Below is an instruction from Human. Write a response.
    ### Instruction:
    What causes Dihydrolipoamide dehydrogenase deficiency ?
    ### Response:
    What causes dihydrolipoamide dehydrogenase deficiency? Dihydrolipoamide dehydrogenase (DLD) deficiency is caused by changes (mutations) in the DLD gene. This gene gives the body instructions to make an enzyme called dihydrolipoamide dehydrogenase (DLD). DLD is one part of 3 different groups of enzymes that work together (enzyme complexes).
    