvar?term=RCV000012728 OR RCV000626239 OR RCV004566724 OR RCV005000982" target="_blank" class="btn btn-default btn-xs mim-tip-hint" title="RCV000012728, RCV000626239, RCV004566724, RCV005000982" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">RCV000012728...</a>
</span>
</div>
<div>
<span class="mim-text-font">
<p>In several patients with classic maple syrup urine disease type II (MSUD2; <a href="/entry/620699">620699</a>), <a href="#7" class="mim-tip-reference" title="Fisher, C. W., Fisher, C. R., Chuang, J. L., Lau, K. S., Chuang, D. T., Cox, R. P. &lt;strong&gt;Occurrence of a 2-bp (AT) deletion allele and nonsense (G-to-T) mutant allele at the E2 (DBT) locus of six patients with maple syrup urine disease: multiple-exon skipping as a secondary effect of the mutations.&lt;/strong&gt; Am. J. Hum. Genet. 52: 414-424, 1993.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/8430702/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;8430702&lt;/a&gt;]" pmid="8430702">Fisher et al. (1993)</a> identified a 2-bp (AT) deletion in exon 2 of the DBT gene, causing a frameshift downstream of residue -26 in the mitochondrial targeting presequence. The mutation occurred in homozygous and compound heterozygous states. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=8430702" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<a id="0010" class="mim-anchor"></a>
<h4>
<span class="mim-font">
<strong>.0010&nbsp;MAPLE SYRUP URINE DISEASE, TYPE II</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
<div style="float: left;">
DBT, 4.7-KB DEL
</div>
</span>
&nbsp;&nbsp;
<span class="mim-text-font">
<a href="https://www.ncbi.nlm.nih.gov/clinvar?term=RCV000012729" target="_blank" class="btn btn-default btn-xs mim-tip-hint" title="RCV000012729" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">RCV000012729</a>
</span>
</div>
<div>
<span class="mim-text-font">
<p>In 2 unrelated children with classic maple syrup urine disease type II (MSUD2; <a href="/entry/620699">620699</a>), <a href="#2" class="mim-tip-reference" title="Chi, C.-S., Tsai, C.-R., Chen, L.-H., Lee, H.-F., Mak, B. S.-C., Yang, S.-H., Wang, T.-Y., Shu, S.-G., Chen, C.-H. &lt;strong&gt;Maple syrup urine disease in the Austronesian aboriginal tribe Paiwan of Taiwan: a novel DBT (E2) gene 4.7 kb founder deletion caused by a nonhomologous recombination between LINE-1 and Alu and the carrier-frequency determination.&lt;/strong&gt; Europ. J. Hum. Genet. 11: 931-936, 2003.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/14508502/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;14508502&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1038/sj.ejhg.5201069&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="14508502">Chi et al. (2003)</a> identified a homozygous 4.7-kb deletion in the DBT gene. The deletion includes the 3-prime half of intron 10, the entire coding region of the terminal exon 11, and the 5-prime part of the 3-prime UTR of the E2 gene. Further analysis showed that the deletion resulted from a rare nonhomologous recombination of the long interspersed nuclear element-1 (LINE-1) in intron 10 and an Alu sequence in the 3-prime UTR. A third unrelated affected patient was compound heterozygous for the 4.7-kb deletion and a 2-bp deletion (<a href="#0009">248610.0009</a>). All 3 children belonged to the Paiwan aboriginal tribe in Taiwan. The finding of the 4.7-kb deletion in 5 of 6 alleles suggested a founder effect in this population. Carrier frequency was determined to be 1 in 101 Paiwanese. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=14508502" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<a id="0011" class="mim-anchor"></a>
<h4>
<span class="mim-font">
<strong>.0011&nbsp;MAPLE SYRUP URINE DISEASE, TYPE II</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
<div style="float: left;">
DBT, HIS391ARG
</div>
</span>
&nbsp;&nbsp;
<div class="btn-group"> <button type="button" class="btn btn-default btn-xs dropdown-toggle mim-font" data-toggle="dropdown">rs121965002 <span class="caret"></span></button> <ul class="dropdown-menu"> <li><a href="https://www.ensembl.org/Homo_sapiens/Variation/Summary?v=rs121965002;toggle_HGVS_names=open" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'ensembl.org'})">Ensembl</a></li> <li><a href="https://www.ncbi.nlm.nih.gov/snp/?term=rs121965002" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'www.ncbi.nlm.nih.gov'})">NCBI</a></li> <li><a href="https://genome.ucsc.edu/cgi-bin/hgTracks?org=Human&db=hg38&clinvar=pack&omimAvSnp=pack&position=rs121965002" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'genome.ucsc.edu'})">UCSC</a></li> </ul> </div>
<span class="mim-text-font">
<a href="https://www.ncbi.nlm.nih.gov/clinvar?term=RCV003581564" target="_blank" class="btn btn-default btn-xs mim-tip-hint" title="RCV003581564" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">RCV003581564</a>
</span>
</div>
<div>
<span class="mim-text-font">
<p>In 2 sibs, born of consanguineous parents of Arab descent, with thiamine-responsive maple syrup urine disease type II (MSUD2; <a href="/entry/620699">620699</a>), <a href="#5" class="mim-tip-reference" title="Chuang, J. L., Wynn, R. M., Moss, C. C., Song, J., Li, J., Awad, N., Mandel, H., Chuang, D. T. &lt;strong&gt;Structural and biochemical basis for novel mutations in homozygous Israeli maple syrup urine disease patients.&lt;/strong&gt; J. Biol. Chem. 279: 17792-17800, 2004.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/14742428/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;14742428&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1074/jbc.M313879200&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="14742428">Chuang et al. (2004)</a> identified a homozygous A-to-G transition in the DBT gene, resulting in a his391-to-arg (H391R) substitution. A full-length mutant protein was expressed and resulted in increased E1 (see <a href="/entry/608468">608468</a>) activity, but impaired E2-mediated acyltransferase activity. Both patients presented with neonatal encephalopathy, which was completely eradicated with thiamine supplementation and a restrictive diet. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=14742428" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<a id="0012" class="mim-anchor"></a>
<h4>
<span class="mim-font">
<strong>.0012&nbsp;MAPLE SYRUP URINE DISEASE, TYPE II</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
<div style="float: left;">
DBT, SER133TER
</div>
</span>
&nbsp;&nbsp;
<div class="btn-group"> <button type="button" class="btn btn-default btn-xs dropdown-toggle mim-font" data-toggle="dropdown">rs121965003 <span class="caret"></span></button> <ul class="dropdown-menu"> <li><a href="https://www.ensembl.org/Homo_sapiens/Variation/Summary?v=rs121965003;toggle_HGVS_names=open" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'ensembl.org'})">Ensembl</a></li> <li><a href="https://www.ncbi.nlm.nih.gov/snp/?term=rs121965003" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'www.ncbi.nlm.nih.gov'})">NCBI</a></li> <li><a href="https://genome.ucsc.edu/cgi-bin/hgTracks?org=Human&db=hg38&clinvar=pack&omimAvSnp=pack&position=rs121965003" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'genome.ucsc.edu'})">UCSC</a></li> </ul> </div>
<span class="mim-text-font">
<a href="https://www.ncbi.nlm.nih.gov/clinvar?term=RCV000012731" target="_blank" class="btn btn-default btn-xs mim-tip-hint" title="RCV000012731" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">RCV000012731</a>
</span>
</div>
<div>
<span class="mim-text-font">
<p>In 2 patients from the Druze kindred in Israel with classic maple syrup urine disease type II (MSUD2; <a href="/entry/620699">620699</a>), <a href="#5" class="mim-tip-reference" title="Chuang, J. L., Wynn, R. M., Moss, C. C., Song, J., Li, J., Awad, N., Mandel, H., Chuang, D. T. &lt;strong&gt;Structural and biochemical basis for novel mutations in homozygous Israeli maple syrup urine disease patients.&lt;/strong&gt; J. Biol. Chem. 279: 17792-17800, 2004.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/14742428/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;14742428&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1074/jbc.M313879200&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="14742428">Chuang et al. (2004)</a> identified a homozygous C-to-G transversion in the DBT gene, resulting in a ser133-to-ter (S133X) substitution. Both patients had a turbulent neonatal course with mild to moderate developmental retardation and leukodystrophy, which was detected on brain MRI. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=14742428" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
