KEGG   DISEASE: Tyrosinemia
Entry
H00165                      Disease                                
Name
Tyrosinemia
  Subgroup
Tyrosinemia, type I
Tyrosinemia, type II
Tyrosinemia, type III
Hawkinsinuria
Description
The tyrosinemias are characterized by the accumulation of tyrosine in body fluids and tissues. Type I, the most severe form of tyrosinemia, is caused by a deficiency of fumarylacetoacetate hydrolase (FAH). This disorder is associated with liver failure, painful neurologic crises, rickets, and hepatocarcinoma. Type II is caused by a deficiency of tyrosine aminotransferase (TAT), and clinically presents with hyperkeratotic plaques on the hands and soles of the feet and photophobia due to deposition of tyrosine crystals within the cornea. Type III is a rare disorder caused by a deficiency of 4-hydroxyphenylpyruvate dioxygenase, that is associated with ataxia and mild mental retardation.
Category
Inherited metabolic disorder
Brite
Human diseases in ICD-11 classification [BR:br08403]
 05 Endocrine, nutritional or metabolic diseases
  Metabolic disorders
   Inborn errors of metabolism
    5C50  Inborn errors of amino acid or other organic acid metabolism
     H00165  Tyrosinemia
Pathway-based classification of diseases [BR:br08402]
 Amino acid metabolism
  nt06016  Phenylalanine and tyrosine metabolism
   H00165  Tyrosinemia
Pathway
hsa00350  Tyrosine metabolism
Network
nt06016 Phenylalanine and tyrosine metabolism
Gene
(TYRSN1) FAH [HSA:2184] [KO:K01555]
(TYRSN2) TAT [HSA:6898] [KO:K00815]
(TYRSN3) HPD [HSA:3242] [KO:K00457]
Drug
Nitisinone [DR:D05177]
Other DBs
ICD-11: 5C50.11 5C50.12
ICD-10: E70.2
MeSH: D020176
OMIM: 276700 276600 276710 140350
Reference
  Authors
Scott CR
  Title
The genetic tyrosinemias.
  Journal
Am J Med Genet C Semin Med Genet 142C:121-6 (2006)
DOI:10.1002/ajmg.c.30092
Reference
  Authors
Karnik D, Thomas N, Eapen CE, Jana AK, Oommen A
  Title
Tyrosinemia type I: a clinico-laboratory case report.
  Journal
Indian J Pediatr 71:929-32 (2004)
DOI:10.1007/BF02830839
Reference
  Authors
Santra S, Baumann U
  Title
Experience of nitisinone for the pharmacological treatment of hereditary tyrosinaemia type 1.
  Journal
Expert Opin Pharmacother 9:1229-36 (2008)
DOI:10.1517/14656566.9.7.1229
Reference
PMID:1401056 (FAH)
  Authors
Phaneuf D, Lambert M, Laframboise R, Mitchell G, Lettre F, Tanguay RM
  Title
Type 1 hereditary tyrosinemia. Evidence for molecular heterogeneity and identification of a causal mutation in a French Canadian patient.
  Journal
J Clin Invest 90:1185-92 (1992)
DOI:10.1172/JCI115979
Reference
PMID:1357662 (TAT)
  Authors
Natt E, Kida K, Odievre M, Di Rocco M, Scherer G
  Title
Point mutations in the tyrosine aminotransferase gene in tyrosinemia type II.
  Journal
Proc Natl Acad Sci U S A 89:9297-301 (1992)
DOI:10.1073/pnas.89.19.9297
Reference
PMID:10942115 (HPD)
  Authors
Ruetschi U, Cerone R, Perez-Cerda C, Schiaffino MC, Standing S, Ugarte M, Holme E
  Title
Mutations in the 4-hydroxyphenylpyruvate dioxygenase gene (HPD) in patients with tyrosinemia type III.
  Journal
Hum Genet 106:654-62 (2000)
DOI:10.1007/s004390050039
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