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Déficit de lipoil transferase 1
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Introdução

O que você precisa saber de cara

📋

O ácido lipoico (AL), também conhecido como ácido α-lipoico, ácido alfa-lipoico (ALA) e ácido tióctico, é um composto organossulfurado derivado do ácido caprílico (ácido octanoico). O ALA, que é produzido normalmente em animais, é essencial para o metabolismo aeróbico. Também está disponível como suplemento dietético ou medicamento farmacêutico em alguns países. O lipoato é a base conjugada do ácido lipoico e a forma mais prevalente de AL sob condições fisiológicas. Apenas o enantiômero (R)-(+)-(RLA) existe na natureza. O RLA é um cofator essencial de muitos processos.

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
<1 / 1 000 000
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.0
Worldwide
Casos conhecidos
4
pacientes catalogados
Início
Infancy
+ neonatal
🏥
SUS: Sem cobertura SUSScore: 0%
CID-10: E88.8
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Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

🧠
Neurológico
7 sintomas
🫃
Digestivo
2 sintomas
❤️
Coração
2 sintomas
🫁
Pulmão
1 sintomas
💪
Músculos
1 sintomas

+ 13 sintomas em outras categorias

Características mais comuns

100%prev.
Mielinização atrasada do SNC
Obrigatório (100%)
100%prev.
Atrofia cerebelar
Obrigatório (100%)
100%prev.
Hipotonia
Obrigatório (100%)
100%prev.
Tetraparesia espástica
Obrigatório (100%)
100%prev.
Hiperglutaminúria
Obrigatório (100%)
100%prev.
Hiperglutaminemia
Obrigatório (100%)
26sintomas
Muito frequente (14)
Sem dados (12)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 26 características clínicas mais associadas, ordenadas por frequência.

Mielinização atrasada do SNCDelayed CNS myelination
Obrigatório (100%)100%
Atrofia cerebelarCerebellar atrophy
Obrigatório (100%)100%
HipotoniaHypotonia
Obrigatório (100%)100%
Tetraparesia espásticaSpastic tetraparesis
Obrigatório (100%)100%
HiperglutaminúriaHyperglutaminuria
Obrigatório (100%)100%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2025
Últimos 10 anos32publicações
Pico20246 papers
Linha do tempo
2025Hoje · 2026📈 2024Ano de pico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

1 gene identificado com associação a esta condição. Padrão de herança: Autosomal recessive.

LIPT1Lipoyl amidotransferase LIPT1, mitochondrialDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Lipoyl amidotransferase that catalyzes the transfer of lipoyl moieties from lipoyl-protein H of the glycine cleavage system (lipoyl-GCSH) to E2 subunits of the pyruvate dehydrogenase complex (PDCE2) (PubMed:29987032). Unable to catalyze the transfer of octanoyl from octanoyl-GCSH to PDCE2 (PubMed:29987032). In vitro, it is also able to catalyze the transfer of the lipoyl group from lipoyl-AMP to the specific lysine residue of lipoyl domains of lipoate-dependent enzymes but this reaction may not

LOCALIZAÇÃO

Mitochondrion

VIAS BIOLÓGICAS (1)
Protein lipoylation
MECANISMO DE DOENÇA

Lipoyltransferase 1 deficiency

An autosomal recessive disorder due to a defect in lipoic acid metabolism, resulting in severe lactic acidosis and metabolic decompensation. Variable clinical manifestations include delayed psychomotor development, severe hypotonia, dystonia, loss of head control, coma, bradycardia, and pulmonary hypertension.

VIAS REACTOME (1)
EXPRESSÃO TECIDUAL(Ubíquo)
Testículo
14.5 TPM
Tireoide
11.8 TPM
Baço
11.8 TPM
Ovário
11.5 TPM
Próstata
10.8 TPM
OUTRAS DOENÇAS (1)
lipoyl transferase 1 deficiency
HGNC:29569UniProt:Q9Y234

Variantes genéticas (ClinVar)

39 variantes patogênicas registradas no ClinVar.

🧬 LIPT1: NM_145199.3(LIPT1):c.988A>C (p.Ser330Arg) ()
🧬 LIPT1: NM_145199.3(LIPT1):c.244C>T (p.Gln82Ter) ()
🧬 LIPT1: NM_145199.3(LIPT1):c.368del (p.Lys123fs) ()
🧬 LIPT1: NM_145199.3(LIPT1):c.109A>G (p.Ile37Val) ()
🧬 LIPT1: GRCh37/hg19 2q11.1-11.2(chr2:95773428-102550061)x3 ()
Ver todas no ClinVar

Classificação de variantes (ClinVar)

Distribuição de 17 variantes classificadas pelo ClinVar.

