Maple syrup urine disease, type 2 (MSUD)

Definition

The DBT gene encodes the E2 subunit of the BCKD complex; loss of function impairs the overall catalytic activity of the complex and blocks the oxidative decarboxylation of leucine, isoleucine and valine. Five clinical subtypes (classic, intermediate, intermittent, thiamine-responsive, and the E3-deficient form with lactic acidosis) have been described.

Gene/region analyzed

DBT - Whole Gene

Method

Sequence analysis

Accepted sample types

EDTA blood, AF, CVS

Inheritance

Hereditary, autosomal recessive (AR).

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