É uma doença metabólica em que o corpo acumula ácidos orgânicos, causada pela atividade insuficiente da enzima propionil-Coenzima A carboxilase. Ela se manifesta através de crises perigosas de desequilíbrio metabólico, problemas neurológicos e pode ser complicada por cardiomiopatia (uma doença que afeta o músculo do coração).
Introdução
O que você precisa saber de cara
É uma doença metabólica em que o corpo acumula ácidos orgânicos, causada pela atividade insuficiente da enzima propionil-Coenzima A carboxilase. Ela se manifesta através de crises perigosas de desequilíbrio metabólico, problemas neurológicos e pode ser complicada por cardiomiopatia (uma doença que afeta o músculo do coração).
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<1/50kMuito rara
1/20kRara
1/10kPouco freq.
1/5kIncomum
1/2k
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Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Partes do corpo afetadas
+ 13 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 41 características clínicas mais associadas, ordenadas por frequência.
Linha do tempo da pesquisa
Triagem neonatal (Teste do Pezinho)
A triagem neonatal permite diagnóstico precoce e início imediato do tratamento.
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Genética e causas
O que está alterado no DNA e como passa nas famílias
Genes associados
2 genes identificados com associação a esta condição. Padrão de herança: Autosomal recessive.
This is one of the 2 subunits of the biotin-dependent propionyl-CoA carboxylase (PCC), a mitochondrial enzyme involved in the catabolism of odd chain fatty acids, branched-chain amino acids isoleucine, threonine, methionine, and valine and other metabolites (PubMed:6765947, PubMed:8434582). Propionyl-CoA carboxylase catalyzes the carboxylation of propionyl-CoA/propanoyl-CoA to D-methylmalonyl-CoA/(S)-methylmalonyl-CoA (PubMed:10101253, PubMed:6765947, PubMed:8434582). Within the holoenzyme, the
Mitochondrion matrix
Propionic acidemia type I
Life-threatening disease characterized by episodic vomiting, lethargy and ketosis, neutropenia, periodic thrombocytopenia, hypogammaglobulinemia, developmental retardation, and intolerance to protein.
This is one of the 2 subunits of the biotin-dependent propionyl-CoA carboxylase (PCC), a mitochondrial enzyme involved in the catabolism of odd chain fatty acids, branched-chain amino acids isoleucine, threonine, methionine, and valine and other metabolites (PubMed:15890657, PubMed:6765947). Propionyl-CoA carboxylase catalyzes the carboxylation of propionyl-CoA/propanoyl-CoA to D-methylmalonyl-CoA/(S)-methylmalonyl-CoA (PubMed:15890657, PubMed:6765947). Within the holoenzyme, the alpha subunit c
Mitochondrion matrix
Propionic acidemia type II
Life-threatening disease characterized by episodic vomiting, lethargy and ketosis, neutropenia, periodic thrombocytopenia, hypogammaglobulinemia, developmental retardation, and intolerance to protein.
Medicamentos e terapias
Mecanismo: Carbamoyl-phosphate synthase [ammonia], mitochondrial positive allosteric modulator
Variantes genéticas (ClinVar)
878 variantes patogênicas registradas no ClinVar.
Classificação de variantes (ClinVar)
Distribuição de 2,694 variantes classificadas pelo ClinVar.
Vias biológicas (Reactome)
4 vias biológicas associadas aos genes desta condição.
Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
Onde tratar no SUS
Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)
🇧🇷 Atendimento SUS — Acidemia propiônica
Centros de Referência SUS
21 centros habilitados pelo SUS para Acidemia propiônica
Centros para Acidemia propiônica
Detalhes dos centros
Hospital Universitário Prof. Edgard Santos (HUPES)
R. Dr. Augusto Viana, s/n - Canela, Salvador - BA, 40110-060 · CNES 0003808
Serviço de Referência
Hospital de Apoio de Brasília (HAB)
AENW 3 Lote A Setor Noroeste - Plano Piloto, Brasília - DF, 70684-831 · CNES 0010456
Serviço de Referência
Hospital Estadual Infantil e Maternidade Alzir Bernardino Alves (HIABA)
Av. Min. Salgado Filho, 918 - Soteco, Vila Velha - ES, 29106-010 · CNES 6631207
Serviço de Referência
Hospital das Clínicas da UFG
Rua 235 QD. 68 Lote Área, Nº 285, s/nº - Setor Leste Universitário, Goiânia - GO, 74605-050 · CNES 2338424
Serviço de Referência
Hospital das Clínicas da UFMG
Av. Prof. Alfredo Balena, 110 - Santa Efigênia, Belo Horizonte - MG, 30130-100 · CNES 2280167
Serviço de Referência
NUPAD / Faculdade de Medicina UFMG
Av. Prof. Alfredo Balena, 189 - 5 andar - Centro, Belo Horizonte - MG, 30130-100 · CNES 2183226
Serviço de Referência
Hospital Universitário João de Barros Barreto
R. dos Mundurucus, 4487 - Guamá, Belém - PA, 66073-000 · CNES 2337878
Serviço de Referência
Hospital de Clínicas da Universidade Federal de Pernambuco
Av. Prof. Moraes Rego, 1235 - Cidade Universitária, Recife - PE, 50670-901 · CNES 2561492
Atenção Especializada
Instituto de Medicina Integral Prof. Fernando Figueira (IMIP)
R. dos Coelhos, 300 - Boa Vista, Recife - PE, 50070-902 · CNES 0000647
Serviço de Referência
Hospital de Clínicas da UFPR
R. Gen. Carneiro, 181 - Alto da Glória, Curitiba - PR, 80060-900 · CNES 2364980
Serviço de Referência
Hospital Universitário Pedro Ernesto (HUPE-UERJ)
Blvd. 28 de Setembro, 77 - Vila Isabel, Rio de Janeiro - RJ, 20551-030 · CNES 2280221
Serviço de Referência
Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF/Fiocruz)
