A deficiência de citrina é uma doença genética rara que afeta o ciclo da ureia, um processo importante para o corpo eliminar substâncias tóxicas. Na forma que surge em adultos (chamada citrulinemia tipo II), ela se manifesta por crises repetidas de excesso de amônia no sangue (hiperamonemia) e sintomas neurológicos e psiquiátricos associados. Já na forma que afeta recém-nascidos (chamada colestase intra-hepática neonatal por deficiência de citrina), os sinais incluem um problema temporário no fluxo da bile (colestase transitória) e diferentes níveis de disfunção no fígado.
Introdução
O que você precisa saber de cara
A deficiência de citrina é uma doença genética rara que afeta o ciclo da ureia, um processo importante para o corpo eliminar substâncias tóxicas. Na forma que surge em adultos (chamada citrulinemia tipo II), ela se manifesta por crises repetidas de excesso de amônia no sangue (hiperamonemia) e sintomas neurológicos e psiquiátricos associados. Já na forma que afeta recém-nascidos (chamada colestase intra-hepática neonatal por deficiência de citrina), os sinais incluem um problema temporário no fluxo da bile (colestase transitória) e diferentes níveis de disfunção no fígado.
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
+ 59 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 94 características clínicas mais associadas, ordenadas por frequência.
Linha do tempo da pesquisa
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Genética e causas
O que está alterado no DNA e como passa nas famílias
Genes associados
1 gene identificado com associação a esta condição. Padrão de herança: Autosomal recessive.
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)
260 variantes patogênicas registradas no ClinVar.
Classificação de variantes (ClinVar)
Distribuição de 729 variantes classificadas pelo ClinVar.
Vias biológicas (Reactome)
3 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 — Deficiência de citrina
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Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.
Pesquisa ativa
Ensaios clínicos abertos e novidades científicas recentes
Ensaios em destaque
Pesquisa e ensaios clínicos
3 ensaios clínicos encontrados, 2 ativos.
Publicações mais relevantes
From the cytosol to the inner membrane: biogenesis of the mitochondrial carrier family.
Mitochondrial carrier proteins are essential for cellular physiology as they are active in a wide range of metabolic pathways including production of cellular energy, amino acid synthesis, redox balance and ion homeostasis. The double membrane of mitochondria provides a tightly gated environment through which carrier proteins facilitate the exchange of substrates including nucleotides, ions, metabolites, cofactors and vitamins. The biogenesis of the carrier family relies on the coordinated action of the TOM and TIM22 complexes, which direct the translocation of nuclear-encoded precursors across the outer membrane (TOM) and their integration into the mitochondrial inner membrane (TIM22). Due to the intrinsic hydrophobicity of the carrier precursors, their import pathway requires chaperones in both the cytosol and intermembrane space to maintain solubility and prevent aggregation during transit. Given their central role in metabolism, dysfunction of the biogenesis machinery or the carrier proteins has serious consequences to human health. In this review we summarize the current understanding of carrier protein biogenesis in human cells and highlight how perturbations to this pathway influence human health.
[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.
Elevated cerebrospinal fluid 2-Hydroxybutyric acid in two siblings with aspartate-glutamate carrier 1 deficiency.
The mitochondrial aspartate-glutamate carrier 1 (AGC1 or aralar) is a key component of the malate-aspartate shuttle (MAS), which transfers NADH-derived reducing equivalents from the cytosol into mitochondria to support oxidative phosphorylation. Disruption of MAS leads to cytosolic NADH accumulation, NAD+ depletion, and a reduced NAD+/NADH ratio, impairing redox-sensitive enzymes. AGC1 is primarily expressed in the central nervous system. AGC1 deficiency is a rare autosomal recessive disorder characterized by seizures, intellectual disability, and hypomyelination. The disorder impairs mitochondrial export of aspartate, thereby reducing neuronal synthesis of N-acetylaspartate (NAA), which is essential for myelination by oligodendrocytes. Consequently, hypomyelination is noted on MRI, and NAA appears decreased on MR spectroscopy (MRS). CASE STUDY: Two Hispanic male siblings (now 21y and 17y) with a homozygous SLC25A12 mutation (p.Gly398Val) presented with seizures, intellectual disability, hypotonic-ataxic cerebral palsy, and characteristic MRI/MRS findings. Their diagnosis was confirmed by whole exome sequencing when they were 9 and 4 years old, respectively. MRI showed cerebral atrophy and cortical dysplasia. MRS showed diffuse reduction in NAA and a consistent but unknown signal at 3.62 ppm. Aspartate supplementation did not result in any clinical or imaging improvement. Subsequently, both were treated with a modified Atkins/ketogenic diet with MCT oil in addition to antiseizure medications for eight years, with inconsistent dietary adherence. The elder brother has remained stable with some developmental progress, while the younger brother recently experienced mild regression following a period of developmental stability. Follow-up imaging showed no significant change. CSF organic acid analysis revealed elevated 2OH-butyrate, lactate, pyruvate, and acetoacetate, with low levels of glycolate, glyoxylate, and 5-oxoproline. Both brothers exhibited a marked preference for high-protein foods and an aversion to sweets from early childhood, mirroring dietary patterns commonly observed in citrin deficiency. DISCUSSION: We describe the two oldest known individuals with AGC1 deficiency. Their neuroimaging results remained largely stable over eight years of ketogenic therapy. The elder sibling showed modest progress, while the younger regressed in some motor milestones at age 16. Although blood and urine metabolomics were non-diagnostic, CSF organic acids revealed patterns suggestive of impaired redox balance, supporting mitochondrial dysfunction as a key feature of AGC1 deficiency.
