raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:2203

Hyperlysinemia

Synonyms: Hyperlysinemia type I · Lysine alpha-ketoglutarate reductase deficiency

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
All ages
Status
active

A rare autosomal recessive disorder of lysine metabolism characterized by elevated levels of lysine in the cerebrospinal fluid and blood. Hyperlysinemia type I has been associated with a highly variable phenotype including seizures, hypotonia, and mild psychomotor delay, although isolated hyperlysinemia is probably a benign condition.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enHyperlysinemiaHyperlysinemia type I · Lysine alpha-ketoglutarate reductase deficiency
frHyperlysinémieDéficit en lysine alpha-cétoglutarate réductase · Hyperlysinémie type I
deHyperlysinämieHyperlysinämie Typ I · Lysin-alpha-Ketoglutarat-Reduktase-Mangel
esHiperlisinemiaDeficiencia de lisina alfa-cetoglutarato reductasa · Hiperlisinemia tipo 1
itIperlisinemiaDeficit di lisina alfa-chetoglutarato reduttasi · Iperlisinemia, tipo I
nlHyperlysinemieDeficiëntie van lysine alfa-ketoglutaraat-reductase · Hyperlysinemie type I
ptHiperlisinemiaDeficiência de lisina alfa-cetoglutarato redutase · Hiperlisinemia tipo I
plHiperlizynemiaHiperlizynemia typu I · Niedobór reduktazy lizyny alfa-keto glutarowej
csHyperlysinémieHyperlysinémie, typ I · Deficit lysin alfa-ketoglutarát reduktázy
ukГіперлізинеміяГіперлізінемія I типу · Дефіцит лізин-альфа-кетоглутаратредуктази
zh高赖氨酸血症赖氨酸α酮戊二酸还原酶缺乏性疾病
trHiperlizinemiHiperlisinemi tip I · Lizin alfa-ketoglutarat redüktaz eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM238700Evalidated
OMIM238710BTNTvalidated
ICD-10E72.3NTBTinclusionvalidated
ICD-115C50.4NTBTindexvalidated
MONDO0009388Evalidated
MeSHD020167Evalidated
UMLSC0268553Evalidated
GARD2828Evalidated
MedDRA10081311Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (2):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
AASSDisease-causing germline mutation(s) inAssessedHGNC:17366ENSG000000083116051137q31.32aminoadipate-semialdehyde synthase23570448[PMID]_23890588[PMID]_10775527[PMID]
5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

57 annotations · validated 2021-07-15
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0500243Abnormal CSF ornithine concentration
HP:0012379Abnormal enzyme/coenzyme activity
HP:0003268Argininuria
HP:0000708Atypical behavior
HP:0003131Cystinuria
HP:0500204Decreased CSF arginine concentration
HP:0012403Decreased urine alpha-ketoglutarate concentration
HP:0000750Delayed speech and language development
HP:0010850EEG with spike-wave complexes
HP:0008947Floppy infant
HP:0001263Global developmental delay
HP:0001987Hyperammonemia
HP:0002161Hyperlysinemia
HP:0003297Hyperlysinuria
HP:0500163Hypoornithinemia
HP:0500208Increased CSF lysine concentration
HP:0001249Intellectual disability
HP:0000252Microcephaly
HP:0012758Neurodevelopmental delay
HP:0001250Seizure
HP:0000736Short attention span
HP:0004322Short stature
Occasional (29-5%)
HP:0001999Abnormal facial shape
HP:0100022Abnormality of movement
HP:0001348Brisk reflexes
HP:0002312Clumsiness
HP:0001363Craniosynostosis
HP:0000457Depressed nasal ridge
HP:0001310Dysmetria
HP:0002015Dysphagia
HP:0001508Failure to thrive
HP:0011968Feeding difficulties
HP:0002020Gastroesophageal reflux
HP:0000218High palate
HP:0000752Hyperactivity
HP:0009739Hypoplasia of the antihelix
HP:0008589Hypoplastic helices
HP:0000601Hypotelorism
HP:0006889Intellectual disability, borderline
HP:0011342Mild global developmental delay
HP:0040288Nasogastric tube feeding
HP:0031867Neck hypertonia
HP:0002179Opisthotonus
HP:0002275Poor motor coordination
HP:0002033Poor suck
HP:0004971Pulmonary artery hypoplasia
HP:0006532Recurrent pneumonia
HP:0011171Simple febrile seizure
HP:0000319Smooth philtrum
HP:0001264Spastic diplegia
HP:0001285Spastic tetraparesis
HP:0000486Strabismus
HP:0045074Thin eyebrow
HP:0030051Tip-toe gait
HP:0001337Tremor
HP:0025331Upgaze palsy
HP:0002013Vomiting

Annotation source: 23890588[PMID]_23570448[PMID]

7

Sources for this card