A citrulinemia é um distúrbio hereditário autossômico recessivo do metabolismo do ciclo da uréia e da desintoxicação da amônia, caracterizado por concentrações elevadas de citrulina sérica e amônia. A doença apresenta uma ampla gama de manifestações, incluindo encefalopatia hiperamonêmica neonatal com letargia, convulsões e coma; disfunção hepática em todas as faixas etárias; episódios de hiperamonemia e sintomas neuropsiquiátricos em crianças ou adultos, ou, podem ser assintomáticos em alguns casos (detectados em programas de triagem neonatal). A citrulinemia é dividida em dois grupos principais que são codificados por genes diferentes: citrulinemia tipo I (composta por citrulinemia neonatal aguda tipo I e citrulinemia tipo I de início na idade adulta) e deficiência de citrina (composta por citrulinemia tipo II de início na idade adulta e colestase intra-hepática neonatal devido à deficiência de citrina).
Introdução
O que você precisa saber de cara
A citrulinemia é um distúrbio hereditário autossômico recessivo do metabolismo do ciclo da uréia e da desintoxicação da amônia, caracterizado por concentrações elevadas de citrulina sérica e amônia. A doença apresenta uma ampla gama de manifestações, incluindo encefalopatia hiperamonêmica neonatal com letargia, convulsões e coma; disfunção hepática em todas as faixas etárias; episódios de hiperamonemia e sintomas neuropsiquiátricos em crianças ou adultos, ou, podem ser assintomáticos em alguns casos (detectados em programas de triagem neonatal). A citrulinemia é dividida em dois grupos principais que são codificados por genes diferentes: citrulinemia tipo I (composta por citrulinemia neonatal aguda tipo I e citrulinemia tipo I de início na idade adulta) e deficiência de citrina (composta por citrulinemia tipo II de início na idade adulta e colestase intra-hepática neonatal devido à deficiência de citrina).
Escala de raridade
<1/50kMuito rara
1/20kRara
1/10kPouco freq.
1/5kIncomum
1/2k
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Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Partes do corpo afetadas
+ 78 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 124 características clínicas mais associadas, ordenadas por frequência.
Linha do tempo da pesquisa
Triagem neonatal (Teste do Pezinho)
A triagem neonatal permite diagnóstico precoce e início imediato do tratamento.
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Genética e causas
O que está alterado no DNA e como passa nas famílias
Genes associados
2 genes identificados com associação a esta condição. Padrão de herança: Autosomal recessive.
One of the enzymes of the urea cycle, the metabolic pathway transforming neurotoxic amonia produced by protein catabolism into inocuous urea in the liver of ureotelic animals. Catalyzes the formation of arginosuccinate from aspartate, citrulline and ATP and together with ASL it is responsible for the biosynthesis of arginine in most body tissues
Cytoplasm, cytosol
Citrullinemia 1
The classic form of citrullinemia, an autosomal recessive disease characterized primarily by elevated serum and urine citrulline levels. Ammonia intoxication is another manifestation. It is a disorder of the urea cycle, usually manifesting in the first few days of life. Affected infants appear normal at birth, but as ammonia builds up in the body they present symptoms such as lethargy, poor feeding, vomiting, seizures and loss of consciousness. Less commonly, a milder form can develop later in childhood or adulthood.
Mitochondrial electrogenic aspartate/glutamate antiporter that favors efflux of aspartate and entry of glutamate and proton within the mitochondria as part of the malate-aspartate shuttle (PubMed:11566871, PubMed:38937634, PubMed:38945283, PubMed:39419476). Substrate exchange across the membrane occurs consecutively with one substrate being transported first, then dissociating from the substrate binding site before the second substrate binds for transport in the opposite direction (PubMed:389376
Mitochondrion inner membrane
Citrin deficiency, adolescent or adult onset
An autosomal recessive metabolic disorder characterized by elevated serum and urine citrulline levels, ammonia intoxication, and neuropsychiatric symptoms including abnormal behaviors, loss of memory, seizures and coma. Death can result from brain edema.
Variantes genéticas (ClinVar)
574 variantes patogênicas registradas no ClinVar.
Classificação de variantes (ClinVar)
Distribuição de 1,096 variantes classificadas pelo ClinVar.
Vias biológicas (Reactome)
5 vias biológicas associadas aos genes desta condição.
Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
Onde tratar no SUS
Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)
🇧🇷 Atendimento SUS — Citrulinemia
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Outros ensaios clínicos
16 ensaios clínicos encontrados, 3 ativos.
Publicações mais relevantes
[A 71-year-old woman with adult-onset type II citrullinemia, initially presenting with normal blood ammonia levels].