11
4
2
Patogênica (64.7%)
VUS (23.5%)
Benigna (11.8%)
VARIANTES MAIS SIGNIFICATIVAS
LIPT1: NM_145199.3(LIPT1):c.244C>T (p.Gln82Ter) [Likely pathogenic]
LIPT1: NM_145199.3(LIPT1):c.368del (p.Lys123fs) [Conflicting classifications of pathogenicity]
NM_015929.3(LIPT1):c.[131A>G];[875C>G] [Pathogenic]
LIPT1: NM_145199.3(LIPT1):c.131A>G (p.Asn44Ser) [Likely pathogenic]
NM_145199.2(LIPT1):c.[806G>A];[980T>G] [Pathogenic]

Vias biológicas (Reactome)

1 via biológica associada aos genes desta condição.

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

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Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Déficit de lipoil transferase 1

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Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

Pesquisa e ensaios clínicos

Nenhum ensaio clínico registrado para esta condição.

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Publicações mais relevantes

Timeline de publicações
0 papers (10 anos)
#1

Inhibition of DHHC9-mediated CD36 palmitoylation lessens high-fat diet (HFD)-induced impairment of pubertal mammary gland development through the JNK-ERK pathway.

Cellular &amp; molecular biology letters2025 Oct 14

CD36, a vital fatty acid translocase, has been reported to participate in multiple physiological functions through palmitoylation mediated by zinc finger Asp-His-His-Cys-type palmitoyltransferases (DHHCs). This study aimed to investigate the possible involvement of DHHC-mediated CD36 palmitoylation in high-fat diet (HFD)-induced impairment of pubertal mammary gland development and explore the underlying mechanisms involved. Palmitic acid (PA)-treated HC11 cells were used as the in vitro high-fat model, and the cell proliferation was examined by 5-Ethynyl-2'-deoxyuridine (EdU) incorporation assay. The palmitoylation of CD36 was determined by the acyl-biotin exchange (ABE) method. The expression of CD36, proliferative genes, and signaling molecules was detected by immunoblotting. The cellular localization of CD36 was determined by immunofluorescence. The bindings of CD36 with zinc finger DHHC-type palmitoyltransferases 9 (DHHC9) or Fyn/Lyn were detected by co-immunoprecipitation (Co-IP). The palmitoylation inhibitor 2-bromopalmitate (2BP), DHHC9 knockdown, and point mutation of CD36 cysteine residues were applied to construct a CD36 palmitoylation deficiency model in vitro to investigate the effects of CD36 palmitoylation on HC11 proliferation. In vivo, the pubertal mice were treated with HFD and/or 2BP. Mammary gland morphology was determined by whole mount staining, and the underlying mechanisms were verified by the methods used in the in vitro system. In vitro, the palmitoylation inhibitor 2BP eliminated PA-inhibited HC11 proliferation and inhibited CD36 palmitoylation and localization on the plasma membrane. Meanwhile, the binding of DHHC9 and CD36 in PA-treated HC11 cells was repressed by 2BP. In addition, both knockdown of DHHC9 and point mutation of CD36 cysteine residues suppressed the membrane palmitoylation and localization of CD36 and stimulated the proliferation of PA-treated HC11 cells. Furthermore, in PA-treated HC11 cells, the inhibition of CD36 palmitoylation, the knockdown of DHHC9, and the mutation of CD36 cysteine residues resulted in decreased formation of the CD36/Fyn/Lyn complex. Correspondingly, the downstream c-jun n-terminal kinase 1 (JNK1) pathway was inhibited, and the extracellular signal-regulated kinase 1/2 (ERK1/2) pathway was activated. Moreover, inhibition of the JNK pathway with SP600125 promoted the proliferation of PA-treated HC11 cells via activation of the ERK1/2 pathway. In vivo, the palmitoylation inhibitor 2BP ameliorated HFD-induced impairment of mammary gland development in pubertal female mice, which was associated with a decrease in DHHC9-mediated CD36 palmitoylation in the plasma membrane, a reduction in the CD36/Fyn/Lyn complex, inhibition of the JNK1 pathway, and activation of the ERK1/2 pathway. This study revealed that inhibition of DHHC9-mediated CD36 palmitoylation mitigated HFD-induced impairment of pubertal mammary gland development via the JNK1-ERK1/2 pathway.

