Nutrient chapter

L-Proline

Study-scoped entity; inspect species, exposure and experimental limitations on each claim.

66 recorded mechanisms · 11 availability situations · 9 preserved sources. Draft and verified records are labeled separately.

The mechanisms

What the sources say this nutrient does, one relationship at a time. Plain wording comes first; the technical statement follows.

  1. Recombinant human PYCR1 reduced P5C to proline with NADH or NADPH; in the tested conditions its specific activity was higher with NADH.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Purified human enzyme; comparison with 0.1 mM P5C and 0.1 mM reduced cofactor, 37 degrees C.
    limitations
    Cofactor preference depends on assay conditions and does not make the alternative cofactor unusable.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    One mitochondrial enzyme finishes the synthesis of proline.
    primary_references
    Functional specialization in proline biosynthesis of melanoma. · 2012 · https://pubmed.ncbi.nlm.nih.gov/23024808/ · DOI 10.1371/journal.pone.0045190

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 14–20

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Purified human enzyme; comparison with 0.1 mM P5C and 0.1 mM reduced cofactor, 37 degrees C. · source_derived_draft · unverified_draft

    ## l-proline-pycr1-reduction One mitochondrial enzyme finishes the synthesis of proline. Recombinant human PYCR1 reduced P5C to proline with NADH or NADPH; in the tested conditions its specific activity was higher with NADH. Model: Purified human enzyme; comparison with 0.1 mM P5C and 0.1 mM reduced cofactor, 37 degrees C. Limitations: Cofactor preference depends on assay conditions and does not make the alternative cofactor unusable. Evidence access: Primary full text Functional specialization in proline biosynthesis of melanoma. · 2012 · https://pubmed.ncbi.nlm.nih.gov/23024808/ · DOI 10.1371/journal.pone.0045190
    Complete structured claim and evidence
  2. Recombinant human PYCR2 reduced P5C to proline and favored NADH over NADPH under the reported comparison conditions.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Purified human PYCR2 and human melanoma-cell localization experiments.
    limitations
    PYCR2 has its own identity and disease associations; it is not interchangeable with PYCR1.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    A second mitochondrial enzyme performs the final reduction.
    primary_references
    Functional specialization in proline biosynthesis of melanoma. · 2012 · https://pubmed.ncbi.nlm.nih.gov/23024808/ · DOI 10.1371/journal.pone.0045190

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 22–28

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Purified human PYCR2 and human melanoma-cell localization experiments. · source_derived_draft · unverified_draft

    ## l-proline-pycr2-reduction A second mitochondrial enzyme performs the final reduction. Recombinant human PYCR2 reduced P5C to proline and favored NADH over NADPH under the reported comparison conditions. Model: Purified human PYCR2 and human melanoma-cell localization experiments. Limitations: PYCR2 has its own identity and disease associations; it is not interchangeable with PYCR1. Evidence access: Primary full text Functional specialization in proline biosynthesis of melanoma. · 2012 · https://pubmed.ncbi.nlm.nih.gov/23024808/ · DOI 10.1371/journal.pone.0045190
    Complete structured claim and evidence
  3. Human PYCRL/PYCR3 localized predominantly to the cytosol in the tested melanoma cells and was more efficient with NADPH in the biochemical comparison.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Lu1205 cell fractionation and recombinant human PYCRL kinetics.
    limitations
    The melanoma routing pattern is not asserted to apply identically in every human tissue.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    The cytosolic version has different preferences from the mitochondrial enzymes.
    primary_references
    Functional specialization in proline biosynthesis of melanoma. · 2012 · https://pubmed.ncbi.nlm.nih.gov/23024808/ · DOI 10.1371/journal.pone.0045190

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 30–36

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Lu1205 cell fractionation and recombinant human PYCRL kinetics. · source_derived_draft · unverified_draft

    ## l-proline-pycr3-reduction The cytosolic version has different preferences from the mitochondrial enzymes. Human PYCRL/PYCR3 localized predominantly to the cytosol in the tested melanoma cells and was more efficient with NADPH in the biochemical comparison. Model: Lu1205 cell fractionation and recombinant human PYCRL kinetics. Limitations: The melanoma routing pattern is not asserted to apply identically in every human tissue. Evidence access: Primary full text Functional specialization in proline biosynthesis of melanoma. · 2012 · https://pubmed.ncbi.nlm.nih.gov/23024808/ · DOI 10.1371/journal.pone.0045190
    Complete structured claim and evidence
  4. Isotope tracing with gene silencing linked glutamine/glutamate-derived proline mainly to PYCR1/PYCR2 and ornithine-derived proline mainly to PYCRL in human melanoma cells.

    L-Ornithine → L-Proline source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Lu1205 cells; 1 mM labeled precursors for eight hours; ornithine labeling required omission of extracellular proline.
    limitations
    The ornithine experiment used conditions the authors regarded as likely nonphysiological; no universal exclusive routing rule is inferred.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    Two precursor routes can feed the same product through differently placed enzymes.
    primary_references
    Functional specialization in proline biosynthesis of melanoma. · 2012 · https://pubmed.ncbi.nlm.nih.gov/23024808/ · DOI 10.1371/journal.pone.0045190

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 38–44

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Lu1205 cells; 1 mM labeled precursors for eight hours; ornithine labeling required omission of extracellular proline. · source_derived_draft · unverified_draft

    ## l-proline-precursor-routing Two precursor routes can feed the same product through differently placed enzymes. Isotope tracing with gene silencing linked glutamine/glutamate-derived proline mainly to PYCR1/PYCR2 and ornithine-derived proline mainly to PYCRL in human melanoma cells. Model: Lu1205 cells; 1 mM labeled precursors for eight hours; ornithine labeling required omission of extracellular proline. Limitations: The ornithine experiment used conditions the authors regarded as likely nonphysiological; no universal exclusive routing rule is inferred. Evidence access: Primary full text Functional specialization in proline biosynthesis of melanoma. · 2012 · https://pubmed.ncbi.nlm.nih.gov/23024808/ · DOI 10.1371/journal.pone.0045190
    Complete structured claim and evidence
  5. Proline inhibited recombinant PYCR2 more strongly than PYCR1 or PYCRL; approximate apparent inhibition constants were 0.1, 0.6 and 8 mM, respectively.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Purified human enzymes; product-inhibition assays, with PYCR2 losing about 90% activity at 0.3 mM proline.
    limitations
    These assay concentrations are not blood targets or supplement recommendations.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    Accumulating product can slow further production, with unequal sensitivity among enzymes.
    primary_references
    Functional specialization in proline biosynthesis of melanoma. · 2012 · https://pubmed.ncbi.nlm.nih.gov/23024808/ · DOI 10.1371/journal.pone.0045190

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 46–52

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Purified human enzymes; product-inhibition assays, with PYCR2 losing about 90% activity at 0.3 mM proline. · source_derived_draft · unverified_draft

    ## l-proline-product-feedback Accumulating product can slow further production, with unequal sensitivity among enzymes. Proline inhibited recombinant PYCR2 more strongly than PYCR1 or PYCRL; approximate apparent inhibition constants were 0.1, 0.6 and 8 mM, respectively. Model: Purified human enzymes; product-inhibition assays, with PYCR2 losing about 90% activity at 0.3 mM proline. Limitations: These assay concentrations are not blood targets or supplement recommendations. Evidence access: Primary full text Functional specialization in proline biosynthesis of melanoma. · 2012 · https://pubmed.ncbi.nlm.nih.gov/23024808/ · DOI 10.1371/journal.pone.0045190
    Complete structured claim and evidence
  6. CRISPR deletion of NADK2 in human DLD1 cells reduced mitochondrial NADP(H) by more than 80% while whole-cell NADP(H) was not similarly depleted.

    NADK2 → Mitochondrial NADP(H) content source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Human DLD1 cells; immunopurified mitochondrial fractions and enzyme-cycling assays.
    limitations
    A compartment-specific genetic manipulation is not equivalent to dietary niacin deficiency.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    The cofactor pool inside mitochondria can fail even when a whole-cell measurement looks adequate.
    primary_references
    Mitochondrial NADP(H) generation is essential for proline biosynthesis. · 2021 · https://pubmed.ncbi.nlm.nih.gov/33888598/ · DOI 10.1126/science.abd5491
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 54–60

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human DLD1 cells; immunopurified mitochondrial fractions and enzyme-cycling assays. · source_derived_draft · unverified_draft

    ## l-proline-nadk2-pool The cofactor pool inside mitochondria can fail even when a whole-cell measurement looks adequate. CRISPR deletion of NADK2 in human DLD1 cells reduced mitochondrial NADP(H) by more than 80% while whole-cell NADP(H) was not similarly depleted. Model: Human DLD1 cells; immunopurified mitochondrial fractions and enzyme-cycling assays. Limitations: A compartment-specific genetic manipulation is not equivalent to dietary niacin deficiency. Evidence access: Primary full text Mitochondrial NADP(H) generation is essential for proline biosynthesis. · 2021 · https://pubmed.ncbi.nlm.nih.gov/33888598/ · DOI 10.1126/science.abd5491
    Complete structured claim and evidence
  7. NADK2 deletion reduced glutamine-derived proline synthesis; mitochondrial NADP(H) was needed for the P5CS step reducing glutamate toward P5C.

    NADK2 → L-Proline source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Human cell deletion, isotope tracing and rescue experiments.
    limitations
    The limiting step was cofactor-dependent synthesis, not a demonstrated lack of glutamine in the diet.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    Proline production needs reducing power in the right compartment.
    primary_references
    Mitochondrial NADP(H) generation is essential for proline biosynthesis. · 2021 · https://pubmed.ncbi.nlm.nih.gov/33888598/ · DOI 10.1126/science.abd5491
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 62–68

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human cell deletion, isotope tracing and rescue experiments. · source_derived_draft · unverified_draft

    ## l-proline-nadk2-proline Proline production needs reducing power in the right compartment. NADK2 deletion reduced glutamine-derived proline synthesis; mitochondrial NADP(H) was needed for the P5CS step reducing glutamate toward P5C. Model: Human cell deletion, isotope tracing and rescue experiments. Limitations: The limiting step was cofactor-dependent synthesis, not a demonstrated lack of glutamine in the diet. Evidence access: Primary full text Mitochondrial NADP(H) generation is essential for proline biosynthesis. · 2021 · https://pubmed.ncbi.nlm.nih.gov/33888598/ · DOI 10.1126/science.abd5491
    Complete structured claim and evidence
  8. Adding proline restored growth of NADK2-deleted human cells in minimal medium, whereas the defect was largely absent in nutrient-rich medium.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Human NADK2-knockout cell cultures; DMEM compared with DMEM/F12 and individual amino-acid add-back.
    limitations
    Cell-culture rescue does not establish a treatment for inherited NADK2 disease.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    An external supply can bypass a synthesis bottleneck in these cells.
    primary_references
    Mitochondrial NADP(H) generation is essential for proline biosynthesis. · 2021 · https://pubmed.ncbi.nlm.nih.gov/33888598/ · DOI 10.1126/science.abd5491
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 70–76

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human NADK2-knockout cell cultures; DMEM compared with DMEM/F12 and individual amino-acid add-back. · source_derived_draft · unverified_draft

    ## l-proline-nadk2-rescue An external supply can bypass a synthesis bottleneck in these cells. Adding proline restored growth of NADK2-deleted human cells in minimal medium, whereas the defect was largely absent in nutrient-rich medium. Model: Human NADK2-knockout cell cultures; DMEM compared with DMEM/F12 and individual amino-acid add-back. Limitations: Cell-culture rescue does not establish a treatment for inherited NADK2 disease. Evidence access: Primary full text Mitochondrial NADP(H) generation is essential for proline biosynthesis. · 2021 · https://pubmed.ncbi.nlm.nih.gov/33888598/ · DOI 10.1126/science.abd5491
    Complete structured claim and evidence
  9. A separate study found NADK2 loss depleted mitochondrial NADPH, limited P5C generation and made tested mammalian cells dependent on exogenous proline for growth.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Mammalian NADK2-deletion cell models; primary abstract.
    limitations
    Detailed model and exposure differences remain distinct; the two publications are not duplicate evidence records from one experiment.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    A second research group found the same synthesis vulnerability.
    primary_references
    Mitochondrial NADP+ is essential for proline biosynthesis during cell growth. · 2021 · https://pubmed.ncbi.nlm.nih.gov/33833463/ · DOI 10.1038/s42255-021-00374-y
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 78–84

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mammalian NADK2-deletion cell models; primary abstract. · source_derived_draft · unverified_draft

    ## l-proline-nadk2-independent-study A second research group found the same synthesis vulnerability. A separate study found NADK2 loss depleted mitochondrial NADPH, limited P5C generation and made tested mammalian cells dependent on exogenous proline for growth. Model: Mammalian NADK2-deletion cell models; primary abstract. Limitations: Detailed model and exposure differences remain distinct; the two publications are not duplicate evidence records from one experiment. Evidence access: Primary abstract Mitochondrial NADP+ is essential for proline biosynthesis during cell growth. · 2021 · https://pubmed.ncbi.nlm.nih.gov/33833463/ · DOI 10.1038/s42255-021-00374-y
    Complete structured claim and evidence
  10. Under the tested culture conditions, NADK2 deletion did not increase measured mitochondrial oxidative stress or disrupt mitochondrial folate pathway activity despite reduced proline synthesis.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Human cell models; ROS probes, targeted redox sensors and serine isotope tracing.
    limitations
    The authors do not exclude effects during other physiological stresses; this is not a universal claim that mitochondrial NADPH is irrelevant to antioxidant defense.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    Losing this cofactor pool did not shut down every pathway that might be connected to it.
    primary_references
    Mitochondrial NADP(H) generation is essential for proline biosynthesis. · 2021 · https://pubmed.ncbi.nlm.nih.gov/33888598/ · DOI 10.1126/science.abd5491
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 86–92

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human cell models; ROS probes, targeted redox sensors and serine isotope tracing. · source_derived_draft · unverified_draft

    ## l-proline-nadk2-redox-boundary Losing this cofactor pool did not shut down every pathway that might be connected to it. Under the tested culture conditions, NADK2 deletion did not increase measured mitochondrial oxidative stress or disrupt mitochondrial folate pathway activity despite reduced proline synthesis. Model: Human cell models; ROS probes, targeted redox sensors and serine isotope tracing. Limitations: The authors do not exclude effects during other physiological stresses; this is not a universal claim that mitochondrial NADPH is irrelevant to antioxidant defense. Evidence access: Primary full text Mitochondrial NADP(H) generation is essential for proline biosynthesis. · 2021 · https://pubmed.ncbi.nlm.nih.gov/33888598/ · DOI 10.1126/science.abd5491
    Complete structured claim and evidence
  11. Mitochondrial PRODH catalyzes the FAD-dependent oxidation of proline to P5C, linking proline breakdown to mitochondrial electron transfer.

