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href=\"https://medlineplus.gov/genetics/condition/fumarase-deficiency\">Fumarase deficiency</a></li></ul>","identityNote":"MONDO cross-references identify native condition entries. Ancestor membership does not transfer phenotype values between groups.","importantHtml":""},"sections":[{"bodyHtml":"<p>Fumarase deficiency is caused by mutations in the FH gene. This gene provides instructions for making an enzyme called fumarase (also known as fumarate hydratase). Fumarase participates in an important series of reactions known as the citric acid cycle or Krebs cycle, which allows cells to use oxygen and generate energy. Specifically, fumarase helps convert a molecule called fumarate to a molecule called malate.</p><p>Mutations in the FH gene disrupt the enzyme&#x27;s ability to help convert fumarate to malate, interfering with the function of this reaction in the citric acid cycle. Impairment of the process that generates energy for cells is particularly harmful to cells in the developing brain, and this impairment results in the signs and symptoms of fumarase deficiency.</p><p class=\"section-source\"><a href=\"https://medlineplus.gov/genetics/condition/fumarase-deficiency/#causes\">MedlinePlus Genetics: Causes</a></p>","key":"forms","title":"What causes Fumarase deficiency?"},{"bodyHtml":"<p class=\"section-source\">Source: <a href=\"https://medlineplus.gov/genetics/condition/fumarase-deficiency\">MedlinePlus Genetics</a></p>","key":"overview","title":"Condition overview"}],"sharedSources":[],"slug":"fumarase-deficiency","sourceDocuments":[{"name":"Fumarase deficiency","reviewed":"2008-04","sections":{"causes":{"fetchedAt":"2026-10-20T20:21:40.326744+00:00","label":"Causes","pageSha256":"e9506d77e539ab05aa5e408902d6ecb97076b02e040eecb40ab1e8e45c6dc77f","sourceUrl":"https://medlineplus.gov/genetics/condition/fumarase-deficiency/#causes","status":"available"}},"source_release":"2026-10-01","url":"https://medlineplus.gov/genetics/condition/fumarase-deficiency"}],"sourceNote":"MedlinePlus descriptions and Causes; original HPO annotations.","takeawayHtml":"Cause explanations are from MedlinePlus Genetics. 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