#2

zDHHC8 suppresses infection-induced necroptosis in monocyte/macrophages through palmitoylation of necrosome components in large yellow croaker (Larimichthys crocea).

International journal of biological macromolecules2025 Sep

Palmitoylation, a reversible post-translational modification, regulates a wide range of cellular processes by modulating protein localization, stability, and interactions. The zinc finger Asp-His-His-Cys (zDHHC) family of palmitoyltransferases is central to this process, yet their functions in immune cell death of lower vertebrates, remain poorly understood. Here, we investigate the role of zDHHC8 in modulating immune responses and necroptosis during infection in large yellow croaker (LczDHHC8). We demonstrate that LczDHHC8 is significantly upregulated in monocyte/macrophages (MO/MΦ) during Pseudomonas plecoglossicida infection and plays a key role in promoting pro-inflammatory cytokine production and M1 macrophage polarization. Through acyl-biotin exchange (ABE) assays and liquid chromatography-mass spectrometry (LC-MS/MS), we show that LczDHHC8 suppresses the palmitoylation of necrosome components, including receptor-interacting protein kinases 1 (RIPK1), receptor-interacting protein kinases 3 (RIPK3), and mixed lineage kinase domain-like protein (MLKL), thereby influencing necroptosis of MO/MΦ. LczDHHC8 deficiency exacerbates necroptosis, evidenced by increased phosphorylation of necroptosis-related proteins and enhanced cell death. Our findings suggest that LczDHHC8 may negatively regulates necroptosis through facilitating the palmitoylation of necrosome components, thereby influencing MO/MΦ function by modulating immune responses and cell survival during infection. This study provides novel insights into the immune regulatory roles of palmitoylation in teleosts and emphasizes the importance of LczDHHC8 in the modulation of necroptosis, which may have broader implications for understanding host-pathogen interactions and inflammatory responses in vertebrates.

#3

Zdhhc1 deficiency mitigates foam cell formation and atherosclerosis by inhibiting PI3K-Akt-mTOR signaling pathway through facilitating the nuclear translocation of p110α.

Biochimica et biophysica acta. Molecular basis of disease2025 Feb

Monocyte-to-macrophage differentiation and subsequent foam cell formation are key processes that contribute to plaque build-up during the progression of atherosclerotic lesions. Palmitoylation enzymes are known to play pivotal roles in the development and progression of inflammatory diseases. However, their specific impact on atherosclerosis development remains unclear. In this study, we discovered that the knockout of zDHHC1 in THP-1 cells, as well as Zdhhc1 in mice, markedly reduces the uptake of oxidized low-density lipoprotein (ox-LDL) by macrophages, thereby inhibiting foam cell formation. Moreover, the absence of Zdhhc1 in ApoE-/- mice significantly suppresses atherosclerotic plaque formation. Mass spectrometry coupled with bioinformatic analysis revealed an enrichment of the PI3K-Akt-mTOR signaling pathway. Consistent with this, we observed that knockout of zDHHC1 significantly decreases the palmitoylation levels of p110α, a crucial subunit of PI3K. Notably, the deletion of Zdhhc1 facilitates the nuclear translocation of p110α in macrophages, leading to a significant reduction in the downstream phosphorylation of Akt at Ser473 and mTOR at Ser2448. This cascade results in a decreased number of macrophages within plaques and ultimately mitigates the severity of atherosclerosis. These findings unveil a novel role for zDHHC1 in regulating foam cell formation and the progression of atherosclerosis, suggesting it as a promising target for clinical intervention in atherosclerosis therapy.

#4

ROS-dependent S-palmitoylation activates cleaved and intact gasdermin D.

Nature2024 Jun

Gasdermin D (GSDMD) is the common effector for cytokine secretion and pyroptosis downstream of inflammasome activation and was previously shown to form large transmembrane pores after cleavage by inflammatory caspases to generate the GSDMD N-terminal domain (GSDMD-NT)1-10. Here we report that GSDMD Cys191 is S-palmitoylated and that palmitoylation is required for pore formation. S-palmitoylation, which does not affect GSDMD cleavage, is augmented by mitochondria-generated reactive oxygen species (ROS). Cleavage-deficient GSDMD (D275A) is also palmitoylated after inflammasome stimulation or treatment with ROS activators and causes pyroptosis, although less efficiently than palmitoylated GSDMD-NT. Palmitoylated, but not unpalmitoylated, full-length GSDMD induces liposome leakage and forms a pore similar in structure to GSDMD-NT pores shown by cryogenic electron microscopy. ZDHHC5 and ZDHHC9 are the major palmitoyltransferases that mediate GSDMD palmitoylation, and their expression is upregulated by inflammasome activation and ROS. The other human gasdermins are also palmitoylated at their N termini. These data challenge the concept that cleavage is the only trigger for GSDMD activation. They suggest that reversible palmitoylation is a checkpoint for pore formation by both GSDMD-NT and intact GSDMD that functions as a general switch for the activation of this pore-forming family.