</span>
</div>
<div>
<br />
</div>
</div>
</div>
</div>
<div>
<a id="seeAlso" class="mim-anchor"></a>
<h4 href="#mimSeeAlsoFold" id="mimSeeAlsoToggle" class="mimTriangleToggle" style="cursor: pointer;" data-toggle="collapse">
<span class="mim-font">
<span id="mimSeeAlsoToggleTriangle" class="small mimTextToggleTriangle">&#9660;</span>
<strong>See Also:</strong>
</span>
</h4>
<div id="mimSeeAlsoFold" class="collapse in mimTextToggleFold">
<span class="mim-text-font">
<a href="#Indo1988" class="mim-tip-reference" title="Indo, Y., Akaboshi, I., Nobukuni, Y., Endo, F., Matsuda, I. &lt;strong&gt;Maple syrup urine disease: a possible biochemical basis for the clinical heterogeneity.&lt;/strong&gt; Hum. Genet. 80: 6-10, 1988.">Indo et al. (1988)</a>; <a href="#Litwer1988" class="mim-tip-reference" title="Litwer, S., Danner, D. J. &lt;strong&gt;Mitochondrial import and processing of an in vitro synthesized human prebranched chain acyltransferase fragment.&lt;/strong&gt; Am. J. Hum. Genet. 43: 764-769, 1988.">Litwer and Danner (1988)</a>
</span>
<div>
<br />
</div>
</div>
</div>
<div>
<a id="references"class="mim-anchor"></a>
<h4 href="#mimReferencesFold" id="mimReferencesToggle" class="mimTriangleToggle" style="cursor: pointer;" data-toggle="collapse">
<span class="mim-font">
<span id="mimReferencesToggleTriangle" class="small mimTextToggleTriangle">&#9660;</span>
<strong>REFERENCES</strong>
</span>
</h4>
<div>
<p />
</div>
<div id="mimReferencesFold" class="collapse in mimTextToggleFold">
<ol>
<li>
<a id="1" class="mim-anchor"></a>
<a id="Bogenhagen2008" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Bogenhagen, D. F., Rousseau, D., Burke, S.
<strong>The layered structure of human mitochondrial DNA nucleoids.</strong>
J. Biol. Chem. 283: 3665-3675, 2008.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/18063578/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">18063578</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=18063578" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1074/jbc.M708444200" target="_blank">Full Text</a>]
</p>
</div>
</li>
<li>
<a id="2" class="mim-anchor"></a>
<a id="Chi2003" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Chi, C.-S., Tsai, C.-R., Chen, L.-H., Lee, H.-F., Mak, B. S.-C., Yang, S.-H., Wang, T.-Y., Shu, S.-G., Chen, C.-H.
<strong>Maple syrup urine disease in the Austronesian aboriginal tribe Paiwan of Taiwan: a novel DBT (E2) gene 4.7 kb founder deletion caused by a nonhomologous recombination between LINE-1 and Alu and the carrier-frequency determination.</strong>
Europ. J. Hum. Genet. 11: 931-936, 2003.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/14508502/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">14508502</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=14508502" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1038/sj.ejhg.5201069" target="_blank">Full Text</a>]
</p>
</div>
</li>
<li>
<a id="3" class="mim-anchor"></a>
<a id="Chuang1991" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Chuang, D. T., Fisher, C. W., Lau, K. S., Griffin, T. A., Wynn, R. M., Cox, R. P.
<strong>Maple syrup urine disease: domain structure, mutations and exon skipping in the dihydrolipoyl transacylase (E2) component of the branched-chain alpha-keto acid dehydrogenase complex.</strong>
Molec. Biol. Med. 8: 49-63, 1991.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/1943690/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">1943690</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=1943690" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
</p>
</div>
</li>
<li>
<a id="4" class="mim-anchor"></a>
<a id="Chuang1997" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Chuang, J. L., Cox, R. P., Chuang, D. T.
<strong>E2 transacylase-deficient (type II) maple syrup urine disease: aberrant splicing of E2 mRNA caused by internal intronic deletions and association with thiamine-responsive phenotype.</strong>
J. Clin. Invest. 100: 736-744, 1997.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/9239422/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">9239422</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=9239422" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1172/JCI119586" target="_blank">Full Text</a>]
</p>
</div>
</li>
<li>
<a id="5" class="mim-anchor"></a>
<a id="Chuang2004" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Chuang, J. L., Wynn, R. M., Moss, C. C., Song, J., Li, J., Awad, N., Mandel, H., Chuang, D. T.
<strong>Structural and biochemical basis for novel mutations in homozygous Israeli maple syrup urine disease patients.</strong>
J. Biol. Chem. 279: 17792-17800, 2004.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/14742428/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">14742428</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=14742428" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1074/jbc.M313879200" target="_blank">Full Text</a>]
</p>
</div>
</li>
<li>
<a id="6" class="mim-anchor"></a>
<a id="Danner1989" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Danner, D. J., Litwer, S., Herring, W. J., Pruckler, J.
<strong>Construction and nucleotide sequence of a cDNA encoding the full-length preprotein for human branched chain acyltransferase.</strong>
J. Biol. Chem. 264: 7742-7746, 1989.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/2708389/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">2708389</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=2708389" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
</p>
</div>
</li>
<li>
<a id="7" class="mim-anchor"></a>
<a id="Fisher1993" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Fisher, C. W., Fisher, C. R., Chuang, J. L., Lau, K. S., Chuang, D. T., Cox, R. P.
<strong>Occurrence of a 2-bp (AT) deletion allele and nonsense (G-to-T) mutant allele at the E2 (DBT) locus of six patients with maple syrup urine disease: multiple-exon skipping as a secondary effect of the mutations.</strong>
Am. J. Hum. Genet. 52: 414-424, 1993.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/8430702/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">8430702</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=8430702" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
</p>
</div>
</li>
<li>
<a id="8" class="mim-anchor"></a>
<a id="Fisher1991" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Fisher, C. W., Lau, K. S., Fisher, C. R., Wynn, R. M., Cox, R. P., Chuang, D. T.
<strong>A 17-bp insertion and a phe215-to-cys missense mutation in the dihydrolipoyl transacylase (E2) mRNA from a thiamine-responsive maple syrup urine disease patient WG-34.</strong>
Biochem. Biophys. Res. Commun. 174: 804-809, 1991.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/1847055/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">1847055</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=1847055" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1016/0006-291x(91)91489-y" target="_blank">Full Text</a>]
</p>
</div>
</li>
<li>
<a id="9" class="mim-anchor"></a>
<a id="Herring1991" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Herring, W. J., Litwer, S., Weber, J. L., Danner, D. J.
<strong>Molecular genetic basis of maple syrup urine disease in a family with two defective alleles for branched chain acyltransferase and localization of the gene to human chromosome 1.</strong>
Am. J. Hum. Genet. 48: 342-350, 1991.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/1990841/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">1990841</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=1990841" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
</p>
</div>
</li>
<li>
<a id="10" class="mim-anchor"></a>
<a id="Hummel1988" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Hummel, K. B., Litwer, S., Bradford, A. P., Aitken, A., Danner, D. J., Yeaman, S. J.
<strong>Nucleotide sequence of a cDNA for branched chain acyltransferase with analysis of the deduced protein structure.</strong>
J. Biol. Chem. 263: 6165-6168, 1988.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/3245861/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">3245861</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=3245861" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
</p>
</div>
</li>
<li>
<a id="11" class="mim-anchor"></a>
<a id="Indo1988" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Indo, Y., Akaboshi, I., Nobukuni, Y., Endo, F., Matsuda, I.