Av. Rui Barbosa, 716 - Flamengo, Rio de Janeiro - RJ, 22250-020 · CNES 2269988
Serviço de Referência
Hospital Universitário Onofre Lopes (HUOL)
Av. Nilo Peçanha, 620 - Petrópolis, Natal - RN, 59012-300 · CNES 2408570
Atenção Especializada
Hospital São Lucas da PUCRS
Av. Ipiranga, 6690 - Jardim Botânico, Porto Alegre - RS, 90610-000 · CNES 2232928
Serviço de Referência
Hospital de Clínicas de Porto Alegre (HCPA)
Rua Ramiro Barcelos, 2350 Bloco A - Av. Protásio Alves, 211 - Bloco B e C - Santa Cecília, Porto Alegre - RS, 90035-903 · CNES 2237601
Serviço de Referência
Hospital Universitário da UFSC (HU-UFSC)
R. Profa. Maria Flora Pausewang - Trindade, Florianópolis - SC, 88036-800 · CNES 2560356
Serviço de Referência
Hospital das Clínicas da FMUSP
R. Dr. Ovídio Pires de Campos, 225 - Cerqueira César, São Paulo - SP, 05403-010 · CNES 2077485
Serviço de Referência
Hospital de Clínicas da UNICAMP
R. Vital Brasil, 251 - Cidade Universitária, Campinas - SP, 13083-888 · CNES 2748223
Serviço de Referência
Hospital de Clínicas de Ribeirão Preto (HCRP-USP)
R. Ten. Catão Roxo, 3900 - Vila Monte Alegre, Ribeirão Preto - SP, 14015-010 · CNES 2082187
Serviço de Referência
Instituto da Criança e do Adolescente (ICr-HCFMUSP)
Av. Dr. Enéas Carvalho de Aguiar, 647 - Cerqueira César, São Paulo - SP, 05403-000 · CNES 2081695
Serviço de Referência
UNIFESP / Hospital São Paulo
R. Napoleão de Barros, 715 - Vila Clementino, São Paulo - SP, 04024-002 · CNES 2688689
Serviço de Referência
Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.
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Publicações mais relevantes
Generation of an isogenic human induced pluripotent stem cell line with a mutant propionyl-CoA carboxylase α subunit.
Propionic acidemia (PA) is a rare autosomal recessive metabolic disorder caused by defects in propionyl-CoA carboxylase (PCC), a mitochondrial enzyme composed of six alpha (PCCA) and six beta (PCCB) subunits. Mutations in PCCA/PCCB genes disrupt PCC function, leading to toxic metabolite accumulation and clinical manifestations. Current research is limited by inadequate patient-derived cellular models and ethical constraints in sample acquisition. Using CRISPR/Cas9-mediated gene editing, we established an isogenic human induced pluripotent stem cell (iPSC) line carrying the PCCA c.2002G> A mutation. The mutant iPSCs were further subjected to directed cardiac differentiation. Characteristic metabolites in the iPSC-derived cardiomyocytes (iPSC-CMs) culture medium were analyzed via untargeted metabolomics, and contractile function was assessed by video-based motion analysis under propionate challenge. The mutant iPSCs showed sustained expression of pluripotency markers (OCT4, NANOG, SOX-2), maintained normal karyotype (46, XY), and retained trilineage differentiation capacity. Functional characterization demonstrated significantly reduced PCC enzyme activity, accurately modeling PA metabolic pathology. Furthermore, the mutant iPSCs successfully differentiated into cardiomyocytes and exhibited a PA-specific metabolic profile, including significantly elevated propionylcarnitine levels. Upon propionate treatment (2.5 mM), the contractile function of mutant iPSC-CMs was significantly impaired, whereas wild-type iPSC-CMs showed the opposite response with enhanced contraction. This isogenic iPSC line provides an ethically unconstrained platform to investigate PA molecular mechanisms and genotype-phenotype relationships. The model enables systematic drug screening and therapeutic development while overcoming patient sample limitations.
Liver transplantation for propionic acidemia: Survival and metabolic outcomes.
Propionic acidemia (PA) is a severe metabolic disorder that leads to multiorgan damage despite comprehensive management. Liver transplantation (LT), particularly living donor liver transplantation, has been proposed as an effective treatment, but evidence from large-scale studies is limited. This retrospective study analyzed clinical outcomes of 39 children with PA who underwent LT at Shanghai Ren Ji Hospital between September 2017 and October 2023. The data included demographics, surgical details, biochemical/metabolic markers, and progression of symptoms. Patients were grouped based on the Diagnosis-to-Transplant Interval (<20 vs. ≥20 mo) for comparative analysis. Among 39 patients, 38 (97.4%) underwent living donor liver transplantation, and 1 received split LT. At 6 months after transplant, significant reductions were observed in propionylcarnitine/acetylcarnitine ratio (1.4 to 0.8, p=0.01), urinary methylcitrate (35.4 to 15.2, p=0.03), and 3-hydroxypropionic acid (198.8 to 6.8, p=0.02). Symptoms such as gross motor delay, metabolic acidosis, hyperammonemia, and feeding difficulties significantly improved (all p<0.001). The 5-year patient and graft survival rates were 97.4%. Short Diagnosis-to-Transplant Interval time (<20 mo) and long Diagnosis-to-Transplant Interval time (≥20 mo) also affected the results of specific PA clinical problems before and after transplantation. This single-center study on PA transplantation suggests that LT, especially living donor liver transplantation, effectively reduces metabolic waste, promotes metabolic stability, and enhances quality of life in pediatric patients with PA. LT represents an effective therapeutic option for patients with metabolic instability.
