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Hyperprolinaemia type I is an inborn error of proline metabolism characterized by elevated levels of proline in the plasma and urine. The prevalence is unknown. The disorder is generally considered to be benign but associations with renal abnormalities, epileptic seizures, and other neurological manifestations, as well as certain forms of schizophrenia have been reported. It is transmitted as an autosomal recessive trait and is caused by mutations in the proline dehydrogenase or proline oxidase gene (PRODH or POX, 22q11.2).
Features include always present findings: Delayed speech and language development, Hyperprolinemia, and Intellectual disability; and common findings: Seizure, Global developmental delay, Ataxia, and Hyperglycinuria. 18 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 8 | Status epilepticus, Delayed speech and language development, Seizure |
PRODH function has not been fully characterized.
Hyperprolinemia type 1 is caused by mutations in the PRODH gene on chromosome 22.
Genetic testing for PRODH is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 3 always present features, 4 common features.
Estimated prevalence: Unknown (Unknown prevalence).
No clinical trials have been registered for hyperprolinemia type 1.
3 publications have been identified in PubMed for hyperprolinemia type 1. Research spans Basic Science / Preclinical (67%) and Case Report / Case Series (33%).
Kido J (2026). [PMID: 42150437](https://pubmed.ncbi.nlm.nih.gov/42150437/). *Mol Genet Metab*. [Case Report / Case Series]
Forlani G (2025). [PMID: 41441019](https://pubmed.ncbi.nlm.nih.gov/41441019/). *Metabolites*. [Basic Science / Preclinical]
Yao Y (2024). [PMID: 37815900](https://pubmed.ncbi.nlm.nih.gov/37815900/). *Aging Dis*. [Basic Science / Preclinical]
Data assembled from 7 of 12 sources · Last updated Sep 18, 2026, 3:21 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Muscles |
2 |
Low muscle tone (hypotonia), Generalized hypotonia |