1981
DOI: 10.1111/j.1651-2227.1981.tb06259.x
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Hyperlysinemia Without Clinical Findings

Abstract: A three-year-old asymptomatic boy with hyperlysinemia is presented. The patient's plasma lysine levels have been constantly high (685-1370 mumol/l) and excessive urinary excretion of ornithine, arginine and cystine have been noted. There was no detectable activity of lysine-ketoglutarate reductase nor saccharopine dehydrogenase in skin fibroblast culture. Review of the reported cases and this patient with serious biochemical defect but without symptoms indicate clinical heterogeneity in hereditary hyperlysinem… Show more

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Cited by 14 publications
(12 citation statements)
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“…This is consistent with competitive inhibition of the dibasic amino acid transporters SLC7A7 and SLC7A9/SLC3A1 in kidney by the high urine lysine levels leading to an amino aciduria that biochemically resembles a combination of lysinuric protein intolerance and cystinuria. 20,29 3.6 | Glutaric acid accumulation in Gcdh KO brain is decreased in Gcdh/Aass double KO mice Global metabolic profiles were determined in brain samples from all four groups of mice (Figure 4, Table S3). Glutaric acid levels were increased 181-fold in Gcdh KO brain when compared to controls.…”
Section: Other Selected Plasma and Urine Metabolitesmentioning
confidence: 99%
“…This is consistent with competitive inhibition of the dibasic amino acid transporters SLC7A7 and SLC7A9/SLC3A1 in kidney by the high urine lysine levels leading to an amino aciduria that biochemically resembles a combination of lysinuric protein intolerance and cystinuria. 20,29 3.6 | Glutaric acid accumulation in Gcdh KO brain is decreased in Gcdh/Aass double KO mice Global metabolic profiles were determined in brain samples from all four groups of mice (Figure 4, Table S3). Glutaric acid levels were increased 181-fold in Gcdh KO brain when compared to controls.…”
Section: Other Selected Plasma and Urine Metabolitesmentioning
confidence: 99%
“…These enzyme activities are reduced to less than 10% in FH, resulting in hyperlysinemia (1.7 mM) and lysinuria with mild saccharopinuria. The disorder was first reported in individuals with physical and mental retardation (Woody, 1964; Ghadimi et al, 1965; Armstrong and Robinow, 1967) but further studies identified increases of Lys in blood of normal individuals, suggesting that hyperlysinemia alone may not be associated with a clinical phenotype (Ozalp et al, 1981). Therefore, it was postulated that the clinical feature found in the first patients diagnosed with FH may have reflected the method of case detection rather than damage as a result of the metabolic defect.…”
Section: Introductionmentioning
confidence: 99%
“…-ATPase activity 2 h after Lys injection. Figure 6 shows that pre-treatment with melatonin did not prevent the effects of Lys on this enzyme activity [F (2,9) = 25.08; P \ 0.01].…”
Section: Resultsmentioning
confidence: 99%
“…However, large increases of Lys have been identified in blood of asymptomatic FH individuals, suggesting that hyperlysinemia itself may not be associated with a clinical phenotype [9]. On the other hand, considering that a significant number of patients with FH have progressive neurological symptoms, it is possible that the disease may correspond to a complex multifactorial condition in which hyperlysinemia play a role in combination with other trigger factors involved in the pathophysiology of the brain damage observed in the affected patients [10].…”
Section: Introductionmentioning
confidence: 98%