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Medical Forum / General / Nutrition / December 2007

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Hyperprolinemia, please help

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Richard - 28 Dec 2007 19:15 GMT
My son was diagnosed with hyperprolinemia and he has DiGeorge
syndrome. Both problems area related to chromosome area 22q11.2 / .21.
He is lacking an enzyme to convert proline into something else. This
is very serious as the build up of L-Proline (30 times out of the top
range) has neurological effects (psychosis, schizophrenia, etc.).

From http://hmg.oxfordjournals.org/cgi/reprint/ddl443v1.pdf :

"...therapeutic consequences for HPI as well as DiGeorge subjects with
hyperprolinemia, conceivable to lower plasma proline levels by
reduction of proline intake (18)pharmacological treatment early during
early childhood in these patients..."
...
18. Jaksic, T., Wagner, D.A. and Young, V.R. (1990) Plasma proline
kinetics and concentrations in young men in response to dietary
proline deprivation. Am J Clin Nutr, 52, 307-312.

The article by Jaksic et al states that proline deprivation in the
diet has very little effect on plasma levels. I've read that we need
pharmacological help. Aside from gene therapy.. what would that be? Is
there such thing as a proline oxidase enzyme pill or injection??? Is
there another amino acid that would somehow block proline???

Our son's specialists are "looking into the matter" but they are
initially confused and don't know how to lower it. This is a rare
problem.. they said that only 200k people in the USA have this.

He is 6 years old and suffering from a number of neurological
problems. Please help.
Richard - 29 Dec 2007 08:08 GMT
> My son was diagnosed with hyperprolinemia and he has DiGeorge
> syndrome. Both problems area related to chromosome area 22q11.2 / .21.
[quoted text clipped - 25 lines]
> He is 6 years old and suffering from a number of neurological
> problems. Please help.

Anybody??
mzlindyone@earthlink.net - 29 Dec 2007 12:29 GMT
>My son was diagnosed with hyperprolinemia and he has DiGeorge
>syndrome. Both problems area related to chromosome area 22q11.2 / .21.
>He is lacking an enzyme to convert proline into something else.

A short look indicates that "something else" is collagen, perhaps
one or more of the 25 known specific types.  Collagen is essential
to all body cells; it is as much as 65% of all proteins in the body.

I also notice many of the visible symptoms of DiGeorge's are bone
and cartilage related...

>This
>is very serious as the build up of L-Proline (30 times out of the top
>range) has neurological effects (psychosis, schizophrenia, etc.).

When the body is missing an essential factor, it will make attempts
to compensate.  In many cases this means a precursor will build up
when it isn't being converted properly.  Proline is a precursor of
collagen - this means it uses proline to produce collagen - but your
son is missing the enzymes needed to make this happen.  Nevertheless
his body retains the message that more proline = more collagen, so
it keeps producing the proline.  See?

Richard, I'm not a doctor and you should do your own research and
talk with his doctors, but I highly suspect that if your son were
getting enough of the end product (collagen) from other sources,
excess proline would be much less of a problem.  In fact the excess
proline may be itself only a symptom of lack of collagen.  Collagen
is available from animal-sourced gelatin, bone broth, there are
supplements, and it can be injected as a supplement if necessary.
When looking at collagen supplements, look for low molecular weight.
Bone broth is next thing to free if you know a real butcher who cuts
up his own meat and will sell or give you bones.  Here's a reference
that's written in English rather than medicalese:
http://thedoctorwithin.com/index_fr.php?page=articles/collagen.php

HTH.

Carol
Richard - 30 Dec 2007 20:07 GMT
On Dec 29, 5:29 am, mzlindy...@earthlink.net wrote:
> On Fri, 28 Dec 2007 11:15:29 -0800 (PST), Richard
>
[quoted text clipped - 37 lines]
>
> Carol

Thanks Carol - I'm adding this information to my arsenal to take to
the doctors. What you say makes sense.

We had some good news this week. His IQ was tested to be quite a bit
above average for his age (tested by an ISO certified company).
Perhaps its not too late to do something. Thanks again for this info.

Richard
 
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