Summary
A four-year-old boy with hyperargininaemia had increased urinary excretion of homocitrulline and homoarginine. A single oral lysine load created a marked increase in these amino acids in plasma. A daily oral lysine supplementation resulted in a remarkable urinary leakage of homocitrulline and homoarginine. These findings suggest that the patient had an enhanced synthesis of these amino acids.
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Carson, N. A. J., Scally, B. G., Neill, D. W. and Carré, I. J. Saccharopinuria: A new inborn error of lysine metabolism.Nature 218 (1968) 679
Cederbaum, S. D., Shaw, K. N. F. and Valente, M. Hyperargininemia.J. Pediatr. 90 (1977) 569–573
Ghadimi, H. The hyperlysinemias. In Stanbury, J. B., Wyngaarden, J. B. and Fredrickson, D. S. (eds.)The Metabolic Basis of Inherited Disease, McGraw-Hill Book Co., New York, 1978, pp. 387–396
Kato, T., Sano, M., Mizutani, N. and Hayakawa, C. Increased urinary excretion of putrescine in hyperargininaemia.J. Inher. Metab. Dis. 10 (1987) 391–396
Marescau, B., Qureshi, I. A., DeDeyn, P., Letarte, J., Ryba, R. and Lowenthal, A. Guanidino compounds in plasma, urine and cerebrospinal fluid of hyperargininemic patients during therapy.Clin. Chim. Acta 146 (1985) 21–27
Matsuda, I., Arashima, S., Imanishi, Y., Yamamoto, J., Akaboshi, I., Shinozuka, S. and Nagata, N. Lysine intolerance in a variant form of citrullinemia.Pediatr. Res. 13 (1979) 1134–1136
Paik, W. K., Pearson, E., Nochumson, S. and Kim, S. Replacement ofl-ornithine withl-lysine for urea cycle enzymes.Int. J. Biochem. 8 (1977) 317–321
Ratner, S. Enzymes of arginine and urea synthesis.Adv. Enzymol. 39 (1973) 1–90
Ryan, W. L., Barak, A. J. and Johnson, R. J. Lysine, homocitrulline, and homoarginine metabolism by the isolated perfused rat liver.Arch. Biochem. Biophys. 123 (1968) 294–297
Ryan, W. L., Johnson, R. J. and Dimari, S. Homoarginine synthesis by rat kidney.Arch. Biochem. Biophys. 131 (1969) 521–526
Scott-Emuakpor, A., Higgins, J. V. and Kohrman, A. F. Citrullinemia: A new case, with implications concerning adaptation to defective urea synthesis.Pediatr. Res. 6 (1972) 626–633
Segal, S. and Thier, S. O. Cystinuria. In Stanbury, J. B., Wyngaarden, J. B., Fredrickson, D. S., Goldstein, J. L. and Brown, M. S. (eds.)The Metabolic Basis of Inherited Disease, McGraw-Hill Book Co., New York, 1983, pp. 1774–1791
Strandholm, J. J., Buist, N. R. M. and Kennaway, N. G. Homoargininosuccinic acid synthesis by an enzyme from pig kidney.Biochim. Biophys. Acta 237 (1971) 293–295
Valle, D. and Simell, O. The hyperornithinemias. In Stanbury, J. B., Wyngaarden, J. B., Fredrickson, D. S. and Brown, M. S. (eds.)The Metabolic Basis of Inherited Disease, McGraw-Hill Book Co., New York, 1983, pp. 382–401
Walser, M. Urea cycle disorders and other hereditary hyperammonemic syndromes. In Stanbury, J. B., Wyngaarden, J. B., Fredrickson, D. S. and Brown, M. S. (eds.)The Metabolic Basis of Inherited Disease, McGraw-Hill Book Co., New York, 1983, pp. 402–438
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Kato, T., Sano, M., Mizutani, N. et al. Homocitrullinuria and homoargininuria in hyperargininaemia. J Inherit Metab Dis 11, 261–265 (1988). https://doi.org/10.1007/BF01800367
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DOI: https://doi.org/10.1007/BF01800367