The patient, a 71-year-old woman, was admitted for a generalized tonic-clonic seizure. Initial investigations, including plasma ammonia, were normal, and she was treated for status epilepticus. Consciousness recovered to Japan Coma Scale (JCS) 0, but on day 4 her alertness declined; plasma ammonia exceeded 500 μg/dl, and a dietary preference for beans became apparent. Plasma citrulline was markedly elevated, and genetic analysis confirmed adult-onset type II citrullinemia (CTLN2). A low-carbohydrate, high-fat diet enriched with medium-chain triglyceride oil was initiated, yet higher order cognitive deficits persisted. Because CTLN2 exhibits diurnal fluctuations in blood ammonia, in cases of unexplained impaired consciousness it is essential to ask about food preferences and to measure plasma ammonia repeatedly to enable timely diagnosis and treatment.
Dual rare genetic variants: case report of a child with SBIDDS syndrome and citrullinemia type 1.
Impact of long-term nitrogen scavenger therapy on clinical outcome in individuals with urea cycle disorders.
Principles of long-term medical management in individuals with urea cycle disorders (UCDs) encompass (1) a low protein diet, (2) supplementation of arginine and/or citrulline along with essential amino acids, nutrients, vitamins and trace elements, and (3) use of nitrogen scavenging agents to reduce recurrent hyperammonemic events (HAEs). These principles aim at providing metabolic stability, elimimation of chronic complications, and achievement of normal development as well as growth. A retrospective comparative analysis was performed by studying 138 individuals with male ornithine transcarbamylase deficiency (mOTC-D), citrullinemia type 1 (CTLN1) and argininosuccinic aciduria (ASA) based on in vitro residual enzymatic activity for severity-adjustment. Results show that individuals with mOTC-D, CTLN1 and ASA are at risk of progressive linear growth impairment, recurrent annual HAEs and an unfavorable neurocognitive outcome despite being under long-term nitrogen scavenging pharmacotherapy. No overall superiority among existing nitrogen scavenging agents with regard to the individual's metabolic stability, linear growth impairment and poor neurocognitive outcome was observed. Novel therapeutic strategies are urgently needed to ultimately improve health outcomes in individuals with UCDs in order to sufficiently meet guideline-specific goals.
Looking Beyond Severe Hypertriglyceridemia when Diagnosing Adult-Onset Citrullinemia Type II.
Adult-onset citrullinemia type II (CTLN2) is a rare autosomal recessive urea cycle disorder caused by mutations in the solute carrier family 25 member 13 (SLC25A13) gene, which encodes citrin-a mitochondrial transporter involved in the malate-aspartate shuttle. In adults, CTLN2 may present atypically as isolated hypertriglyceridemia, often misattributed to secondary dyslipidaemia. A 30-year-old Vietnamese male with longstanding severe hypertriglyceridemia, first identified at age 13, was referred after an episode of acute pancreatitis at age 28. At presentation, plasma triglyceride levels reached 34.61 mmol/l. Secondary causes were excluded. Genetic testing via next-generation sequencing revealed compound heterozygous SLC25A13 mutations: c.2T>C and c.1638_1660dup, resulting in p.Met1Thr and p.Ala554GlyfsTer17, confirming the diagnosis of CTLN2. Initiation of a low-carbohydrate, high-protein, low-fat diet combined with fenofibrate (145 mg/day) led to a rapid reduction in triglyceride levels, normalizing within two weeks and remaining stable over three months. The treatment was well tolerated, with no reported adverse effects. CTLN2 should be considered in young adults with persistent, unexplained, and severe hypertriglyceridemia. Dietary modification constitutes the cornerstone of management, with fibrates playing a supportive role. Persistent, unexplained, and severe hypertriglyceridemia in young adults should prompt consideration of inherited metabolic disorders, including adult-onset citrullinemia type II (CTLN2).Genetic testing to detect compound heterozygous or homozygous SLC25A13 variants is essential for definitive diagnosis of CTLN2.In CTLN2, dietary management with a low-carbohydrate, high-protein, low-fat represents the cornerstone, with fibrates serving as adjunctive lipid-lowering therapy.
[Guidelines for the diagnosis, treatment, and management of Citrin deficiency (2026 Edition)].
Citrin deficiency is an inherited metabolic disease that primarily affects the liver, growth and development, and can even lead to death. To deepen the understanding of this disease and improve the diagnostic and therapeutic levels as well as the standardized management of doctors in the relevant fields in China, this "Guidelines for the diagnosis, treatment, and management of Citrin deficiency" have been formulated. This guideline can provide opinions over eight clinical issues related to the diagnosis, treatment, and management of Citrin deficiency based on the currently available clinical evidence.
Publicações recentes
Citrullinemia type 1 manifesting with a stroke-like episode: a case report.
