Biotinidase Deficiency
Definition
The BTD gene encodes the biotinidase enzyme, which recycles biotin; loss of activity leads to a deficiency of free biotin and dysfunction of the biotin-dependent carboxylase enzymes. The profound form presents with seizures, hypotonia, breathing problems, hearing/vision loss and developmental delay; the partial form presents with milder findings.
Gene/region examined
BTD - Exon 1, BTD - Exon 2, BTD - Exon 3, BTD - Exon 4
Method
Sequence analysis
Accepted sample types
EDTA blood, AF, CVS
Inheritance
Hereditary, autosomal recessive; early detection through newborn screening prevents complications.