Skip to main content
  • 986 Accesses

Abstract

  • Tyrosinemia type 1 causes liver failure, liver cancer, renal tubular dysfunction, and recurrent episodes of peripheral neuropathy when untreated, resulting in significantly shortened life expectancy.

  • Treatment with NTBC prevents the severe manifestations of disease but results in hypertyrosinemia.

  • Dietary treatment of tyrosinemia type 1 with limitation of phenylalanine and tyrosine intake is indicated to prevent severe hypertyrosinemia and the associated complications in patients treated with NTBC as well as in those with type 2.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Endo F, Sun MS. Tyrosinaemia type I and apoptosis of hepatocytes and renal tubular cells. J Inherit Metab Dis. 2002;25(3):227–34.

    Article  CAS  Google Scholar 

  2. Lindblad B, Lindstedt S, Steen G. On the enzymic defects in hereditary tyrosinemia. Proc Natl Acad Sci U S A. 1977;74(10):4641–5.

    Article  CAS  Google Scholar 

  3. Grenier A, Lescault A, Laberge C, Gagne R, Mamer O. Detection of succinylacetone and the use of its measurement in mass screening for hereditary tyrosinemia. Clin Chim Acta. 1982;123(1–2):93–9.

    Article  CAS  Google Scholar 

  4. Giguere Y, Berthier MT. Newborn screening for hereditary tyrosinemia type I in Quebec: update. Adv Exp Med Biol. 2017;959:139–46.

    Article  CAS  Google Scholar 

  5. Morgan MY, Marshall AW, Milsom JP, Sherlock S. Plasma amino-acid patterns in liver disease. Gut. 1982;23(5):362–70.

    Article  CAS  Google Scholar 

  6. Chinsky JM, Singh R, Ficicioglu C, van Karnebeek CDM, Grompe M, Mitchell G, et al. Diagnosis and treatment of tyrosinemia type I: a US and Canadian consensus group review and recommendations. Genet Med. 2017;19(12):1380.

    Article  Google Scholar 

  7. van Ginkel WG, Pennings JP, van Spronsen FJ. Liver cancer in tyrosinemia type 1. Adv Exp Med Biol. 2017;959:101–9.

    Article  Google Scholar 

  8. Wu JT, Book L, Sudar K. Serum alpha fetoprotein (AFP) levels in normal infants. Pediatr Res. 1981;15(1):50–2.

    Article  CAS  Google Scholar 

  9. Morrow G, Tanguay RM. Biochemical and clinical aspects of hereditary tyrosinemia type 1. Adv Exp Med Biol. 2017;959:9–21.

    Article  CAS  Google Scholar 

  10. Mitchell G, Larochelle J, Lambert M, Michaud J, Grenier A, Ogier H, et al. Neurologic crises in hereditary tyrosinemia. N Engl J Med. 1990;322(7):432–7.

    Article  CAS  Google Scholar 

  11. Macsai MS, Schwartz TL, Hinkle D, Hummel MB, Mulhern MG, Rootman D. Tyrosinemia type II: nine cases of ocular signs and symptoms. Am J Ophthalmol. 2001;132(4):522–7.

    Article  CAS  Google Scholar 

  12. Thimm E, Herebian D, Assmann B, Klee D, Mayatepek E, Spiekerkoetter U. Increase of CSF tyrosine and impaired serotonin turnover in tyrosinemia type I. Mol Genet Metab. 2011;102(2):122–5.

    Article  CAS  Google Scholar 

  13. Arnon R, Annunziato R, Miloh T, Wasserstein M, Sogawa H, Wilson M, et al. Liver transplantation for hereditary tyrosinemia type I: analysis of the UNOS database. Pediatr Transplant. 2011;15(4):400–5.

    Article  Google Scholar 

  14. Pierik LJ, van Spronsen FJ, Bijleveld CM, van Dael CM. Renal function in tyrosinaemia type I after liver transplantation: a long-term follow-up. J Inherit Metab Dis. 2005;28(6):871–6.

    Article  CAS  Google Scholar 

  15. Lindstedt S, Holme E, Lock EA, Hjalmarson O, Strandvik B. Treatment of hereditary tyrosinaemia type I by inhibition of 4-hydroxyphenylpyruvate dioxygenase. Lancet. 1992;340(8823):813–7.

    Article  CAS  Google Scholar 

  16. van Ginkel WG, Rodenburg IL, Harding CO, Hollak CEM, Heiner-Fokkema MR, van Spronsen FJ. Long-term outcomes and practical considerations in the pharmacological management of tyrosinemia type 1. Paediatr Drugs. 2019;21(6):413–26.

    Article  Google Scholar 

  17. Thimm E, Richter-Werkle R, Kamp G, Molke B, Herebian D, Klee D, et al. Neurocognitive outcome in patients with hypertyrosinemia type I after long-term treatment with NTBC. J Inherit Metab Dis. 2012;35(2):263–8.

    Article  CAS  Google Scholar 

  18. van Ginkel WG, Jahja R, Huijbregts SCJ, van Spronsen FJ. Neurological and neuropsychological problems in tyrosinemia type I patients. Adv Exp Med Biol. 2017;959:111–22.

    Article  Google Scholar 

  19. van Ginkel WG, Jahja R, Huijbregts SC, Daly A, MacDonald A, De Laet C, et al. Neurocognitive outcome in tyrosinemia type 1 patients compared to healthy controls. Orphanet J Rare Dis. 2016;11(1):87.

    Article  Google Scholar 

  20. Garcia MI, de la Parra A, Arias C, Arredondo M, Cabello JF. Long-term cognitive functioning in individuals with tyrosinemia type 1 treated with nitisinone and protein-restricted diet. Mol Genet Metab Rep. 2017;11:12–6.

    Article  CAS  Google Scholar 

  21. Mitchell GA, Yang H. Remaining challenges in the treatment of tyrosinemia from the clinician's viewpoint. Adv Exp Med Biol. 2017;959:205–13.

    Article  CAS  Google Scholar 

  22. Acosta PB. Nutrition management of patients with inherited metabolic disorders. Sudbury: Jones and Bartlett Publishers, LLC; 2010.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Austin Larson .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Larson, A. (2022). Hereditary Tyrosinemia. In: Bernstein, L.E., Rohr, F., van Calcar, S. (eds) Nutrition Management of Inherited Metabolic Diseases. Springer, Cham. https://doi.org/10.1007/978-3-030-94510-7_13

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-94510-7_13

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-94509-1

  • Online ISBN: 978-3-030-94510-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics