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LDHA gene
Reviewed by Medicinsk Expert•Last updated: 2026-10-22•Gene

LDHA gene

The LDHA gene provides instructions for making a protein essential for energy production in skeletal muscles, and mutations in this gene can lead to lactate dehydrogenase deficiency.

Normal Function

The LDHA gene provides instructions for making a protein called lactate dehydrogenase-A, which is one subunit of the lactate dehydrogenase enzyme. There are five different forms of this enzyme, each composed of four protein subunits. These forms are created through various combinations of lactate dehydrogenase-A and lactate dehydrogenase-B subunits.

The lactate dehydrogenase enzyme is found throughout the body and is critical for a chemical reaction that provides energy. The version of the enzyme made of four lactate dehydrogenase-A subunits is found primarily in skeletal muscles. During high-intensity physical activity (anaerobic exercise), when oxygen intake is insufficient to meet energy demands, the body breaks down stored glycogen. In the final stage of this process, the lactate dehydrogenase enzyme converts pyruvate into lactate, which the body then uses for energy.

Health Conditions Related to Genetic Changes

Lactate dehydrogenase deficiency

At least eight mutations in the LDHA gene have been identified as causes of lactate dehydrogenase-A deficiency. This condition is characterized by the following:

  • Extreme tiredness following high-intensity exercise or strenuous activity.
  • Breakdown of muscle tissue (rhabdomyolysis).
  • Muscle weakness.

Mutations in the LDHA gene result in an abnormal lactate dehydrogenase-A subunit that cannot bind to other subunits to form the functional enzyme. This reduction in enzyme activity prevents the efficient breakdown of glycogen, leading to insufficient energy in muscle cells during strenuous activity.

Other Names for This Gene

  • L-lactate dehydrogenase A chain
  • lactate dehydrogenase M
  • LDH muscle subunit
  • LDH-A
  • LDH-M
  • LDH1
  • LDHA_HUMAN
  • LDHM

Genomic Location

The LDHA gene is found on chromosome 11.

Frequently Asked Questions

Yes. Limiting high‑intensity, short‑burst activities, staying well‑hydrated, and ensuring adequate carbohydrate intake before workouts can reduce the metabolic stress on muscle. A gradual warm‑up, avoiding sudden maximal exertion, and incorporating low‑impact aerobic conditioning are practical strategies.
LDHA deficiency follows an autosomal recessive pattern: a child must inherit two defective copies (one from each parent) to be affected. Carrier parents have a 25 % chance of having an affected child with each pregnancy, a 50 % chance of having a carrier, and a 25 % chance of having a child without the mutation. Carrier testing and pre‑implantation genetic diagnosis are options for families who wish to assess risk.
Typical early signs include rapid, overwhelming fatigue during high‑intensity or prolonged anaerobic activity, muscle pain, and a feeling of weakness that does not improve with rest. In severe cases, dark urine from myoglobin (a sign of rhabdomyolysis) may appear within hours after exercise.
Diagnosis usually starts with a detailed history and measurement of serum creatine kinase and lactate levels after exercise. Definitive confirmation requires a muscle biopsy showing reduced LDH‑A activity or, more commonly now, genetic testing that identifies pathogenic variants in the LDHA gene.
Source: MedlinePlus, National Library of Medicine

MedlinePlus brings together authoritative health information from the National Library of Medicine (NLM), the National Institutes of Health (NIH), and other government agencies and health-related organizations.

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