#5

Reduction of DHHC5-mediated beclin 1 S-palmitoylation underlies autophagy decline in aging.

Nature structural &amp; molecular biology2024 Feb

Autophagy is a lysosome-dependent degradation pathway essential for cellular homeostasis, which decreases with age. However, it is unclear how aging induces autophagy decline. Here we show the role of protein S-palmitoylation in autophagy. We identify the palmitoyl acyltransferase DHHC5 as a regulator of autophagy by mediating the palmitoylation of beclin 1, which in turn promotes the formation of ATG14L-containing class III phosphatidylinositol-3-kinase complex I and its lipid kinase activity by promoting the hydrophobic interactions between beclin 1 and adapter proteins ATG14L and VPS15. In aging brains of human and nonhuman primate, the levels of DHHC5 exhibit a marked decrease in expression. We show that DHHC5 deficiency in neurons leads to reduced cellular protein homeostasis in two established murine models of Alzheimer's disease, which exaggerates neurodegeneration in an autophagy-dependent manner. These findings identify reduction of DHHC5-mediated beclin 1 S-palmitoylation as an underlying mechanism by which aging induces autophagy decline.

📚 EuropePMCmostrando 32

2025

Inhibition of DHHC9-mediated CD36 palmitoylation lessens high-fat diet (HFD)-induced impairment of pubertal mammary gland development through the JNK-ERK pathway.

Cellular &amp; molecular biology letters
2025

zDHHC8 suppresses infection-induced necroptosis in monocyte/macrophages through palmitoylation of necrosome components in large yellow croaker (Larimichthys crocea).

International journal of biological macromolecules
2025

Zdhhc1 deficiency mitigates foam cell formation and atherosclerosis by inhibiting PI3K-Akt-mTOR signaling pathway through facilitating the nuclear translocation of p110α.

Biochimica et biophysica acta. Molecular basis of disease
2024

Engineered bacterial lipoate protein ligase A (lplA) restores lipoylation in cell models of lipoylation deficiency.

The Journal of biological chemistry
2024

ZDHHC7-mediated S-palmitoylation of ATG16L1 facilitates LC3 lipidation and autophagosome formation.

Autophagy
2024

Caveolin-2 palmitoylation turnover facilitates insulin receptor substrate-1-directed lipid metabolism by insulin receptor tyrosine kinase.

Biochimica et biophysica acta. Molecular basis of disease
2024

ROS-dependent S-palmitoylation activates cleaved and intact gasdermin D.

Nature
2024

zDHHC20-driven S-palmitoylation of CD80 is required for its costimulatory function.

Acta pharmacologica Sinica
2024

Reduction of DHHC5-mediated beclin 1 S-palmitoylation underlies autophagy decline in aging.

Nature structural &amp; molecular biology
2023

Alpha-lipoic acid supplementation corrects pathological alterations in cellular models of pantothenate kinase-associated neurodegeneration with residual PANK2 expression levels.

Orphanet journal of rare diseases
2023

Involvement of ZDHHC9 in lung adenocarcinoma: regulation of PD-L1 stability via palmitoylation.

In vitro cellular &amp; developmental biology. Animal
2021

DHHC21 deficiency attenuates renal dysfunction during septic injury.

Scientific reports
2021

In a mouse model of INCL reduced S-palmitoylation of cytosolic thioesterase APT1 contributes to microglia proliferation and neuroinflammation.

Journal of inherited metabolic disease
2021

Structure of the dihydrolipoamide succinyltransferase (E2) component of the human alpha-ketoglutarate dehydrogenase complex (hKGDHc) revealed by cryo-EM and cross-linking mass spectrometry: Implications for the overall hKGDHc structure.

Biochimica et biophysica acta. General subjects
2021

Genetic dissection of the mitochondrial lipoylation pathway in yeast.

BMC biology
2020

A STAT3 palmitoylation cycle promotes TH17 differentiation and colitis.