H4K16 acylations destabilize chromatin architecture and facilitate transcriptional response during metabolic perturbations.
Histone modifications play crucial roles in genome function. However, how chromatin integrates physiological and metabolic responses at the molecular level remains largely unknown. Acetylation of histone H4 lysine 16 (H4K16ac) is unique, as it directly regulates chromatin architecture. Here, we investigated the roles of two additional H4K16 short-chain acylations, propionylation (H4K16pr) and butyrylation (H4K16bu), in chromatin architecture and transcriptional regulation. We demonstrate distinct in vitro effects of H4K16 acylations on chromatin structure, including inter- and intra-nucleosomal interactions. Utilizing a mouse model of the metabolic disease propionic acidemia, we reveal a transcriptional response concomitant with changes in H4K16 acylations in vivo. Our work suggests the importance of simultaneous action of histone acylations for transcriptional robustness through effects on nucleosomal interactions. We propose that this mode of action distinguishes H4K16 acylations from other modifications that also differ by one carbon, such as methylations.
Nutritional Management in Severe Methylmalonic and Propionic Acidemias: How Much Medical Food Is Too Much?
Methylmalonic acidemia (MMA) and propionic acidemia (PA) are inherited metabolic disorders affecting valine and isoleucine catabolism. Long-term therapy mainly involves dietary protein restriction. An amino acid mixture (AAM, medical food) free of the precursor amino acids is frequently used, especially when protein intake does not reach World Health Organization (WHO) recommendations. However, its clinical impact on disease control and patient outcomes remains unclear. Our study aimed to retrospectively review the dietary prescriptions in a cohort of vitamin B12-unresponsive MMA and PA patients and to analyze their impact on clinical and laboratory parameters. Clinical data, anthropometric measurements and dietary prescriptions were collected from the patients' medical and dietary files. We included 71 patients (38 MMA and 33 PA). Fifty-nine percent of the patients' dietary prescriptions did not reach the safe WHO-recommended daily total protein intake. Among these, 28% included AAM supplementation versus 62% in the group of patients that met the WHO recommendations (p < 0.001). AAM was associated with a decrease in mean plasma concentrations of isoleucine and valine. These plasma amino acid concentrations were corrected by isoleucine and valine supplementation; however, leucine/isoleucine and leucine/valine ratios remained elevated in comparison to patients without AAM. Nutritional and clinical scores were worsened by AAM supplementation. We found that MMA/PA patients receiving AAM tend to have altered plasma amino acid concentrations, raising concerns about potential long-term deleterious consequences of AAM. We recommend prioritizing natural protein intake over AAM when possible, and if not, to carefully monitor and moderately supplement valine and isoleucine to prevent deficiencies.
Characterizing the frequency of clinical events and assessing biomarkers in propionic acidemia: a natural history study.
Publicações recentes
[Application of percutaneous endoscopic gastrostomy in children with methylmalonic acidemia or propionic acidemia complicated by feeding difficulties: a case series of 7 patients].
📖 RevisãoAlterations in gut microbiota composition in children with methylmalonic acidemia, propionic acidemia, and maple syrup urine disease.
Characterizing the frequency of clinical events and assessing biomarkers in propionic acidemia: a natural history study.
📖 RevisãoIdentification of novel compound heterozygote variants in the PCCB gene in a fetus with undetectable fetal phenotype.
Global Longitudinal Strain Alteration of the Left Ventricle in Children with Organic Aciduria: Cardiac Disease in Organic Aciduria.
📚 EuropePMC452 artigos no totalmostrando 198
Alterations in gut microbiota composition in children with methylmalonic acidemia, propionic acidemia, and maple syrup urine disease.
European journal of clinical nutritionCharacterizing the frequency of clinical events and assessing biomarkers in propionic acidemia: a natural history study.
Orphanet journal of rare diseasesIdentification of novel compound heterozygote variants in the PCCB gene in a fetus with undetectable fetal phenotype.
BMC medical genomicsGlobal Longitudinal Strain Alteration of the Left Ventricle in Children with Organic Aciduria: Cardiac Disease in Organic Aciduria.
Journal of clinical medicineCoexistence of Propionic Acidemia and Infantile Hypertrophic Pyloric Stenosis.
Indian journal of pediatricsMitochondrial Dysfunction in Propionic Acidemia: A Case-Report and Review of the Literature.
JIMD reportsNatural Protein-Restricted Diets and Their Impact on Linear Growth in Patients with Propionic and Methylmalonic Acidemia: A Systematic Review.
Journal of personalized medicineGeneration of an isogenic human induced pluripotent stem cell line with a mutant propionyl-CoA carboxylase α subunit.
Orphanet journal of rare diseasesToo Early to Tell? Balancing Diagnostic Accuracy of Newborn Screening for Propionic Acidemia Versus a Timely Referral.
International journal of neonatal screeningHeart and heart-liver transplantation in Amish patients with propionic acidemia.
Nutrition, metabolism, and cardiovascular diseases : NMCDLiver transplantation for propionic acidemia: Survival and metabolic outcomes.