    Experimental context and source evidence
    evidence_access
    Primary full text; background reaction distinguished from new experiments
    experimental_model
    Established reaction described in a primary mitochondrial proline-oxidation study.
    limitations
    The reaction description is biochemical background, distinct from the paper-specific ROS-site experiments.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    Breaking proline down starts with a flavin-dependent mitochondrial enzyme.
    primary_references
    Sources of superoxide/H2O2 during mitochondrial proline oxidation. · 2014 · https://pubmed.ncbi.nlm.nih.gov/25184115/ · DOI 10.1016/j.redox.2014.07.003

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 94–100

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Established reaction described in a primary mitochondrial proline-oxidation study. · source_derived_draft · unverified_draft

    ## l-proline-prodh-oxidation Breaking proline down starts with a flavin-dependent mitochondrial enzyme. Mitochondrial PRODH catalyzes the FAD-dependent oxidation of proline to P5C, linking proline breakdown to mitochondrial electron transfer. Model: Established reaction described in a primary mitochondrial proline-oxidation study. Limitations: The reaction description is biochemical background, distinct from the paper-specific ROS-site experiments. Evidence access: Primary full text; background reaction distinguished from new experiments Sources of superoxide/H2O2 during mitochondrial proline oxidation. · 2014 · https://pubmed.ncbi.nlm.nih.gov/25184115/ · DOI 10.1016/j.redox.2014.07.003
    Complete structured claim and evidence
  12. ALDH4A1 catalyzes NAD+-dependent oxidation of glutamate semialdehyde to glutamate, completing the second enzymatic stage of proline catabolism.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Human enzyme structures and kinetics; mouse enzyme complexes supplied high-resolution ligand views.
    limitations
    P5C and glutamate semialdehyde interconvert; the aldehyde is the oxidation substrate. Mouse ligand structures are not relabeled as human complexes.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    A second enzyme turns the breakdown intermediate into glutamate.
    primary_references
    The three-dimensional structural basis of type II hyperprolinemia. · 2012 · https://pubmed.ncbi.nlm.nih.gov/22516612/ · DOI 10.1016/j.jmb.2012.04.010

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 102–108

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human enzyme structures and kinetics; mouse enzyme complexes supplied high-resolution ligand views. · source_derived_draft · unverified_draft

    ## l-proline-aldh4-oxidation A second enzyme turns the breakdown intermediate into glutamate. ALDH4A1 catalyzes NAD+-dependent oxidation of glutamate semialdehyde to glutamate, completing the second enzymatic stage of proline catabolism. Model: Human enzyme structures and kinetics; mouse enzyme complexes supplied high-resolution ligand views. Limitations: P5C and glutamate semialdehyde interconvert; the aldehyde is the oxidation substrate. Mouse ligand structures are not relabeled as human complexes. Evidence access: Primary abstract The three-dimensional structural basis of type II hyperprolinemia. · 2012 · https://pubmed.ncbi.nlm.nih.gov/22516612/ · DOI 10.1016/j.jmb.2012.04.010
    Complete structured claim and evidence
  13. The human ALDH4A1 S352L disease-associated variant abolished catalytic activity and NAD+ binding, with a major rearrangement of the catalytic loop.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Recombinant human mutant/wild-type structures and kinetic analysis.
    limitations
    This tests one inherited variant and does not establish a nutrient-addition rescue.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    A structural defect can block proline breakdown even when substrate is plentiful.
    primary_references
    The three-dimensional structural basis of type II hyperprolinemia. · 2012 · https://pubmed.ncbi.nlm.nih.gov/22516612/ · DOI 10.1016/j.jmb.2012.04.010
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 110–116

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Recombinant human mutant/wild-type structures and kinetic analysis. · source_derived_draft · unverified_draft

    ## l-proline-aldh4-failure A structural defect can block proline breakdown even when substrate is plentiful. The human ALDH4A1 S352L disease-associated variant abolished catalytic activity and NAD+ binding, with a major rearrangement of the catalytic loop. Model: Recombinant human mutant/wild-type structures and kinetic analysis. Limitations: This tests one inherited variant and does not establish a nutrient-addition rescue. Evidence access: Primary abstract The three-dimensional structural basis of type II hyperprolinemia. · 2012 · https://pubmed.ncbi.nlm.nih.gov/22516612/ · DOI 10.1016/j.jmb.2012.04.010
    Complete structured claim and evidence
  14. P5C reacted with pyridoxal phosphate at pH 7.4 and 310 K to form three characterized adducts through condensation involving the PLP aldehyde group.

    Delta-1-pyrroline-5-carboxylate / P5C → PLP source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Cell-free NMR, chromatography and mass-spectrometry experiments motivated by hyperprolinemia type II.
    limitations
    This demonstrates chemistry under the tested conditions, not B6 depletion from an ordinary proline-containing meal.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    An accumulating proline intermediate can chemically trap active vitamin B6.
    primary_references
    Pyridoxal phosphate de-activation by pyrroline-5-carboxylic acid. Increased risk of vitamin B6 deficiency and seizures in hyperprolinemia type II. · 2001 · https://pubmed.ncbi.nlm.nih.gov/11134058/ · DOI 10.1074/jbc.M010860200

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 118–124

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Cell-free NMR, chromatography and mass-spectrometry experiments motivated by hyperprolinemia type II. · source_derived_draft · unverified_draft

    ## l-proline-p5c-b6-trapping An accumulating proline intermediate can chemically trap active vitamin B6. P5C reacted with pyridoxal phosphate at pH 7.4 and 310 K to form three characterized adducts through condensation involving the PLP aldehyde group. Model: Cell-free NMR, chromatography and mass-spectrometry experiments motivated by hyperprolinemia type II. Limitations: This demonstrates chemistry under the tested conditions, not B6 depletion from an ordinary proline-containing meal. Evidence access: Primary abstract Pyridoxal phosphate de-activation by pyrroline-5-carboxylic acid. Increased risk of vitamin B6 deficiency and seizures in hyperprolinemia type II. · 2001 · https://pubmed.ncbi.nlm.nih.gov/11134058/ · DOI 10.1074/jbc.M010860200
    Complete structured claim and evidence
  15. The study was prompted by B6 deficiency and seizures in a child with hyperprolinemia type II; the adduct experiments support P5C-mediated cofactor inactivation as a contributing mechanism.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Human index-case context combined with in-vitro chemical mechanism.
    limitations
    Contribution to seizures is an interpretation; the paper does not establish controlled efficacy or a universal treatment dose.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    A breakdown disorder can create a secondary cofactor problem.
    primary_references
    Pyridoxal phosphate de-activation by pyrroline-5-carboxylic acid. Increased risk of vitamin B6 deficiency and seizures in hyperprolinemia type II. · 2001 · https://pubmed.ncbi.nlm.nih.gov/11134058/ · DOI 10.1074/jbc.M010860200
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 126–132

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human index-case context combined with in-vitro chemical mechanism. · source_derived_draft · unverified_draft

    ## l-proline-p5c-clinical-link A breakdown disorder can create a secondary cofactor problem. The study was prompted by B6 deficiency and seizures in a child with hyperprolinemia type II; the adduct experiments support P5C-mediated cofactor inactivation as a contributing mechanism. Model: Human index-case context combined with in-vitro chemical mechanism. Limitations: Contribution to seizures is an interpretation; the paper does not establish controlled efficacy or a universal treatment dose. Evidence access: Primary abstract Pyridoxal phosphate de-activation by pyrroline-5-carboxylic acid. Increased risk of vitamin B6 deficiency and seizures in hyperprolinemia type II. · 2001 · https://pubmed.ncbi.nlm.nih.gov/11134058/ · DOI 10.1074/jbc.M010860200
    Complete structured claim and evidence
  16. Isolated mitochondria from human ZR75-30 breast cancer cells consumed oxygen with proline as the sole added substrate.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Isolated human cancer-cell mitochondria.
    limitations
    Fuel use in this model does not quantify whole-body energy contribution or show a supplement benefit.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    In this model, proline can help fuel mitochondrial respiration.
    primary_references
    Sources of superoxide/H2O2 during mitochondrial proline oxidation. · 2014 · https://pubmed.ncbi.nlm.nih.gov/25184115/ · DOI 10.1016/j.redox.2014.07.003

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 134–140

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Isolated human cancer-cell mitochondria. · source_derived_draft · unverified_draft

    ## l-proline-proline-respiration In this model, proline can help fuel mitochondrial respiration. Isolated mitochondria from human ZR75-30 breast cancer cells consumed oxygen with proline as the sole added substrate. Model: Isolated human cancer-cell mitochondria. Limitations: Fuel use in this model does not quantify whole-body energy contribution or show a supplement benefit. Evidence access: Primary full text Sources of superoxide/H2O2 during mitochondrial proline oxidation. · 2014 · https://pubmed.ncbi.nlm.nih.gov/25184115/ · DOI 10.1016/j.redox.2014.07.003
    Complete structured claim and evidence
  17. During proline oxidation in ZR75-30 mitochondria, the main measured ROS sources were complex I and 2-oxoglutarate dehydrogenase, with no significant direct PRODH contribution under the tested substrate/inhibitor conditions.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Isolated human mitochondria; inhibitor combinations used to distinguish ROS-generating sites.
    limitations
    Results in Drosophila instead emphasized complexes I and II; these species-specific observations do not identify a universal source.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    A pathway can increase ROS without its first enzyme being the direct ROS-producing site.
    primary_references
    Sources of superoxide/H2O2 during mitochondrial proline oxidation. · 2014 · https://pubmed.ncbi.nlm.nih.gov/25184115/ · DOI 10.1016/j.redox.2014.07.003

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 142–148

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Isolated human mitochondria; inhibitor combinations used to distinguish ROS-generating sites. · source_derived_draft · unverified_draft

    ## l-proline-ros-source-boundary A pathway can increase ROS without its first enzyme being the direct ROS-producing site. During proline oxidation in ZR75-30 mitochondria, the main measured ROS sources were complex I and 2-oxoglutarate dehydrogenase, with no significant direct PRODH contribution under the tested substrate/inhibitor conditions. Model: Isolated human mitochondria; inhibitor combinations used to distinguish ROS-generating sites. Limitations: Results in Drosophila instead emphasized complexes I and II; these species-specific observations do not identify a universal source. Evidence access: Primary full text Sources of superoxide/H2O2 during mitochondrial proline oxidation. · 2014 · https://pubmed.ncbi.nlm.nih.gov/25184115/ · DOI 10.1016/j.redox.2014.07.003
    Complete structured claim and evidence
  18. Fibroblasts from people with PYCR1-related cutis laxa showed altered mitochondrial morphology and membrane potential and greater apoptosis during oxidative stress.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Human genetic families and patient fibroblasts.
    limitations
    The clinical disorder is not shown to be an isolated dietary proline deficiency or reliably corrected by proline supplementation. Correction record: Author correction PMID 35064218 / DOI 10.1038/s41588-022-01013-2 adds an omitted funding acknowledgment for Hulya Kayserili (TUBITAK SBAG-108S418). The notice does not report a change to the mechanism results. https://www.nature.com/articles/s41588-022-01013-2
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    An enzyme defect can affect connective tissue and cellular stress handling together.
    primary_references
    Mutations in PYCR1 cause cutis laxa with progeroid features. · 2009 · https://pubmed.ncbi.nlm.nih.gov/19648921/ · DOI 10.1038/ng.413
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 150–156

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human genetic families and patient fibroblasts. · source_derived_draft · unverified_draft

    ## l-proline-pycr1-genetic An enzyme defect can affect connective tissue and cellular stress handling together. Fibroblasts from people with PYCR1-related cutis laxa showed altered mitochondrial morphology and membrane potential and greater apoptosis during oxidative stress. Model: Human genetic families and patient fibroblasts. Limitations: The clinical disorder is not shown to be an isolated dietary proline deficiency or reliably corrected by proline supplementation. Correction record: Author correction PMID 35064218 / DOI 10.1038/s41588-022-01013-2 adds an omitted funding acknowledgment for Hulya Kayserili (TUBITAK SBAG-108S418). The notice does not report a change to the mechanism results. https://www.nature.com/articles/s41588-022-01013-2 Evidence access: Primary abstract Mutations in PYCR1 cause cutis laxa with progeroid features. · 2009 · https://pubmed.ncbi.nlm.nih.gov/19648921/ · DOI 10.1038/ng.413
    Complete structured claim and evidence
  19. PYCR2 variants in two families were associated with microcephaly and hypomyelination; engineered PYCR2 loss in HEK293FT cells lowered mitochondrial membrane potential and increased oxidative-stress-induced apoptosis.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Human families, variant-expression studies and CRISPR-modified human cells.
    limitations
    This does not prove that low circulating proline is the disease mechanism or that extra substrate rescues it.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    A related enzyme has a distinct neurological disease pattern.
    primary_references
    Mutations in PYCR2, Encoding Pyrroline-5-Carboxylate Reductase 2, Cause Microcephaly and Hypomyelination. · 2015 · https://pubmed.ncbi.nlm.nih.gov/25865492/ · DOI 10.1016/j.ajhg.2015.03.003
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 158–164

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human families, variant-expression studies and CRISPR-modified human cells. · source_derived_draft · unverified_draft

    ## l-proline-pycr2-genetic A related enzyme has a distinct neurological disease pattern. PYCR2 variants in two families were associated with microcephaly and hypomyelination; engineered PYCR2 loss in HEK293FT cells lowered mitochondrial membrane potential and increased oxidative-stress-induced apoptosis. Model: Human families, variant-expression studies and CRISPR-modified human cells. Limitations: This does not prove that low circulating proline is the disease mechanism or that extra substrate rescues it. Evidence access: Primary abstract Mutations in PYCR2, Encoding Pyrroline-5-Carboxylate Reductase 2, Cause Microcephaly and Hypomyelination. · 2015 · https://pubmed.ncbi.nlm.nih.gov/25865492/ · DOI 10.1016/j.ajhg.2015.03.003
    Complete structured claim and evidence
  20. Human SIT1/SLC6A20 functioned as a sodium-dependent proline transporter when expressed for functional testing.

    Human imino-acid transporter / SLC6A20 → L-Proline source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Human SIT1 heterologous expression in the mammalian transporter identification study.
    limitations
    Rat concentration-response and ion-substitution details are recorded separately rather than assumed identical in humans.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    Cell entry depends on transport machinery and ion gradients.
    primary_references
    Identification of mammalian proline transporter SIT1 (SLC6A20) with characteristics of classical system imino. · 2005 · https://pubmed.ncbi.nlm.nih.gov/15632147/ · DOI 10.1074/jbc.M413027200
    transport_effect
    raises Functioned as a sodium-dependent proline transporter, which is inward.
    transport_pool
    the expressing cell Functioned as a sodium-dependent proline transporter, which is inward.