<strong>Maple syrup urine disease: a possible biochemical basis for the clinical heterogeneity.</strong>
Hum. Genet. 80: 6-10, 1988.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/3417306/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">3417306</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=3417306" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1007/BF00451447" target="_blank">Full Text</a>]
</p>
</div>
</li>
<li>
<a id="12" class="mim-anchor"></a>
<a id="Lau1991" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Lau, K. S., Eddy, R. L., Shows, T. B., Fisher, C. W., Chuang, D. T., Cox, R. P.
<strong>Localization of the dihydrolipoamide branched-chain transacylase gene (DBT) of the human branched-chain keto acid dehydrogenase complex to chromosome 1.</strong>
Cytogenet. Cell Genet. 56: 33-35, 1991.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/2004553/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">2004553</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=2004553" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1159/000133041" target="_blank">Full Text</a>]
</p>
</div>
</li>
<li>
<a id="13" class="mim-anchor"></a>
<a id="Lau1988" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Lau, K. S., Griffin, T. A., Hu, C.-W. C., Chuang, D. T.
<strong>Conservation of primary structure in the lipoyl-bearing and dihydrolipoyl dehydrogenase binding domains of mammalian branched-chain alpha-keto acid dehydrogenase complex: molecular cloning of human and bovine transacylase (E2) cDNAs.</strong>
Biochemistry 27: 1972-1981, 1988.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/2837277/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">2837277</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=2837277" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1021/bi00406a025" target="_blank">Full Text</a>]
</p>
</div>
</li>
<li>
<a id="14" class="mim-anchor"></a>
<a id="Lau1992" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Lau, K. S., Herring, W. J., Chuang, J. L., McKean, M., Danner, D. J., Cox, R. P., Chuang, D. T.
<strong>Structure of the gene encoding dihydrolipoyl transacylase (E2) component of human branched chain alpha-keto acid dehydrogenase and characterization of an E2 pseudogene.</strong>
J. Biol. Chem. 267: 24090-24096, 1992.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/1429740/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">1429740</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=1429740" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
</p>
</div>
</li>
<li>
<a id="15" class="mim-anchor"></a>
<a id="Lebo2000" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Lebo, R. V., Shapiro, L. R., Fenerci, E. Y., Hoover, J. M., Chuang, J. L., Chuang, D. T., Kronn, D. F.
<strong>Rare etiology of autosomal recessive disease in a child with noncarrier parents.</strong>
Am. J. Hum. Genet. 67: 750-754, 2000.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/10915611/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">10915611</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/?term=10915611[PMID]&report=imagesdocsum" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Image', 'domain': 'ncbi.nlm.nih.gov'})">images</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=10915611" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1086/303042" target="_blank">Full Text</a>]
</p>
</div>
</li>
<li>
<a id="16" class="mim-anchor"></a>
<a id="Litwer1985" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Litwer, S., Danner, D. J.
<strong>Identification of a cDNA clone in lambda-gt11 for the transacylase component of branched chain ketoacid dehydrogenase.</strong>
Biochem. Biophys. Res. Commun. 131: 961-967, 1985.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/2932110/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">2932110</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=2932110" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1016/0006-291x(85)91333-6" target="_blank">Full Text</a>]
</p>
</div>
</li>
<li>
<a id="17" class="mim-anchor"></a>
<a id="Litwer1988" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Litwer, S., Danner, D. J.
<strong>Mitochondrial import and processing of an in vitro synthesized human prebranched chain acyltransferase fragment.</strong>
Am. J. Hum. Genet. 43: 764-769, 1988.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/3189339/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">3189339</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=3189339" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
</p>
</div>
</li>
<li>
<a id="18" class="mim-anchor"></a>
<a id="Mersey2005" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Mersey, B. D., Jin, P., Danner, D. J.
<strong>Human microRNA (miR29b) expression controls the amount of branched chain alpha-ketoacid dehydrogenase complex in a cell.</strong>
Hum. Molec. Genet. 14: 3371-3377, 2005.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/16203741/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">16203741</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=16203741" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1093/hmg/ddi368" target="_blank">Full Text</a>]
</p>
</div>
</li>
<li>
<a id="19" class="mim-anchor"></a>
<a id="Mitsubuchi1991" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Mitsubuchi, H., Nobukuni, Y., Akaboshi, I., Indo, Y., Endo, F., Matsuda, I.
<strong>Maple syrup urine disease caused by a partial deletion in the inner E2 core domain of the branched chain alpha-keto acid dehydrogenase complex due to aberrant splicing: a single base deletion at a 5-prime-splice donor site of an intron of the E2 gene disrupts the consensus sequence in this region.</strong>
J. Clin. Invest. 87: 1207-1211, 1991.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/2010537/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">2010537</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=2010537" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1172/JCI115120" target="_blank">Full Text</a>]
</p>
</div>
</li>
<li>
<a id="20" class="mim-anchor"></a>
<a id="Nobukuni1989" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Nobukuni, Y., Mitsubuchi, H., Endo, F., Matsuda, I.
<strong>Complete primary structure of the transacylase (E2b) subunit of the human branched chain alpha-keto acid dehydrogenase complex.</strong>
Biochem. Biophys. Res. Commun. 161: 1035-1041, 1989.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/2742576/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">2742576</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=2742576" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1016/0006-291x(89)91347-8" target="_blank">Full Text</a>]
</p>
</div>
</li>
<li>
<a id="21" class="mim-anchor"></a>
<a id="Patel1995" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Patel, M. S., Harris, R. A.
<strong>Mammalian alpha-keto acid dehydrogenase complexes: gene regulation and genetic defects.</strong>
FASEB J. 9: 1164-1172, 1995.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/7672509/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">7672509</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=7672509" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1096/fasebj.9.12.7672509" target="_blank">Full Text</a>]
</p>
</div>
</li>
<li>
<a id="22" class="mim-anchor"></a>
<a id="Tsuruta1998" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Tsuruta, M., Mitsubuchi, H., Mardy, S., Miura, Y., Hayashida, Y., Kinugasa, A., Ishitsu, T., Matsuda, I., Indo, Y.
<strong>Molecular basis of intermittent maple syrup urine disease: novel mutations in the E2 gene of the branched-chain alpha-keto acid dehydrogenase complex.</strong>
J. Hum. Genet. 43: 91-100, 1998.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/9621512/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">9621512</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=9621512" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1007/s100380050047" target="_blank">Full Text</a>]
</p>
</div>
</li>
<li>
<a id="23" class="mim-anchor"></a>
<a id="Zneimer1991" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Zneimer, S. M., Lau, K. S., Eddy, R. L., Shows, T. B., Chuang, J. L., Chuang, D. T., Cox, R. P.