Hepatology communicationsReversing Acute Cardiomyopathy With Coenzyme Q10 Supplementation in Cobalamin B Disease: A Case Report and Literature Review.
JIMD reportsIncidence of Organic Acid Disorders in 13 Million Chinese Newborns: A Systematic Review and Meta-Analysis.
International journal of neonatal screeningExpanded Newborn Screening for Inborn Errors of Metabolism at a Single Center in Louisiana (2005-2024): Outcomes.
International journal of neonatal screeningH4K16 acylations destabilize chromatin architecture and facilitate transcriptional response during metabolic perturbations.
Molecular cellEvaluation of dietary management and monitoring practices in pharmaceutical clinical trials for inborn errors of metabolism.
Nutrition (Burbank, Los Angeles County, Calif.)Nutritional Management in Severe Methylmalonic and Propionic Acidemias: How Much Medical Food Is Too Much?
Journal of inherited metabolic diseaseNutritional management of metabolic disorders in neonates and infants in Saudi Arabia: consensus recommendations.
Orphanet journal of rare diseasesPropionic acidemia and methylmalonic aciduria: A portrait of the first 3 years-Admissions and complications.
Molecular genetics and metabolismInfantile Spasms in Inborn Errors of Metabolism: Diagnostic and Therapeutic Considerations.
Journal of child neurologyNanoscale conformational dynamics of human propionyl-CoA carboxylase.
Structure (London, England : 1993)Propionic Acidemia: Gray Matter Disease Meets Subcortical Leukodystrophy.
Journal of inherited metabolic diseaseTransforming Growth Factor-β-Mediated Fibrotic Remodeling Drives Chronic Kidney Disease in Methylmalonic Aciduria and Propionic Aciduria-Identification of a New Therapeutic Target.
Journal of inherited metabolic diseaseImprovement of propionic acidemia-associated dilated cardiomyopathy through nutritional adjustment and heart failure medication: A case report.
Journal of cardiology casesToxic Storm Defused: Successful Use of Plasmapheresis and Continuous Renal Replacement Therapy in Propionic Acidemia.
Klinische PadiatrieVentricular Fibrillation and Cardiomyopathy in Propionic Acidemia: A Rare Metabolic Red Flag in Young Adults.
JACC. Case reportsThe Role of Cellular Stress, Antioxidant System Response, Mitochondrial Function, and Metabolic Alterations in the Pathophysiology of Propionic Acidemia: A Systematic Review.
Journal of cellular physiologyTargeting pantothenate kinases in human diseases: Biochemistry and pharmacotherapy.
Biochemical pharmacology[Sequential therapy with carglumic acid in three cases of organic acidemia crisis].
Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatricsClinical burden of propionic acidemia in the United States: a claims-based study by age stratum.
Orphanet journal of rare diseasesEvaluating the Humoral Immune Response to Sinovac-Coronavac in a Pediatric Patient with Propionic Acidemia: A Case Study.
Turkish archives of pediatricsMetabolic rerouting of valine and isoleucine oxidation increases survival in zebrafish models of disorders of propionyl-CoA metabolism.
Human molecular geneticsEconomic burden of propionic acidemia in the United States: a claims-based study.
Orphanet journal of rare diseasesC4OH-carnitine: an important marker of ketosis in patients with and without inborn errors of metabolism.
Molecular genetics and metabolismOxidative stress in branched-chain organic acidemias using thiol-disulfide homeostasis.
Journal of pediatric endocrinology & metabolism : JPEMAuthor's Reply to Perera et al.: A Commentary on "An Early Cost-Utility Model of mRNA-Based Therapies for the Treatment of Methylmalonic and Propionic Acidemia in the United Kingdom".
Clinical drug investigationNewborn screening for neuro-metabolic disorders: Strategies, clinical benefits, and prerequisites for program expansion.
European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology SocietyMetabolic decompensation events among patients with propionic acidemia across the US: A large electronic medical record data study.
Molecular genetics and metabolismPropionic Acidemia-Induced Proarrhythmic Electrophysiological Alterations in Human iPSC-Derived Cardiomyocytes.
Journal of inherited metabolic diseaseElevated propionate and its association with neurological dysfunctions in propionic acidemia.
Frontiers in molecular neuroscienceMetabolic flux analysis in hiPSC-CMs reveals insights into cardiac dysfunction in propionic acidemia.
Cellular and molecular life sciences : CMLSEye closure sensitivity and related EEG findings: Persistence rates and classification of epilepsy syndromes by the International League Against Epilepsy.
Epileptic disorders : international epilepsy journal with videotapeAn atypical presentation in a child with propionic acidemia? Better think twice!
JIMD reportsShort and Long-Term Outcomes of Liver Transplantation in Pediatric Patients With Inborn Errors of Metabolism: A Single-Center Study.
Pediatric transplantationSix Chinese patients with propionic acidemia: from asymptomatic to death in the neonatal period.
Orphanet journal of rare diseasesNovel CRISPR-Cas9 iPSC knockouts for PCCA and PCCB genes: advancing propionic acidemia research.
Human cellAdeno-Associated Virus Gene Therapy Development: Early Planning and Regulatory Considerations to Advance the Platform Vector Gene Therapy Program.
Human gene therapyMetabolic flux analysis in hiPSC-CMs reveals insights into cardiac dysfunction in propionic acidemia Eva Richard.
Research squareClinical and laboratory characteristics of propionic acidemia in a Turkish cohort.
