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A condition that affects how the body breaks down sugar to use as energy in muscle cells. People withthis conditionexperience fatigue, muscle pain, and cramps during exercise (exercise intolerance). In some people,high-intensity exercise or other strenuous activity leads to the breakdown of muscle tissue (rhabdomyolysis), which can lead to myoglobinuria (rust-colored urine indicating breakdown of muscle tissue) and kidney damage. A skin rash may also develop. The severity of the signs and symptoms varies greatly among affected individuals. Lactate dehydrogenase A deficiency is caused by mutations in the LDHA gene. This condition is inherited in an autosomal recessive pattern.
Features include: Elevated creatine kinase (muscle enzyme) (elevated circulating creatine kinase concentration), Muscle stiffness, Rhabdomyolysis, and Increased circulating pyruvate concentration and 7 more.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Muscles | 4 | Muscle stiffness, Rhabdomyolysis, Muscle spasm |
Lab test results | 3 | Elevated creatine kinase (muscle enzyme) (elevated circulating creatine kinase concentration), Increased circulating pyruvate concentration, Increased circulating lactate concentration |
Brain and nerves | 2 | Muscle stiffness (rigidity), Exercise intolerance |
Kidneys and urinary system | 1 | Reduced kidney function (renal insufficiency) |
LDHA encodes lactate dehydrogenase A (332 aa). Interconverts simultaneously and stereospecifically pyruvate and lactate with concomitant interconversion of NADH and NAD(+) Highest expression in Cells EBV-transformed lymphocytes (1,357 TPM) and Cells Cultured fibroblasts (1,101 TPM).
Glycogen storage disease due to lactate dehydrogenase M-subunit deficiency is associated with mutations in the LDHA gene on chromosome 11.
The LDHA protein participates in LDHAL6B reduces PYR to LACT, LDH tetramer oxidises LACT to PYR, and LDH tetramer reduces PYR to LACT pathways.
LDHA is classified as a druggable target (Druggable Genome category) with score 52.2.
Genetic testing for LDHA is available. Testing is considered confirmatory for diagnosis.
Estimated prevalence: Unknown (Unknown prevalence).
No clinical trials have been registered for glycogen storage disease due to lactate dehydrogenase M-subunit deficiency.
3 publications have been identified in PubMed for glycogen storage disease due to lactate dehydrogenase M-subunit deficiency. Research spans Case Report / Case Series (67%) and Review / Meta-Analysis (33%).
Brufau-Cochs M (2026). [PMID: 41937663](https://pubmed.ncbi.nlm.nih.gov/41937663/). *J Dtsch Dermatol Ges*. [Case Report / Case Series]
Hentschel A (2025). [PMID: 40033989](https://pubmed.ncbi.nlm.nih.gov/40033989/). *J Neuromuscul Dis*. [Case Report / Case Series]
Koch RL (2025). [PMID: 41213961](https://pubmed.ncbi.nlm.nih.gov/41213961/). *NPJ Genom Med*. [Review / Meta-Analysis]
Data assembled from 6 of 12 sources · Last updated Sep 17, 2026, 10:46 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center