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 166–172

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human SIT1 heterologous expression in the mammalian transporter identification study. · source_derived_draft · unverified_draft

    ## l-proline-sit1-uptake Cell entry depends on transport machinery and ion gradients. Human SIT1/SLC6A20 functioned as a sodium-dependent proline transporter when expressed for functional testing. Model: Human SIT1 heterologous expression in the mammalian transporter identification study. Limitations: Rat concentration-response and ion-substitution details are recorded separately rather than assumed identical in humans. Evidence access: Primary abstract Identification of mammalian proline transporter SIT1 (SLC6A20) with characteristics of classical system imino. · 2005 · https://pubmed.ncbi.nlm.nih.gov/15632147/ · DOI 10.1074/jbc.M413027200
    Complete structured claim and evidence
  21. Rat SIT1 expressed in Xenopus oocytes transported proline with apparent K0.5 about 0.2 mM; transport depended on sodium, was stimulated by chloride and depended on voltage.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Rat protein in Xenopus oocytes; alanine and lysine did not inhibit the reported proline transport.
    limitations
    This is not a human dietary sodium or chloride threshold.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    The driving ions and membrane voltage affect how this transporter works.
    primary_references
    Identification of mammalian proline transporter SIT1 (SLC6A20) with characteristics of classical system imino. · 2005 · https://pubmed.ncbi.nlm.nih.gov/15632147/ · DOI 10.1074/jbc.M413027200
    transport_effect
    raises Sodium-dependent, chloride-stimulated, voltage-dependent proline transport, which is inward.
    transport_pool
    the expressing cell Sodium-dependent, chloride-stimulated, voltage-dependent proline transport, which is inward.

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 174–180

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Rat protein in Xenopus oocytes; alanine and lysine did not inhibit the reported proline transport. · source_derived_draft · unverified_draft

    ## l-proline-rat-sit1-ion-coupling The driving ions and membrane voltage affect how this transporter works. Rat SIT1 expressed in Xenopus oocytes transported proline with apparent K0.5 about 0.2 mM; transport depended on sodium, was stimulated by chloride and depended on voltage. Model: Rat protein in Xenopus oocytes; alanine and lysine did not inhibit the reported proline transport. Limitations: This is not a human dietary sodium or chloride threshold. Evidence access: Primary abstract Identification of mammalian proline transporter SIT1 (SLC6A20) with characteristics of classical system imino. · 2005 · https://pubmed.ncbi.nlm.nih.gov/15632147/ · DOI 10.1074/jbc.M413027200
    Complete structured claim and evidence
  22. Cryo-EM resolved human SIT1 in complex with ACE2, with pipecolate-bound and substrate-free conformations identifying the cytoplasmic gate and substrate-release changes.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Purified human ACE2-SIT1 complex; pipecolate is a proline-related ligand, not proline itself.
    limitations
    ACE2 partnership does not establish that proline intake changes susceptibility to viral infection.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    A transporter can use a partner protein and still have its own distinct transport mechanism.
    primary_references
    Structure and function of the SIT1 proline transporter in complex with the COVID-19 receptor ACE2. · 2024 · https://pubmed.ncbi.nlm.nih.gov/38951531/ · DOI 10.1038/s41467-024-48921-x

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 182–188

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Purified human ACE2-SIT1 complex; pipecolate is a proline-related ligand, not proline itself. · source_derived_draft · unverified_draft

    ## l-proline-sit1-ace2 A transporter can use a partner protein and still have its own distinct transport mechanism. Cryo-EM resolved human SIT1 in complex with ACE2, with pipecolate-bound and substrate-free conformations identifying the cytoplasmic gate and substrate-release changes. Model: Purified human ACE2-SIT1 complex; pipecolate is a proline-related ligand, not proline itself. Limitations: ACE2 partnership does not establish that proline intake changes susceptibility to viral infection. Evidence access: Primary full text Structure and function of the SIT1 proline transporter in complex with the COVID-19 receptor ACE2. · 2024 · https://pubmed.ncbi.nlm.nih.gov/38951531/ · DOI 10.1038/s41467-024-48921-x
    Complete structured claim and evidence
  23. Human SIT1 produced glycine-evoked current about 18% of the proline response in the reported substrate comparison; sarcosine current was about 83%.

    Human imino-acid transporter / SLC6A20 → Glycine source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Human SIT1 in Xenopus oocytes; 1 mM substrates at pH 7.4 and -60 mV.
    limitations
    Failure of glycine to stabilize purified SIT1 thermally did not rule out its transport; binding-proxy and transport assays measure different things.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    This transporter has overlapping amino-acid routes with unequal efficiency.
    primary_references
    Structure and function of the SIT1 proline transporter in complex with the COVID-19 receptor ACE2. · 2024 · https://pubmed.ncbi.nlm.nih.gov/38951531/ · DOI 10.1038/s41467-024-48921-x

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 190–196

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human SIT1 in Xenopus oocytes; 1 mM substrates at pH 7.4 and -60 mV. · source_derived_draft · unverified_draft

    ## l-proline-sit1-glycine This transporter has overlapping amino-acid routes with unequal efficiency. Human SIT1 produced glycine-evoked current about 18% of the proline response in the reported substrate comparison; sarcosine current was about 83%. Model: Human SIT1 in Xenopus oocytes; 1 mM substrates at pH 7.4 and -60 mV. Limitations: Failure of glycine to stabilize purified SIT1 thermally did not rule out its transport; binding-proxy and transport assays measure different things. Evidence access: Primary full text Structure and function of the SIT1 proline transporter in complex with the COVID-19 receptor ACE2. · 2024 · https://pubmed.ncbi.nlm.nih.gov/38951531/ · DOI 10.1038/s41467-024-48921-x
    Complete structured claim and evidence
  24. SIT1 T199M reduced maximal proline-induced transport current about threefold, supporting a defect in gate dynamics implicated in iminoglycinuria.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Human SIT1 variant expressed in Xenopus oocytes with structural interpretation.
    limitations
    The proposed packing mechanism is an interpretation informed by structure, while reduced current was measured.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    A transporter can reach the assay system yet move substrate less efficiently.
    primary_references
    Structure and function of the SIT1 proline transporter in complex with the COVID-19 receptor ACE2. · 2024 · https://pubmed.ncbi.nlm.nih.gov/38951531/ · DOI 10.1038/s41467-024-48921-x
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 198–204

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human SIT1 variant expressed in Xenopus oocytes with structural interpretation. · source_derived_draft · unverified_draft

    ## l-proline-sit1-variant A transporter can reach the assay system yet move substrate less efficiently. SIT1 T199M reduced maximal proline-induced transport current about threefold, supporting a defect in gate dynamics implicated in iminoglycinuria. Model: Human SIT1 variant expressed in Xenopus oocytes with structural interpretation. Limitations: The proposed packing mechanism is an interpretation informed by structure, while reduced current was measured. Evidence access: Primary full text Structure and function of the SIT1 proline transporter in complex with the COVID-19 receptor ACE2. · 2024 · https://pubmed.ncbi.nlm.nih.gov/38951531/ · DOI 10.1038/s41467-024-48921-x
    Complete structured claim and evidence
  25. Slc6a20a-knockout mice had higher extracellular brain glycine and increased NMDA-receptor currents.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Mouse genetic deletion with extracellular amino-acid measurements and electrophysiology.
    limitations
    This does not show that oral proline treats NMDAR dysfunction in humans. Correction record: Author correction PMID 39242973 / DOI 10.1038/s44321-024-00125-y corrects the human embryonic stem-cell neuron protocol IRB approval number to KH2017-109 from KA2018-61 and KH2020-55. It does not report a change to experimental results. https://link.springer.com/article/10.1038/s44321-024-00125-y
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    Changing a proline-sharing transporter can change glycine-dependent brain signaling.
    primary_references
    SLC6A20 transporter: a novel regulator of brain glycine homeostasis and NMDAR function. · 2021 · https://pubmed.ncbi.nlm.nih.gov/33428810/ · DOI 10.15252/emmm.202012632
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 206–212

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse genetic deletion with extracellular amino-acid measurements and electrophysiology. · source_derived_draft · unverified_draft

    ## l-proline-brain-transporter-loss Changing a proline-sharing transporter can change glycine-dependent brain signaling. Slc6a20a-knockout mice had higher extracellular brain glycine and increased NMDA-receptor currents. Model: Mouse genetic deletion with extracellular amino-acid measurements and electrophysiology. Limitations: This does not show that oral proline treats NMDAR dysfunction in humans. Correction record: Author correction PMID 39242973 / DOI 10.1038/s44321-024-00125-y corrects the human embryonic stem-cell neuron protocol IRB approval number to KH2017-109 from KA2018-61 and KH2020-55. It does not report a change to experimental results. https://link.springer.com/article/10.1038/s44321-024-00125-y Evidence access: Primary full text SLC6A20 transporter: a novel regulator of brain glycine homeostasis and NMDAR function. · 2021 · https://pubmed.ncbi.nlm.nih.gov/33428810/ · DOI 10.15252/emmm.202012632
    Complete structured claim and evidence
  26. Mice carrying C-terminally truncated PTEN showed increased Slc6a20a expression, lower extracellular brain proline and glycine, and reduced NMDAR currents.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Engineered mouse PTEN model; transcriptional, microdialysis and electrophysiological observations.
    limitations
    Multiple consequences of PTEN mutation remain possible; the model is not ordinary dietary deficiency. Correction record: Author correction PMID 39242973 / DOI 10.1038/s44321-024-00125-y corrects the human embryonic stem-cell neuron protocol IRB approval number to KH2017-109 from KA2018-61 and KH2020-55. It does not report a change to experimental results. https://link.springer.com/article/10.1038/s44321-024-00125-y
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    Transporter regulation can alter the extracellular supply of two amino acids together.
    primary_references
    SLC6A20 transporter: a novel regulator of brain glycine homeostasis and NMDAR function. · 2021 · https://pubmed.ncbi.nlm.nih.gov/33428810/ · DOI 10.15252/emmm.202012632
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 214–220

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Engineered mouse PTEN model; transcriptional, microdialysis and electrophysiological observations. · source_derived_draft · unverified_draft

    ## l-proline-brain-transporter-increase Transporter regulation can alter the extracellular supply of two amino acids together. Mice carrying C-terminally truncated PTEN showed increased Slc6a20a expression, lower extracellular brain proline and glycine, and reduced NMDAR currents. Model: Engineered mouse PTEN model; transcriptional, microdialysis and electrophysiological observations. Limitations: Multiple consequences of PTEN mutation remain possible; the model is not ordinary dietary deficiency. Correction record: Author correction PMID 39242973 / DOI 10.1038/s44321-024-00125-y corrects the human embryonic stem-cell neuron protocol IRB approval number to KH2017-109 from KA2018-61 and KH2020-55. It does not report a change to experimental results. https://link.springer.com/article/10.1038/s44321-024-00125-y Evidence access: Primary full text SLC6A20 transporter: a novel regulator of brain glycine homeostasis and NMDAR function. · 2021 · https://pubmed.ncbi.nlm.nih.gov/33428810/ · DOI 10.15252/emmm.202012632
    Complete structured claim and evidence
  27. The prolyl-tRNA synthetase domain of human EPRS attaches proline to its cognate tRNA in an ATP-dependent aminoacylation reaction.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Purified human EPRS/ProRS biochemical assays.
    limitations
    tRNA charging and collagen hydroxylation are separate enzyme steps.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    A protein-building block must first be loaded onto the correct tRNA.
    primary_references
    Halofuginone and other febrifugine derivatives inhibit prolyl-tRNA synthetase. · 2012 · https://pubmed.ncbi.nlm.nih.gov/22327401/ · DOI 10.1038/nchembio.790

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 222–228

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Purified human EPRS/ProRS biochemical assays. · source_derived_draft · unverified_draft

    ## l-proline-eprs-charging A protein-building block must first be loaded onto the correct tRNA. The prolyl-tRNA synthetase domain of human EPRS attaches proline to its cognate tRNA in an ATP-dependent aminoacylation reaction. Model: Purified human EPRS/ProRS biochemical assays. Limitations: tRNA charging and collagen hydroxylation are separate enzyme steps. Evidence access: Primary full text Halofuginone and other febrifugine derivatives inhibit prolyl-tRNA synthetase. · 2012 · https://pubmed.ncbi.nlm.nih.gov/22327401/ · DOI 10.1038/nchembio.790
    Complete structured claim and evidence
  28. Halofuginone inhibited the prolyl-tRNA synthetase activity of EPRS by competing with proline; added proline or enzyme reversed inhibition in the tested systems.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Biochemical charging assays and mammalian-cell experiments.
    limitations
    This is pharmacological machinery inhibition, not a claim that halofuginone physically removes all cellular proline.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    Blocking the loading enzyme can mimic a shortage even while proline is present.
    primary_references
    Halofuginone and other febrifugine derivatives inhibit prolyl-tRNA synthetase. · 2012 · https://pubmed.ncbi.nlm.nih.gov/22327401/ · DOI 10.1038/nchembio.790
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 230–236

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Biochemical charging assays and mammalian-cell experiments. · source_derived_draft · unverified_draft

    ## l-proline-eprs-inhibition Blocking the loading enzyme can mimic a shortage even while proline is present. Halofuginone inhibited the prolyl-tRNA synthetase activity of EPRS by competing with proline; added proline or enzyme reversed inhibition in the tested systems. Model: Biochemical charging assays and mammalian-cell experiments. Limitations: This is pharmacological machinery inhibition, not a claim that halofuginone physically removes all cellular proline. Evidence access: Primary full text Halofuginone and other febrifugine derivatives inhibit prolyl-tRNA synthetase. · 2012 · https://pubmed.ncbi.nlm.nih.gov/22327401/ · DOI 10.1038/nchembio.790
    Complete structured claim and evidence
  29. Exogenous proline reversed halofuginone-induced amino-acid response signaling and selected cellular effects in the study, consistent with competition at the prolyl-tRNA synthetase step.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Mouse embryonic fibroblast and immune-cell experiments with halofuginone; model and assay-specific concentrations.
    limitations
    Not every proline-processing defect is competitively reversible, and this is not a clinical drug-interaction dose recommendation.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    Restoring access to a blocked loading step can turn off a shortage-like signal.
    primary_references
    Halofuginone and other febrifugine derivatives inhibit prolyl-tRNA synthetase. · 2012 · https://pubmed.ncbi.nlm.nih.gov/22327401/ · DOI 10.1038/nchembio.790
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 238–244

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse embryonic fibroblast and immune-cell experiments with halofuginone; model and assay-specific concentrations. · source_derived_draft · unverified_draft

    ## l-proline-eprs-stress-rescue Restoring access to a blocked loading step can turn off a shortage-like signal. Exogenous proline reversed halofuginone-induced amino-acid response signaling and selected cellular effects in the study, consistent with competition at the prolyl-tRNA synthetase step. Model: Mouse embryonic fibroblast and immune-cell experiments with halofuginone; model and assay-specific concentrations. Limitations: Not every proline-processing defect is competitively reversible, and this is not a clinical drug-interaction dose recommendation. Evidence access: Primary full text Halofuginone and other febrifugine derivatives inhibit prolyl-tRNA synthetase. · 2012 · https://pubmed.ncbi.nlm.nih.gov/22327401/ · DOI 10.1038/nchembio.790
    Complete structured claim and evidence
  30. Carbon-13 glutamine tracing in human mammary cancer-associated fibroblasts demonstrated incorporation of newly synthesized proline into COL1A1 peptides.

