title: Familial intermittent ataxia due to a defect of the E1 component of pyruvate dehydrogenase complex.
abstract: Disturbances of pyruvate metabolism have been implicated in the aetiology of several neurological disorders including Leigh's disease and familial ataxia. We have re-investigated a patient whose initial description documented intermittent ataxia, a presumed disorder of pyruvate metabolism and an X-linked pattern of inheritance. Recent studies showed he had slow oxidation of pyruvate, low pyruvate dehydrogenase complex (PDC) activity and immunochemical evidence of E1 deficiency in skeletal muscle mitochondria. This is consistent with the recent finding that the gene for E1 alpha is on the X chromosome.
authors.affiliation: Division of Clinical Neuroscience, School of Neurosciences, University of Newcastle upon Tyne, U.K.
authors.forename: L A
authors.initials: LA
authors.lastname: Bindoff
authors.forename: M A
authors.initials: MA
authors.lastname: Birch-Machin
authors.forename: L
authors.initials: L
authors.lastname: Farnsworth
authors.forename: D
authors.initials: D
authors.lastname: Gardner-Medwin
authors.forename: J G
authors.initials: JG
authors.lastname: Lindsay
authors.forename: D M
authors.initials: DM
authors.lastname: Turnbull
mesh_terms: D000328:Adult; D001259:Ataxia / Q000201:enzymology* / Q000235:genetics; D006801:Humans; D008297:Male; D008931:Mitochondria, Muscle / Q000201:enzymology*; D010375:Pedigree; D011768:Pyruvate Dehydrogenase Complex / Q000378:metabolism*
chemical_list: D011768:Pyruvate Dehydrogenase Complex