Alpha-Aminoadipic and Alpha-Ketoadipic Aciduria, also known as 2-aminoadipic 2-oxoadipic aciduria, is related to mitochondrial dna depletion syndrome 18 and hypotonia. An important gene associated with Alpha-Aminoadipic and Alpha-Ketoadipic Aciduria is DHTKD1 (Dehydrogenase E1 And Transketolase Domain Containing 1), and among its related pathways/superpathways are Metabolism and Regulation of expression of SLITs and ROBOs. Related phenotypes are global developmental delay and mild global developmental delay