    L-Glutamine → Human collagen type I alpha 1 / COL1A1 source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Human fibroblast cultures; 2 mM labeled glutamine for 72 hours in the collagen-peptide experiment.
    limitations
    Atom tracing does not show that dietary glutamine or proline is the limiting substrate in a person. Correction record: Author correction PMID 35927357 / DOI 10.1038/s42255-022-00632-7 corrects the author surname Riero-Domingo to Riera-Domingo. It does not report a change to the experimental results. https://www.nature.com/articles/s42255-022-00632-7
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    Collagen-building cells can make their own proline from glutamine.
    primary_references
    Cancer-associated fibroblasts require proline synthesis by PYCR1 for the deposition of pro-tumorigenic extracellular matrix. · 2022 · https://pubmed.ncbi.nlm.nih.gov/35760868/ · DOI 10.1038/s42255-022-00582-0

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 246–252

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human fibroblast cultures; 2 mM labeled glutamine for 72 hours in the collagen-peptide experiment. · source_derived_draft · unverified_draft

    ## l-proline-collagen-carbon Collagen-building cells can make their own proline from glutamine. Carbon-13 glutamine tracing in human mammary cancer-associated fibroblasts demonstrated incorporation of newly synthesized proline into COL1A1 peptides. Model: Human fibroblast cultures; 2 mM labeled glutamine for 72 hours in the collagen-peptide experiment. Limitations: Atom tracing does not show that dietary glutamine or proline is the limiting substrate in a person. Correction record: Author correction PMID 35927357 / DOI 10.1038/s42255-022-00632-7 corrects the author surname Riero-Domingo to Riera-Domingo. It does not report a change to the experimental results. https://www.nature.com/articles/s42255-022-00632-7 Evidence access: Primary full text Cancer-associated fibroblasts require proline synthesis by PYCR1 for the deposition of pro-tumorigenic extracellular matrix. · 2022 · https://pubmed.ncbi.nlm.nih.gov/35760868/ · DOI 10.1038/s42255-022-00582-0
    Complete structured claim and evidence
  31. Reducing PYCR1 in human mammary cancer-associated fibroblasts lowered proline supply for collagen production and decreased collagen deposition.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Human CAF knockdown and matrix measurements; xenograft experiments separately examined tumor consequences.
    limitations
    This is a tumor-associated fibroblast model, not a trial of ordinary wound healing. Correction record: Author correction PMID 35927357 / DOI 10.1038/s42255-022-00632-7 corrects the author surname Riero-Domingo to Riera-Domingo. It does not report a change to the experimental results. https://www.nature.com/articles/s42255-022-00632-7
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    Endogenous synthesis can limit matrix production in activated fibroblasts.
    primary_references
    Cancer-associated fibroblasts require proline synthesis by PYCR1 for the deposition of pro-tumorigenic extracellular matrix. · 2022 · https://pubmed.ncbi.nlm.nih.gov/35760868/ · DOI 10.1038/s42255-022-00582-0
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 254–260

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human CAF knockdown and matrix measurements; xenograft experiments separately examined tumor consequences. · source_derived_draft · unverified_draft

    ## l-proline-collagen-pycr1 Endogenous synthesis can limit matrix production in activated fibroblasts. Reducing PYCR1 in human mammary cancer-associated fibroblasts lowered proline supply for collagen production and decreased collagen deposition. Model: Human CAF knockdown and matrix measurements; xenograft experiments separately examined tumor consequences. Limitations: This is a tumor-associated fibroblast model, not a trial of ordinary wound healing. Correction record: Author correction PMID 35927357 / DOI 10.1038/s42255-022-00632-7 corrects the author surname Riero-Domingo to Riera-Domingo. It does not report a change to the experimental results. https://www.nature.com/articles/s42255-022-00632-7 Evidence access: Primary full text Cancer-associated fibroblasts require proline synthesis by PYCR1 for the deposition of pro-tumorigenic extracellular matrix. · 2022 · https://pubmed.ncbi.nlm.nih.gov/35760868/ · DOI 10.1038/s42255-022-00582-0
    Complete structured claim and evidence
  32. Human prolidase hydrolyzes dipeptides with C-terminal proline or hydroxyproline; substrate- and product-bound structures explain its terminal peptide-cleavage reaction.

    Human prolidase / PEPD → L-Proline source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Recombinant human wild-type prolidase, high-resolution substrate/product complexes.
    limitations
    This does not mean prolidase by itself cleaves an intact collagen triple helix.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    Recycling a proline-containing peptide requires a suitable peptidase.
    primary_references
    Substrate specificity and reaction mechanism of human prolidase. · 2017 · https://pubmed.ncbi.nlm.nih.gov/28677335/ · DOI 10.1111/febs.14158

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 262–268

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Recombinant human wild-type prolidase, high-resolution substrate/product complexes. · source_derived_draft · unverified_draft

    ## l-proline-pepd-recycling Recycling a proline-containing peptide requires a suitable peptidase. Human prolidase hydrolyzes dipeptides with C-terminal proline or hydroxyproline; substrate- and product-bound structures explain its terminal peptide-cleavage reaction. Model: Recombinant human wild-type prolidase, high-resolution substrate/product complexes. Limitations: This does not mean prolidase by itself cleaves an intact collagen triple helix. Evidence access: Primary abstract Substrate specificity and reaction mechanism of human prolidase. · 2017 · https://pubmed.ncbi.nlm.nih.gov/28677335/ · DOI 10.1111/febs.14158
    Complete structured claim and evidence
  33. Human prolidase structures contain a binuclear manganese active site associated with the hydrolytic reaction; the study proposes hydroxide as the attacking catalytic species.

    Mn2+ → Human prolidase / PEPD source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary abstract and linked primary deposited structure 5M4G
    experimental_model
    Human enzyme crystal structures, including deposited structure 5M4G at 1.48 angstroms.
    limitations
    Structural metal dependence does not establish that adding manganese improves recycling when manganese is already adequate.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    A mineral is part of the machinery that recycles proline from dipeptides.
    primary_references
    Substrate specificity and reaction mechanism of human prolidase. · 2017 · https://pubmed.ncbi.nlm.nih.gov/28677335/ · DOI 10.1111/febs.14158

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 270–276

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human enzyme crystal structures, including deposited structure 5M4G at 1.48 angstroms. · source_derived_draft · unverified_draft

    ## l-proline-pepd-manganese A mineral is part of the machinery that recycles proline from dipeptides. Human prolidase structures contain a binuclear manganese active site associated with the hydrolytic reaction; the study proposes hydroxide as the attacking catalytic species. Model: Human enzyme crystal structures, including deposited structure 5M4G at 1.48 angstroms. Limitations: Structural metal dependence does not establish that adding manganese improves recycling when manganese is already adequate. Evidence access: Primary abstract and linked primary deposited structure 5M4G Substrate specificity and reaction mechanism of human prolidase. · 2017 · https://pubmed.ncbi.nlm.nih.gov/28677335/ · DOI 10.1111/febs.14158
    Complete structured claim and evidence
  34. Purified truncated human PRODH2/HYPDH contained one FAD and showed approximately twelvefold higher catalytic efficiency for hydroxyproline than proline.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Human recombinant catalytic core, residues 157–515; substrate kinetics.
    limitations
    PRODH2 is not simply a second interchangeable proline oxidase.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    Hydroxyproline uses a related but distinct breakdown enzyme.
    primary_references
    Proline dehydrogenase 2 (PRODH2) is a hydroxyproline dehydrogenase (HYPDH) and molecular target for treating primary hyperoxaluria. · 2015 · https://pubmed.ncbi.nlm.nih.gov/25697095/ · DOI 10.1042/BJ20141159

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 278–284

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human recombinant catalytic core, residues 157–515; substrate kinetics. · source_derived_draft · unverified_draft

    ## l-proline-hypdh-specificity Hydroxyproline uses a related but distinct breakdown enzyme. Purified truncated human PRODH2/HYPDH contained one FAD and showed approximately twelvefold higher catalytic efficiency for hydroxyproline than proline. Model: Human recombinant catalytic core, residues 157–515; substrate kinetics. Limitations: PRODH2 is not simply a second interchangeable proline oxidase. Evidence access: Primary abstract Proline dehydrogenase 2 (PRODH2) is a hydroxyproline dehydrogenase (HYPDH) and molecular target for treating primary hyperoxaluria. · 2015 · https://pubmed.ncbi.nlm.nih.gov/25697095/ · DOI 10.1042/BJ20141159
    Complete structured claim and evidence
  35. Quinone acceptors including CoQ1 reacted more efficiently than oxygen during purified human HYPDH turnover, supporting a dehydrogenase mechanism.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Truncated purified human HYPDH; quinone analogue and oxygen comparisons.
    limitations
    CoQ10 as the physiological acceptor is inferred, not directly measured in intact human tissues; this does not demonstrate benefit from CoQ10 supplements.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    Hydroxyproline breakdown can feed a quinone electron-transfer route.
    primary_references
    Proline dehydrogenase 2 (PRODH2) is a hydroxyproline dehydrogenase (HYPDH) and molecular target for treating primary hyperoxaluria. · 2015 · https://pubmed.ncbi.nlm.nih.gov/25697095/ · DOI 10.1042/BJ20141159

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 286–292

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Truncated purified human HYPDH; quinone analogue and oxygen comparisons. · source_derived_draft · unverified_draft

    ## l-proline-hypdh-electrons Hydroxyproline breakdown can feed a quinone electron-transfer route. Quinone acceptors including CoQ1 reacted more efficiently than oxygen during purified human HYPDH turnover, supporting a dehydrogenase mechanism. Model: Truncated purified human HYPDH; quinone analogue and oxygen comparisons. Limitations: CoQ10 as the physiological acceptor is inferred, not directly measured in intact human tissues; this does not demonstrate benefit from CoQ10 supplements. Evidence access: Primary abstract Proline dehydrogenase 2 (PRODH2) is a hydroxyproline dehydrogenase (HYPDH) and molecular target for treating primary hyperoxaluria. · 2015 · https://pubmed.ncbi.nlm.nih.gov/25697095/ · DOI 10.1042/BJ20141159
    Complete structured claim and evidence
  36. Prodh2 deletion reduced urinary oxalate in mouse hyperoxaluria models; combined Grhpr/Prodh2 deletion prevented kidney calcium-oxalate deposition during a 1% hydroxyproline diet.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Genetic mouse models, including Grhpr knockout and a 1% hydroxyproline diet.
    limitations
    Hydroxyproline loading is not equivalent to free proline intake; human efficacy of pathway inhibition was not established.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    A collagen-derived amino acid can feed an oxalate-producing pathway under specific conditions.
    primary_references
    The effects of the inactivation of Hydroxyproline dehydrogenase on urinary oxalate and glycolate excretion in mouse models of primary hyperoxaluria. · 2020 · https://pubmed.ncbi.nlm.nih.gov/31821850/ · DOI 10.1016/j.bbadis.2019.165633
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 294–300

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Genetic mouse models, including Grhpr knockout and a 1% hydroxyproline diet. · source_derived_draft · unverified_draft

    ## l-proline-hypdh-oxalate A collagen-derived amino acid can feed an oxalate-producing pathway under specific conditions. Prodh2 deletion reduced urinary oxalate in mouse hyperoxaluria models; combined Grhpr/Prodh2 deletion prevented kidney calcium-oxalate deposition during a 1% hydroxyproline diet. Model: Genetic mouse models, including Grhpr knockout and a 1% hydroxyproline diet. Limitations: Hydroxyproline loading is not equivalent to free proline intake; human efficacy of pathway inhibition was not established. Evidence access: Primary abstract The effects of the inactivation of Hydroxyproline dehydrogenase on urinary oxalate and glycolate excretion in mouse models of primary hyperoxaluria. · 2020 · https://pubmed.ncbi.nlm.nih.gov/31821850/ · DOI 10.1016/j.bbadis.2019.165633
    Complete structured claim and evidence
  37. Cultured human fetal RPE consumed proline preferentially among the measured nutrients and used its carbon in the TCA cycle and reductive citrate synthesis, with preferential apical citrate export.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Polarized human fetal RPE culture, carbon-13 tracing and metabolite measurements.
    limitations
    Culture preferences do not establish a universal human dietary proline requirement or AMD treatment.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    The eye support layer can turn proline into fuel intermediates for its neighbors.
    primary_references
    Human retinal pigment epithelial cells prefer proline as a nutrient and transport metabolic intermediates to the retinal side. · 2017 · https://pubmed.ncbi.nlm.nih.gov/28615447/ · DOI 10.1074/jbc.M117.788422

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 302–308

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Polarized human fetal RPE culture, carbon-13 tracing and metabolite measurements. · source_derived_draft · unverified_draft

    ## l-proline-rpe-carbon The eye support layer can turn proline into fuel intermediates for its neighbors. Cultured human fetal RPE consumed proline preferentially among the measured nutrients and used its carbon in the TCA cycle and reductive citrate synthesis, with preferential apical citrate export. Model: Polarized human fetal RPE culture, carbon-13 tracing and metabolite measurements. Limitations: Culture preferences do not establish a universal human dietary proline requirement or AMD treatment. Evidence access: Primary abstract Human retinal pigment epithelial cells prefer proline as a nutrient and transport metabolic intermediates to the retinal side. · 2017 · https://pubmed.ncbi.nlm.nih.gov/28615447/ · DOI 10.1074/jbc.M117.788422
    Complete structured claim and evidence
  38. Proline supported de novo serine synthesis and reductive carboxylation in cultured human RPE.