<strong>Regional assignment of two genes of the human branched-chain alpha-keto acid dehydrogenase complex: the E1-beta gene (BCKDHB) to chromosome 6p21-22 and the E2 gene (DBT) to chromosome 1p31.</strong>
Genomics 10: 740-747, 1991.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/1889817/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">1889817</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=1889817" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1016/0888-7543(91)90458-q" target="_blank">Full Text</a>]
</p>
</div>
</li>
</ol>
<div>
<br />
</div>
</div>
</div>
<div>
<a id="contributors" class="mim-anchor"></a>
<div class="row">
<div class="col-lg-2 col-md-2 col-sm-4 col-xs-4">
<span class="mim-text-font">
<a href="#mimCollapseContributors" role="button" data-toggle="collapse"> Contributors: </a>
</span>
</div>
<div class="col-lg-6 col-md-6 col-sm-6 col-xs-6">
<span class="mim-text-font">
George E. Tiller - updated : 9/3/2009
</span>
</div>
</div>
<div class="row collapse" id="mimCollapseContributors">
<div class="col-lg-offset-2 col-md-offset-4 col-sm-offset-4 col-xs-offset-2 col-lg-6 col-md-6 col-sm-6 col-xs-6">
<span class="mim-text-font">
Patricia A. Hartz - updated : 9/24/2008<br>Cassandra L. Kniffin - updated : 6/14/2007<br>Cassandra L. Kniffin - updated : 1/12/2006<br>Cassandra L. Kniffin - reorganized : 1/28/2004<br>Cassandra L. Kniffin - updated : 12/29/2003<br>Carol A. Bocchini - updated : 10/19/2001<br>Victor A. McKusick - updated : 9/18/2000<br>Clair A. Francomano - updated : 6/16/1998<br>Victor A. McKusick - updated : 11/17/1997
</span>
</div>
</div>
</div>
<div>
<a id="creationDate" class="mim-anchor"></a>
<div class="row">
<div class="col-lg-2 col-md-2 col-sm-4 col-xs-4">
<span class="text-nowrap mim-text-font">
Creation Date:
</span>
</div>
<div class="col-lg-6 col-md-6 col-sm-6 col-xs-6">
<span class="mim-text-font">
Victor A. McKusick : 10/4/1988
</span>
</div>
</div>
</div>
<div>
<a id="editHistory" class="mim-anchor"></a>
<div class="row">
<div class="col-lg-2 col-md-2 col-sm-4 col-xs-4">
<span class="text-nowrap mim-text-font">
<a href="#mimCollapseEditHistory" role="button" data-toggle="collapse"> Edit History: </a>
</span>
</div>
<div class="col-lg-6 col-md-6 col-sm-6 col-xs-6">
<span class="mim-text-font">
carol : 02/09/2024
</span>
</div>
</div>
<div class="row collapse" id="mimCollapseEditHistory">
<div class="col-lg-offset-2 col-md-offset-2 col-sm-offset-4 col-xs-offset-4 col-lg-6 col-md-6 col-sm-6 col-xs-6">
<span class="mim-text-font">
carol : 07/16/2015<br>mcolton : 7/2/2015<br>wwang : 9/17/2009<br>terry : 9/3/2009<br>mgross : 9/25/2008<br>terry : 9/24/2008<br>alopez : 3/10/2008<br>wwang : 6/27/2007<br>ckniffin : 6/14/2007<br>wwang : 1/18/2006<br>ckniffin : 1/12/2006<br>alopez : 6/13/2005<br>ckniffin : 8/24/2004<br>carol : 1/28/2004<br>ckniffin : 12/29/2003<br>tkritzer : 11/3/2003<br>carol : 10/19/2001<br>carol : 10/19/2001<br>mcapotos : 10/5/2000<br>mcapotos : 9/29/2000<br>terry : 9/18/2000<br>carol : 6/19/1998<br>terry : 6/16/1998<br>dholmes : 11/21/1997<br>jenny : 11/20/1997<br>mark : 11/19/1997<br>jenny : 11/19/1997<br>terry : 11/17/1997<br>terry : 8/4/1997<br>mark : 11/1/1995<br>mimadm : 2/19/1994<br>supermim : 3/17/1992<br>carol : 3/3/1992<br>carol : 1/16/1992<br>carol : 11/14/1991
</span>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="container visible-print-block">
<div class="row">
<div class="col-md-8 col-md-offset-1">
<div>
<div>
<h3>
<span class="mim-font">
<strong>*</strong> 248610
</span>
</h3>
</div>
<div>
<h3>
<span class="mim-font">
DIHYDROLIPOAMIDE BRANCHED-CHAIN TRANSACYLASE; DBT
</span>
</h3>
</div>
<div>
<br />
</div>
<div>
<div >
<p>
<span class="mim-font">
<em>Alternative titles; symbols</em>
</span>
</p>
</div>
<div>
<h4>
<span class="mim-font">
BRANCHED-CHAIN ACYLTRANSFERASE, E2 COMPONENT; BCATE2<br />
BRANCHED-CHAIN KETO ACID DEHYDROGENASE COMPLEX, E2 COMPONENT
</span>
</h4>
</div>
</div>
<div>
<br />
</div>
</div>
<div>
<p>
<span class="mim-text-font">
<strong><em>HGNC Approved Gene Symbol: DBT</em></strong>
</span>
</p>
</div>
<div>
<p>
<span class="mim-text-font">
<strong>
<em>
Cytogenetic location: 1p21.2
&nbsp;
Genomic coordinates <span class="small">(GRCh38)</span> : 1:100,186,919-100,249,834 </span>
</em>
</strong>
<span class="small">(from NCBI)</span>
</span>
</p>
</div>
<div>
<br />
</div>
<div>
<h4>
<span class="mim-font">
<strong>Gene-Phenotype Relationships</strong>
</span>
</h4>
<div>
<table class="table table-bordered table-condensed small mim-table-padding">
<thead>
<tr class="active">
<th>
Location
</th>
<th>
Phenotype
</th>
<th>
Phenotype <br /> MIM number
</th>
<th>
Inheritance
</th>
<th>
Phenotype <br /> mapping key
</th>
</tr>
</thead>
<tbody>
<tr>
<td rowspan="1">
<span class="mim-font">
1p21.2
</span>
</td>
<td>
<span class="mim-font">
Maple syrup urine disease, type II
</span>
</td>
<td>
<span class="mim-font">
620699
</span>
</td>
<td>
<span class="mim-font">
Autosomal recessive
</span>
</td>
<td>
<span class="mim-font">
3
</span>
</td>
</tr>
</tbody>
</table>
</div>
</div>
<div>
<br />
</div>
<div>
<h4>
<span class="mim-font">
<strong>TEXT</strong>
</span>
</h4>
<div>
<h4>
<span class="mim-font">
<strong>Description</strong>
</span>
</h4>
</div>
<span class="mim-text-font">
<p>The second major step in the catabolism of the branched-chain amino acids, isoleucine, leucine, and valine, is catalyzed by the branched-chain alpha-keto acid dehydrogenase complex (BCKD; EC 1.2.4.4), an inner-mitochondrial enzyme complex that consists of 3 catalytic components: a heterotetrameric (alpha2, beta2) branched-chain alpha-ketoacid decarboxylase (E1-alpha; 608348 and E1-beta; 248611), a homo-24-meric dihydrolipoyl transacylase (E2), and a homodimeric dihydrolipoamide dehydrogenase (E3; 238331). The reaction is irreversible and constitutes the first committed step in BCAA oxidation. The complex also contains 2 regulatory enzymes, a kinase and a phosphorylase. The DBT gene encodes the E2 component.</p>
</span>
<div>
<br />
</div>
<div>
<h4>
<span class="mim-font">
<strong>Cloning and Expression</strong>
</span>
</h4>
</div>
<span class="mim-text-font">
<p>Litwer and Danner (1985), Hummel et al. (1988), and Lau et al. (1988) reported partial cloning of the DBT gene. Analysis of the deduced protein structure showed similarities to the acyltransferase proteins of the pyruvate and alpha-ketoglutarate dehydrogenase complexes (Hummel et al., 1988). </p><p>Danner et al. (1989) isolated cDNAs encoding the carboxyl terminal of E2 and constructed a cDNA which encodes the entire precursor molecule, a 477-amino acid protein with a molecular mass of 57 kD. Mouse liver mitochondria imported and processed the protein to a 52-kD protein. Nobukuni et al. (1989) isolated a cDNA clone for the human E2 precursor from a placenta cDNA library. They found that the deduced mature human protein contains 421 amino acids and has a molecular mass of 46 kD. The deduced protein contains a leader peptide of 56 amino acids, a lipoyl-bearing domain, an E3-binding domain, and an inner core domain, connected by flexible hinge regions (see also Lau et al., 1992). </p>
</span>
<div>
<br />
</div>
<div>
<h4>
<span class="mim-font">
<strong>Gene Function</strong>
</span>
</h4>
</div>
<span class="mim-text-font">
