raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:33572

5-oxoprolinase deficiency

Synonyms: Oxoprolinuria due to oxoprolinase deficiency

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Childhood, Infancy, Neonatal
Status
active

A very heterogeneous condition characterized by 5-oxoprolinuria.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
en5-oxoprolinase deficiencyOxoprolinuria due to oxoprolinase deficiency
frDéficit en 5-oxoprolinaseOxoprolinurie par déficit en oxoprolinase
de5-Oxoprolinase-MangelOxoprolinurie durch Oxoprolinase-Mangel
esDeficiencia de 5-oxoprolinasaOxoprolinuria por deficiencia de oxoprolinasa
itDeficit di 5-oxoprolinasiOxoprolinuria da deficit di oxoprolinasi
nlDeficiëntie van 5-oxoprolinaseOxoprolinurie door deficiëntie van oxoprolinase
ptDeficiência de 5-oxoprolinase
plNiedobór 5-oligoprolinazyOksoprolinuria spowodowana niedoborem oksoprolinazy
csDeficit 5-oxoprolinázyOxoprolinurie způsobená deficitem oxoprolinázy
ukДефіцит 5-оксопроліназиОксопролінурія внаслідок дефіциту оксопролінази
zh5-氧脯氨酸酶缺乏氧脯氨酸酶缺乏所致氧脯氨酸尿症
tr5-oksoprolinaz eksikliğiOksoprolinaz eksikliğine bağlı oksoprolinüri

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM260005Evalidated
ICD-10E72.8NTBTattributedvalidated
ICD-115C50.5NTBTindexvalidated
MONDO0009825Evalidated
MeSHC535322Evalidated
UMLSC0268525Evalidated
GARD5681Evalidated

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 (1):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
OPLAHDisease-causing germline mutation(s) inAssessedHGNC:8149ENSG000001788146142438q24.35-oxoprolinase, ATP-hydrolysing21651516[PMID]_27477828[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families8 casesWorldwideCase(s)ValidatedORPHANET
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET

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

19 annotations · validated 2025-07-10
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0410132Increased level of L-pyroglutamic acid in urine
HP:0040142Reduced circulating 5-oxoprolinase activity
Frequent (79-30%)
HP:0001263Global developmental delay
Occasional (29-5%)
HP:0002059Cerebral atrophy
HP:0000750Delayed speech and language development
HP:0004387Enterocolitis
HP:0001508Failure to thrive
HP:0008872Feeding difficulties in infancy
HP:0008947Floppy infant
HP:0100786Hypersomnia
HP:0001943Hypoglycemia
HP:0001252Hypotonia
HP:0000952Jaundice
HP:0001942Metabolic acidosis
HP:0000252Microcephaly
HP:0000787Nephrolithiasis
HP:0005490Postnatal macrocephaly
HP:0001250Seizure
HP:0000486Strabismus

Run the differential on the 2 obligate / very frequent terms

Annotation source: 25851806[PMID]_27477828[PMID]_39129838[PMID]_17397529[PMID]

7

Sources for this card