    L-Proline → De novo serine synthesis in human RPE source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Primary human RPE culture and isotope tracing.
    limitations
    This is not a direct one-step conversion or a clinical serine-repletion trial.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    Using one amino acid can support production of another.
    primary_references
    Proline mediates metabolic communication between retinal pigment epithelial cells and the retina. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31110046/ · DOI 10.1074/jbc.RA119.007983

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 310–316

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Primary human RPE culture and isotope tracing. · source_derived_draft · unverified_draft

    ## l-proline-rpe-serine Using one amino acid can support production of another. Proline supported de novo serine synthesis and reductive carboxylation in cultured human RPE. Model: Primary human RPE culture and isotope tracing. Limitations: This is not a direct one-step conversion or a clinical serine-repletion trial. Evidence access: Primary abstract Proline mediates metabolic communication between retinal pigment epithelial cells and the retina. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31110046/ · DOI 10.1074/jbc.RA119.007983
    Complete structured claim and evidence
  39. Blocking proline catabolism in human RPE impaired glucose metabolism and glutathione production.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Human RPE culture with pharmacological catabolism inhibition and metabolite measurements.
    limitations
    Pharmacological specificity and culture conditions limit inference; no human blood-proline threshold is established.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    A block in proline use can affect antioxidant production indirectly.
    primary_references
    Proline mediates metabolic communication between retinal pigment epithelial cells and the retina. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31110046/ · DOI 10.1074/jbc.RA119.007983
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 318–324

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human RPE culture with pharmacological catabolism inhibition and metabolite measurements. · source_derived_draft · unverified_draft

    ## l-proline-rpe-catabolism-block A block in proline use can affect antioxidant production indirectly. Blocking proline catabolism in human RPE impaired glucose metabolism and glutathione production. Model: Human RPE culture with pharmacological catabolism inhibition and metabolite measurements. Limitations: Pharmacological specificity and culture conditions limit inference; no human blood-proline threshold is established. Evidence access: Primary abstract Proline mediates metabolic communication between retinal pigment epithelial cells and the retina. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31110046/ · DOI 10.1074/jbc.RA119.007983
    Complete structured claim and evidence
  40. Human RPE used nitrogen from labeled proline to synthesize and export thirteen amino acids, including glutamate, aspartate, glutamine, alanine and serine.

    L-Proline → Human RPE amino-acid synthesis and export source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary final published full text, replacing the earlier preprint
    experimental_model
    Human RPE matured for 20 weeks; 1 mM nitrogen-15 proline, sampling at 24 and 48 hours.
    limitations
    Atom transfer involves multiple enzymes; this is not thirteen direct proline-conversion reactions.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    Proline supplies nitrogen as well as carbon to the retinal support system.
    primary_references
    Proline provides a nitrogen source in the retinal pigment epithelium to synthesize and export amino acids for the neural retina. · 2023 · https://pubmed.ncbi.nlm.nih.gov/37741457/ · DOI 10.1016/j.jbc.2023.105275

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 326–332

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human RPE matured for 20 weeks; 1 mM nitrogen-15 proline, sampling at 24 and 48 hours. · source_derived_draft · unverified_draft

    ## l-proline-rpe-nitrogen Proline supplies nitrogen as well as carbon to the retinal support system. Human RPE used nitrogen from labeled proline to synthesize and export thirteen amino acids, including glutamate, aspartate, glutamine, alanine and serine. Model: Human RPE matured for 20 weeks; 1 mM nitrogen-15 proline, sampling at 24 and 48 hours. Limitations: Atom transfer involves multiple enzymes; this is not thirteen direct proline-conversion reactions. Evidence access: Primary final published full text, replacing the earlier preprint Proline provides a nitrogen source in the retinal pigment epithelium to synthesize and export amino acids for the neural retina. · 2023 · https://pubmed.ncbi.nlm.nih.gov/37741457/ · DOI 10.1016/j.jbc.2023.105275
    Complete structured claim and evidence
  41. Prodh loss blocked proline nitrogen utilization by mouse RPE and diminished delivery of proline-derived amino-acid nitrogen to the retina.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary final published full text
    experimental_model
    Mouse Prodh mutant tissue and isotope-transfer experiments, supported by coculture and in-vivo tracing.
    limitations
    Mouse compartmental transfer is not proof that oral proline prevents human retinal degeneration.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    The retina depends on processing in a neighboring support tissue.
    primary_references
    Proline provides a nitrogen source in the retinal pigment epithelium to synthesize and export amino acids for the neural retina. · 2023 · https://pubmed.ncbi.nlm.nih.gov/37741457/ · DOI 10.1016/j.jbc.2023.105275
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 334–340

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse Prodh mutant tissue and isotope-transfer experiments, supported by coculture and in-vivo tracing. · source_derived_draft · unverified_draft

    ## l-proline-rpe-retina-nitrogen The retina depends on processing in a neighboring support tissue. Prodh loss blocked proline nitrogen utilization by mouse RPE and diminished delivery of proline-derived amino-acid nitrogen to the retina. Model: Mouse Prodh mutant tissue and isotope-transfer experiments, supported by coculture and in-vivo tracing. Limitations: Mouse compartmental transfer is not proof that oral proline prevents human retinal degeneration. Evidence access: Primary final published full text Proline provides a nitrogen source in the retinal pigment epithelium to synthesize and export amino acids for the neural retina. · 2023 · https://pubmed.ncbi.nlm.nih.gov/37741457/ · DOI 10.1016/j.jbc.2023.105275
    Complete structured claim and evidence
  42. Dietary proline improved visual function in an acute model of RPE-induced retinal degeneration.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Mouse acute RPE-injury study; primary abstract.
    limitations
    Diet concentration and injury-protocol details are not asserted from the abstract; this does not establish treatment for chronic human AMD.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    A dietary intervention helped in a specific experimental eye-injury model.
    primary_references
    Proline mediates metabolic communication between retinal pigment epithelial cells and the retina. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31110046/ · DOI 10.1074/jbc.RA119.007983

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 342–348

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse acute RPE-injury study; primary abstract. · source_derived_draft · unverified_draft

    ## l-proline-rpe-diet-model A dietary intervention helped in a specific experimental eye-injury model. Dietary proline improved visual function in an acute model of RPE-induced retinal degeneration. Model: Mouse acute RPE-injury study; primary abstract. Limitations: Diet concentration and injury-protocol details are not asserted from the abstract; this does not establish treatment for chronic human AMD. Evidence access: Primary abstract Proline mediates metabolic communication between retinal pigment epithelial cells and the retina. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31110046/ · DOI 10.1074/jbc.RA119.007983
    Complete structured claim and evidence
  43. In hypoxic cancer models, increased PYCR1-dependent proline synthesis oxidized NADH and helped sustain TCA-cycle activity.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Human cancer-cell hypoxia experiments and three-dimensional/xenograft models.
    limitations
    A benefit to tumor-cell survival is not a health benefit of supplementation; proline production is part of the reaction that consumes NADH.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    Making proline can also help rebalance mitochondrial reducing power.
    primary_references
    Proline synthesis through PYCR1 is required to support cancer cell proliferation and survival in oxygen-limiting conditions. · 2022 · https://pubmed.ncbi.nlm.nih.gov/35108535/ · DOI 10.1016/j.celrep.2022.110320

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 350–356

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human cancer-cell hypoxia experiments and three-dimensional/xenograft models. · source_derived_draft · unverified_draft

    ## l-proline-pycr1-hypoxic-redox Making proline can also help rebalance mitochondrial reducing power. In hypoxic cancer models, increased PYCR1-dependent proline synthesis oxidized NADH and helped sustain TCA-cycle activity. Model: Human cancer-cell hypoxia experiments and three-dimensional/xenograft models. Limitations: A benefit to tumor-cell survival is not a health benefit of supplementation; proline production is part of the reaction that consumes NADH. Evidence access: Primary full text Proline synthesis through PYCR1 is required to support cancer cell proliferation and survival in oxygen-limiting conditions. · 2022 · https://pubmed.ncbi.nlm.nih.gov/35108535/ · DOI 10.1016/j.celrep.2022.110320
    Complete structured claim and evidence
  44. PYCR1 loss increased hypoxia-associated cell death in three-dimensional cancer cultures and tumors in vivo.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Human cancer-cell PYCR1 depletion/knockout and xenograft experiments.
    limitations
    This is a context-specific vulnerability and is not proof of systemic proline deficiency.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    A cell may need the synthesis reaction itself, not merely a measured pool of the final amino acid.
    primary_references
    Proline synthesis through PYCR1 is required to support cancer cell proliferation and survival in oxygen-limiting conditions. · 2022 · https://pubmed.ncbi.nlm.nih.gov/35108535/ · DOI 10.1016/j.celrep.2022.110320
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 358–364

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human cancer-cell PYCR1 depletion/knockout and xenograft experiments. · source_derived_draft · unverified_draft

    ## l-proline-pycr1-hypoxic-loss A cell may need the synthesis reaction itself, not merely a measured pool of the final amino acid. PYCR1 loss increased hypoxia-associated cell death in three-dimensional cancer cultures and tumors in vivo. Model: Human cancer-cell PYCR1 depletion/knockout and xenograft experiments. Limitations: This is a context-specific vulnerability and is not proof of systemic proline deficiency. Evidence access: Primary full text Proline synthesis through PYCR1 is required to support cancer cell proliferation and survival in oxygen-limiting conditions. · 2022 · https://pubmed.ncbi.nlm.nih.gov/35108535/ · DOI 10.1016/j.celrep.2022.110320
    Complete structured claim and evidence
  45. TGF-beta induced glutamine-derived proline synthesis in a Smad4-dependent fibroblast program; manipulations of mitochondrial redox potential or ATP production changed that synthesis.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    TGF-beta-stimulated fibroblast experiments; primary abstract, with mouse NIH3T3 model identified in the primary study.
    limitations
    No dietary dose or general antifibrotic benefit is inferred.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    Activated matrix-producing cells can use proline synthesis to handle metabolic demand.
    primary_references
    Proline biosynthesis is a vent for TGFβ-induced mitochondrial redox stress. · 2020 · https://pubmed.ncbi.nlm.nih.gov/32134147/ · DOI 10.15252/embj.2019103334

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 366–372

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · TGF-beta-stimulated fibroblast experiments; primary abstract, with mouse NIH3T3 model identified in the primary study. · source_derived_draft · unverified_draft

    ## l-proline-tgfb-proline Activated matrix-producing cells can use proline synthesis to handle metabolic demand. TGF-beta induced glutamine-derived proline synthesis in a Smad4-dependent fibroblast program; manipulations of mitochondrial redox potential or ATP production changed that synthesis. Model: TGF-beta-stimulated fibroblast experiments; primary abstract, with mouse NIH3T3 model identified in the primary study. Limitations: No dietary dose or general antifibrotic benefit is inferred. Evidence access: Primary abstract Proline biosynthesis is a vent for TGFβ-induced mitochondrial redox stress. · 2020 · https://pubmed.ncbi.nlm.nih.gov/32134147/ · DOI 10.15252/embj.2019103334
    Complete structured claim and evidence
  46. Human pancreatic cancer cells took up collagen fragments and used collagen-derived proline in metabolism under nutrient-limited culture conditions.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Human PDAC culture and tracer experiments under limited fuel availability.
    limitations
    Collagen uptake, peptide digestion and proline oxidation are distinct steps; no effect of oral collagen supplements is demonstrated.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    A tissue matrix can become a nutrient reservoir for cells.
    primary_references
    Collagen-derived proline promotes pancreatic ductal adenocarcinoma cell survival under nutrient limited conditions. · 2017 · https://pubmed.ncbi.nlm.nih.gov/28685754/ · DOI 10.1038/ncomms16031

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 374–380

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human PDAC culture and tracer experiments under limited fuel availability. · source_derived_draft · unverified_draft

    ## l-proline-pdac-collagen-fuel A tissue matrix can become a nutrient reservoir for cells. Human pancreatic cancer cells took up collagen fragments and used collagen-derived proline in metabolism under nutrient-limited culture conditions. Model: Human PDAC culture and tracer experiments under limited fuel availability. Limitations: Collagen uptake, peptide digestion and proline oxidation are distinct steps; no effect of oral collagen supplements is demonstrated. Evidence access: Primary full text Collagen-derived proline promotes pancreatic ductal adenocarcinoma cell survival under nutrient limited conditions. · 2017 · https://pubmed.ncbi.nlm.nih.gov/28685754/ · DOI 10.1038/ncomms16031
    Complete structured claim and evidence
  47. Pharmacological inhibition of Prodh impaired lung-metastasis formation in orthotopic 4T1 and EMT6.5 mouse breast-cancer models.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Mouse breast-cancer models, complemented by three-dimensional culture and human tumor-expression comparisons.
    limitations
    This does not establish that dietary proline causes metastasis or that proline restriction is a proven treatment.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    A proline-consuming pathway can support growth in a metastatic setting.
    primary_references
    Proline metabolism supports metastasis formation and could be inhibited to selectively target metastasizing cancer cells. · 2017 · https://pubmed.ncbi.nlm.nih.gov/28492237/ · DOI 10.1038/ncomms15267

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 382–388

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse breast-cancer models, complemented by three-dimensional culture and human tumor-expression comparisons. · source_derived_draft · unverified_draft

    ## l-proline-mouse-metastatic-catabolism A proline-consuming pathway can support growth in a metastatic setting. Pharmacological inhibition of Prodh impaired lung-metastasis formation in orthotopic 4T1 and EMT6.5 mouse breast-cancer models. Model: Mouse breast-cancer models, complemented by three-dimensional culture and human tumor-expression comparisons. Limitations: This does not establish that dietary proline causes metastasis or that proline restriction is a proven treatment. Evidence access: Primary abstract Proline metabolism supports metastasis formation and could be inhibited to selectively target metastasizing cancer cells. · 2017 · https://pubmed.ncbi.nlm.nih.gov/28492237/ · DOI 10.1038/ncomms15267
    Complete structured claim and evidence
  48. Proline addition drove a reversible mesenchymal-like, motile state in embryonic stem-cell culture, accompanied by changes in H3K9 and H3K36 methylation.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Mouse embryonic stem-cell culture with proline exposure; primary abstract.
    limitations
    This is a cell-culture state transition, not evidence that proline changes adult human identity or universally activates oncogenes.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    An amino-acid exposure can alter a cell-state program in a developmental model.
    primary_references
    L-Proline induces a mesenchymal-like invasive program in embryonic stem cells by remodeling H3K9 and H3K36 methylation. · 2013 · https://pubmed.ncbi.nlm.nih.gov/24319666/ · DOI 10.1016/j.stemcr.2013.09.001

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 390–396

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse embryonic stem-cell culture with proline exposure; primary abstract. · source_derived_draft · unverified_draft