<p>Mersey et al. (2005) demonstrated that the microRNA MIRN29B1 (610783) is targeted to DBT mRNA and prevents translation when bound in HEK293 cells. This was the first demonstration of the use of a microRNA to exert control on a metabolic pathway of amino acid catabolism in mammals, and offers an explanation for the observed differences in the amount of the BCKD complex present in different tissues and under varying nutritional states. </p><p>Mitochondrial nucleoids are large complexes containing, on average, 5 to 7 mitochondrial DNA (mtDNA) genomes and several proteins involved in mtDNA replication and transcription, as well as related processes. Bogenhagen et al. (2008) had previously shown that DBT was associated with native purified HeLa cell nucleoids. Using a formaldehyde crosslinking technique, they found that DBT copurified with mtDNA and was a core nucleoid protein. </p>
</span>
<div>
<br />
</div>
<div>
<h4>
<span class="mim-font">
<strong>Gene Structure</strong>
</span>
</h4>
</div>
<span class="mim-text-font">
<p>Lau et al. (1992) determined that the DBT gene contains 11 exons. </p>
</span>
<div>
<br />
</div>
<div>
<h4>
<span class="mim-font">
<strong>Mapping</strong>
</span>
</h4>
</div>
<span class="mim-text-font">
<p>Using somatic cells hybrids, Herring et al. (1991) and Lau et al. (1991) mapped the E2 gene to chromosome 1. Additional data with 2 hybrids containing fragments of chromosome 1 suggested that the gene is located on the short arm in region 1pter-p21. By in situ hybridization, Zneimer et al. (1991) regionalized the assignment to 1p31. </p><p><strong><em>Pseudogene</em></strong></p><p>
Chuang et al. (1991) characterized an E2 pseudogene which they mapped to 3q24 by in situ hybridization. </p>
</span>
<div>
<br />
</div>
<div>
<h4>
<span class="mim-font">
<strong>Molecular Genetics</strong>
</span>
</h4>
</div>
<span class="mim-text-font">
<p>In a case of classic maple syrup urine disease (MSUD2; 620699), Herring et al. (1991) identified a 124-bp deletion in the DBT gene (248610.0001). </p><p>In a cell line from a patient with thiamine-responsive MSUD2, Fisher et al. (1991) identified compound heterozygosity for mutations in the DBT gene (248610.0002 and 248610.0003). </p><p>In several Japanese patients with the intermediate form of maple syrup urine disease, Tsuruta et al. (1998) identified homozygosity or compound heterozygosity for mutations in the DBT gene (248610.0005-248610.0008). </p><p>Patel and Harris (1995) provided diagrams of the location of 4 substitution mutations, 4 small deletions, and 1 small insertion that had been reported in the DBT gene. </p><p>Chuang et al. (1997) described 5 new mutations in the E2 gene causing both classic and intermediate/thiamine-responsive MSUD2. Several of these mutations involved rare deletions of internal intronic segments that led to secondary insertions/deletions in the transcript through utilization of cryptic or new splice sites. A 3.2-kb internal deletion in intron 4 was detected by amplification and analysis of the entire intron (normal size, 11.2 kb). Chuang et al. (1997) emphasized that no loci other than E2 of the BCKD complex have been identified in documented thiamine-responsive patients. The findings strongly suggested that a normal E1 component is a prerequisite for the thiamine-responsive phenotype. </p><p>Lebo et al. (2000) studied a child with MSUD2 who was found to be homozygous for a 10-bp deletion of the DBT gene. Neither of the purported parents carried the gene deletion. Polymorphic simple-sequence repeat analysis at 15 loci on chromosome 1 and at 16 loci on other chromosomes confirmed parentage and revealed that a de novo mutation prior to maternal meiosis I, followed by nondisjunction in maternal meiosis II, resulted in an oocyte with 2 copies of the de novo mutant allele. Fertilization by a sperm that did not carry a paternal chromosome 1 or subsequent mitotic loss of the paternal chromosome 1 resulted in the propositus inheriting 2 mutant DBT alleles on 2 maternal number 1 chromosomes. </p>
</span>
<div>
<br />
</div>
</div>
<div>
<h4>
<span class="mim-font">
<strong>ALLELIC VARIANTS</strong>
</span>
<strong>12 Selected Examples):</strong>
</span>
</h4>
<div>
<p />
</div>
<div>
<div>
<h4>
<span class="mim-font">
<strong>.0001 &nbsp; MAPLE SYRUP URINE DISEASE, TYPE II</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
DBT, 124-BP DEL
<br />
ClinVar: RCV000012720
</span>
</div>
<div>
<span class="mim-text-font">
<p>In a case of classic maple syrup urine disease type II (MSUD2; 620699) identified by newborn screening, Herring et al. (1991) identified compound heterozygosity for mutations in the DBT gene. One allele, inherited from the father, produced transcripts with 124 nucleotides deleted from the coding region, while a nonexpressing allele, inherited from the mother, resulted in cells containing 50% of the normal amount of E2 mRNA. A phenotypically normal sib was genetically similar to the mother, having inherited the mother's nonexpressing allele and the father's normal allele. </p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<h4>
<span class="mim-font">
<strong>.0002 &nbsp; MAPLE SYRUP URINE DISEASE, TYPE II</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
DBT, PHE215CYS
<br />
SNP: rs121964999,
gnomAD: rs121964999,
ClinVar: RCV000079957, RCV000179835, RCV002251898, RCV003581558, RCV004566722
</span>
</div>
<div>
<span class="mim-text-font">
<p>In a cell line from a patient with thiamine-responsive maple syrup urine disease type II (MSUD2; 620699), Fisher et al. (1991) identified compound heterozygosity for mutations in the DBT gene: a T-G change, resulting in a phe215-to-cys (F215C) substitution, and a 17-bp insertion (248610.0003) apparently resulting from aberrant splicing. </p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<h4>
<span class="mim-font">
<strong>.0003 &nbsp; MAPLE SYRUP URINE DISEASE, TYPE II</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
DBT, 17-BP INS
<br />
ClinVar: RCV003581559
</span>
</div>
<div>
<span class="mim-text-font">
<p>For discussion of the 17-bp insertion in the DBT gene that was found in compound heterozygous state in a cell line from a patient with thiamine-responsive maple syrup urine disease type II (MSUD2; 620699) by Chuang et al. (1991), see 248610.0002. </p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<h4>
<span class="mim-font">
<strong>.0004 &nbsp; MAPLE SYRUP URINE DISEASE, TYPE II</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
DBT, 78-BP DEL
<br />
SNP: rs796052134,
ClinVar: RCV000012723
</span>
</div>
<div>
<span class="mim-text-font">
<p>In a patient with classic maple syrup urine disease type II (MSUD2; 620699), Mitsubuchi et al. (1991) identified homozygosity for a 78-bp deletion in the E2 gene. The consanguineous parents and an unaffected sister were heterozygous for the deletion. Analysis of genomic DNA showed that the 78-bp deletion in the mRNA was caused by an exon skipping due to a single base deletion in an intronic 5-prime splice donor site. As a result, part of the inner E2 core domain was omitted. The authors noted that this region is highly homologous to the corresponding region of the E2 subunit of pyruvate dehydrogenase and alpha-ketoglutarate dehydrogenase. The findings indicated the biologic importance of the inner E2 core domain. </p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<h4>
<span class="mim-font">
<strong>.0005 &nbsp; MAPLE SYRUP URINE DISEASE, TYPE II</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
DBT, 126-BP INS
<br />
SNP: rs796052135,
ClinVar: RCV000668558, RCV003415688, RCV003581560, RCV004566723