Impact of long-term nitrogen scavenger therapy on clinical outcome in individuals with urea cycle disorders.
Looking Beyond Severe Hypertriglyceridemia when Diagnosing Adult-Onset Citrullinemia Type II.
Dual rare genetic variants: case report of a child with SBIDDS syndrome and citrullinemia type 1.
[A 71-year-old woman with adult-onset type II citrullinemia, initially presenting with normal blood ammonia levels].
📚 EuropePMC303 artigos no totalmostrando 200
Impact of long-term nitrogen scavenger therapy on clinical outcome in individuals with urea cycle disorders.
Scientific reportsLooking Beyond Severe Hypertriglyceridemia when Diagnosing Adult-Onset Citrullinemia Type II.
European journal of case reports in internal medicineDual rare genetic variants: case report of a child with SBIDDS syndrome and citrullinemia type 1.
Italian journal of pediatrics[Guidelines for the diagnosis, treatment, and management of Citrin deficiency (2026 Edition)].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical genetics[A 71-year-old woman with adult-onset type II citrullinemia, initially presenting with normal blood ammonia levels].
Rinsho shinkeigaku = Clinical neurologyPET/CT and exome sequencing in late onset multiple acyl-CoA dehydrogenase deficiency: a case series and literature review.
BMC medical genomicsDeveloping an explainable machine learning model to predict false-negative citrin deficiency cases in newborn screening.
Orphanet journal of rare diseasesIdentification of 13 novel pathogenic SLC25A13 variants and comparison of the genetic spectrum among different geographic regions: Molecular characterization of a large cohort of citrin deficiency in China.
Molecular genetics and metabolismMetabolic signatures and a diagnostic model for citrin deficiency based on urinary organic acids.
Clinical and translational medicineThe status of adult patients with citrin deficiency in Japan: A report from the nation-wide study.
Molecular genetics and metabolismCase Report: From coma to genetic insights: identification of a novel pathogenic variant in Chinese neonatal CTLN1.
Frontiers in pediatricsDeep phenotyping of patients with citrin deficiency in Singapore- single centre experience.
Molecular genetics and metabolism99 Chinese ASS1 carriers: Genetics, metabolism, and citrulline levels.
Clinica chimica acta; international journal of clinical chemistryNeonatal-onset citrin deficiency: long-term outcomes in four cases and identification of a novel variant.
The Turkish journal of pediatricsNeonatal intrahepatic cholestasis caused by citrin deficiency: clinical features, genetic characteristics, and treatment outcomes.
BMC gastroenterologyCarrier Frequency and Prevalence of Citrin Deficiency in East Asians and Koreans Based on Comprehensive Analysis of Pathogenic SLC25A13 Variants.
Annals of laboratory medicineEarly-Onset Inherited Metabolic Diseases: When Clinical Symptoms Precede Newborn Screening-Insights from Emilia-Romagna (Italy).
Children (Basel, Switzerland)Deciphering the Mutational Background in Citrin Deficiency Through a Nationwide Study in Japan and Literature Review.
Human mutationDietary Glyceryl Polyethylene Glycol Ricinoleate as an Additive to Improve Intestinal Health in Post-Weaning Piglets.
Animals : an open access journal from MDPICurrent Understanding of Pathogenic Mechanisms and Disease Models of Citrin Deficiency.
Journal of inherited metabolic diseaseDeveloping splice-switching oligonucleotides for urea cycle disorder using an integrated diagnostic and therapeutic platform.
Journal of hepatologyRetrospective review of urine organic acids data from patients with citrullinemia type I - Looking for the 'cyclic derivative of citrulline'.
Molecular genetics and metabolismMarkedly Elevated Citrulline in a Neonate: Citrin Deficiency due to a Previously Unreported Solute Carrier Family 25 Member 13 Variant.
Clinica chimica acta; international journal of clinical chemistryEnhancing newborn screening sensitivity and specificity for missed NICCD using selected amino acids and acylcarnitines.
Orphanet journal of rare diseasesVisualization of argininosuccinate synthetase by in silico analysis: novel insights into citrullinemia type I disorders.
Frontiers in molecular biosciencesLong-term follow-up of neurocognitive function in patients with citrin deficiency and cholestasis.
Clinical and experimental pediatricsA Case of Hyperammonemia Not Attributable to Liver Disease and Treated With IV Ammonia Scavengers.
CureusMy path to citrin deficiency.
Journal of inherited metabolic diseaseExploring RNA therapeutics for urea cycle disorders.
Journal of inherited metabolic disease[Analysis of the etiology and clinical indicators of infantile cholestasis].
Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology[Full-cycle, multidisciplinary and systematic management of citrin deficiency].
Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatologySeverity-adjusted evaluation of initial dialysis on short-term health outcomes in urea cycle disorders.
