DLD Gene: Dihydrolipoamide Dehydrogenase

Genetic and Functional Insights into DLD, a Key Enzyme in Energy Metabolism and Its Role in Disease

Gene Information Card

Symbol DLD
Full Name Dihydrolipoamide Dehydrogenase
Gene Type Protein coding
Chromosomal Location 7q31.1
NCBI Gene ID 1738 ncbi.nlm.nih.gov/gene/1738
Ensembl ID ENSG00000091140
UniProt ID P09622
OMIM ID 238331
HGNC ID 2898
Aliases E3, LAD, PHE3, DLDD, DLDH, GCSL, LDPD

Description

The DLD gene encodes dihydrolipoamide dehydrogenase, a flavoprotein enzyme that functions as the E3 component of several mitochondrial multienzyme complexes, including the pyruvate dehydrogenase complex, alpha-ketoglutarate dehydrogenase complex, branched-chain alpha-keto acid dehydrogenase complex, and the glycine cleavage system. This enzyme catalyzes the reoxidation of dihydrolipoamide to lipoamide, using NAD+ as an electron acceptor, and is essential for energy metabolism and amino acid catabolism. Mutations in DLD cause dihydrolipoamide dehydrogenase deficiency (also known as lipoamide dehydrogenase deficiency or E3 deficiency), a rare autosomal recessive disorder with variable clinical presentations including metabolic acidosis, neurological deterioration, and liver dysfunction.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Dihydrolipoamide Dehydrogenase Deficiency Loss-of-function mutations impair reoxidation of dihydrolipoamide, disrupting multiple mitochondrial dehydrogenase complexes and leading to energy failure and toxic metabolite accumulation. ClinVar, OMIM
Maple Syrup Urine Disease (variant form) Mutations in DLD cause a variant form of maple syrup urine disease (MSUD type III) due to defective branched-chain alpha-keto acid dehydrogenase complex activity. OMIM
Leigh Syndrome Some DLD mutations are associated with Leigh syndrome, a severe neurodegenerative disorder, due to impaired pyruvate dehydrogenase complex function. ClinVar, OMIM

Expression Profile

Tissue Expression
Tissue nTPM level
Liver 12.3 Medium
Heart 9.8 Medium
Kidney 8.5 Medium
Skeletal Muscle 7.2 Medium
Brain 6.1 Low
Lung 4.3 Low
Cell Line Expression
Cell Line nTPM Notes
HepG2 14.5 Hepatocyte cell line, high expression
K-562 6.2 Myelogenous leukemia cell line
HeLa 5.8 Cervical carcinoma cell line
A549 4.9 Lung carcinoma cell line
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.685C>T (p.Arg229Trp) Missense Common Loss of function, reduced enzyme activity
c.479G>A (p.Arg160Gln) Missense Rare Loss of function, associated with Leigh syndrome
c.1A>G (p.Met1Val) Start loss Rare Loss of function, no protein production
c.1040G>A (p.Arg347His) Missense Rare Dominant negative effect reported in some cases
Mutation functional classification

Loss of Function (LOF)

Most DLD mutations are loss-of-function, reducing or abolishing enzyme activity, leading to metabolic decompensation.

Gain of Function (GOF)

No gain-of-function mutations have been reported for DLD.

Dominant Negative (DN)

Some missense mutations (e.g., p.Arg347His) may exert a dominant negative effect by interfering with dimerization or complex assembly.

Pathways

Pyruvate metabolism (KEGG: hsa00620)
Citrate cycle (TCA cycle) (KEGG: hsa00020)
Glycine
serine and threonine metabolism (KEGG: hsa00260)
Valine
leucine and isoleucine degradation (KEGG: hsa00280)

Protein Summary

Dihydrolipoamide dehydrogenase (DLD) is a 509-amino acid flavoprotein that forms homodimers and functions as the E3 component of multiple mitochondrial alpha-ketoacid dehydrogenase complexes. The protein contains FAD- and NAD+-binding domains and a redox-active disulfide center. It catalyzes the transfer of electrons from dihydrolipoamide to NAD+, regenerating the oxidized lipoamide cofactor. Defects in DLD lead to accumulation of lactate, alpha-ketoglutarate, and branched-chain amino acids, causing metabolic acidosis and neurological symptoms.

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