About Adenylosuccinate Lyase Deficiency

What is Adenylosuccinate Lyase Deficiency?

Adenylosuccinate Lyase Deficiency (ASLD) is a rare genetic disorder caused by a deficiency of the enzyme adenylosuccinate lyase. This enzyme is responsible for breaking down the amino acid aspartate into two other amino acids, fumarate and lysine. Without this enzyme, aspartate builds up in the body, leading to a variety of symptoms including developmental delays, seizures, and movement disorders. ASLD is inherited in an autosomal recessive pattern, meaning that both parents must carry the defective gene in order for a child to be affected. Treatment for ASLD is supportive and may include physical therapy, speech therapy, and dietary modifications.

What are the symptoms of Adenylosuccinate Lyase Deficiency?

The symptoms of Adenylosuccinate Lyase Deficiency can vary from person to person, but may include:

-Developmental delay
-Intellectual disability
-Seizures
-Movement disorders
-Feeding difficulties
-Growth delays
-Hypotonia
-Behavioral problems
-Speech delays
-Hearing loss
-Vision problems
-Kidney problems
-Liver problems
-Heart defects
-Gastrointestinal problems

What are the causes of Adenylosuccinate Lyase Deficiency?

Adenylosuccinate Lyase Deficiency is caused by mutations in the ADSL gene. This gene provides instructions for making an enzyme called adenylosuccinate lyase. This enzyme is involved in the breakdown of two molecules, adenylosuccinate and guanosine monophosphate, which are important for the production of energy in cells. Mutations in the ADSL gene lead to a deficiency of this enzyme, which disrupts the breakdown of these molecules and causes a buildup of toxic byproducts. This can lead to a variety of symptoms, including intellectual disability, seizures, and movement problems.

What are the treatments for Adenylosuccinate Lyase Deficiency?

The primary treatment for Adenylosuccinate Lyase Deficiency is dietary management. This includes a low-protein diet and supplementation with essential amino acids. Other treatments may include medications to reduce seizures, physical therapy, and speech therapy. In some cases, a bone marrow transplant may be recommended.

What are the risk factors for Adenylosuccinate Lyase Deficiency?

1. Genetic inheritance: Adenylosuccinate Lyase Deficiency is an autosomal recessive disorder, meaning that it is inherited from both parents.

2. Ethnicity: Adenylosuccinate Lyase Deficiency is more common in certain ethnic groups, such as Ashkenazi Jews, Italians, and French Canadians.

3. Age: Adenylosuccinate Lyase Deficiency is more common in infants and young children.

Is there a cure/medications for Adenylosuccinate Lyase Deficiency?

At this time, there is no cure for Adenylosuccinate Lyase Deficiency. However, there are medications that can help manage the symptoms of the condition. These medications include anticonvulsants, muscle relaxants, and medications to help with sleep. Additionally, physical and occupational therapy can help improve muscle strength and coordination.