What is iminoglycinuria (a condition characterized by the abnormal excretion of imino acids, such as glycine, in the urine)?

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From the Research

Iminoglycinuria is a rare genetic disorder characterized by excessive amounts of amino acids, specifically glycine, proline, and hydroxyproline, in the urine, and is generally considered a benign condition that doesn't typically cause significant health problems. This condition occurs due to defects in the transport proteins responsible for reabsorbing these amino acids in the kidneys and intestines. The underlying mechanism involves mutations in the SLC36A2 gene, which encodes for the amino acid transporter protein, as identified in a study published in The Journal of Clinical Investigation in 2008 1.

Key Characteristics of Iminoglycinuria

  • Inherited in an autosomal recessive pattern, meaning a person must inherit two defective genes (one from each parent) to develop the condition
  • Usually discovered incidentally during urine testing for other reasons
  • Most people with this disorder don't require any specific treatment or medication regimens
  • Regular monitoring by a healthcare provider is recommended for those diagnosed with the condition, though specific interventions are typically unnecessary

Molecular Basis and Genetic Findings

The molecular basis of iminoglycinuria has been studied, and recent findings suggest that mutations in the SLC36A2 gene are responsible for the condition 1. Additionally, other transporters, such as the IMINO transporter (SLC6A20), may also play a role in the reabsorption of glycine and proline 2.

Clinical Implications and Management

While most cases of iminoglycinuria are asymptomatic, some individuals may experience mild symptoms like kidney stones in rare instances. However, the condition is generally considered benign, and specific interventions are typically not necessary. Regular monitoring by a healthcare provider is recommended to ensure that any potential complications are identified and managed promptly.

References

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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