Molecular genetics and metabolismUnveiling genetic variants: Tetra-primer ARMS-PCR diagnosis and structural insights into BLAD, BC, and DUMPS in Pakistani cattle herds.
Molecular biology reportsUsing preimplantation genetic testing for monogenic disease for preventing citrullinemia type 1 transmission.
Frontiers in geneticsThe therapeutic landscape of citrin deficiency.
Journal of inherited metabolic diseaseCitrin deficiency-The East-side story.
Journal of inherited metabolic diseaseRare Pathogenic Variants in Pooled Whole-Exome Sequencing Data Suggest Hyperammonemia as a Possible Cause of Dementia Not Classified as Alzheimer's Disease or Frontotemporal Dementia.
GenesASS1 metabolically contributes to the nuclear and cytosolic p53-mediated DNA damage response.
Nature metabolismSerum procalcitonin as a marker of neonatal intrahepatic cholestasis caused by citrin deficiency (NICCD).
Clinics (Sao Paulo, Brazil)Nutritional support therapy for liver transplantation in an adult-onset type II citrullinemia patient: a case report.
Frontiers in nutritionEx vivo precision-cut liver slices model disease phenotype and monitor therapeutic response for liver monogenic diseases.
F1000ResearchDual rare genetic diseases in five pediatric patients: insights from next-generation diagnostic methods.
Orphanet journal of rare diseasesPseudodendritic keratitis in citrullinemia; a report of an unusual and novel ocular finding in this metabolic disorder.
American journal of ophthalmology case reports[Newborn screening, clinical features and genetic analysis for Citrin deficiency in Henan province].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsExpanded Newborn Screening for Inborn Errors of Metabolism in Hong Kong: Results and Outcome of a 7 Year Journey.
International journal of neonatal screeningHarnessing Next-Generation Sequencing as a Timely and Accurate Second-Tier Screening Test for Newborn Screening of Inborn Errors of Metabolism.
International journal of neonatal screeningClinical landscape of citrin deficiency: A global perspective on a multifaceted condition.
Journal of inherited metabolic diseaseClinical, biochemical, and genotypical characteristics in urea cycle mitochondrial transporter disorders.
European review for medical and pharmacological sciencesUpdate on the diagnosis and management of neonatal intrahepatic cholestasis caused by citrin deficiency: Expert review on behalf of the Asian Pan-Pacific Society for Pediatric Gastroenterology, Hepatology, and Nutrition.
Journal of pediatric gastroenterology and nutritionAmyloidogenic Propensity of Metabolites in the Uric Acid Pathway and Urea Cycle Critically Impacts the Etiology of Metabolic Disorders.
ACS chemical neuroscienceImpact of supplementation with L-citrulline/arginine after liver transplantation in individuals with Urea Cycle Disorders.
Molecular genetics and metabolismASS1 deficiency is associated with impaired neuronal differentiation in zebrafish larvae.
Molecular genetics and metabolismThe management and clinical outcomes of pregnancies in women with urea cycle disorders: A review of the literature and results of an international survey.
Journal of inherited metabolic diseaseCitrin deficiency due to SLC25A13 exon deletion in a Chinese infant: A case report.
MedicineSeverity-adjusted evaluation of liver transplantation on health outcomes in urea cycle disorders.
Genetics in medicine : official journal of the American College of Medical GeneticsTransition to glycerol phenylbutyrate for the management of urea cycle disorders: clinical experiences.
European review for medical and pharmacological sciencesCitrullinemia type II accompanied by mental derangement combined with multidrug resistance 3 decrease, case report.
HeliyonCase report: Diagnosis of ADCY5-related dyskinesia explaining the entire phenotype in a patient with atypical citrullinemia type I.
Frontiers in neurology[Analysis of clinical and genetic variation in neonatal intrahepatic cholestasis caused by citrin deficiency].
Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatologyAdult Onset Episodic Encephalopathy Due to Citrin Deficiency-A Case Report.
Annals of Indian Academy of NeurologyPathogenesis and Management of Citrin Deficiency.
Internal medicine (Tokyo, Japan)Role of genetic introgression in introducing mutant alleles in Bos indicus cattle and prevalence of lethal genetic disorders in Bos taurus × Bos indicus and Bos indicus cattle in India.
Tropical animal health and productionFeatures of liver injury in 138 Chinese patients with NICCD.
Journal of pediatric endocrinology & metabolism : JPEM[Clinical and ASS1 gene variant analysis of three Chinese pedigrees affected with Citrullinemia type I].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsClinical and genetic analysis of 26 Chinese patients with neonatal intrahepatic cholestasis due to citrin deficiency.