    ## l-proline-stem-cell-state An amino-acid exposure can alter a cell-state program in a developmental model. Proline addition drove a reversible mesenchymal-like, motile state in embryonic stem-cell culture, accompanied by changes in H3K9 and H3K36 methylation. Model: Mouse embryonic stem-cell culture with proline exposure; primary abstract. Limitations: This is a cell-culture state transition, not evidence that proline changes adult human identity or universally activates oncogenes. Evidence access: Primary abstract L-Proline induces a mesenchymal-like invasive program in embryonic stem cells by remodeling H3K9 and H3K36 methylation. · 2013 · https://pubmed.ncbi.nlm.nih.gov/24319666/ · DOI 10.1016/j.stemcr.2013.09.001
    Complete structured claim and evidence
  49. Ascorbic-acid addition or proline withdrawal reversed the reported proline-induced stem-cell state and reduced the associated H3K9/H3K36 methylation pattern.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Mouse embryonic stem-cell model; reversible phenotype and histone-mark measurements.
    limitations
    The result does not establish a supplement ratio, a clinical methylation imbalance, or vitamin C depletion by ordinary proline intake.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    Vitamin C and proline intersect in this experimental epigenetic response.
    primary_references
    L-Proline induces a mesenchymal-like invasive program in embryonic stem cells by remodeling H3K9 and H3K36 methylation. · 2013 · https://pubmed.ncbi.nlm.nih.gov/24319666/ · DOI 10.1016/j.stemcr.2013.09.001

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 398–404

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse embryonic stem-cell model; reversible phenotype and histone-mark measurements. · source_derived_draft · unverified_draft

    ## l-proline-stem-cell-vitamin-c Vitamin C and proline intersect in this experimental epigenetic response. Ascorbic-acid addition or proline withdrawal reversed the reported proline-induced stem-cell state and reduced the associated H3K9/H3K36 methylation pattern. Model: Mouse embryonic stem-cell model; reversible phenotype and histone-mark measurements. Limitations: The result does not establish a supplement ratio, a clinical methylation imbalance, or vitamin C depletion by ordinary proline intake. Evidence access: Primary abstract L-Proline induces a mesenchymal-like invasive program in embryonic stem cells by remodeling H3K9 and H3K36 methylation. · 2013 · https://pubmed.ncbi.nlm.nih.gov/24319666/ · DOI 10.1016/j.stemcr.2013.09.001
    Complete structured claim and evidence
  50. Purified C. difficile proline reductase contained PrdA and selenocysteine-containing PrdB and used D-proline; its stereospecific activity is distinct from human L-proline oxidation.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Purified bacterial reductase and substrate tests.
    limitations
    L-proline-linked fermentation requires stereochemical processing; this enzyme is not a human PRODH isoform.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    Gut bacteria can use a different form of proline with different machinery.
    primary_references
    Analysis of proline reduction in the nosocomial pathogen Clostridium difficile. · 2006 · https://pubmed.ncbi.nlm.nih.gov/17041035/ · DOI 10.1128/JB.01370-06

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 406–412

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Purified bacterial reductase and substrate tests. · source_derived_draft · unverified_draft

    ## l-proline-microbial-stereospecificity Gut bacteria can use a different form of proline with different machinery. Purified C. difficile proline reductase contained PrdA and selenocysteine-containing PrdB and used D-proline; its stereospecific activity is distinct from human L-proline oxidation. Model: Purified bacterial reductase and substrate tests. Limitations: L-proline-linked fermentation requires stereochemical processing; this enzyme is not a human PRODH isoform. Evidence access: Primary abstract Analysis of proline reduction in the nosocomial pathogen Clostridium difficile. · 2006 · https://pubmed.ncbi.nlm.nih.gov/17041035/ · DOI 10.1128/JB.01370-06
    Complete structured claim and evidence
  51. Selenium supplementation was required for the increased bacterial growth yield seen with the tested Stickland amino-acid pairs; proline-related acceptors induced selenoenzyme expression.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Anaerobic C. difficile culture in limiting medium; selenite supplementation and radiolabeled selenium protein analysis.
    limitations
    This bacterial growth mechanism does not establish that dietary selenium causes or prevents infection.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    Selenium also supports some microbial amino-acid fermentation pathways.
    primary_references
    Analysis of proline reduction in the nosocomial pathogen Clostridium difficile. · 2006 · https://pubmed.ncbi.nlm.nih.gov/17041035/ · DOI 10.1128/JB.01370-06

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 414–420

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Anaerobic C. difficile culture in limiting medium; selenite supplementation and radiolabeled selenium protein analysis. · source_derived_draft · unverified_draft

    ## l-proline-microbial-selenium Selenium also supports some microbial amino-acid fermentation pathways. Selenium supplementation was required for the increased bacterial growth yield seen with the tested Stickland amino-acid pairs; proline-related acceptors induced selenoenzyme expression. Model: Anaerobic C. difficile culture in limiting medium; selenite supplementation and radiolabeled selenium protein analysis. Limitations: This bacterial growth mechanism does not establish that dietary selenium causes or prevents infection. Evidence access: Primary abstract Analysis of proline reduction in the nosocomial pathogen Clostridium difficile. · 2006 · https://pubmed.ncbi.nlm.nih.gov/17041035/ · DOI 10.1128/JB.01370-06
    Complete structured claim and evidence
  52. Zinc strongly inhibited purified C. difficile D-proline reductase, which did not require added divalent cations for its measured activity.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Purified bacterial-enzyme assays.
    limitations
    No safe or effective intestinal zinc intervention is established by the enzyme experiment.
    nutrient_topic
    L-Proline collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Proline
    plain_language
    A mineral can inhibit this microbial enzyme rather than serve as its cofactor.
    primary_references
    Analysis of proline reduction in the nosocomial pathogen Clostridium difficile. · 2006 · https://pubmed.ncbi.nlm.nih.gov/17041035/ · DOI 10.1128/JB.01370-06

    L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19) · lines 422–428

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Purified bacterial-enzyme assays. · source_derived_draft · unverified_draft

    ## l-proline-microbial-zinc A mineral can inhibit this microbial enzyme rather than serve as its cofactor. Zinc strongly inhibited purified C. difficile D-proline reductase, which did not require added divalent cations for its measured activity. Model: Purified bacterial-enzyme assays. Limitations: No safe or effective intestinal zinc intervention is established by the enzyme experiment. Evidence access: Primary abstract Analysis of proline reduction in the nosocomial pathogen Clostridium difficile. · 2006 · https://pubmed.ncbi.nlm.nih.gov/17041035/ · DOI 10.1128/JB.01370-06
    Complete structured claim and evidence
  53. Human P5CS links glutamate to P5C synthesis through ATP- and NADPH-dependent chemistry.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/citrulline-research/11092761.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "09706fd9ec135c472473decaa612e06b3e5aa021c9b1493d77daf4fe98b8d5d2", "start_char": 0, "end_char": 1688, "text_sha256": "09706fd9ec135c472473decaa612e06b3e5aa021c9b1493d77daf4fe98b8d5d2"}
    experimental_model
    Patient genetics and recombinant variant expression
    exposure
    ALDH18A1 R84Q compared with wild-type isoforms
    limitations
    Rare inherited enzyme disorder; does not imply low dietary citrulline caused the clinical phenotype.
    nutrient_topic
    Citrulline research collection; topical membership is not evidence of a direct dietary effect. · L-Citrulline
    organism
    Human, two siblings and mammalian expression systems
    plain_language
    This supplies a precursor route connected to ornithine and arginine production.
    primary_references
    [citrulline-p11092761] Hyperammonemia with reduced ornithine, citrulline, arginine and proline: a new inborn error caused by a mutation in the gene encoding delta(1)-pyrroline-5-carboxylate synthase. (2000). https://pubmed.ncbi.nlm.nih.gov/11092761/ DOI: 10.1093/hmg/9.19.2853
    tissue_or_cell_type
    Mitochondrial P5CS and circulating amino acids

    Citrulline: arginine recycling, nitrogen disposal and nutrient connections (2026-09-17) · lines 294–305

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Patient genetics and recombinant variant expression · source_derived_draft · unverified_draft

    ### citrulline-p5cs-reaction Human P5CS links glutamate to P5C synthesis through ATP- and NADPH-dependent chemistry. Condition category: normal nutrient_topic: Citrulline research collection; topical membership is not evidence of a direct dietary effect. plain_language: This supplies a precursor route connected to ornithine and arginine production. organism: Human, two siblings and mammalian expression systems tissue_or_cell_type: Mitochondrial P5CS and circulating amino acids experimental_model: Patient genetics and recombinant variant expression limitations: Rare inherited enzyme disorder; does not imply low dietary citrulline caused the clinical phenotype. exposure: ALDH18A1 R84Q compared with wild-type isoforms evidence_span: {"source_cache": "artifacts/citrulline-research/11092761.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "09706fd9ec135c472473decaa612e06b3e5aa021c9b1493d77daf4fe98b8d5d2", "start_char": 0, "end_char": 1688, "text_sha256": "09706fd9ec135c472473decaa612e06b3e5aa021c9b1493d77daf4fe98b8d5d2"} [citrulline-p11092761] Hyperammonemia with reduced ornithine, citrulline, arginine and proline: a new inborn error caused by a mutation in the gene encoding delta(1)-pyrroline-5-carboxylate synthase. (2000). https://pubmed.ncbi.nlm.nih.gov/11092761/ DOI: 10.1093/hmg/9.19.2853
    Complete structured claim and evidence
  54. The two R84Q siblings had hypocitrullinemia with low ornithine, arginine and proline; the variant strongly reduced expressed P5CS activity.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/citrulline-research/11092761.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "09706fd9ec135c472473decaa612e06b3e5aa021c9b1493d77daf4fe98b8d5d2", "start_char": 0, "end_char": 1688, "text_sha256": "09706fd9ec135c472473decaa612e06b3e5aa021c9b1493d77daf4fe98b8d5d2"}
    experimental_model
    Patient genetics and recombinant variant expression
    exposure
    ALDH18A1 R84Q compared with wild-type isoforms
    limitations
    Rare inherited enzyme disorder; does not imply low dietary citrulline caused the clinical phenotype.
    nutrient_topic
    Citrulline research collection; topical membership is not evidence of a direct dietary effect. · L-Citrulline
    organism
    Human, two siblings and mammalian expression systems
    plain_language
    Low citrulline can arise from a defective upstream enzyme.
    primary_references
    [citrulline-p11092761] Hyperammonemia with reduced ornithine, citrulline, arginine and proline: a new inborn error caused by a mutation in the gene encoding delta(1)-pyrroline-5-carboxylate synthase. (2000). https://pubmed.ncbi.nlm.nih.gov/11092761/ DOI: 10.1093/hmg/9.19.2853
    tissue_or_cell_type
    Mitochondrial P5CS and circulating amino acids
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Citrulline: arginine recycling, nitrogen disposal and nutrient connections (2026-09-17) · lines 320–331

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Patient genetics and recombinant variant expression · source_derived_draft · unverified_draft

    ### citrulline-p5cs-low-citrulline The two R84Q siblings had hypocitrullinemia with low ornithine, arginine and proline; the variant strongly reduced expressed P5CS activity. Condition category: machinery_impairment nutrient_topic: Citrulline research collection; topical membership is not evidence of a direct dietary effect. plain_language: Low citrulline can arise from a defective upstream enzyme. organism: Human, two siblings and mammalian expression systems tissue_or_cell_type: Mitochondrial P5CS and circulating amino acids experimental_model: Patient genetics and recombinant variant expression limitations: Rare inherited enzyme disorder; does not imply low dietary citrulline caused the clinical phenotype. exposure: ALDH18A1 R84Q compared with wild-type isoforms evidence_span: {"source_cache": "artifacts/citrulline-research/11092761.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "09706fd9ec135c472473decaa612e06b3e5aa021c9b1493d77daf4fe98b8d5d2", "start_char": 0, "end_char": 1688, "text_sha256": "09706fd9ec135c472473decaa612e06b3e5aa021c9b1493d77daf4fe98b8d5d2"} [citrulline-p11092761] Hyperammonemia with reduced ornithine, citrulline, arginine and proline: a new inborn error caused by a mutation in the gene encoding delta(1)-pyrroline-5-carboxylate synthase. (2000). https://pubmed.ncbi.nlm.nih.gov/11092761/ DOI: 10.1093/hmg/9.19.2853
    Complete structured claim and evidence
  55. OAT transfers the ornithine delta-amino group to 2-oxoglutarate, yielding glutamate and glutamate semialdehyde, which cyclizes to P5C.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/citrulline-research/9514741.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "cca17abd35f0211a043dd3cc8883369e230209206ff62b62242197f90201cea0", "start_char": 0, "end_char": 2979, "text_sha256": "cca17abd35f0211a043dd3cc8883369e230209206ff62b62242197f90201cea0"}
    experimental_model
    Recombinant enzyme crystal structure
    exposure
    PLP-bound enzyme structure
    limitations
    The described reaction direction is ornithine transamination; this structure alone does not quantify reverse flux in human intestine.
    nutrient_topic
    Citrulline research collection; topical membership is not evidence of a direct dietary effect. · L-Citrulline
    organism
    Human OAT
    plain_language
    This is an ornithine-processing reaction; its direction depends on the biological setting.
    primary_references
    [citrulline-p9514741] Crystal structure of human recombinant ornithine aminotransferase. (1998). https://pubmed.ncbi.nlm.nih.gov/9514741/ DOI: 10.1006/jmbi.1997.1583
    tissue_or_cell_type
    Mitochondrial ornithine transamination

    Citrulline: arginine recycling, nitrogen disposal and nutrient connections (2026-09-17) · lines 346–357

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Recombinant enzyme crystal structure · source_derived_draft · unverified_draft

    ### citrulline-oat-reaction OAT transfers the ornithine delta-amino group to 2-oxoglutarate, yielding glutamate and glutamate semialdehyde, which cyclizes to P5C. Condition category: normal nutrient_topic: Citrulline research collection; topical membership is not evidence of a direct dietary effect. plain_language: This is an ornithine-processing reaction; its direction depends on the biological setting. organism: Human OAT tissue_or_cell_type: Mitochondrial ornithine transamination experimental_model: Recombinant enzyme crystal structure limitations: The described reaction direction is ornithine transamination; this structure alone does not quantify reverse flux in human intestine. exposure: PLP-bound enzyme structure evidence_span: {"source_cache": "artifacts/citrulline-research/9514741.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "cca17abd35f0211a043dd3cc8883369e230209206ff62b62242197f90201cea0", "start_char": 0, "end_char": 2979, "text_sha256": "cca17abd35f0211a043dd3cc8883369e230209206ff62b62242197f90201cea0"} [citrulline-p9514741] Crystal structure of human recombinant ornithine aminotransferase. (1998). https://pubmed.ncbi.nlm.nih.gov/9514741/ DOI: 10.1006/jmbi.1997.1583
    Complete structured claim and evidence
  56. Human OAT bound pyridoxal phosphate through a Schiff base to Lys292.

