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A rare, genetic, inborn error of metabolism disorder characterized by neonatal-onset of developmental delay, hypotonia, hepatomegaly, lactic acidemia, increased creatine kinase levels, elevated alpha-ketoglutaric acid in urine, and a decreased plasma beta-hydroxybutyrate-to-acetoacetate ratio. Pyruvate dehydrogenase deficiency can be associated, leading to hypoglycemia and neurologic anomalies, including seizures.
Features include always present findings: Dystonia, Low muscle tone (hypotonia), and Increased circulating lactate concentration; and very common findings: Abnormality of Krebs cycle metabolism, Ataxia, Global developmental delay, and Hypertonia and others. 26 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 12 | Bilateral tonic-clonic seizure, Delayed speech and language development, Dystonia |
OGDH encodes oxoglutarate dehydrogenase (1,023 aa). 2-oxoglutarate dehydrogenase (E1o) component of the 2-oxoglutarate dehydrogenase complex (OGDHC). Highest expression in Muscle Skeletal (222.2 TPM) and Heart Left Ventricle (201.4 TPM).
Oxoglutaricaciduria is associated with mutations in the OGDH gene on chromosome 7.
The OGDH protein participates in Protein lipoylation pathway.
OGDH is classified as a druggable target with score 3.3.
Genetic testing for OGDH is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 3 always present features, 7 very common features, 14 common features.
Estimated prevalence: Unknown (Unknown prevalence).
No clinical trials have been registered for oxoglutaricaciduria.
1 publication has been identified in PubMed for oxoglutaricaciduria. Research spans Case Report / Case Series (100%).
Elleuch A (2026). [PMID: 41843386](https://pubmed.ncbi.nlm.nih.gov/41843386/). *Indian journal of pediatrics*. [Case Report / Case Series]
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 6:53 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Muscles | 4 | Low muscle tone (hypotonia), Delayed gross motor development, Falls |
Metabolism | 2 | Metabolic acidosis, Abnormality of Krebs cycle metabolism |
Lab test results | 1 | Increased circulating lactate concentration |
Pregnancy and birth | 1 | Congenital lactic acidosis |
Bones and joints | 1 | Skeletal muscle atrophy |
Growth and development | 1 | Short stature |