Glycerol-3-phosphate activates ChREBP, FGF21 transcription and lipogenesis in citrin deficiency.
Citrin deficiency (CD) is caused by the inactivation of SLC25A13, a mitochondrial membrane protein required to move electrons from cytosolic NADH to the mitochondrial matrix in hepatocytes. People with CD do not like sweets. Here we show that SLC25A13 loss causes the accumulation of glycerol-3-phosphate (G3P), which activates the carbohydrate response element-binding protein (ChREBP) to transcribe FGF21, which acts in the brain to restrain intake of sweets and alcohol and to transcribe key genes driving lipogenesis. Mouse and human data suggest that G3P-ChREBP is a mechanistic component of the Randle Cycle that contributes to metabolic-dysfunction-associated steatotic liver disease and forms part of a system that communicates metabolic states from the liver to the brain in a manner that alters food and alcohol choices. The data provide a framework for understanding FGF21 induction in varied conditions, suggest ways to develop FGF21-inducing drugs and suggest potential drug candidates for lean metabolic-dysfunction-associated steatotic liver disease and support of urea cycle function in CD.
Challenges in dietary management: a qualitative study on caregivers of preschool and school-age children with citrin deficiency.
Reasonable dietary management is the most important and effective treatment for citrin deficiency. However, as this is a chronic and lifelong disease, managing citrin deficiency requires not only early diagnosis and the use of lactose-free or low-carbohydrate formula but also sustained adherence to a lifelong low-carbohydrate diet. This study aimed to investigate the dietary challenges faced by caregivers, particularly in non-familial settings such as schools, during children’s social development. Seventeen participants were recruited for our study, comprising 16 mothers and 1 grandmother. We applied constructivist grounded theory to explore the dietary management challenges faced by caregivers. Four focused codes were developed through analysis of caregivers’ interviews: (1) Upon entering school, concealment is the best choice; (2) reality has rendered it unfeasible for me to maintain command over the situation; (3) teachers and peers are gradually participating in food management; and (4) children need to establish their own individual identities within society. The findings revealed that as children entered school, caregivers shifted from direct to indirect involvement in dietary management. The involvement of teachers and peers, along with the development of children’s autonomy, reduced the level of caregiver control over dietary management. After the children began school, the caregivers’ involvement in dietary management gradually decreased. The presence of teachers and peers complicates dietary management for preschool and school-age children with citrin deficiency, progressively diminishing caregiver control.
Publicações recentes
Development of a quantitative real-time PCR-based newborn screening system for citrin deficiency using dried blood spots.
🥇 DiretrizFrom the cytosol to the inner membrane: biogenesis of the mitochondrial carrier family.
🥉 Relato de caso[Guidelines for the diagnosis, treatment, and management of Citrin deficiency (2026 Edition)].
Elevated cerebrospinal fluid 2-Hydroxybutyric acid in two siblings with aspartate-glutamate carrier 1 deficiency.
Glycerol-3-phosphate activates ChREBP, FGF21 transcription and lipogenesis in citrin deficiency.
📚 EuropePMC201 artigos no totalmostrando 182
From the cytosol to the inner membrane: biogenesis of the mitochondrial carrier family.
Protein science : a publication of the Protein Society[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 geneticsElevated cerebrospinal fluid 2-Hydroxybutyric acid in two siblings with aspartate-glutamate carrier 1 deficiency.
