Proline deficiency syndrome

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Proline deficiency syndrome. Pyroline-5-carboxylate synthase (P5CS or ALDH18A1). Fully referenced neurology checklist.

Causative enzyme deficiencies

  • Pyroline-5-carboxylate synthase (P5CS or ALDH18A1)
  • Pyroline-5-carboxylate reductase 1 (PYCR1)
  • Pyroline-5-carboxylate reductase 2 (PYCR2)

Infantile phenotype

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Adult-onset phenotype

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Deficiencies on plasma tests

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Magnetic resonance imaging (MRI) brain: features

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References

  1. de Koning TJ. Amino acid synthesis deficiencies. J Inherit Metab Dis 2017; 40:609-620.

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