TY - JOUR U1 - Zeitschriftenartikel, wissenschaftlich - begutachtet (reviewed) A1 - Houten, Sander M. A1 - te Brinke, Heleen A1 - Denis, Simone A1 - Ruiter, Jos Pn A1 - Knegt, Alida C. A1 - Klerk, Johannis Bc de A1 - Augoustides-Savvopoulou, Persephone A1 - Häberle, Johannes A1 - Baumgartner, Matthias R. A1 - Coşkun, Turgay A1 - Zschocke, Johannes A1 - Sass, Jörn Oliver A1 - Poll-The, Bwee Tien A1 - Wanders, Ronald Ja A1 - Duran, Marinus T1 - Genetic basis of hyperlysinemia JF - Orphanet Journal of Rare Diseases N2 - BACKGROUND Hyperlysinemia is an autosomal recessive inborn error of L-lysine degradation. To date only one causal mutation in the AASS gene encoding α-aminoadipic semialdehyde synthase has been reported. We aimed to better define the genetic basis of hyperlysinemia. METHODS We collected the clinical, biochemical and molecular data in a cohort of 8 hyperlysinemia patients with distinct neurological features. RESULTS We found novel causal mutations in AASS in all affected individuals, including 4 missense mutations, 2 deletions and 1 duplication. In two patients originating from one family, the hyperlysinemia was caused by a contiguous gene deletion syndrome affecting AASS and PTPRZ1. CONCLUSIONS Hyperlysinemia is caused by mutations in AASS. As hyperlysinemia is generally considered a benign metabolic variant, the more severe neurological disease course in two patients with a contiguous deletion syndrome may be explained by the additional loss of PTPRZ1. Our findings illustrate the importance of detailed biochemical and genetic studies in any hyperlysinemia patient. SN - 1750-1172 SS - 1750-1172 U6 - https://doi.org/10.1186/1750-1172-8-57 DO - https://doi.org/10.1186/1750-1172-8-57 PM - 23570448 N1 - © 2013 Houten et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License. VL - 8 SP - 57 PB - BioMed Central ER -