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.

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