Clinica chimica acta; international journal of clinical chemistry[Analysis of the serum bile acid profile to facilitate diagnosis and differential diagnosis of NA(+)-taurocholate cotransporting polypeptide deficiency].
Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatologyCitrullinemia and What Else?
Endocrine, metabolic & immune disorders drug targetsTreatment and management for children with urea cycle disorder in chronic stage.
Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciencesAspartic Acid in Health and Disease.
NutrientsA Case of Acrodermatitis Dysmetabolica in a Child Affected by Citrullinemia Type I: When Early Diagnosis and Timely Treatment Are Not Enough.
Children (Basel, Switzerland)Lethality rescue and long-term amelioration of a citrullinemia type I mouse model by neonatal gene-targeting combined to SaCRISPR-Cas9.
Molecular therapy. Methods & clinical developmentAssociation Analysis of Gene Sequencing by NeoSeq Combined with Tandem Mass Spectrum and Four Neonatal Diseases.
Clinical laboratoryImproved sensitivity and specificity for citrin deficiency using selected amino acids and acylcarnitines in the newborn screening.
Journal of inherited metabolic diseaseDomino liver transplantation for maple syrup urine disease in children: A single-center case series.
Pediatric transplantationType 1 citrullinemia patient with Brugada pattern undergoing general anesthesia for dental extractions: A case report.
Clinical case reportsAdult-onset Type II Citrullinemia Developed under Dietary Restrictions during Imprisonment.
Internal medicine (Tokyo, Japan)Functional identification of two novel variants and a hypomorphic variant in ASS1 from patients with Citrullinemia type I.
Frontiers in geneticsCitrin Deficiency: Clinical and Nutritional Features.
NutrientsA novel SLC25A13 gene splice site variant causes Citrin deficiency in an infant.
GeneGenetic and clinical features of patients with intrahepatic cholestasis caused by citrin deficiency.
Journal of pediatric endocrinology & metabolism : JPEMThe prognosis of citrin deficiency differs between early-identified newborn and later-onset symptomatic infants.
Pediatric researchEpisodic Ataxias: Primary and Secondary Etiologies, Treatment, and Classification Approaches.
Tremor and other hyperkinetic movements (New York, N.Y.)Exogenous aralar/slc25a12 can replace citrin/slc25a13 as malate aspartate shuttle component in liver.
Molecular genetics and metabolism reportsCitrullinemia is a suitable biomarker for post weaning performance in piglets under intensive farming.
Journal of the American Veterinary Medical AssociationNicotinamide riboside rescues dysregulated glycolysis and fatty acid β-oxidation in a human hepatic cell model of citrin deficiency.
Human molecular geneticsRare Adult-onset Citrullinemia Type 1 in the Postpartum Period: A Case Report.
Clinical practice and cases in emergency medicinePrenatal diagnosis of citrullinemia type 1; seven families with c.1168G > A mutation of Argininosuccinate synthetase 1 gene in Southwest Iran: A case series.
International journal of reproductive biomedicineIncidence and genetic variants of inborn errors of metabolism identified through newborn screening: A 7-year study in eastern coastal areas of China.
Molecular genetics & genomic medicineA hybrid procedure of living donor liver transplantation for a pediatric patient with citrin deficiency.
Pediatric transplantationAnalysis of ASS1 gene in ten unrelated middle eastern families with citrullinemia type 1 identifies rare and novel variants.
Molecular genetics & genomic medicineNewborn screening for inborn errors of metabolism in a northern Chinese population.
Journal of pediatric endocrinology & metabolism : JPEMThe mutation spectrum of SLC25A13 gene in citrin deficiency: identification of novel mutations in Vietnamese pediatric cohort with neonatal intrahepatic cholestasis.
Journal of human geneticsAmplicon sequencing-based carrier screening for 170 monogenic disorders among children with abnormal LC-MS/MS results.
Clinica chimica acta; international journal of clinical chemistryRapid Targeted Sequencing Using Dried Blood Spot Samples for Patients With Suspected Actionable Genetic Diseases.
Annals of laboratory medicineHyperammonemia in a pregnant woman with citrullinemia type I: a case report and literature review.
BMC pregnancy and childbirthGene Therapy in Combination with Nitrogen Scavenger Pretreatment Corrects Biochemical and Behavioral Abnormalities of Infant Citrullinemia Type 1 Mice.
International journal of molecular sciencesIdentification of Clinical Variants beyond the Exome in Inborn Errors of Metabolism.
International journal of molecular sciencesCitrullinemia type I in Chinese children: Identification of two novel argininosuccinate synthetase gene mutations.
Frontiers in pediatricsIncidence and prevalence of 121 rare diseases in China: Current status and challenges: 2022 revision.
Intractable & rare diseases researchCitrullinemia, a rare cause of recurring encephalopathy.