</span>
</div>
<div>
<span class="mim-text-font">
<p>In a Japanese patient with the intermediate form of maple syrup urine disease type II (MSUD2; 620699), Tsuruta et al. (1998) identified homozygosity for a single base substitution in intron 8, creating a new 5-prime splice site, and causing an insertion of 126 basepairs between exons 8 and 9 in the mRNA. The predicted mRNA encoded a truncated protein with 282 amino acids, including 4 novel amino acids at the carboxyl terminus. </p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<h4>
<span class="mim-font">
<strong>.0006 &nbsp; MAPLE SYRUP URINE DISEASE, TYPE II</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
DBT, TER422LEU
<br />
SNP: rs121965000,
ClinVar: RCV003581561
</span>
</div>
<div>
<span class="mim-text-font">
<p>In a Japanese patient with the intermediate form of maple syrup urine disease type II (MSUD2; 620699), Tsuruta et al. (1998) identified homozygosity for a 1463G-T transversion in exon 11 of the DBT gene, resulting in a ter422-to-leu (X422L) substitution. The mutation was predicted to add 7 amino acids at the carboxyl terminus of the E2 protein. The consanguineous parents were heterozygous for the mutation. </p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<h4>
<span class="mim-font">
<strong>.0007 &nbsp; MAPLE SYRUP URINE DISEASE, TYPE II</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
DBT, ILE37MET
<br />
SNP: rs121965001,
ClinVar: RCV003581562
</span>
</div>
<div>
<span class="mim-text-font">
<p>In a Japanese patient with the intermediate form of maple syrup urine disease type II (MSUD2; 620699), Tsuruta et al. (1998) described compound heterozygosity for a 309C-G transversion at nucleotide 309 in exon 4 of the DBT gene, and a 1165G-A transition in exon 9, resulting in an ile37-to-met (I37M) substitution and a gly323-to-ser (G323S) substitution (248610.0008), respectively. </p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<h4>
<span class="mim-font">
<strong>.0008 &nbsp; MAPLE SYRUP URINE DISEASE, TYPE II</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
DBT, GLY323SER
<br />
SNP: rs12021720,
gnomAD: rs12021720,
ClinVar: RCV000532824, RCV003581563
</span>
</div>
<div>
<span class="mim-text-font">
<p>For discussion of the gly323-to-ser (G323S) mutation in the DBT gene that was found in a patient with the intermediate form of maple syrup urine disease type II (MSUD2; 620699) by Tsuruta et al. (1998), see 248610.0007. </p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<h4>
<span class="mim-font">
<strong>.0009 &nbsp; MAPLE SYRUP URINE DISEASE, TYPE II</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
DBT, 2-BP DEL, 88AT
<br />
SNP: rs768832921,
gnomAD: rs768832921,
ClinVar: RCV000012728, RCV000626239, RCV004566724, RCV005000982
</span>
</div>
<div>
<span class="mim-text-font">
<p>In several patients with classic maple syrup urine disease type II (MSUD2; 620699), Fisher et al. (1993) identified a 2-bp (AT) deletion in exon 2 of the DBT gene, causing a frameshift downstream of residue -26 in the mitochondrial targeting presequence. The mutation occurred in homozygous and compound heterozygous states. </p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<h4>
<span class="mim-font">
<strong>.0010 &nbsp; MAPLE SYRUP URINE DISEASE, TYPE II</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
DBT, 4.7-KB DEL
<br />
ClinVar: RCV000012729
</span>
</div>
<div>
<span class="mim-text-font">
<p>In 2 unrelated children with classic maple syrup urine disease type II (MSUD2; 620699), Chi et al. (2003) identified a homozygous 4.7-kb deletion in the DBT gene. The deletion includes the 3-prime half of intron 10, the entire coding region of the terminal exon 11, and the 5-prime part of the 3-prime UTR of the E2 gene. Further analysis showed that the deletion resulted from a rare nonhomologous recombination of the long interspersed nuclear element-1 (LINE-1) in intron 10 and an Alu sequence in the 3-prime UTR. A third unrelated affected patient was compound heterozygous for the 4.7-kb deletion and a 2-bp deletion (248610.0009). All 3 children belonged to the Paiwan aboriginal tribe in Taiwan. The finding of the 4.7-kb deletion in 5 of 6 alleles suggested a founder effect in this population. Carrier frequency was determined to be 1 in 101 Paiwanese. </p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<h4>
<span class="mim-font">
<strong>.0011 &nbsp; MAPLE SYRUP URINE DISEASE, TYPE II</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
DBT, HIS391ARG
<br />
SNP: rs121965002,
ClinVar: RCV003581564
</span>
</div>
<div>
<span class="mim-text-font">
<p>In 2 sibs, born of consanguineous parents of Arab descent, with thiamine-responsive maple syrup urine disease type II (MSUD2; 620699), Chuang et al. (2004) identified a homozygous A-to-G transition in the DBT gene, resulting in a his391-to-arg (H391R) substitution. A full-length mutant protein was expressed and resulted in increased E1 (see 608468) activity, but impaired E2-mediated acyltransferase activity. Both patients presented with neonatal encephalopathy, which was completely eradicated with thiamine supplementation and a restrictive diet. </p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<h4>
<span class="mim-font">
<strong>.0012 &nbsp; MAPLE SYRUP URINE DISEASE, TYPE II</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
DBT, SER133TER
<br />
SNP: rs121965003,
ClinVar: RCV000012731
</span>
</div>
<div>
<span class="mim-text-font">
<p>In 2 patients from the Druze kindred in Israel with classic maple syrup urine disease type II (MSUD2; 620699), Chuang et al. (2004) identified a homozygous C-to-G transversion in the DBT gene, resulting in a ser133-to-ter (S133X) substitution. Both patients had a turbulent neonatal course with mild to moderate developmental retardation and leukodystrophy, which was detected on brain MRI. </p>
</span>
</div>
<div>
<br />
</div>
</div>
</div>
<div>
<h4>
<span class="mim-font">
<strong>See Also:</strong>
</span>
</h4>
<span class="mim-text-font">
Indo et al. (1988); Litwer and Danner (1988)
</span>
<div>
<br />
</div>
</div>
<div>
<h4>
<span class="mim-font">
<strong>REFERENCES</strong>
</span>
</h4>
<div>
<p />
</div>
<div>
<ol>
<li>
<p class="mim-text-font">
Bogenhagen, D. F., Rousseau, D., Burke, S.
<strong>The layered structure of human mitochondrial DNA nucleoids.</strong>
J. Biol. Chem. 283: 3665-3675, 2008.
[PubMed: 18063578]
[Full Text: https://doi.org/10.1074/jbc.M708444200]
</p>
</li>
<li>
<p class="mim-text-font">
Chi, C.-S., Tsai, C.-R., Chen, L.-H., Lee, H.-F., Mak, B. S.-C., Yang, S.-H., Wang, T.-Y., Shu, S.-G., Chen, C.-H.
<strong>Maple syrup urine disease in the Austronesian aboriginal tribe Paiwan of Taiwan: a novel DBT (E2) gene 4.7 kb founder deletion caused by a nonhomologous recombination between LINE-1 and Alu and the carrier-frequency determination.</strong>
Europ. J. Hum. Genet. 11: 931-936, 2003.
[PubMed: 14508502]
[Full Text: https://doi.org/10.1038/sj.ejhg.5201069]
</p>
</li>
<li>
<p class="mim-text-font">
Chuang, D. T., Fisher, C. W., Lau, K. S., Griffin, T. A., Wynn, R. M., Cox, R. P.
<strong>Maple syrup urine disease: domain structure, mutations and exon skipping in the dihydrolipoyl transacylase (E2) component of the branched-chain alpha-keto acid dehydrogenase complex.</strong>
Molec. Biol. Med. 8: 49-63, 1991.
[PubMed: 1943690]
</p>
</li>
<li>
<p class="mim-text-font">
Chuang, J. L., Cox, R. P., Chuang, D. T.