    PLP → Human ornithine aminotransferase / OAT source_derived_draftungraded
    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/citrulline-research/9514741.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "cca17abd35f0211a043dd3cc8883369e230209206ff62b62242197f90201cea0", "start_char": 0, "end_char": 2979, "text_sha256": "cca17abd35f0211a043dd3cc8883369e230209206ff62b62242197f90201cea0"}
    experimental_model
    Recombinant enzyme crystal structure
    exposure
    PLP-bound enzyme structure
    limitations
    The described reaction direction is ornithine transamination; this structure alone does not quantify reverse flux in human intestine.
    nutrient_topic
    Citrulline research collection; topical membership is not evidence of a direct dietary effect. · L-Citrulline
    organism
    Human OAT
    plain_language
    Vitamin B6 has a defined role in the machinery handling ornithine.
    primary_references
    [citrulline-p9514741] Crystal structure of human recombinant ornithine aminotransferase. (1998). https://pubmed.ncbi.nlm.nih.gov/9514741/ DOI: 10.1006/jmbi.1997.1583
    tissue_or_cell_type
    Mitochondrial ornithine transamination

    Citrulline: arginine recycling, nitrogen disposal and nutrient connections (2026-09-17) · lines 333–344

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Recombinant enzyme crystal structure · source_derived_draft · unverified_draft

    ### citrulline-oat-plp Human OAT bound pyridoxal phosphate through a Schiff base to Lys292. Condition category: normal nutrient_topic: Citrulline research collection; topical membership is not evidence of a direct dietary effect. plain_language: Vitamin B6 has a defined role in the machinery handling ornithine. organism: Human OAT tissue_or_cell_type: Mitochondrial ornithine transamination experimental_model: Recombinant enzyme crystal structure limitations: The described reaction direction is ornithine transamination; this structure alone does not quantify reverse flux in human intestine. exposure: PLP-bound enzyme structure evidence_span: {"source_cache": "artifacts/citrulline-research/9514741.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "cca17abd35f0211a043dd3cc8883369e230209206ff62b62242197f90201cea0", "start_char": 0, "end_char": 2979, "text_sha256": "cca17abd35f0211a043dd3cc8883369e230209206ff62b62242197f90201cea0"} [citrulline-p9514741] Crystal structure of human recombinant ornithine aminotransferase. (1998). https://pubmed.ncbi.nlm.nih.gov/9514741/ DOI: 10.1006/jmbi.1997.1583
    Complete structured claim and evidence
  57. Purified human NADK2 Δ62 converted NAD+ to NADP+ with ATP in MgCl2-containing reactions; TLC also detected ADP formation.

    NADK2 Δ62 recombinant construct → NADP+ source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    Magnesium is present with ATP during phosphorylation of the niacin-derived dinucleotide; this assay does not quantify effects of dietary magnesium shortage.
    evidence_span
    [{"source_cache": "artifacts/niacin-redox-sources/nadk2-2012.fulltext.txt", "locator": "Results", "start_char": 8475, "end_char": 9580, "file_sha256": "65209c0b4ea7220bc95afdd182e40910f2445345172956e85552d5c6db649648", "text_sha256": "c86810a1a5342cd4e7ea126e070f28ed3182d81f17ea76c0fbb3833612c0f529"}, {"source_cache": "artifacts/niacin-redox-sources/nadk2-2012.fulltext.txt", "locator": "Methods, NADK activity assay", "start_char": 26694, "end_char": 28732, "file_sha256": "65209c0b4ea7220bc95afdd182e40910f2445345172956e85552d5c6db649648", "text_sha256": "907b651f0c0aae7a31306bdc42264cdfd22fb0e236e7ab8f37900467b0b0ab72"}]
    experimental_model
    Purified His-tagged Δ62C5orf33/NADK2
    exposure
    TLC: 5 mM NAD+, 5 mM ATP, 5 mM MgCl2; 37°C
    limitations
    Scoped experimental observation; no dietary niacin or magnesium deficiency threshold or treatment benefit was tested.
    nutrient_topic
    Niacin research collection; topical membership is not evidence of a direct dietary effect. · Niacin (vitamin B3)
    organism
    Homo sapiens
    plain_language
    The mitochondrial kinase uses a phosphate-transfer reaction to create NADP+.
    primary_references
    [nadk2-2012] Identification and characterization of a human mitochondrial NAD kinase. (2012). https://pubmed.ncbi.nlm.nih.gov/23212377/ DOI: 10.1038/ncomms2262
    tissue_or_cell_type
    Purified protein

    Niacin: NAD metabolism, deficiency and nutrient interactions (2026-09-17) · lines 871–883

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Purified His-tagged Δ62C5orf33/NADK2 · source_derived_draft · unverified_draft

    ### b3-redox-nadk2-phosphorylation Purified human NADK2 Δ62 converted NAD+ to NADP+ with ATP in MgCl2-containing reactions; TLC also detected ADP formation. Condition category: normal nutrient_topic: Niacin research collection; topical membership is not evidence of a direct dietary effect. plain_language: The mitochondrial kinase uses a phosphate-transfer reaction to create NADP+. organism: Homo sapiens tissue_or_cell_type: Purified protein experimental_model: Purified His-tagged Δ62C5orf33/NADK2 limitations: Scoped experimental observation; no dietary niacin or magnesium deficiency threshold or treatment benefit was tested. exposure: TLC: 5 mM NAD+, 5 mM ATP, 5 mM MgCl2; 37°C cross_nutrient: Magnesium is present with ATP during phosphorylation of the niacin-derived dinucleotide; this assay does not quantify effects of dietary magnesium shortage. evidence_span: [{"source_cache": "artifacts/niacin-redox-sources/nadk2-2012.fulltext.txt", "locator": "Results", "start_char": 8475, "end_char": 9580, "file_sha256": "65209c0b4ea7220bc95afdd182e40910f2445345172956e85552d5c6db649648", "text_sha256": "c86810a1a5342cd4e7ea126e070f28ed3182d81f17ea76c0fbb3833612c0f529"}, {"source_cache": "artifacts/niacin-redox-sources/nadk2-2012.fulltext.txt", "locator": "Methods, NADK activity assay", "start_char": 26694, "end_char": 28732, "file_sha256": "65209c0b4ea7220bc95afdd182e40910f2445345172956e85552d5c6db649648", "text_sha256": "907b651f0c0aae7a31306bdc42264cdfd22fb0e236e7ab8f37900467b0b0ab72"}] [nadk2-2012] Identification and characterization of a human mitochondrial NAD kinase. (2012). https://pubmed.ncbi.nlm.nih.gov/23212377/ DOI: 10.1038/ncomms2262
    Complete structured claim and evidence
  58. Isotope experiments showed alanine supplying carbon and nitrogen to glutamate and proline synthesis in human lung fibroblasts, particularly during glutamine deprivation.

    L-Alanine → L-Proline source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Human fibroblast stable-isotope tracing under specified media conditions.
    limitations
    Atom contribution is not a one-step alanine-to-proline reaction; other enzymes, carbon sources and cofactors remain necessary.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    One amino acid can supply material used to make another.
    primary_references
    TGF-β coordinates alanine synthesis and import for myofibroblast differentiation in pulmonary fibrosis. · 2026 · https://pubmed.ncbi.nlm.nih.gov/42024472/ · DOI 10.1172/jci.insight.199449

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 520–526

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human fibroblast stable-isotope tracing under specified media conditions. · source_derived_draft · unverified_draft

    ## alanine-fibroblast-proline One amino acid can supply material used to make another. Isotope experiments showed alanine supplying carbon and nitrogen to glutamate and proline synthesis in human lung fibroblasts, particularly during glutamine deprivation. Model: Human fibroblast stable-isotope tracing under specified media conditions. Limitations: Atom contribution is not a one-step alanine-to-proline reaction; other enzymes, carbon sources and cofactors remain necessary. Evidence access: Primary full text TGF-β coordinates alanine synthesis and import for myofibroblast differentiation in pulmonary fibrosis. · 2026 · https://pubmed.ncbi.nlm.nih.gov/42024472/ · DOI 10.1172/jci.insight.199449
    Complete structured claim and evidence
  59. Tracer carbon appeared in putrescine and proline; arginase inhibition reduced these labeled products.

    L-Arginine → Putrescine source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Full-text results, Figures 2 and 6, Europe PMC PMC5075284; primary abstract.
    experimental_model
    Primary human activated T cells; isotope tracing and functional assays.
    limitations
    Flux is model-specific; not evidence of clinical wound healing.
    nutrient_topic
    L-Arginine collection; tissue, species, dose and formulation distinctions retained. · L-Arginine
    plain_language
    Arginine fed more than the NO pathway.
    primary_references
    L-Arginine Modulates T Cell Metabolism and Enhances Survival and Anti-tumor Activity. · 2016 · https://pubmed.ncbi.nlm.nih.gov/27745970/ · DOI 10.1016/j.cell.2016.09.031

    L-Arginine: transport, metabolic branches, nutrient interactions, availability and discovery questions (2026-09-18) · lines 222–228

    AI-assisted research curation; primary-abstract references and experimental limitations individually identified. Not publisher full text. · supports · Primary human activated T cells; isotope tracing and functional assays. · source_derived_draft · unverified_draft

    ## arg-tcell-carbon Arginine fed more than the NO pathway. Tracer carbon appeared in putrescine and proline; arginase inhibition reduced these labeled products. Model: Primary human activated T cells; isotope tracing and functional assays. Limitations: Flux is model-specific; not evidence of clinical wound healing. Evidence access: Full-text results, Figures 2 and 6, Europe PMC PMC5075284; primary abstract. L-Arginine Modulates T Cell Metabolism and Enhances Survival and Anti-tumor Activity. · 2016 · https://pubmed.ncbi.nlm.nih.gov/27745970/ · DOI 10.1016/j.cell.2016.09.031
    Complete structured claim and evidence
  60. Inheritance and functional studies in seven families implicated nonfunctional SLC36A2 alleles in urinary glycine and imino-acid loss; two defective alleles tracked iminoglycinuria and one tracked hyperglycinuria.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Human family genetics with functional transporter testing.
    limitations
    This is renal handling; urinary loss alone does not establish systemic nutritional deficiency.
    nutrient_topic
    Glycine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · Glycine
    plain_language
    The kidney can lose glycine because its recovery transporter is faulty.
    primary_references
    Iminoglycinuria and hyperglycinuria are discrete human phenotypes resulting from complex mutations in proline and glycine transporters. · 2008 · https://pubmed.ncbi.nlm.nih.gov/19033659/ · DOI 10.1172/JCI36625
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Glycine: supply, one-carbon allocation, receptors and cross-nutrient mechanisms (2026-09-19) · lines 66–72

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human family genetics with functional transporter testing. · source_derived_draft · unverified_draft

    ## glycine-renal-pat2 The kidney can lose glycine because its recovery transporter is faulty. Inheritance and functional studies in seven families implicated nonfunctional SLC36A2 alleles in urinary glycine and imino-acid loss; two defective alleles tracked iminoglycinuria and one tracked hyperglycinuria. Model: Human family genetics with functional transporter testing. Limitations: This is renal handling; urinary loss alone does not establish systemic nutritional deficiency. Evidence access: Primary abstract Iminoglycinuria and hyperglycinuria are discrete human phenotypes resulting from complex mutations in proline and glycine transporters. · 2008 · https://pubmed.ncbi.nlm.nih.gov/19033659/ · DOI 10.1172/JCI36625
    Complete structured claim and evidence
  61. SLC6A20 mutations accompanied iminoglycinuria when combined with SLC36A2 variants retaining residual transport.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Human family genotype/functional analysis.
    limitations
    Modifier evidence is not proof of ordinary dietary competition between glycine and proline.
    nutrient_topic
    Glycine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · Glycine
    plain_language
    A second transporter can change the effect of the first defect.
    primary_references
    Iminoglycinuria and hyperglycinuria are discrete human phenotypes resulting from complex mutations in proline and glycine transporters. · 2008 · https://pubmed.ncbi.nlm.nih.gov/19033659/ · DOI 10.1172/JCI36625
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Glycine: supply, one-carbon allocation, receptors and cross-nutrient mechanisms (2026-09-19) · lines 74–80

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human family genotype/functional analysis. · source_derived_draft · unverified_draft

    ## glycine-renal-modifier A second transporter can change the effect of the first defect. SLC6A20 mutations accompanied iminoglycinuria when combined with SLC36A2 variants retaining residual transport. Model: Human family genotype/functional analysis. Limitations: Modifier evidence is not proof of ordinary dietary competition between glycine and proline. Evidence access: Primary abstract Iminoglycinuria and hyperglycinuria are discrete human phenotypes resulting from complex mutations in proline and glycine transporters. · 2008 · https://pubmed.ncbi.nlm.nih.gov/19033659/ · DOI 10.1172/JCI36625
    Complete structured claim and evidence
  62. In chick collagen hydroxylase assays, complete proline hydroxylation was coupled to 2-oxoglutarate decarboxylation while ascorbate was not consumed in most catalytic cycles.

    Experimental context and source evidence
    cross_nutrient
    Vitamin C chemistry in collagen, modified-lysine/carnitine metabolism or copper-dependent peptide/catecholamine processing.
    experimental_model
    Purified chick prolyl and partially purified lysyl collagen hydroxylases
    exposure
    Peptide substrate present or absent; uncoupled 2-oxoglutarate decarboxylation assays.
    limitations
    This statement concerns coupled turnover; it must not be transferred to copper monooxygenases.
    nutrient_topic
    Vitamin C research collection; topical membership is not evidence of a direct dietary effect. · Vitamin C
    organism
    Gallus gallus
    plain_language
    Vitamin C is not a one-for-one consumed ingredient in every successful collagen hydroxylation.
    primary_references
    [myllyla1984] Ascorbate is consumed stoichiometrically in the uncoupled reactions catalyzed by prolyl 4-hydroxylase and lysyl hydroxylase. (1984). https://pubmed.ncbi.nlm.nih.gov/6325436/ DOI: 10.1016/s0021-9258(18)91023-9
    tissue_or_cell_type
    Chick embryo enzyme preparations

    Vitamin C: mechanisms, deficiency and nutrient interactions (2026-09-17) · lines 585–596

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Purified chick prolyl and partially purified lysyl collagen hydroxylases · source_derived_draft · unverified_draft

    ### vc-enzyme-coupled-ascorbate-use In chick collagen hydroxylase assays, complete proline hydroxylation was coupled to 2-oxoglutarate decarboxylation while ascorbate was not consumed in most catalytic cycles. Condition category: normal nutrient_topic: Vitamin C research collection; topical membership is not evidence of a direct dietary effect. plain_language: Vitamin C is not a one-for-one consumed ingredient in every successful collagen hydroxylation. organism: Gallus gallus tissue_or_cell_type: Chick embryo enzyme preparations experimental_model: Purified chick prolyl and partially purified lysyl collagen hydroxylases limitations: This statement concerns coupled turnover; it must not be transferred to copper monooxygenases. cross_nutrient: Vitamin C chemistry in collagen, modified-lysine/carnitine metabolism or copper-dependent peptide/catecholamine processing. exposure: Peptide substrate present or absent; uncoupled 2-oxoglutarate decarboxylation assays. [myllyla1984] Ascorbate is consumed stoichiometrically in the uncoupled reactions catalyzed by prolyl 4-hydroxylase and lysyl hydroxylase. (1984). https://pubmed.ncbi.nlm.nih.gov/6325436/ DOI: 10.1016/s0021-9258(18)91023-9
    Complete structured claim and evidence
  63. After 2-oxoglutarate-associated inactivation of chick prolyl hydroxylase, ascorbate decreased its ferric EPR signal and partly restored activity, supporting reduction of enzyme-bound Fe(III).