Medical journal, Armed Forces IndiaClinical findings of patients with hyperammonemia affected by urea cycle disorders with hepatic encephalopathy.
International journal of developmental neuroscience : the official journal of the International Society for Developmental NeuroscienceManaging recurrent portal steal in auxiliary liver transplantation for non-cirrhotic metabolic liver disease.
Pediatric transplantationKetogenic Diet Treatment of Defects in the Mitochondrial Malate Aspartate Shuttle and Pyruvate Carrier.
NutrientsImproved diagnosis of citrin deficiency by newborn screening using a molecular second-tier test.
Molecular genetics and metabolismAsymptomatic ASS1 carriers with high blood citrulline levels.
Molecular genetics & genomic medicinePathogenic variants of the mitochondrial aspartate/glutamate carrier causing citrin deficiency.
Trends in endocrinology and metabolism: TEMUrea(lly) Got Me: An Uncommon Etiology of Peripartum Liver Failure.
ACG case reports journalNot all Patients with Citrullinemia Require Liver Transplant.
Journal of clinical and experimental hepatologyClinical diagnosis of metabolic disorders using untargeted metabolomic profiling and disease-specific networks learned from profiling data.
Scientific reportsClinical, laboratory data and outcomes of 17 Iranian citrullinemia type 1 patients: Identification of five novel ASS1 gene mutations.
JIMD reportsAdult-onset type II citrullinemia manifested as hepatosteatosis or steatohepatitis: A report of three Chinese cases.
Journal of digestive diseases[Pre-conception carrier screening for 21 inherited metabolic diseases in a Chinese population].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsIdentification of Novel Mutations in Chinese Infants With Citrullinemia.
Frontiers in geneticsDiagnosis of inborn errors of metabolism within the expanded newborn screening in the Madrid region.
JIMD reportsThe diagnostic challenge of mild citrulline elevation at newborn screening.
Molecular genetics and metabolismDesflurane and remifentanil anesthesia in a child with citrin deficiency: A case report.
MedicineLactate-buffered solutions in patients with citrin deficiency.
Canadian journal of anaesthesia = Journal canadien d'anesthesieClinical manifestation and long-term outcome of citrin deficiency: Report from a nationwide study in Japan.
Journal of inherited metabolic disease[Analysis of SLC25A13 gene variants in 16 infants with intrahepatic cholestasis caused by citrin protein deficiency].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsInborn error of metabolism patients after liver transplantation: Outcomes of 35 patients over 27 years in one pediatric quaternary hospital.
American journal of medical genetics. Part APhysical and neuropsychological development of children with Citrin deficiency.
Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatricsContinuous Renal Replacement Therapy for Two Neonates With Hyperammonemia.
Frontiers in pediatricsClinical characteristics and genetic analysis of neonatal intrahepatic cholestasis caused by citrin deficiency in comparison with idiopathic neonatal cholestasis.
Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciencesNeonatal Intrahepatic Cholestasis Caused by Citrin Deficiency with SLC25A13 Mutation Presenting Hepatic Steatosis and Prolonged Jaundice. A Rare Case Report.
Medicina (Kaunas, Lithuania)Anesthetic Management of a Patient With Citrullinemia Type I During Dental Treatment.
Anesthesia progressFood Preferences of Patients with Citrin Deficiency.
NutrientsAdult-Onset Type 1 Citrullinemia Presenting as Postpartum Acute Liver Failure.
The American journal of medicineCreatine metabolism in patients with urea cycle disorders.
Molecular genetics and metabolism reportsTandem Mass Spectrometry Screening for Inborn Errors of Metabolism in Newborns and High-Risk Infants in Southern China: Disease Spectrum and Genetic Characteristics in a Chinese Population.
Frontiers in geneticsNutritional Management in a Patient with Citrullinemia Type 1.
Clinical nutrition research[Citrin deficiency – pathogenesis, clinical and biochemical manifestation, diagnostics, treatment].
Postepy biochemiiHyperammonemic Encephalopathy in an Adolescent Patient of Citrullinemia Type 1 With an Atypical Presentation.
CureusLiver Transplantation in Children with Urea Cycle Disorders: The Importance of Minimizing Waiting Time.
Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation SocietyCytosolic Delivery of Argininosuccinate Synthetase Using a Cell-Permeant Miniature Protein.
ACS central scienceIn-house multiplex ligation-dependent probe amplification assay for citrin deficiency: analytical validation and novel exonic deletions in SLC25A13.
PathologyNeonatal intrahepatic cholestasis caused by citrin deficiency with no hepatic steatosis: a case report.
BMC pediatricsSaccharopinuria accompanied by hyperammonemia and hypercitrullinemia presented with elderly-onset epilepsy, progressive cognitive decline, and gait ataxia.
