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2- Hyperglycinemia:
Cause: deficient glycine catabolism due to lack of glycine cleavage system.
Lab findings: High glycine levels in blood, urine and CSF.
Metabolic causes of manifestations: It is associated with severe mental
retardation and seizures.
3- Glycinuria:
Cause: failure of renal tubular reabsorption of glycine leading to excess
excretion of glycine in urine.
Metabolic causes of manifestations: It is associated with oxalate stones
without hyperoxaluria because of entrapping of glycine in renal tubular cells
that undergoes oxidation, in situ, into oxalate that precipitates stone formation
in renal parenchyma (tubular nephrocalcinosis).
Serine
I- Synthesis
It is a nonessential amino acid being synthesized from:
1- Glycine by hydroxymethyl transferase.
2- 3-phosphoglycerate (of glycolysis) that undergoes oxidation to phosphohydroxy
pyruvate. The latter is aminated (by transamination) to form phosphoserine.
Phosphatase release inorganic phosphate from phosphoserine to give rise to serine.