Journal of pediatric endocrinology & metabolism : JPEMBreath biopsy in inborn errors of metabolism: A proof-of-principle study in propionic acidemia.
Molecular genetics and metabolismAcrodermatitis dysmetabolica: lessons from two pediatric cases.
Journal of pediatric endocrinology & metabolism : JPEMRole of carglumic acid in the long-term management of propionic and methylmalonic acidurias.
Orphanet journal of rare diseasesRenal phenotyping in a hypomorphic murine model of propionic aciduria reveals common pathomechanisms in organic acidurias.
Scientific reportsPropionic Acidemia diagnosed in Amish adults and pregnancy outcomes: A case series.
Molecular genetics and metabolism reportsA Case of Cardiogenic Shock due to Propionic Acidemia-Associated Cardiomyopathy Successfully Treated with a Combination of Mechanical Circulatory Support and Medical Therapy.
International heart journalNeurodegenerative biomarkers and inflammation in patients with propionic and methylmalonic acidemias: effect of L-carnitine treatment.
Metabolic brain diseaseThe Impact of Early Indication of Living Donor Liver Transplantation on the Outcomes of Patients With Propionic Acidemia: A Single-Center Experience.
Pediatric transplantationPropionic Acidemia in a Neonate: The Clues to Early Identification.
Annals of Indian Academy of NeurologyCombined Heart and Liver Transplantation in Delayed-Onset Propionic Acidemia.
ACG case reports journalEvidence That Long-Term Treatment Prevents Tissue Oxidative Damage in Patients With Inherited Disorders of the Propionate Pathway.
American journal of medical genetics. Part ABackbone assignments of the biotin carboxyl carrier protein domain of Propionyl CoA carboxylase of Leishmania major and its interaction with its cognate Biotin protein ligase.
Biomolecular NMR assignmentsDevelopment of a signs and symptoms outcome measure for caregivers of patients with methylmalonic acidemia and propionic acidemia (MMAPAQ).
Molecular genetics and metabolismUnusual Presentation of Propionic Acidemia Mimicking Botulism in an Infant: A Case Report and Literature Review.
CureusGenetic disease amongst the Plain community.
Current opinion in pediatrics[Epilepsy and inborn errors of metabolism].
Revista de neurologiaPropionic Acidemia, Methylmalonic Acidemia, and Cobalamin C Deficiency: Comparison of Untargeted Metabolomic Profiles.
MetabolitesPropionyl-CoA metabolism links chromatin acylation to cardiac transcription.
Nature cardiovascular researchDevelopment of Brain Penetrant Pyridazine Pantothenate Kinase Activators.
Journal of medicinal chemistryBiochemical Pattern of Methylmalonyl-CoA Epimerase Deficiency Identified in Newborn Screening: A Case Report.
International journal of neonatal screeningThe attenuated hepatic clearance of propionate increases cardiac oxidative stress in propionic acidemia.
Basic research in cardiologyThe utility of methylmalonic acid, methylcitrate acid, and homocysteine in dried blood spots for therapeutic monitoring of three inherited metabolic diseases.
Frontiers in nutritionHypogammaglobulinemia Class G Is Present in Compensated and Decompensated Patients with Propionate Defects, Independent of Their Nutritional Status.
NutrientsSurvival of propionic acidemia patients with liver transplant.
Molecular genetics and metabolism reportsFasting alleviates metabolic alterations in mice with propionyl-CoA carboxylase deficiency due to Pcca mutation.
Communications biologyAn Early Cost-Utility Model of mRNA-Based Therapies for the Treatment of Methylmalonic and Propionic Acidemia in the United Kingdom.
Clinical drug investigationNMR Spectroscopy in Diagnosis and Monitoring of Methylmalonic and Propionic Acidemias.
BiomoleculesAminotransferase trends in propionic acidemia.
American journal of medical genetics. Part ACharacterizing the mechanism of action for mRNA therapeutics for the treatment of propionic acidemia, methylmalonic acidemia, and phenylketonuria.
Nature communicationsInterim analyses of a first-in-human phase 1/2 mRNA trial for propionic acidaemia.
NaturemRNA drug offers hope for treating a devastating childhood disease.
NatureOutcomes after newborn screening for propionic and methylmalonic acidemia and homocystinurias.
Journal of inherited metabolic diseaseEstablishment of a non-integrated iPSC line (SDQLCHi043-A) from a male infant with propionic acidemia carrying compound heterozygote mutations in PCCB gene.
Stem cell researchCoexistence of Two Rare Conditions Complicating the Other's Management: Propionic Acidemia and Apert Syndrome.
Molecular syndromologyRegulating PCCA gene expression by modulation of pseudoexon splicing patterns to rescue enzyme activity in propionic acidemia.
Molecular therapy. Nucleic acidsIntellectual disability and autism in propionic acidemia: a biomarker-behavioral investigation implicating dysregulated mitochondrial biology.
Molecular psychiatryReal-World Experience of Carglumic Acid for Methylmalonic and Propionic Acidurias: An Interim Analysis of the Multicentre Observational PROTECT Study.
Drugs in R&DPropionic Acidemia, Cardiomyopathies, and Arrhythmias.
Journal of clinical practice and researchValidity and reliability of the MetabQoL 1.0 and assessment of neuropsychiatric burden in organic acidemias: Reflections from Turkey.
Molecular genetics and metabolismFunctional analysis of novel variants identified in cis in the PCCB gene in a patient with propionic acidemia.
GeneA common benign intronic deletion masking a pathogenic deep intronic PCCB variant - genome sequencing and RNA studies to the rescue.