Intractable & rare diseases researchPeritoneal dialysis in the emergency management of severe neonatal hyperammonemia secondary to citrullinemia type 1.
Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis TherapyHypoglycemic attacks and growth failure are the most common manifestations of citrin deficiency after 1 year of age.
Journal of inherited metabolic diseaseNaturally-occurring spinosyn A and its derivatives function as argininosuccinate synthase activator and tumor inhibitor.
Nature communicationsHemostatic rebalance in neonatal intrahepatic cholestasis with citrin deficiency.
Pediatrics international : official journal of the Japan Pediatric SocietyAnalysis of daily energy, protein, fat, and carbohydrate intake in citrin-deficient patients: Towards prevention of adult-onset type II citrullinemia.
Molecular genetics and metabolism[A case of adult-onset type II citrullinemia triggered by entering a nursing home with a good response to medium-chain triglyceride oil therapy].
Rinsho shinkeigaku = Clinical neurologyOutcome of Liver Transplantation for Neonatal-onset Citrullinemia Type I.
TransplantationProtective effect of resveratrol on citrullinemia type I-induced brain oxidative damage in male rats.
Metabolic brain diseaseTherapeutic targeting of argininosuccinate synthase 1 (ASS1)-deficient pulmonary fibrosis.
Molecular therapy : the journal of the American Society of Gene Therapy[Clinical characteristics and gene variants of patients with infantile intrahepatic cholestasis].
Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatricsManagement of late onset urea cycle disorders-a remaining challenge for the intensivist?
Annals of intensive care[A case of misdiagnosed adult-onset type Ⅱ citrullinemia].
Zhonghua nei ke za zhiCitrin deficiency: Early severe cases in a European country.
Clinics and research in hepatology and gastroenterologySARS CoV2 infection in a young subject affected by arginosuccinate synthase deficiency: A case report of epilepsy worsening.
Molecular genetics and metabolism reportsSeverity-adjusted evaluation of newborn screening on the metabolic disease course in individuals with cytosolic urea cycle disorders.
Molecular genetics and metabolismOrganoids to model liver disease.
JHEP reports : innovation in hepatologyEffects of resveratrol on alterations in cerebrum energy metabolism caused by metabolites accumulated in type I citrullinemia in rats.
Naunyn-Schmiedeberg's archives of pharmacologyCitrin deficiency mimicking mitochondrial depletion syndrome.
BMC pediatricsDietary Management, Clinical Status and Outcome of Patients with Citrin Deficiency in the UK.
NutrientsHigh Blood Pressure in a Urea Cycle Disorder: Case Report.
AJP reportsCombined primary carnitine deficiency with neonatal intrahepatic cholestasis caused by citrin deficiency in a Chinese newborn.
BMC pediatricsHypoketotic hypoglycemia in citrin deficiency: a case report.
BMC pediatricsUrea Cycle Disorders: A Neuroimaging Pattern Approach Using Diffusion and FLAIR MRI.
Journal of neuroimaging : official journal of the American Society of NeuroimagingGut Alterations in Septic Patients: A Biochemical Literature Review.
Reviews on recent clinical trialsMetabolic basis and treatment of citrin deficiency.
Journal of inherited metabolic diseaseAGC2 (Citrin) Deficiency-From Recognition of the Disease till Construction of Therapeutic Procedures.
BiomoleculesLessons for the clinical nephrologist: dietary management of adult-onset type II citrullinemia in chronic kidney disease: a nutritional dilemma.
Journal of nephrologyPrevalence of the most common pathogenic variants in three genes for inborn errors of metabolism associated with sudden unexpected death in infancy: a population-based study in south Brazil.
Genetics and molecular biologyA novel Romani microdeletion variant in the promoter sequence of ASS1 causes citrullinemia type I.
Molecular genetics and metabolism reportsIncidence of newborn screening disorders among 56632 infants in Central Saudi Arabia. A 6-year study.
Saudi medical journalRetrospective evaluation of 85 patients with urea cycle disorders: one center experience, three new mutations.
Journal of pediatric endocrinology & metabolism : JPEMNeonatal cholestasis due to citrin deficiency: diagnostic pitfalls.
Acta biochimica PolonicaA Somnolent Neonate With Hypothermia and Posturing.
Clinical pediatricsDiseases Caused by Mutations in Mitochondrial Carrier Genes SLC25: A Review.
BiomoleculesDiabetes mellitus exacerbates citrin deficiency via glucose toxicity.
Diabetes research and clinical practicePercutaneous removal of biliary stones post-liver transplant in a pediatric patient: Case report and review of the literature.