Molecular genetics and metabolismGlycerol-3-phosphate activates ChREBP, FGF21 transcription and lipogenesis in citrin deficiency.
Nature metabolismChallenges in dietary management: a qualitative study on caregivers of preschool and school-age children with citrin deficiency.
Orphanet journal of rare diseasesDeveloping 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 medicineBile Duct Paucity in a Case of Neonatal Intrahepatic Cholestasis Due to Citrin Deficiency: Finding the Missing Piece of the Puzzle!
Journal of clinical and experimental hepatologyThe status of adult patients with citrin deficiency in Japan: A report from the nation-wide study.
Molecular genetics and metabolismDeep phenotyping of patients with citrin deficiency in Singapore- single centre experience.
Molecular genetics and metabolismNeonatal-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 medicinePrevalence of common autosomal recessive and X-linked conditions in pregnant women in Vietnam: a cross-sectional study.
Scientific reportsMetabolic profiles and prediction of failure to thrive of citrin deficiency with normal liver function based on metabolomics and machine learning.
Nutrition & metabolismDeciphering the Mutational Background in Citrin Deficiency Through a Nationwide Study in Japan and Literature Review.
Human mutationUrea cycle defects in adulthood: clinical presentation, diagnosis and treatment in genetically encoded hepatic metabolic disorders with a potential for encephalopathy.
Metabolic brain diseaseCurrent 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 hepatologyBiochemical characteristics, genetic variants and treatment outcomes of 55 Chinese cases with neonatal intrahepatic cholestasis caused by citrin deficiency.
Frontiers in pediatricsMarkedly 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 diseasesLong-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 diseaseω-Amidase and Its Substrate α-Ketoglutaramate (the α-Keto Acid Analogue of Glutamine) as Biomarkers in Health and Disease.
Biochemistry. BiokhimiiaSolving a diagnostic challenge with nanopore long-read sequencing: a novel Alu element exonic insertion with false positive MLPA finding in SLC25A13 for citrin deficiency.
PathologyExploring RNA therapeutics for urea cycle disorders.
Journal of inherited metabolic diseaseDistinct roles for the domains of the mitochondrial aspartate/glutamate carrier citrin in organellar localization and substrate transport.
Molecular metabolism[Full-cycle, multidisciplinary and systematic management of citrin deficiency].
Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatologyThe therapeutic landscape of citrin deficiency.
Journal of inherited metabolic diseaseCitrin deficiency-The East-side story.
Journal of inherited metabolic diseaseCitrin-deficient patient-derived induced pluripotent stem cells as a pathological liver model for congenital urea cycle disorders.
Molecular genetics and metabolism reportsDisease spectrum, prevalence, genetic characteristics of inborn errors of metabolism in 21,840 hospitalized infants in Chongqing, China, 2017-2022.
Frontiers in geneticsA rare case report: multiple intrahepatic masses in a pediatric patient with citrin deficiency.
Discover oncologySerum procalcitonin as a marker of neonatal intrahepatic cholestasis caused by citrin deficiency (NICCD).
Clinics (Sao Paulo, Brazil)Dual rare genetic diseases in five pediatric patients: insights from next-generation diagnostic methods.
Orphanet journal of rare diseases[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 geneticsClinical 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 sciencesHyperammonemia and inborn errors of metabolism.
Translational pediatricsUpdate 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 nutritionDiagnostic algorithm for neonatal intrahepatic cholestasis integrating single-gene testing and next-generation sequencing in East Asia.
Journal of gastroenterology and hepatologyCitrin deficiency due to SLC25A13 exon deletion in a Chinese infant: A case report.
Medicine[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)Features of liver injury in 138 Chinese patients with NICCD.
Journal of pediatric endocrinology & metabolism : JPEMClinical 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 hepatologyTreatment and management for children with urea cycle disorder in chronic stage.
Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciencesImproved sensitivity and specificity for citrin deficiency using selected amino acids and acylcarnitines in the newborn screening.
Journal of inherited metabolic diseaseChina nationwide landscape of 16 types inherited metabolic disorders: a retrospective analysis on 372,255 clinical cases.
Orphanet journal of rare diseasesCitrin 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 : JPEMCase report: Three novel variants on SLC25A13 in four infants with neonatal intrahepatic cholestasis caused by citrin deficiency.
Frontiers in pediatricsThe prognosis of citrin deficiency differs between early-identified newborn and later-onset symptomatic infants.
Pediatric researchExogenous aralar/slc25a12 can replace citrin/slc25a13 as malate aspartate shuttle component in liver.