<strong>E2 transacylase-deficient (type II) maple syrup urine disease: aberrant splicing of E2 mRNA caused by internal intronic deletions and association with thiamine-responsive phenotype.</strong>
J. Clin. Invest. 100: 736-744, 1997.
[PubMed: 9239422]
[Full Text: https://doi.org/10.1172/JCI119586]
</p>
</li>
<li>
<p class="mim-text-font">
Chuang, J. L., Wynn, R. M., Moss, C. C., Song, J., Li, J., Awad, N., Mandel, H., Chuang, D. T.
<strong>Structural and biochemical basis for novel mutations in homozygous Israeli maple syrup urine disease patients.</strong>
J. Biol. Chem. 279: 17792-17800, 2004.
[PubMed: 14742428]
[Full Text: https://doi.org/10.1074/jbc.M313879200]
</p>
</li>
<li>
<p class="mim-text-font">
Danner, D. J., Litwer, S., Herring, W. J., Pruckler, J.
<strong>Construction and nucleotide sequence of a cDNA encoding the full-length preprotein for human branched chain acyltransferase.</strong>
J. Biol. Chem. 264: 7742-7746, 1989.
[PubMed: 2708389]
</p>
</li>
<li>
<p class="mim-text-font">
Fisher, C. W., Fisher, C. R., Chuang, J. L., Lau, K. S., Chuang, D. T., Cox, R. P.
<strong>Occurrence of a 2-bp (AT) deletion allele and nonsense (G-to-T) mutant allele at the E2 (DBT) locus of six patients with maple syrup urine disease: multiple-exon skipping as a secondary effect of the mutations.</strong>
Am. J. Hum. Genet. 52: 414-424, 1993.
[PubMed: 8430702]
</p>
</li>
<li>
<p class="mim-text-font">
Fisher, C. W., Lau, K. S., Fisher, C. R., Wynn, R. M., Cox, R. P., Chuang, D. T.
<strong>A 17-bp insertion and a phe215-to-cys missense mutation in the dihydrolipoyl transacylase (E2) mRNA from a thiamine-responsive maple syrup urine disease patient WG-34.</strong>
Biochem. Biophys. Res. Commun. 174: 804-809, 1991.
[PubMed: 1847055]
[Full Text: https://doi.org/10.1016/0006-291x(91)91489-y]
</p>
</li>
<li>
<p class="mim-text-font">
Herring, W. J., Litwer, S., Weber, J. L., Danner, D. J.
<strong>Molecular genetic basis of maple syrup urine disease in a family with two defective alleles for branched chain acyltransferase and localization of the gene to human chromosome 1.</strong>
Am. J. Hum. Genet. 48: 342-350, 1991.
[PubMed: 1990841]
</p>
</li>
<li>
<p class="mim-text-font">
Hummel, K. B., Litwer, S., Bradford, A. P., Aitken, A., Danner, D. J., Yeaman, S. J.
<strong>Nucleotide sequence of a cDNA for branched chain acyltransferase with analysis of the deduced protein structure.</strong>
J. Biol. Chem. 263: 6165-6168, 1988.
[PubMed: 3245861]
</p>
</li>
<li>
<p class="mim-text-font">
Indo, Y., Akaboshi, I., Nobukuni, Y., Endo, F., Matsuda, I.
<strong>Maple syrup urine disease: a possible biochemical basis for the clinical heterogeneity.</strong>
Hum. Genet. 80: 6-10, 1988.
[PubMed: 3417306]
[Full Text: https://doi.org/10.1007/BF00451447]
</p>
</li>
<li>
<p class="mim-text-font">
Lau, K. S., Eddy, R. L., Shows, T. B., Fisher, C. W., Chuang, D. T., Cox, R. P.
<strong>Localization of the dihydrolipoamide branched-chain transacylase gene (DBT) of the human branched-chain keto acid dehydrogenase complex to chromosome 1.</strong>
Cytogenet. Cell Genet. 56: 33-35, 1991.
[PubMed: 2004553]
[Full Text: https://doi.org/10.1159/000133041]
</p>
</li>
<li>
<p class="mim-text-font">
Lau, K. S., Griffin, T. A., Hu, C.-W. C., Chuang, D. T.
<strong>Conservation of primary structure in the lipoyl-bearing and dihydrolipoyl dehydrogenase binding domains of mammalian branched-chain alpha-keto acid dehydrogenase complex: molecular cloning of human and bovine transacylase (E2) cDNAs.</strong>
Biochemistry 27: 1972-1981, 1988.
[PubMed: 2837277]
[Full Text: https://doi.org/10.1021/bi00406a025]
</p>
</li>
<li>
<p class="mim-text-font">
Lau, K. S., Herring, W. J., Chuang, J. L., McKean, M., Danner, D. J., Cox, R. P., Chuang, D. T.
<strong>Structure of the gene encoding dihydrolipoyl transacylase (E2) component of human branched chain alpha-keto acid dehydrogenase and characterization of an E2 pseudogene.</strong>
J. Biol. Chem. 267: 24090-24096, 1992.
[PubMed: 1429740]
</p>
</li>
<li>
<p class="mim-text-font">
Lebo, R. V., Shapiro, L. R., Fenerci, E. Y., Hoover, J. M., Chuang, J. L., Chuang, D. T., Kronn, D. F.
<strong>Rare etiology of autosomal recessive disease in a child with noncarrier parents.</strong>
Am. J. Hum. Genet. 67: 750-754, 2000.
[PubMed: 10915611]
[Full Text: https://doi.org/10.1086/303042]
</p>
</li>
<li>
<p class="mim-text-font">
Litwer, S., Danner, D. J.
<strong>Identification of a cDNA clone in lambda-gt11 for the transacylase component of branched chain ketoacid dehydrogenase.</strong>
Biochem. Biophys. Res. Commun. 131: 961-967, 1985.
[PubMed: 2932110]
[Full Text: https://doi.org/10.1016/0006-291x(85)91333-6]
</p>
</li>
<li>
<p class="mim-text-font">
Litwer, S., Danner, D. J.
<strong>Mitochondrial import and processing of an in vitro synthesized human prebranched chain acyltransferase fragment.</strong>
Am. J. Hum. Genet. 43: 764-769, 1988.
[PubMed: 3189339]
</p>
</li>
<li>
<p class="mim-text-font">
Mersey, B. D., Jin, P., Danner, D. J.
<strong>Human microRNA (miR29b) expression controls the amount of branched chain alpha-ketoacid dehydrogenase complex in a cell.</strong>
Hum. Molec. Genet. 14: 3371-3377, 2005.
[PubMed: 16203741]
[Full Text: https://doi.org/10.1093/hmg/ddi368]
</p>
</li>
<li>
<p class="mim-text-font">
Mitsubuchi, H., Nobukuni, Y., Akaboshi, I., Indo, Y., Endo, F., Matsuda, I.
<strong>Maple syrup urine disease caused by a partial deletion in the inner E2 core domain of the branched chain alpha-keto acid dehydrogenase complex due to aberrant splicing: a single base deletion at a 5-prime-splice donor site of an intron of the E2 gene disrupts the consensus sequence in this region.</strong>
J. Clin. Invest. 87: 1207-1211, 1991.
[PubMed: 2010537]
[Full Text: https://doi.org/10.1172/JCI115120]
</p>
</li>
<li>
<p class="mim-text-font">
Nobukuni, Y., Mitsubuchi, H., Endo, F., Matsuda, I.
<strong>Complete primary structure of the transacylase (E2b) subunit of the human branched chain alpha-keto acid dehydrogenase complex.</strong>
Biochem. Biophys. Res. Commun. 161: 1035-1041, 1989.
[PubMed: 2742576]
[Full Text: https://doi.org/10.1016/0006-291x(89)91347-8]
</p>
</li>
<li>
<p class="mim-text-font">
Patel, M. S., Harris, R. A.
<strong>Mammalian alpha-keto acid dehydrogenase complexes: gene regulation and genetic defects.</strong>
FASEB J. 9: 1164-1172, 1995.
