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Deficiency of bisphosphoglycerate mutase(ECYT8)

MedGen UID:
489898
Concept ID:
C1291620
Disease or Syndrome
Synonyms: BPGM DEFICIENCY; DIPHOSPHOGLYCERATE MUTASE DEFICIENCY OF ERYTHROCYTE; DPGM DEFICIENCY; Hemolytic anemia due to diphosphoglycerate mutase deficiency
SNOMED CT: Deficiency of glycerate phosphomutase (124678007); Deficiency of diphosphoglycerate mutase (124678007); Deficiency of bisphosphoglycerate synthase (124678007); Deficiency of bisphosphoglycerate mutase (124678007)
 
Gene (location): BPGM (7q33)
 
Monarch Initiative: MONDO:0009113
OMIM®: 222800
Orphanet: ORPHA714

Definition

A rare, autosomal recessive, inherited disorder caused by mutation of the BPGM gene. It is characterized by hemolytic anemia and splenomegaly. [from NCI]

Clinical features

From HPO
Polycythemia
MedGen UID:
18552
Concept ID:
C0032461
Disease or Syndrome
Polycythemia is diagnosed if the red blood cell count, the hemoglobin level, and the red blood cell volume all exceed the upper limits of normal.
Increased hematocrit
MedGen UID:
68692
Concept ID:
C0239935
Finding
An elevation above the normal ratio of the volume of red blood cells to the total volume of blood.
Increased circulating hemoglobin concentration
MedGen UID:
108199
Concept ID:
C0549448
Finding
Concentration of hemoglobin in the blood circulation above the upper limit of normal.
Splenomegaly
MedGen UID:
52469
Concept ID:
C0038002
Finding
Abnormal increased size of the spleen.
Reduced erythrocyte bisphosphoglycerate mutase activity
MedGen UID:
1053114
Concept ID:
CN377389
Finding
Activity or concentration of bisphosphoglycerate mutase (BPGM; EC 5.4.2.4;) in red blood cells below the lower limit of normal. BPGM is a multifunctional enzyme specifically found in red blood cells that synthesizes 2,3-diphosphoglycerate through its synthase activity and degrades it through its phosphatase activity.

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVDeficiency of bisphosphoglycerate mutase

Recent clinical studies

Etiology

Chen C, Xie T, Zhang Y, Wang Y, Yu F, Lin L, Zhang W, Brown BC, Zhang X, Kellems RE, D'Alessandro A, Xia Y
J Am Soc Nephrol 2023 Oct 1;34(10):1647-1671. Epub 2023 Aug 7 doi: 10.1681/ASN.0000000000000195. PMID: 37725437Free PMC Article
Jacobasch G, Rapoport SM
Mol Aspects Med 1996 Apr;17(2):143-70. doi: 10.1016/0098-2997(96)88345-2. PMID: 8813716

Diagnosis

Chen C, Xie T, Zhang Y, Wang Y, Yu F, Lin L, Zhang W, Brown BC, Zhang X, Kellems RE, D'Alessandro A, Xia Y
J Am Soc Nephrol 2023 Oct 1;34(10):1647-1671. Epub 2023 Aug 7 doi: 10.1681/ASN.0000000000000195. PMID: 37725437Free PMC Article
Kralovics R, Prchal JT
Curr Opin Pediatr 2000 Feb;12(1):29-34. doi: 10.1097/00008480-200002000-00006. PMID: 10676771
Marden MC, Kister J, Poyart C
Biophys Chem 1990 Aug 31;37(1-3):363-9. doi: 10.1016/0301-4622(90)88035-q. PMID: 2149519
Travis SF, Martinez J, Garvin J Jr, Atwater J, Gillmer P
Blood 1978 Jun;51(6):1107-16. PMID: 148301

Prognosis

Jacobasch G, Rapoport SM
Mol Aspects Med 1996 Apr;17(2):143-70. doi: 10.1016/0098-2997(96)88345-2. PMID: 8813716

Clinical prediction guides

Jacobasch G, Rapoport SM
Mol Aspects Med 1996 Apr;17(2):143-70. doi: 10.1016/0098-2997(96)88345-2. PMID: 8813716
Roth E Jr, Joulin V, Miwa S, Yoshida A, Akatsuka J, Cohen-Solal M, Rosa R
Blood 1988 May;71(5):1408-13. PMID: 2833958

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