Alternative titles and symbols : Pc deficiency; Leigh syndrome due to pyruvate carboxylase deficiency; Leigh necrotizing encephalopathy due to pyruvate carboxylase deficiency; Ataxia with lactic acidosis II;
Inheritance : Autosomal recessive;
Molecular basis : Caused by mutation in the pyruvate carboxylase gene (PC, 608786.0001);
Laboratory abnormalities : Increased serum ammonia (Group B); Increased serum lactate; Increased serum pyruvate; Increased serum alanine; Hypoglycemia; Increased lactate: pyruvate ratio (Group B); A subset of Group B patients have absence of PC protein and mRNA; Decreased pyruvate carboxylase (PC) activity (less than 5%); Intracellular redox disturbance (reduced cytoplasm and oxidized mitochondria (Group
B)); Increased serum citrulline (Group B); Increased acetoacetate: beta-hydroxybutyrate ratio (Group B); Presence of PC mRNA; Immunoreactive PC protein; Increased serum lysine (Group B);