Molecular genetics and metabolismEvaluating renin and aldosterone levels in children with organic acidemia-therapeutic experience with fludrocortisone.
European journal of pediatricsSystemic gene therapy using an AAV44.9 vector rescues a neonatal lethal mouse model of propionic acidemia.
Molecular therapy. Methods & clinical developmentRetrospective study of propionic acidemia using natural language processing in Mayo Clinic electronic health record data.
Molecular genetics and metabolismPrevalence of propionic acidemia in China.
Orphanet journal of rare diseasesDomino liver transplantation for maple syrup urine disease in children: A single-center case series.
Pediatric transplantationCollaborative evaluation study on 18 candidate diseases for newborn screening in 1.77 million samples.
Journal of inherited metabolic diseaseCombined Newborn Screening Allows Comprehensive Identification also of Attenuated Phenotypes for Methylmalonic Acidurias and Homocystinuria.
NutrientsGene therapy for organic acidemias: Lessons learned from methylmalonic and propionic acidemia.
Journal of inherited metabolic diseasePathophysiological mechanisms of complications associated with propionic acidemia.
Pharmacology & therapeutics[Research progress on the prognosis of patients with various types of Methylmalonic acidemia].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsAcyl-CoA dehydrogenase substrate promiscuity: Challenges and opportunities for development of substrate reduction therapy in disorders of valine and isoleucine metabolism.
Journal of inherited metabolic diseaseChallenges and strategies for clinical trials in propionic and methylmalonic acidemias.
Molecular genetics and metabolismIdentification and characterization of the largest deletion in the PCCA gene causing severe acute early-onset form of propionic acidemia.
Molecular genetics and genomics : MGGApplication of machine learning tools and integrated OMICS for screening and diagnosis of inborn errors of metabolism.
Metabolomics : Official journal of the Metabolomic SocietyCryoEM reveals oligomeric isomers of a multienzyme complex and assembly mechanics.
Journal of structural biology: XUnderstanding the Pathogenesis of Cardiac Complications in Patients with Propionic Acidemia and Exploring Therapeutic Alternatives for Those Who Are Not Eligible or Are Waiting for Liver Transplantation.
MetabolitesNewborn Screening Conditions: Early Intervention and Probability of Developmental Delay.
Journal of developmental and behavioral pediatrics : JDBPNew insights into the pathophysiology of methylmalonic acidemia.
Journal of inherited metabolic diseaseSafety, efficacy, and timing of transplantation(s) in propionic and methylmalonic aciduria.
Journal of inherited metabolic disease[A case of late-onset propionic acidemia with isolated dilated cardiomyopathy].
Zhonghua er ke za zhi = Chinese journal of pediatricsA Deadly Case of Dehydration: Organic Acidemias in the Emergency Department.
The Journal of emergency medicineDesign and Outcomes of a Novel Multidisciplinary Ophthalmic Genetics Clinic.
GenesSARS-CoV-2 BA.2 (Omicron) variant infection in pediatric liver transplanted recipients and cohabitants during 2022 Shanghai outbreak: a prospective cohort.
Virology journalDysregulated Cell Homeostasis and miRNAs in Human iPSC-Derived Cardiomyocytes from a Propionic Acidemia Patient with Cardiomyopathy.
International journal of molecular sciencesDevelopment of a Universal Second-Tier Newborn Screening LC-MS/MS Method for Amino Acids, Lysophosphatidylcholines, and Organic Acids.
Analytical chemistryCombined heart and liver transplantation in a patient supported by left ventricular assist device (LVAD) with propionic acidemia.
Nutrition, metabolism, and cardiovascular diseases : NMCDSuccessfully Navigating Food and Drug Administration Orphan Drug and Rare Pediatric Disease Designations for AAV9-hPCCA Gene Therapy: The National Institutes of Health Platform Vector Gene Therapy Experience.
Human gene therapyEvaluation of Right Ventricular Function in Patients with Propionic Acidemia-A Cross-Sectional Study.
Children (Basel, Switzerland)Newborn screening for inborn errors of metabolism in a northern Chinese population.
Journal of pediatric endocrinology & metabolism : JPEMNeuropsychological endpoints for clinical trials in methylmalonic acidemia and propionic acidemia: A pilot study.
Molecular genetics and metabolism reportsVitamin B12 Deficiency (Un-)Detected Using Newborn Screening in Norway.
International journal of neonatal screeningCase report: A unusual case of delayed propionic acidemia complicated with subdural hematoma.
Frontiers in neurologyHow guideline development has informed clinical research for organic acidurias (et vice versa).
Journal of inherited metabolic diseaseTranslational Pharmacokinetic/Pharmacodynamic Model for mRNA-3927, an Investigational Therapeutic for the Treatment of Propionic Acidemia.
Nucleic acid therapeuticsRapid Targeted Sequencing Using Dried Blood Spot Samples for Patients With Suspected Actionable Genetic Diseases.
Annals of laboratory medicineSolid organ transplantation in methylmalonic acidemia and propionic acidemia: A points to consider statement of the American College of Medical Genetics and Genomics (ACMG).
Genetics in medicine : official journal of the American College of Medical GeneticsRare disease therapeutics: The future of medical genetics in a changing landscape.
Genetics in medicine : official journal of the American College of Medical GeneticsDetection of early cardiac disease manifestation in propionic acidemia - Results of a monocentric cross-sectional study.
Molecular genetics and metabolismNatural history of propionic acidemia in the Amish population.