Pediatric transplantationGenetic Analysis of Peroxisomal Genes Required for Longevity in a Yeast Model of Citrin Deficiency.
Diseases (Basel, Switzerland)Successful treatment of adult-onset type II citrullinemia with a low-carbohydrate diet and L-arginine after DNA analysis produced a definitive diagnosis.
Clinical journal of gastroenterologyCombining newborn metabolic and genetic screening for neonatal intrahepatic cholestasis caused by citrin deficiency.
Journal of inherited metabolic diseaseClinical findings in five Turkish patients with citrin deficiency and identification of a novel mutation on SLC25A13.
Journal of pediatric endocrinology & metabolism : JPEMCase 2: A 2-month-old Girl with Liver Failure and a Brother with Tyrosinemia Type I.
Pediatrics in reviewDetection of homozygous genotypes for a putatively lethal recessive mutation in the porcine argininosuccinate synthase 1 (ASS1) gene.
Animal geneticsThe genetic landscape of the human solute carrier (SLC) transporter superfamily.
Human geneticsSerum bile acids profiling by liquid chromatography-tandem mass spectrometry (LC-MS/MS) and its application on pediatric liver and intestinal diseases.
Clinical chemistry and laboratory medicine[Newborn screening program and blood amino acid profiling in early neonates with citrin deficiency].
Zhonghua er ke za zhi = Chinese journal of pediatricsAdult onset type II citrullinemia--a great masquerader.
QJM : monthly journal of the Association of PhysiciansRobust, Long-Term Culture of Endoderm-Derived Hepatic Organoids for Disease Modeling.
Stem cell reports[Analysis of inborn error metabolism in 277 children with autism spectrum disorders from Hainan].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsEarly prediction of phenotypic severity in Citrullinemia Type 1.
Annals of clinical and translational neurologyThe mitochondrial carrier Citrin plays a role in regulating cellular energy during carcinogenesis.
OncogeneUrea cycle disorders in Argentine patients: clinical presentation, biochemical and genetic findings.
Orphanet journal of rare diseasesLate-Onset Citrullinemia Type I: A Radiological Mimic of Herpes Encephalitis.
Journal of pediatric neurosciencesChronic pancreatitis and pancreatic pseudocyst with adult-onset type II citrullinemia.
Clinical journal of gastroenterologyCurrent treatment for citrin deficiency during NICCD and adaptation/compensation stages: Strategy to prevent CTLN2.
Molecular genetics and metabolismEpidemiology of rare diseases detected by newborn screening in the Czech Republic.
Central European journal of public healthCitrullinemia type I is associated with a novel splicing variant, c.773 + 4A > C, in ASS1: a case report and literature review.
BMC medical geneticsmRNA Therapy Improves Metabolic and Behavioral Abnormalities in a Murine Model of Citrin Deficiency.
Molecular therapy : the journal of the American Society of Gene TherapyPivotal role of inter-organ aspartate metabolism for treatment of mitochondrial aspartate-glutamate carrier 2 (citrin) deficiency, based on the mouse model.
Scientific reportsCitrullinemia Type 1: Behavioral Improvement with Late Liver Transplantation.
Indian journal of pediatricsThe Lack of Hepatocyte Steatosis in Adult-onset Type II Citrullinemia Patients as Assessed by 7-year Interval Paired Biopsies.
Internal medicine (Tokyo, Japan)Age-Specific Cut-off Values of Amino Acids and Acylcarnitines for Diagnosis of Inborn Errors of Metabolism Using Liquid Chromatography Tandem Mass Spectrometry.
BioMed research internationalGrowth impairment in individuals with citrin deficiency.
Journal of inherited metabolic disease[A novel SLC25A13 variant and the resultant aberrant transcript identified in a pedigree affected with citrin deficiency].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsAssociações
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Referências e fontes
Bases de dados externas citadas neste artigo
Publicações científicas
Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.
- [A 71-year-old woman with adult-onset type II citrullinemia, initially presenting with normal blood ammonia levels].
- Dual rare genetic variants: case report of a child with SBIDDS syndrome and citrullinemia type 1.
- Impact of long-term nitrogen scavenger therapy on clinical outcome in individuals with urea cycle disorders.
- Looking Beyond Severe Hypertriglyceridemia when Diagnosing Adult-Onset Citrullinemia Type II.
- [Guidelines for the diagnosis, treatment, and management of Citrin deficiency (2026 Edition)].Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical genetics· 2026· PMID 41663297mais citado
- Citrullinemia type 1 manifesting with a stroke-like episode: a case report.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:187(Orphanet)
- MONDO:0015991(MONDO)
- GARD:16522(GARD (NIH))
- Variantes catalogadas(ClinVar)
- Busca completa no PubMed(PubMed)
- Q859142(Wikidata)
Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.
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