This report describes maple syrup urine disease, type II, a subtype of maple syrup urine disease (MSUD); MSUD type II exhibits autosomal recessive inheritance. The human gene implicated in this disease is DBT, which encodes a subunit of the branched-chain alpha-keto acid dehydrogenase complex (BCKD), an inner-mitochondrial enzyme complex involved in the breakdown of the branched-chain amino acids isoleucine, leucine, and valine. There is a single orthologous gene in Drosophila, Dbct, for which an engineered null mutation, RNAi-targeting constructs, alleles caused by insertional mutagenesis, and other genetic reagents have been generated.
The human DBT gene has not been introduced into flies.
Animals homozygous for a null mutation of Dbct survive to the pupal stage; at the larval stage multiple MSUD phenotypes are recapitulated, including aberrant branched-chain amino acid accumulation, developmental defects, poor mobile behavior and disrupted L-glutamate homeostasis. Neural abnormalities in the brain and in the developing eye are observed. Administration of the drug Metformin ameliorates many of the observed phenotypes.
[updated Oct. 2020 by FlyBase; FBrf0222196]
[MAPLE SYRUP URINE DISEASE, TYPE II; MSUD2](https://omim.org/entry/620699)
[DIHYDROLIPOAMIDE BRANCHED-CHAIN TRANSACYLASE; DBT](https://omim.org/entry/248610)
The major clinical features of maple syrup urine disease are mental and physical retardation, feeding problems, and a maple syrup odor to the urine. The keto acids of the branched-chain amino acids are present in the urine, resulting from a block in oxidative decarboxylation. [from MIM:620699; 2025.03.19]
Maple syrup urine disease type II (MSUD2) is caused by homozygous or compound heterozygous mutation in the DBT gene. [from MIM:620699; 2025.03.19]
The branched-chain alpha-keto acid dehydrogenase complex (BCKD) is an inner-mitochondrial enzyme complex involved in the breakdown of the branched-chain amino acids isoleucine, leucine, and valine. The BCKD complex is thought to be composed of a core of 24 transacylase (E2) subunits, and associated decarboxylase (E1), dehydrogenase (E3), and regulatory subunits. The DBT gene encodes the transacylase (E2) subunit. [Gene Cards, DBT; 2020.10.24]
One to one: 1 human gene to 1 Drosophila gene.
High-scoring ortholog of human DBT (1 Drosophila to 1 human). Dmel\Dbct shares 48% identity and 64% similarity with the human gene.