Nature
2020

CD36 facilitates fatty acid uptake by dynamic palmitoylation-regulated endocytosis.

Nature communications
2020

Dynamic palmitoylation events following T-cell receptor signaling.

Communications biology
2020

Palmitoyl Acyltransferase Activity of ZDHHC13 Regulates Skin Barrier Development Partly by Controlling PADi3 and TGM1 Protein Stability.

The Journal of investigative dermatology
2019

Fatty acids and cancer-amplified ZDHHC19 promote STAT3 activation through S-palmitoylation.

Nature
2019

Functional Assessment of Lipoyltransferase-1 Deficiency in Cells, Mice, and Humans.

Cell reports
2019

The dual roles of RPE65 S-palmitoylation in membrane association and visual cycle function.

Scientific reports
2019

Reduction of mitochondrial 3-oxoacyl-ACP synthase (OXSM) by hyperglycemia is associated with deficiency of α-lipoic acid synthetic pathway in kidney of diabetic mice.

Biochemical and biophysical research communications
2018

Poldip2 is an oxygen-sensitive protein that controls PDH and αKGDH lipoylation and activation to support metabolic adaptation in hypoxia and cancer.

Proceedings of the National Academy of Sciences of the United States of America
2017

Zdhhc13-dependent Drp1 S-palmitoylation impacts brain bioenergetics, anxiety, coordination and motor skills.

Scientific reports
2017

Biallelic Mutations in LIPT2 Cause a Mitochondrial Lipoylation Defect Associated with Severe Neonatal Encephalopathy.

American journal of human genetics
2017

Discovery and Characterization of the 3-Hydroxyacyl-ACP Dehydratase Component of the Plant Mitochondrial Fatty Acid Synthase System.

Plant physiology
2015

Palmitoyl acyltransferase Aph2 in cardiac function and the development of cardiomyopathy.

Proceedings of the National Academy of Sciences of the United States of America
2015

A phosphopantetheinyl transferase that is essential for mitochondrial fatty acid biosynthesis.

The Plant journal : for cell and molecular biology
2015

Essential role of flotillin-1 palmitoylation in the intracellular localization and signaling function of IGF-1 receptor.

Journal of cell science
2015

ELMOD2 is anchored to lipid droplets by palmitoylation and regulates adipocyte triglyceride lipase recruitment.

Molecular biology of the cell
2015

Fatty acylated caveolin-2 is a substrate of insulin receptor tyrosine kinase for insulin receptor substrate-1-directed signaling activation.

Biochimica et biophysica acta

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Doenças relacionadas

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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.

  1. Inhibition of DHHC9-mediated CD36 palmitoylation lessens high-fat diet (HFD)-induced impairment of pubertal mammary gland development through the JNK-ERK pathway.
    Cellular &amp; molecular biology letters· 2025· PMID 41087856mais citado
  2. zDHHC8 suppresses infection-induced necroptosis in monocyte/macrophages through palmitoylation of necrosome components in large yellow croaker (Larimichthys crocea).
    International journal of biological macromolecules· 2025· PMID 40759219mais citado
  3. Zdhhc1 deficiency mitigates foam cell formation and atherosclerosis by inhibiting PI3K-Akt-mTOR signaling pathway through facilitating the nuclear translocation of p110&#x3b1;.
    Biochimica et biophysica acta. Molecular basis of disease· 2025· PMID 39566590mais citado
  4. ROS-dependent S-palmitoylation activates cleaved and intact gasdermin D.
    Nature· 2024· PMID 38599239mais citado
  5. Reduction of DHHC5-mediated beclin 1 S-palmitoylation underlies autophagy decline in aging.
    Nature structural &amp; molecular biology· 2024· PMID 38177673mais citado

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:401862(Orphanet)
  2. OMIM OMIM:616299(OMIM)
  3. MONDO:0014576(MONDO)
  4. GARD:12680(GARD (NIH))
  5. Variantes catalogadas(ClinVar)
  6. Q55784889(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.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Déficit de lipoil transferase 1
Compêndio · Raras BR

Déficit de lipoil transferase 1

ORPHA:401862 · MONDO:0014576
Prevalência
<1 / 1 000 000
Casos
4 casos conhecidos
Herança
Autosomal recessive
CID-10
E88.8 · Outros distúrbios especificados do metabolismo
Início
Infancy, Neonatal
Prevalência
0.0 (Worldwide)
MedGen
UMLS
C4225379
Wikidata
DiscussaoAtiva

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