Saccharopinuria

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Saccharopinuria (an excess of saccharopine in the urine), also called saccharopinemia, saccharopine dehydrogenase deficiency or alpha-aminoadipic semialdehyde synthase deficiency,[1] is a variant form of hyperlysinemia.[2] It is caused by a partial deficiency of the enzyme saccharopine dehydrogenase, which plays a secondary role in the lysine metabolic pathway. Inheritance is thought to be autosomal recessive, but this cannot be established as individuals affected by saccharopinuria typically have only a 40% reduction in functional enzyme.[1]

Saccharopinuria is a disorder of lysine metabolism associated with hyperlysinaemia and lysinuria.

Epidemiology[edit | edit source]

The prevalence is unknown.

Cause[edit | edit source]

It is caused by a deficiency in the bifunctional enzyme alpha-aminoadipate semialdehyde synthase, encoded by the AASS gene (located at 7q31.3). This enzyme has both lysine-ketoglutarate reductase (LKR) and saccharopine dehydrogenase (SDH) activity, and catalyses the first two steps of lysine degradation. In saccharopinuria, deficiency of the LKR activity is only partial.

Inheritance[edit | edit source]

Autosomal recessive inheritance, a 25% chance

Saccharopinuria is an autosomal recessive disorder.

Signs and symptoms[edit | edit source]

The few patients with saccharopinuria have been investigated largely because of neurological problems including spastic diplegia but the relationship between the saccharopinuria and these is unclear.

Alternate names[edit | edit source]

Saccharopine dehydrogenase deficiency

Diagnosis[edit | edit source]

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NIH genetic and rare disease info[edit source]

Saccharopinuria is a rare disease.


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