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Disorders of glycine metabolism Save


ICD-10 code: E72.5

Chapter: Endocrine, nutritional and metabolic diseases

Disorders of Glycine Metabolism

Glycine is a non-essential amino acid found in proteins and other molecules in the body. It plays a crucial role in the central nervous system as a neurotransmitter and is also involved in the synthesis of other important molecules like heme, creatine, and purines. However, when there is a disruption in glycine metabolism, it can lead to various disorders that affect different parts of the body.

  1. Non-Ketotic Hyperglycinemia: This is a rare genetic disorder that affects the breakdown of glycine in the body. It results in the accumulation of glycine in the brain and can lead to seizures, developmental delays, and intellectual disability.
  2. Hyperglycinuria: This disorder is characterized by high levels of glycine in the urine due to impaired reabsorption of the amino acid by the kidneys. It is usually asymptomatic but can lead to kidney stones and other urinary tract problems over time.
  3. Glycine Encephalopathy: This is another rare genetic disorder that affects the breakdown of glycine in the body. It can lead to seizures, developmental delays, and intellectual disability similar to non-ketotic hyperglycinemia.
  4. Serine Deficiency Disorders: Serine is an important amino acid that is synthesized from glycine. When there is a disruption in glycine metabolism, it can lead to a deficiency of serine in the body. This can cause neurological problems, developmental delays, and intellectual disability.

Diagnosis of disorders of glycine metabolism is usually done through blood and urine tests, genetic testing, and imaging studies like MRI. Treatment options vary depending on the specific disorder and may include medications, dietary changes, and supportive care.

In conclusion, disorders of glycine metabolism can have a significant impact on a person's health and development. It is important to seek medical attention if there are any concerns about these disorders to ensure early diagnosis and appropriate treatment.