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Hyperprolinaemia type I and white matter disease: Coincidence or causal relationship

  • Metabolic Diseases
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Abstract

We describe a 10-year-old boy with hyperprolinaemia type I and severe neurological abnormalities (mental retardation, cerebral palsy, epilepsy, nystagmus). Magnetic resonance imaging showed diffuse white matter involvement and electroretinography confirmed tapetoretinal degeneration. In view of reports in the literature, hyperprolinaemia type I may not be a benign condition, as usually assumed, but may lead to marked neurological abnormalities, particularly in affected males.

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Abbreviations

Hp I:

hyperprolinaemia type I

Hp II:

hyperprolinaemia type II

P5C:

α1-pyrroline-5-carboxylate

References

  1. Dodinval P, Willems C, Heusden A, Hainaut H, Gottschalk C (1969) Clearance rénale des acides aminés chez un enfant hyperprolinémique. J Genet Hum 17:297–316

    PubMed  Google Scholar 

  2. Douglas EP (1985) Hyperprolinemia and gyrate atrophy of the choroid and retina in members of the same family. Br J Ophthalmol 69:588–592

    PubMed  Google Scholar 

  3. Efron ML (1965) Familial hyperprolinemia. Report of a second case, associated with congenital renal malformation, hereditary hematuria and mild mental retardation, with demonstration of enzyme defect. N Engl J Med 272:1243–1254

    PubMed  Google Scholar 

  4. Fontaine G, Farriaux JP, Dautrevaux M (1970) L'hyperprolinémie de type I. Etude d'une observation familiale. Helv Paediatr Acta 25:165–175

    PubMed  Google Scholar 

  5. Fusco G, Carlomagno S, Romano A, Rinaldi E, Cedrola G, Cianciaruso L, Curto A, Rosolia S, Auricchio G (1976) Type-I hyperprolinemia in a family suffering from aniridia and severe dystrophia of ocular tissues. Ophthalmology 173:1–10

    Google Scholar 

  6. Goyer RA, Reynolds J, Burke J, Burkholder P (1968) Hereditary renal disease with neurosensory hearing loss, prolinuria and ichthyosis. Am J Med Sci 256:166–179

    PubMed  Google Scholar 

  7. Hainaut H, Hariga J, Willems. C, Heusden A, Chapelle P (1971) Hyperprolinemie essentielle familiale. Presse Med 79:945–948

    PubMed  Google Scholar 

  8. Kopelmann H, Asatoor AM, Milne MD (1964) Hyperprolinemia and hereditary nephritis. Lancet II:1075–1079

    Google Scholar 

  9. Mollica F, Pavone L, Antener I (1971) Pure familial hyperprolinemia: isolated inborn error of amino acid metabolism without other anomalies in a Sicilian family. Pediatrics 48:225–231

    PubMed  Google Scholar 

  10. Niemeyer G (1979) Information von der Netzhaut durch Elektroretinografie. Graefe's Arch Clin Exp Ophthalmol 211:129–137

    Google Scholar 

  11. Perry TL, Hardwick DF, Lowry RB, Hansen S (1968) Hyperprolinaemia in two successive generations of a North American Indian family. Ann Hum Genet 31:401–408

    PubMed  Google Scholar 

  12. Potter JL, Waickman FJ (1973) Hyperprolinemia. I. Study of a large family. J Pediatr 83:635–637

    PubMed  Google Scholar 

  13. Rittinger O, Bachmann C, Irnberger TL, Pilz P, Waller GF, Wendel U, Plöchl E (1986) Intermediäre Form einer Ahornsirupkrankheit. Klin Pädiatr 198:37–43

    Google Scholar 

  14. Schafer IA, Scriver CR, Efron ML (1962) Familial hyperprolinemia, cerebral dysfunction and renal anomalies occurring in a family with hereditary nephritis and deafness. N Engl J Med 267:51–60

    PubMed  Google Scholar 

  15. Scriver CR, Smith RJ, Phang JM (1983) Disorders of proline and hydroxyproline metabolism. In: Stanbury JB, Wyngaarden JB, Frederickson DS, Goldstein JL, Brown MS (eds) the metabolic basis of inherited disease, 5th edn. McGraw-Hill, New York, pp 360–381

    Google Scholar 

  16. Vogel HJ, Davis BD (1952) Glutamic-semialdehyde and Δ-pyrroline-5-carboxylic acid, intermediates in the biosynthesis of proline. J Am Chem Soc 74:109–112

    Google Scholar 

  17. Woody NC, Snyder CH, Harris JA (1969) Hyperprolinemia: clinical and biochemical family study. Pediatrics 44:554–563

    PubMed  Google Scholar 

  18. Zoghbi H, Spence E, Beaudet A, O'Brian W, Goodmann C, Gibson K (1986) Atypical presentation and neuropathological studies in 3-hydroxy-3-methylglutaryl-CoA-lyase-deficiency. Ann Neurol 20:367–369

    PubMed  Google Scholar 

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Steinlin, M., Boltshauser, E., Steinmann, B. et al. Hyperprolinaemia type I and white matter disease: Coincidence or causal relationship. Eur J Pediatr 149, 40–42 (1989). https://doi.org/10.1007/BF02024332

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  • DOI: https://doi.org/10.1007/BF02024332

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