Molecular genetics and metabolism reportsRecent tPA administration can cause pseudo-hyperargininemia and may mimic arginase deficiency or arginine supplementation.
JIMD reportsAltered gut microbiome diversity and function in patients with propionic acidemia.
Molecular genetics and metabolismRelief of CoA sequestration and restoration of mitochondrial function in a mouse model of propionic acidemia.
Journal of inherited metabolic diseaseDevelopment of simple and effective PCR based assay to detect PCCA mutation (c.425G > A) among Saudi carriers and functional study of the homozygous PCCA mutations.
Saudi journal of biological sciencesA Rare Case of Propionic Acidemia in a Six Months Female Child.
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP[Phenotypes and genotypes of 78 patients with propionic acidemia].
Zhonghua yu fang yi xue za zhi [Chinese journal of preventive medicine]Organic acidemias in the neonatal period: 30 years of experience in a referral center for inborn errors of metabolism.
Journal of pediatric endocrinology & metabolism : JPEMIdentification of potential interferents of methylmalonic acid: A previously unrecognized pitfall in clinical diagnostics and newborn screening.
Clinical biochemistryPropionic acidemia: a rare cause of dilated cardiomyopathy and long QT syndrome.
Revista espanola de cardiologia (English ed.)Newborn screening for propionic, methylmalonic acidemia and vitamin B12 deficiency. Analysis of 588,793 newborns.
Journal of pediatric endocrinology & metabolism : JPEMVentricular Arrhythmias in a Patient With Propionic Acidemia.
CureusNeuropathological report of propionic acidemia.
Neuropathology : official journal of the Japanese Society of NeuropathologyO-GlcNAcylation enhances CPS1 catalytic efficiency for ammonia and promotes ureagenesis.
Nature communicationsPlasma CoQ10 Status in Patients with Propionic Acidaemia and Possible Benefit of Treatment with Ubiquinol.
Antioxidants (Basel, Switzerland)Long-term use of carglumic acid in methylmalonic aciduria, propionic aciduria and isovaleric aciduria in Italy: a qualitative survey.
European review for medical and pharmacological sciencesDisruption of mitochondrial functions involving mitochondrial permeability transition pore opening caused by maleic acid in rat kidney.
Journal of bioenergetics and biomembranesUpdate on breastfeeding in newborns with inborn errors of intermediary metabolism.
Boletin medico del Hospital Infantil de Mexico[Differential diagnosis of a Chinese pedigree with methylmalonic acidemia by next-generation sequencing].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsMetabolomics-based safety evaluation of acute exposure to electronic cigarettes in mice.
The Science of the total environment[Disease spectrum analysis of children with inherited metabolic diseases detected by gas chromatography-mass spectrometry of urinary organic acids].
Zhonghua er ke za zhi = Chinese journal of pediatricsDevelopment, validation, and uncertainty measurement of HPLC-DAD method for determination of some free amino acids in infant formula and medical food products for inborn errors of metabolism.
Food chemistryClinical diagnosis of metabolic disorders using untargeted metabolomic profiling and disease-specific networks learned from profiling data.
Scientific reportsImmunological Memory and Affinity Maturation After Vaccination in Patients With Propionic Acidemia.
Frontiers in immunologyCase Report: Novel Mutations in the PCCB Gene Causing Late-Onset Propionic Acidemia.
Frontiers in geneticsAnalysis of the relationship between phenotypes and genotypes in 60 Chinese patients with propionic acidemia: a fourteen-year experience at a tertiary hospital.
Orphanet journal of rare diseasesNovel compound heterozygous variants in the PCCB gene causing adult-onset propionic acidemia presenting with neuropsychiatric symptoms: a case report and literature review.
BMC medical genomicsDiagnosis of inborn errors of metabolism within the expanded newborn screening in the Madrid region.
JIMD reportsThe markers of the organic acidemias and their ratios in healthy neonates in Serbian population.
Drug metabolism and personalized therapyScreening for Methylmalonic and Propionic Acidemia: Clinical Outcomes and Follow-Up Recommendations.
International journal of neonatal screeningTherapeutic potential of living donor liver transplantation from heterozygous carrier donors in children with propionic acidemia.
Orphanet journal of rare diseasesThe re-occurrence of dilated cardiomyopathy in propionic acidemia after liver transplantation requiring heart transplant, first case from Middle East.
Cardiology in the youngInterorgan amino acid interchange in propionic acidemia: the missing key to understanding its physiopathology.
Amino acidsInborn error of metabolism patients after liver transplantation: Outcomes of 35 patients over 27 years in one pediatric quaternary hospital.
American journal of medical genetics. Part ABiomarkers for drug development in propionic and methylmalonic acidemias.
Journal of inherited metabolic diseaseAn investigation of different intracellular parameters for Inborn Errors of Metabolism: Cellular stress, antioxidant response and autophagy.
Free radical biology & medicineDetermining ideal balance among branched-chain amino acids in medical formula for Propionic Acidemia: A proof of concept study in healthy children.
Molecular genetics and metabolismAssessing Gut Microbiota in an Infant with Congenital Propionic Acidemia before and after Probiotic Supplementation.
MicroorganismsFully Automated Quantitative Measurement of Serum Organic Acids via LC-MS/MS for the Diagnosis of Organic Acidemias: Establishment of an Automation System and a Proof-of-Concept Validation.
Diagnostics (Basel, Switzerland)Propionic acidemia in mice: Liver acyl-CoA levels and clinical course.
Molecular genetics and metabolismTransient Insulin Resistance in Propionic Acidaemia: Knowing is half the battle.