    Experimental context and source evidence
    cross_nutrient
    Vitamin C chemistry in collagen, modified-lysine/carnitine metabolism or copper-dependent peptide/catecholamine processing.
    experimental_model
    Purified chick collagen prolyl hydroxylase, EPR and activity measurements
    exposure
    400 micromolar 2-oxoglutarate; enzyme inactivation within 1 minute without ascorbate; 30-second EPR incubation at 37 C.
    limitations
    Protein-bound redox chemistry; no claim that serum iron or dietary iron supplementation predicts this state.
    nutrient_topic
    Vitamin C research collection; topical membership is not evidence of a direct dietary effect. · Vitamin C
    organism
    Gallus gallus
    plain_language
    Vitamin C can restore the iron inside an inactive collagen enzyme to a working redox state.
    primary_references
    [dejong1982] Prolyl 4-hydroxylase activity in relation to the oxidation state of enzyme-bound iron. The role of ascorbate in peptidyl proline hydroxylation. (1982). https://pubmed.ncbi.nlm.nih.gov/6285984/ DOI: 10.1016/0167-4838(82)90162-5
    tissue_or_cell_type
    Chick embryo enzyme preparation

    Vitamin C: mechanisms, deficiency and nutrient interactions (2026-09-17) · lines 624–635

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Purified chick collagen prolyl hydroxylase, EPR and activity measurements · source_derived_draft · unverified_draft

    ### vc-enzyme-bound-iron-reactivation After 2-oxoglutarate-associated inactivation of chick prolyl hydroxylase, ascorbate decreased its ferric EPR signal and partly restored activity, supporting reduction of enzyme-bound Fe(III). Condition category: normal nutrient_topic: Vitamin C research collection; topical membership is not evidence of a direct dietary effect. plain_language: Vitamin C can restore the iron inside an inactive collagen enzyme to a working redox state. organism: Gallus gallus tissue_or_cell_type: Chick embryo enzyme preparation experimental_model: Purified chick collagen prolyl hydroxylase, EPR and activity measurements limitations: Protein-bound redox chemistry; no claim that serum iron or dietary iron supplementation predicts this state. cross_nutrient: Vitamin C chemistry in collagen, modified-lysine/carnitine metabolism or copper-dependent peptide/catecholamine processing. exposure: 400 micromolar 2-oxoglutarate; enzyme inactivation within 1 minute without ascorbate; 30-second EPR incubation at 37 C. [dejong1982] Prolyl 4-hydroxylase activity in relation to the oxidation state of enzyme-bound iron. The role of ascorbate in peptidyl proline hydroxylation. (1982). https://pubmed.ncbi.nlm.nih.gov/6285984/ DOI: 10.1016/0167-4838(82)90162-5
    Complete structured claim and evidence
  64. Replacing the TFEB PPP motif with AAA partially rescued TFEB expression during GC7 treatment.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Murine TFEB constructs in NIH 3T3 cells.
    limitations
    Partial rescue; free proline supplementation was not tested.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    A sequence within the protein helps explain the dependency.
    primary_references
    Polyamines Control eIF5A Hypusination, TFEB Translation, and Autophagy to Reverse B Cell Senescence. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31474573/ · DOI 10.1016/j.molcel.2019.08.005

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 222–228

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Murine TFEB constructs in NIH 3T3 cells. · source_derived_draft · unverified_draft

    ## spermidine-tfeb-proline A sequence within the protein helps explain the dependency. Replacing the TFEB PPP motif with AAA partially rescued TFEB expression during GC7 treatment. Model: Murine TFEB constructs in NIH 3T3 cells. Limitations: Partial rescue; free proline supplementation was not tested. Evidence access: Primary full text Polyamines Control eIF5A Hypusination, TFEB Translation, and Autophagy to Reverse B Cell Senescence. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31474573/ · DOI 10.1016/j.molcel.2019.08.005
    Complete structured claim and evidence
  65. DHPS transfers spermidine-derived aminobutyl onto eIF5A Lys50 to form deoxyhypusine.

    DHPS → eIF5A1 with unmodified Lys50 source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    Human DHPS structural biochemistry.
    limitations
    NAD cycles during catalysis; it is not represented as a net consumed substrate here. This reaction modifies lysine already in a protein. It does not show that extra oral lysine increases the reaction or improves a clinical outcome.
    organism
    Human
    plain_language
    A particular protein lysine becomes a specialized translation-factor residue.
    primary_references
    [dhps-2020] Half Way to Hypusine-Structural Basis for Substrate Recognition by Human Deoxyhypusine Synthase (2020). https://pubmed.ncbi.nlm.nih.gov/32235505/
    tissue_or_cell_type
    Not specified as a whole tissue; see experimental model.

    L-Lysine: mechanism-first literature curation (2026-09-17) · lines 578–586

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human DHPS structural biochemistry. · source_derived_draft · unverified_draft

    ### dhps-eif5a-deoxyhypusine DHPS transfers spermidine-derived aminobutyl onto eIF5A Lys50 to form deoxyhypusine. Plain language: A particular protein lysine becomes a specialized translation-factor residue. Condition category: normal organism: Human tissue_or_cell_type: Not specified as a whole tissue; see experimental model. experimental_model: Human DHPS structural biochemistry. limitations: NAD cycles during catalysis; it is not represented as a net consumed substrate here. This reaction modifies lysine already in a protein. It does not show that extra oral lysine increases the reaction or improves a clinical outcome. [dhps-2020] Half Way to Hypusine-Structural Basis for Substrate Recognition by Human Deoxyhypusine Synthase (2020). https://pubmed.ncbi.nlm.nih.gov/32235505/
    Complete structured claim and evidence
  66. Increasing medium glycine from the millimolar range increased type-II collagen production in cultured bovine chondrocytes, with larger sustained effects than the tested proline/lysine increments.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Bovine articular chondrocyte monolayers; 15-day concentration series and collagen ELISA.
    limitations
    The paper proposes dietary implications, but the experiment does not establish human glycine essentiality, osteoarthritis causation or cartilage regeneration.
    nutrient_topic
    Glycine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · Glycine
    plain_language
    Collagen-producing cells responded to extra glycine in a culture assay.
    primary_references
    High glycine concentration increases collagen synthesis by articular chondrocytes in vitro: acute glycine deficiency could be an important cause of osteoarthritis. · 2018 · https://pubmed.ncbi.nlm.nih.gov/30006659/ · DOI 10.1007/s00726-018-2611-x

    Glycine: supply, one-carbon allocation, receptors and cross-nutrient mechanisms (2026-09-19) · lines 402–408

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Bovine articular chondrocyte monolayers; 15-day concentration series and collagen ELISA. · source_derived_draft · unverified_draft

    ## glycine-collagen-culture Collagen-producing cells responded to extra glycine in a culture assay. Increasing medium glycine from the millimolar range increased type-II collagen production in cultured bovine chondrocytes, with larger sustained effects than the tested proline/lysine increments. Model: Bovine articular chondrocyte monolayers; 15-day concentration series and collagen ELISA. Limitations: The paper proposes dietary implications, but the experiment does not establish human glycine essentiality, osteoarthritis causation or cartilage regeneration. Evidence access: Primary full text High glycine concentration increases collagen synthesis by articular chondrocytes in vitro: acute glycine deficiency could be an important cause of osteoarthritis. · 2018 · https://pubmed.ncbi.nlm.nih.gov/30006659/ · DOI 10.1007/s00726-018-2611-x
    Complete structured claim and evidence

Availability and dependencies

Each situation shows the normal role first, then what the sources report under a specific condition. A shortfall in the diet, a fault in the machinery, and a low blood reading are kept separate because they are not the same thing.

A missing mitochondrial cofactor pool creates dependence on imported proline

Condition: machinery_impairment · NADK2 deletion in cultured mammalian cells.

Normal role: Cells use imported, synthesized or recycled proline for proteins and metabolism when their processing machinery is functional.

Recorded consequence: Reduced proline synthesis and growth in minimal medium, with proline rescue and explicit limits on other affected pathways.

Scope: Species, tissue, intervention and evidence access are specified in each linked record.

Blocked breakdown can create a secondary B6 problem

Condition: machinery_impairment · ALDH4A1 dysfunction and P5C accumulation in hyperprolinemia type II.

Normal role: Cells use imported, synthesized or recycled proline for proteins and metabolism when their processing machinery is functional.

Recorded consequence: Defective catabolism and a mechanistically supported route to PLP inactivation.

Scope: Species, tissue, intervention and evidence access are specified in each linked record.

A synthesis-enzyme defect affects connective tissue and stress handling

Condition: machinery_impairment · Inherited PYCR1 mutations.

Normal role: Cells use imported, synthesized or recycled proline for proteins and metabolism when their processing machinery is functional.

Recorded consequence: Abnormal fibroblast mitochondria and oxidative-stress vulnerability.

Scope: Species, tissue, intervention and evidence access are specified in each linked record.

A related synthesis enzyme has a distinct neurological role

Condition: machinery_impairment · Inherited PYCR2 mutations and experimental PYCR2 deletion.

Normal role: Cells use imported, synthesized or recycled proline for proteins and metabolism when their processing machinery is functional.

Recorded consequence: Microcephaly/hypomyelination association and mitochondrial stress defects.

Scope: Species, tissue, intervention and evidence access are specified in each linked record.

A transport gate can lower uptake capacity

Condition: machinery_impairment · Human SIT1 T199M expressed for functional testing.

Normal role: Cells use imported, synthesized or recycled proline for proteins and metabolism when their processing machinery is functional.

Recorded consequence: Reduced proline transport current.

Scope: Species, tissue, intervention and evidence access are specified in each linked record.

Proline-sharing transport can alter extracellular glycine

Condition: machinery_impairment · Mouse Slc6a20a deletion or increased expression in a PTEN model.

Normal role: Cells use imported, synthesized or recycled proline for proteins and metabolism when their processing machinery is functional.

Recorded consequence: Changed extracellular amino-acid availability and NMDA-receptor function.

Scope: Species, tissue, intervention and evidence access are specified in each linked record.

A blocked tRNA-loading enzyme mimics a shortage

Condition: machinery_impairment · Experimental halofuginone inhibition of prolyl-tRNA synthetase.

Normal role: Cells use imported, synthesized or recycled proline for proteins and metabolism when their processing machinery is functional.

Recorded consequence: Amino-acid-response signaling that added proline reverses in the tested models.

Scope: Species, tissue, intervention and evidence access are specified in each linked record.

Activated fibroblasts can rely on making their own proline

Condition: machinery_impairment · PYCR1 reduction in human cancer-associated fibroblasts.

Normal role: Cells use imported, synthesized or recycled proline for proteins and metabolism when their processing machinery is functional.

Recorded consequence: Lower collagen production in that cellular setting.

Scope: Species, tissue, intervention and evidence access are specified in each linked record.

Hydroxyproline breakdown can feed oxalate production

Condition: machinery_impairment · Prodh2 deletion in mouse hyperoxaluria models.

Normal role: Cells use imported, synthesized or recycled proline for proteins and metabolism when their processing machinery is functional.

Recorded consequence: Reduced oxalate burden; free proline and hydroxyproline remain distinct.

Scope: Species, tissue, intervention and evidence access are specified in each linked record.

Retinal support depends on local proline processing

Condition: machinery_impairment · Pharmacological human RPE catabolism inhibition or mouse Prodh loss.

Normal role: Cells use imported, synthesized or recycled proline for proteins and metabolism when their processing machinery is functional.

Recorded consequence: Disrupted metabolic support and amino-acid transfer to neighboring retinal tissue.

Scope: Species, tissue, intervention and evidence access are specified in each linked record.

A synthesis reaction can support survival under low oxygen

Condition: machinery_impairment · PYCR1 loss in hypoxic human cancer-cell models.

Normal role: Cells use imported, synthesized or recycled proline for proteins and metabolism when their processing machinery is functional.

Recorded consequence: Greater hypoxia-associated cell death; no clinical restriction strategy inferred.

Scope: Species, tissue, intervention and evidence access are specified in each linked record.

The sources

Every document behind this chapter is preserved word for word. Open one to read it in full with its recorded conflicts marked in place.

  • Citrulline: arginine recycling, nitrogen disposal and nutrient connections (2026-09-17)AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · unverified_draftRead preserved source
  • Glycine: supply, one-carbon allocation, receptors and cross-nutrient mechanisms (2026-09-19)AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · unverified_draftRead preserved source
  • L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19)AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · unverified_draftRead preserved source
  • L-Arginine: transport, metabolic branches, nutrient interactions, availability and discovery questions (2026-09-18)AI-assisted research curation; primary-abstract references and experimental limitations individually identified. Not publisher full text. · unverified_draftRead preserved source
  • L-Lysine: mechanism-first literature curation (2026-09-17)AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · unverified_draftRead preserved source
  • L-Proline: synthesis, collagen processing, redox metabolism and cross-nutrient mechanisms (2026-09-19)AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · unverified_draftRead preserved source
  • Niacin: NAD metabolism, deficiency and nutrient interactions (2026-09-17)AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · unverified_draftRead preserved source
  • Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19)AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · unverified_draftRead preserved source
  • Vitamin C: mechanisms, deficiency and nutrient interactions (2026-09-17)AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · unverified_draftRead preserved source

Recorded disagreements

Where two sources say different things, both are kept and the difference is explained. You can discuss a disagreement or propose a mechanism that might account for it.

    Open questions in this collection

    Questions the curators could not answer from the sources in front of them, kept here with the reason each one is still open. These are gaps in this collection, not findings or proof that no one has studied them.

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