[PubMed: 7672509]
[Full Text: https://doi.org/10.1096/fasebj.9.12.7672509]
</p>
</li>
<li>
<p class="mim-text-font">
Tsuruta, M., Mitsubuchi, H., Mardy, S., Miura, Y., Hayashida, Y., Kinugasa, A., Ishitsu, T., Matsuda, I., Indo, Y.
<strong>Molecular basis of intermittent maple syrup urine disease: novel mutations in the E2 gene of the branched-chain alpha-keto acid dehydrogenase complex.</strong>
J. Hum. Genet. 43: 91-100, 1998.
[PubMed: 9621512]
[Full Text: https://doi.org/10.1007/s100380050047]
</p>
</li>
<li>
<p class="mim-text-font">
Zneimer, S. M., Lau, K. S., Eddy, R. L., Shows, T. B., Chuang, J. L., Chuang, D. T., Cox, R. P.
<strong>Regional assignment of two genes of the human branched-chain alpha-keto acid dehydrogenase complex: the E1-beta gene (BCKDHB) to chromosome 6p21-22 and the E2 gene (DBT) to chromosome 1p31.</strong>
Genomics 10: 740-747, 1991.
[PubMed: 1889817]
[Full Text: https://doi.org/10.1016/0888-7543(91)90458-q]
</p>
</li>
</ol>
<div>
<br />
</div>
</div>
</div>
<div>
<div class="row">
<div class="col-lg-1 col-md-1 col-sm-2 col-xs-2">
<span class="text-nowrap mim-text-font">
Contributors:
</span>
</div>
<div class="col-lg-6 col-md-6 col-sm-6 col-xs-6">
<span class="mim-text-font">
George E. Tiller - updated : 9/3/2009<br>Patricia A. Hartz - updated : 9/24/2008<br>Cassandra L. Kniffin - updated : 6/14/2007<br>Cassandra L. Kniffin - updated : 1/12/2006<br>Cassandra L. Kniffin - reorganized : 1/28/2004<br>Cassandra L. Kniffin - updated : 12/29/2003<br>Carol A. Bocchini - updated : 10/19/2001<br>Victor A. McKusick - updated : 9/18/2000<br>Clair A. Francomano - updated : 6/16/1998<br>Victor A. McKusick - updated : 11/17/1997
</span>
</div>
</div>
</div>
<div>
<br />
</div>
<div>
<div class="row">
<div class="col-lg-1 col-md-1 col-sm-2 col-xs-2">
<span class="text-nowrap mim-text-font">
Creation Date:
</span>
</div>
<div class="col-lg-6 col-md-6 col-sm-6 col-xs-6">
<span class="mim-text-font">
Victor A. McKusick : 10/4/1988
</span>
</div>
</div>
</div>
<div>
<br />
</div>
<div>
<div class="row">
<div class="col-lg-1 col-md-1 col-sm-2 col-xs-2">
<span class="text-nowrap mim-text-font">
Edit History:
</span>
</div>
<div class="col-lg-6 col-md-6 col-sm-6 col-xs-6">
<span class="mim-text-font">
carol : 02/09/2024<br>carol : 07/16/2015<br>mcolton : 7/2/2015<br>wwang : 9/17/2009<br>terry : 9/3/2009<br>mgross : 9/25/2008<br>terry : 9/24/2008<br>alopez : 3/10/2008<br>wwang : 6/27/2007<br>ckniffin : 6/14/2007<br>wwang : 1/18/2006<br>ckniffin : 1/12/2006<br>alopez : 6/13/2005<br>ckniffin : 8/24/2004<br>carol : 1/28/2004<br>ckniffin : 12/29/2003<br>tkritzer : 11/3/2003<br>carol : 10/19/2001<br>carol : 10/19/2001<br>mcapotos : 10/5/2000<br>mcapotos : 9/29/2000<br>terry : 9/18/2000<br>carol : 6/19/1998<br>terry : 6/16/1998<br>dholmes : 11/21/1997<br>jenny : 11/20/1997<br>mark : 11/19/1997<br>jenny : 11/19/1997<br>terry : 11/17/1997<br>terry : 8/4/1997<br>mark : 11/1/1995<br>mimadm : 2/19/1994<br>supermim : 3/17/1992<br>carol : 3/3/1992<br>carol : 1/16/1992<br>carol : 11/14/1991
</span>
</div>
</div>
</div>
<div>
<br />
</div>
</div>
</div>
</div>
</div>
<div id="mimFooter">
<div class="container ">
<div class="row">
<br />
<br />
</div>
</div>
<div class="hidden-print mim-footer">
<div class="container">
<div class="row">
<p />
</div>
<div class="row text-center small">
NOTE: OMIM is intended for use primarily by physicians and other professionals concerned with genetic disorders, by genetics researchers,
and by advanced students in science and medicine. While the OMIM database is open to the public, users seeking information about a personal
medical or genetic condition are urged to consult with a qualified physician for diagnosis and for answers to personal questions.
<br />
OMIM<sup>&reg;</sup> and Online Mendelian Inheritance in Man<sup>&reg;</sup> are registered trademarks of the Johns Hopkins University.
<br />
Copyright<sup>&reg;</sup> 1966-2025 Johns Hopkins University.
</div>
</div>
</div>
<div class="visible-print-block mim-footer" style="position: relative;">
<div class="container">
<div class="row">
<p />
</div>
<div class="row text-center small">
NOTE: OMIM is intended for use primarily by physicians and other professionals concerned with genetic disorders, by genetics researchers,
and by advanced students in science and medicine. While the OMIM database is open to the public, users seeking information about a personal
medical or genetic condition are urged to consult with a qualified physician for diagnosis and for answers to personal questions.
<br />
OMIM<sup>&reg;</sup> and Online Mendelian Inheritance in Man<sup>&reg;</sup> are registered trademarks of the Johns Hopkins University.
<br />
Copyright<sup>&reg;</sup> 1966-2025 Johns Hopkins University.
<br />
Printed: March 5, 2025
</div>
</div>
</div>
</div>
<div class="modal fade" id="mimDonationPopupModal" tabindex="-1" role="dialog" aria-labelledby="mimDonationPopupModalTitle">
<div class="modal-dialog" role="document">
<div class="modal-content">
<div class="modal-header">
<button type="button" id="mimDonationPopupCancel" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">&times;</span></button>
<h4 class="modal-title" id="mimDonationPopupModalTitle">
OMIM Donation:
</h4>
</div>
<div class="modal-body">
<div class="row">
<div class="col-lg-offset-1 col-md-offset-1 col-sm-offset-1 col-xs-offset-1 col-lg-10 col-md-10 col-sm-10 col-xs-10">
<p>
Dear OMIM User,
</p>
</div>
</div>
<div class="row">
<div class="col-lg-offset-1 col-md-offset-1 col-sm-offset-1 col-xs-offset-1 col-lg-10 col-md-10 col-sm-10 col-xs-10">
<p>
To ensure long-term funding for the OMIM project, we have diversified
our revenue stream. We are determined to keep this website freely
accessible. Unfortunately, it is not free to produce. Expert curators
review the literature and organize it to facilitate your work. Over 90%
of the OMIM's operating expenses go to salary support for MD and PhD
science writers and biocurators. Please join your colleagues by making a
donation now and again in the future. Donations are an important
component of our efforts to ensure long-term funding to provide you the
information that you need at your fingertips.
</p>
</div>
</div>
<div class="row">
<div class="col-lg-offset-1 col-md-offset-1 col-sm-offset-1 col-xs-offset-1 col-lg-10 col-md-10 col-sm-10 col-xs-10">
<p>
Thank you in advance for your generous support, <br />
Ada Hamosh, MD, MPH <br />
Scientific Director, OMIM <br />
</p>
</div>
</div>
</div>
<div class="modal-footer">
<button type="button" id="mimDonationPopupDonate" class="btn btn-success btn-block" data-dismiss="modal"> Donate To OMIM! </button>
</div>
</div>
</div>
</div>
</div>
</body>
</html>