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Histidinemia

MedGen UID:
113135
Concept ID:
C0220992
Disease or Syndrome
Synonyms: Deficiency of histidine ammonia-lyase; HAL deficiency; HIS deficiency; Histidase deficiency; Histidine ammonia-lyase deficiency; Hyperhistidinemia
SNOMED CT: Deficiency of histidine a-deaminase (124628005); Deficiency of histidinase (124628005); Deficiency of histidase (124628005); Deficiency of histidine ammonia-lyase (124628005); Histidinemia (410058007)
Modes of inheritance:
Autosomal recessive inheritance
MedGen UID:
141025
Concept ID:
C0441748
Intellectual Product
Source: Orphanet
A mode of inheritance that is observed for traits related to a gene encoded on one of the autosomes (i.e., the human chromosomes 1-22) in which a trait manifests in individuals with two pathogenic alleles, either homozygotes (two copies of the same mutant allele) or compound heterozygotes (whereby each copy of a gene has a distinct mutant allele).
 
Gene (location): HAL (12q23.1)
 
HPO: HP:0010906
Monarch Initiative: MONDO:0009345
OMIM®: 235800
Orphanet: ORPHA2157

Definition

Histidinemia is a metabolic disorder characterized by increased levels of histidine in blood, urine, and cerebrospinal fluid, and decreased levels of the metabolite urocanic acid in blood, urine, and skin cells. Although histidinemia was originally associated with mental retardation and speech defects, it is generally considered to be a benign disorder (Levy et al., 2001). However, it is possible that histidinemia may be a risk factor for developmental disorders in certain individuals under specific circumstances, such as perinatal events (Ishikawa, 1987). [from OMIM]

Additional description

From MedlinePlus Genetics
Histidinemia is an inherited condition characterized by elevated blood levels of the amino acid histidine, a building block of most proteins. Histidinemia is caused by the shortage (deficiency) of the enzyme that breaks down histidine. Histidinemia typically causes no health problems, and most people with elevated histidine levels are unaware that they have this condition.

The combination of histidinemia and a medical complication during or soon after birth (such as a temporary lack of oxygen) might increase a person's chances of developing intellectual disability, behavioral problems, or learning disorders.  https://medlineplus.gov/genetics/condition/histidinemia

Clinical features

From HPO
Histidinuria
MedGen UID:
1731918
Concept ID:
C5399766
Finding
An increased concentration of histidine in the urine.
Elevated urinary N-tau-ribosylhistidine level
MedGen UID:
1054185
Concept ID:
CN377453
Finding
Presence of N tau-ribosylhistidine (His-R) in the urine. His-R is a histidine derivative found in the urine of histidinemic patients.
Intellectual disability
MedGen UID:
811461
Concept ID:
C3714756
Mental or Behavioral Dysfunction
Intellectual disability, previously referred to as mental retardation, is characterized by subnormal intellectual functioning that occurs during the developmental period. It is defined by an IQ score below 70.
Histidinemia
MedGen UID:
113135
Concept ID:
C0220992
Disease or Syndrome
Histidinemia is a metabolic disorder characterized by increased levels of histidine in blood, urine, and cerebrospinal fluid, and decreased levels of the metabolite urocanic acid in blood, urine, and skin cells. Although histidinemia was originally associated with mental retardation and speech defects, it is generally considered to be a benign disorder (Levy et al., 2001). However, it is possible that histidinemia may be a risk factor for developmental disorders in certain individuals under specific circumstances, such as perinatal events (Ishikawa, 1987).

Conditions with this feature

Histidinemia
MedGen UID:
113135
Concept ID:
C0220992
Disease or Syndrome
Histidinemia is a metabolic disorder characterized by increased levels of histidine in blood, urine, and cerebrospinal fluid, and decreased levels of the metabolite urocanic acid in blood, urine, and skin cells. Although histidinemia was originally associated with mental retardation and speech defects, it is generally considered to be a benign disorder (Levy et al., 2001). However, it is possible that histidinemia may be a risk factor for developmental disorders in certain individuals under specific circumstances, such as perinatal events (Ishikawa, 1987).