Sultan Qaboos University medical journalAltered immune response in organic acidemia.
Pediatrics international : official journal of the Japan Pediatric SocietySelective screening for inborn errors of metabolism by tandem mass spectrometry at Sohag University Hospital, Egypt.
Archives de pediatrie : organe officiel de la Societe francaise de pediatrieFunctional neurologic disorders in an adult with propionic acidemia: a case report.
BMC psychiatryLong QT as a first sign for propionic acidemia in a 10-year-old girl.
Pediatrics international : official journal of the Japan Pediatric SocietyWhole-genome amplification/preimplantation genetic testing for propionic acidemia of successful pregnancy in an obligate carrier Mexican couple: A case report.
World journal of clinical casesAnesthetic Management of Children With Propionic Acidemia Undergoing Esophagogastroduodenoscopy.
CureusNovel mutation causing propionic acidemia associated with unexplained autoimmune thyrotoxicosis.
Molecular genetics and metabolism reportsMetabolic perturbations mediated by propionyl-CoA accumulation in organs of mouse model of propionic acidemia.
Molecular genetics and metabolismLong-term effectiveness of carglumic acid in patients with propionic acidemia (PA) and methylmalonic acidemia (MMA): a randomized clinical trial.
Orphanet journal of rare diseasesPantothenate kinase activation relieves coenzyme A sequestration and improves mitochondrial function in mice with propionic acidemia.
Science translational medicineDietary management and growth outcomes in children with propionic acidemia: A natural history study.
JIMD reportsInborn errors of metabolism and coronavirus disease 2019: Evaluation of the metabolic outcome.
Pediatrics international : official journal of the Japan Pediatric SocietyMitochondrial damage in renal epithelial cells is potentiated by protein exposure in propionic aciduria.
Journal of inherited metabolic diseaseCurrent Perspectives on Neonatal Screening for Propionic Acidemia in Japan: An Unexpectedly High Incidence of Patients with Mild Disease Caused by a Common PCCB Variant.
International journal of neonatal screeningNovel vectors and approaches for gene therapy in liver diseases.
JHEP reports : innovation in hepatologyPHKA2 variants expand the phenotype of phosphorylase B kinase deficiency to include patients with ketotic hypoglycemia only.
American journal of medical genetics. Part AOrthopaedic Problems in 35 Patients With Organic Acid Disorders.
Journal of pediatric orthopedicsSeverity modeling of propionic acidemia using clinical and laboratory biomarkers.
Genetics in medicine : official journal of the American College of Medical GeneticsSevere anemia in patients with Propionic acidemia is associated with branched-chain amino acid imbalance.
Orphanet journal of rare diseasesCOVID-19 in a child with severe propionic acidemia.
Pediatrics international : official journal of the Japan Pediatric SocietyAnesthetic Management of a Child With Propionic Acidemia Complicated by Bacteremia and Severe Acute Respiratory Syndrome Coronavirus 2.
Journal of medical casesLong term follow-up of the dietary intake in propionic acidemia.
Molecular genetics and metabolism reportsAnesthetic Management for Pediatric Liver Transplantation in a Patient With Propionic Acidemia: A Case Report.
Journal of investigative medicine high impact case reportsImplementation of second-tier tests in newborn screening for the detection of vitamin B12 related acquired and genetic disorders: results on 258,637 newborns.
Orphanet journal of rare diseasesFunctional Analysis of the PCCA and PCCB Gene Variants Predicted to Affect Splicing.
International journal of molecular sciencesIdentification of 2,2-Dimethylbutanoic Acid (HST5040), a Clinical Development Candidate for the Treatment of Propionic Acidemia and Methylmalonic Acidemia.
Journal of medicinal chemistryNovel variants of the PCCB gene in Chinese patients with propionic acidemia.
Clinica chimica acta; international journal of clinical chemistry[Identification of two novel variants of the PCCB gene in a pedigree affected with propionic acidemia].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsA novel small molecule approach for the treatment of propionic and methylmalonic acidemias.
Molecular genetics and metabolismAssociações
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Referências e fontes
Bases de dados externas citadas neste artigo
Publicações científicas
Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.
- Generation of an isogenic human induced pluripotent stem cell line with a mutant propionyl-CoA carboxylase α subunit.
- Liver transplantation for propionic acidemia: Survival and metabolic outcomes.
- H4K16 acylations destabilize chromatin architecture and facilitate transcriptional response during metabolic perturbations.
- Nutritional Management in Severe Methylmalonic and Propionic Acidemias: How Much Medical Food Is Too Much?
- Characterizing the frequency of clinical events and assessing biomarkers in propionic acidemia: a natural history study.
- [Application of percutaneous endoscopic gastrostomy in children with methylmalonic acidemia or propionic acidemia complicated by feeding difficulties: a case series of 7 patients].
- Alterations in gut microbiota composition in children with methylmalonic acidemia, propionic acidemia, and maple syrup urine disease.
- Identification of novel compound heterozygote variants in the PCCB gene in a fetus with undetectable fetal phenotype.
- Global Longitudinal Strain Alteration of the Left Ventricle in Children with Organic Aciduria: Cardiac Disease in Organic Aciduria.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:35(Orphanet)
- OMIM OMIM:606054(OMIM)
- MONDO:0011628(MONDO)
- GARD:467(GARD (NIH))
- Variantes catalogadas(ClinVar)
- Busca completa no PubMed(PubMed)
- Artigo Wikipedia(Wikipedia)
- Q7250337(Wikidata)
Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.
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