Pre- and postnatal diagnosis of succinic semialdehyde dehydrogenase deficiency using enzyme and metabolite assays

J Inherit Metab Dis. 1994;17(6):732-7. doi: 10.1007/BF00712016.

Abstract

We report our cumulative experience for the prenatal diagnosis of succinic semialdehyde dehydrogenase (SSADH) deficiency in seven 'at-risk' pregnancies from four unrelated families. Prenatal diagnosis was performed by determination of 4-hydroxybutyric acid (4-HBA) concentration in amniotic fluid using isotope-dilution gas chromatography-mass spectrometry in conjunction with assay of SSADH activity in biopsied chorionic villus and/or cultured amniocytes. In three of four pregnancies predicted as affected, confirmation was obtained by demonstration of deficient SSADH activity in fetal tissues. Our results suggest that determination of 4-HBA concentration in amniotic fluid combined with enzyme determination in cultured or biopsied tissue represents a reliable method for the prenatal diagnosis of SSADH deficiency.,

MeSH terms

  • Aldehyde Oxidoreductases / deficiency*
  • Amniotic Fluid / chemistry
  • Female
  • Humans
  • Immunoblotting
  • Metabolism, Inborn Errors / diagnosis*
  • Pregnancy
  • Prenatal Diagnosis*
  • Sodium Oxybate / analysis
  • Succinate-Semialdehyde Dehydrogenase

Substances

  • Sodium Oxybate
  • Aldehyde Oxidoreductases
  • ALDH5A1 protein, human
  • Succinate-Semialdehyde Dehydrogenase