Professional guidelines

PubMed

Kitagawa T
Pediatr Endocrinol Rev 2012 Oct;10 Suppl 1:8-25. PMID: 23330242
Aoki K
Southeast Asian J Trop Med Public Health 2003;34 Suppl 3:80. PMID: 15906702
van Sprang FJ, Wadman SK
Acta Paediatr Scand 1967 Sep;56(5):493-7. doi: 10.1111/j.1651-2227.1967.tb15413.x. PMID: 6050352

Recent clinical studies

Etiology

Kitagawa T
Pediatr Endocrinol Rev 2012 Oct;10 Suppl 1:8-25. PMID: 23330242
Widhalm K, Virmani K
Pediatrics 1994 Dec;94(6 Pt 1):861-6. PMID: 7971002
Nyhan WL, Wulfeck BB, Tallal P, Marsden DL
Birth Defects Orig Artic Ser 1989;25(6):153-69. PMID: 2605319
Ishikawa M
Acta Paediatr Jpn 1987 Apr;29(2):224-8. doi: 10.1111/j.1442-200x.1987.tb00037.x. PMID: 2472732
Kitano A, Higashi A, Nagata N, Matsuda I, Hase Y, Oura T
J Pediatr Gastroenterol Nutr 1985 Oct;4(5):752-5. doi: 10.1097/00005176-198510000-00012. PMID: 3930685

Diagnosis

Attia MS
Biosens Bioelectron 2017 Aug 15;94:81-86. Epub 2017 Feb 14 doi: 10.1016/j.bios.2017.02.018. PMID: 28262611
Aoki K
Southeast Asian J Trop Med Public Health 2003;34 Suppl 3:80. PMID: 15906702
Virmani K, Widhalm K
J Am Coll Nutr 1993 Apr;12(2):115-24. doi: 10.1080/07315724.1993.10718291. PMID: 8463510
Kotsopoulos S, Kutty KM
J Autism Dev Disord 1979 Mar;9(1):55-60. doi: 10.1007/BF01531292. PMID: 438113
Duffner PK, Cohen ME
Neurology 1975 Feb;25(2):195-7. doi: 10.1212/wnl.25.2.195. PMID: 1167649

Therapy

Page T
J Autism Dev Disord 2000 Oct;30(5):463-9. doi: 10.1023/a:1005563926383. PMID: 11098885
Widhalm K, Virmani K
Pediatrics 1994 Dec;94(6 Pt 1):861-6. PMID: 7971002
Nyhan WL, Hilton S
Am J Med Genet 1992 Nov 15;44(5):558-61. doi: 10.1002/ajmg.1320440505. PMID: 1481808
Snyderman SE, Sansaricq C, Norton PM, Manka M
J Pediatr 1979 Nov;95(5 Pt 1):712-5. doi: 10.1016/s0022-3476(79)80716-7. PMID: 490237
Duffner PK, Cohen ME
Neurology 1975 Feb;25(2):195-7. doi: 10.1212/wnl.25.2.195. PMID: 1167649

Prognosis

Kitagawa T
Pediatr Endocrinol Rev 2012 Oct;10 Suppl 1:8-25. PMID: 23330242
Levy HL
Pediatr Ann 2003 Aug;32(8):505-8. doi: 10.3928/0090-4481-20030801-07. PMID: 12942892
Widhalm K, Virmani K
Pediatrics 1994 Dec;94(6 Pt 1):861-6. PMID: 7971002
Nyhan WL, Wulfeck BB, Tallal P, Marsden DL
Birth Defects Orig Artic Ser 1989;25(6):153-69. PMID: 2605319
Ishikawa M
Acta Paediatr Jpn 1987 Apr;29(2):224-8. doi: 10.1111/j.1442-200x.1987.tb00037.x. PMID: 2472732

Clinical prediction guides

Ajikumar A, Premkumar AKN, Narayanan SP
Sci Rep 2023 Oct 14;13(1):17461. doi: 10.1038/s41598-023-44749-5. PMID: 37838762Free PMC Article
Levy HL
Pediatr Ann 2003 Aug;32(8):505-8. doi: 10.3928/0090-4481-20030801-07. PMID: 12942892
Widhalm K, Virmani K
Pediatrics 1994 Dec;94(6 Pt 1):861-6. PMID: 7971002
Virmani K, Widhalm K
J Am Coll Nutr 1993 Apr;12(2):115-24. doi: 10.1080/07315724.1993.10718291. PMID: 8463510
Kitano A, Higashi A, Nagata N, Matsuda I, Hase Y, Oura T
J Pediatr Gastroenterol Nutr 1985 Oct;4(5):752-5. doi: 10.1097/00005176-198510000-00012. PMID: 3930685

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