Molecular genetics and metabolism reportsNicotinamide riboside rescues dysregulated glycolysis and fatty acid β-oxidation in a human hepatic cell model of citrin deficiency.
Human molecular geneticsIncidence 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 transplantationNewborn 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 chemistryDynamic changes of metabolic characteristics in neonatal intrahepatic cholestasis caused by citrin deficiency.
Frontiers in molecular biosciencesKetogenic Diet Treatment of Defects in the Mitochondrial Malate Aspartate Shuttle and Pyruvate Carrier.
NutrientsObstacles to home-based dietary management for caregivers of children with citrin deficiency: a qualitative study.
Orphanet journal of rare diseasesImproved 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: TEMApplication of the Artificial Intelligence Algorithm Model for Screening of Inborn Errors of Metabolism.
Frontiers in pediatrics[Disease spectrum analysis of children with inherited metabolic diseases detected by gas chromatography-mass spectrometry of urinary organic acids].
Zhonghua er ke za zhi = Chinese journal of pediatricsRare liver diseases are not rare in China.
Liver international : official journal of the International Association for the Study of the LiverReal-life Progression of the Use of a Genetic Panel in to Diagnose Neonatal Cholestasis.
JPGN 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.
MedicineUsefulness of serum BUN or BUN/creatinine ratio as markers for citrin deficiency in positive cases of newborn screening.
Molecular genetics and metabolism reportsLactate-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 geneticsPhysical and neuropsychological development of children with Citrin deficiency.
Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatricsScreening for neonatal inherited metabolic disorders by tandem mass spectrometry in Guangzhou.
Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciencesClinical 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)Food Preferences of Patients with Citrin Deficiency.
Nutrients[Citrin deficiency – pathogenesis, clinical and biochemical manifestation, diagnostics, treatment].
Postepy biochemiiMolecular epidemiologic study of citrin deficiency by screening for four reported pathogenic SLC25A13 variants in the Shaanxi and Guangdong provinces, China.
Translational pediatricsGenetic landscape of recessive diseases in the Vietnamese population from large-scale clinical exome sequencing.
Human mutationCitrin deficiency: Does the reactivation of liver aralar-1 come into play and promote HCC development?
BiochimieIn-house multiplex ligation-dependent probe amplification assay for citrin deficiency: analytical validation and novel exonic deletions in SLC25A13.
PathologyRapid Genetic Diagnosis of Citrin Deficiency by Multicolor Melting Curve Analysis.
Frontiers in pediatricsNeonatal intrahepatic cholestasis caused by citrin deficiency with no hepatic steatosis: a case report.
BMC pediatricsHypoglycemic attacks and growth failure are the most common manifestations of citrin deficiency after 1 year of age.
Journal of inherited metabolic diseaseHemostatic rebalance in neonatal intrahepatic cholestasis with citrin deficiency.
Pediatrics international : official journal of the Japan Pediatric SocietyAdult-onset citrullinaemia type II with liver cirrhosis: A rare cause of hyperammonaemia.
Open medicine (Warsaw, Poland)Analysis of daily energy, protein, fat, and carbohydrate intake in citrin-deficient patients: Towards prevention of adult-onset type II citrullinemia.
Molecular genetics and metabolismIdentification of rare variants causing urea cycle disorders: A clinical, genetic, and biophysical study.
Journal of cellular and molecular medicineSpectrum analysis of inborn errors of metabolism for expanded newborn screening in a northwestern Chinese population.
Scientific reportsNeonatal Intrahepatic Cholestasis caused by Citrin Deficiency: In vivo and in vitro studies of the aberrant transcription arising from two novel splice-site variants in SLC25A13.
European journal of medical genetics[Clinical characteristics and gene variants of patients with infantile intrahepatic cholestasis].
Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatricsCitrin deficiency: Early severe cases in a European country.
Clinics and research in hepatology and gastroenterologyCitrin deficiency mimicking mitochondrial depletion syndrome.
BMC pediatricsDietary Management, Clinical Status and Outcome of Patients with Citrin Deficiency in the UK.
NutrientsUpdate of a colorimetric method for quantitative determination of galactose in blood samples: A simple and rapid method for the early detection of inherited metabolic diseases.
Carbohydrate researchCombined 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 pediatricsMetabolic basis and treatment of citrin deficiency.
Journal of inherited metabolic diseaseAGC2 (Citrin) Deficiency-From Recognition of the Disease till Construction of Therapeutic Procedures.
BiomoleculesRetrospective 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 PolonicaDiabetes mellitus exacerbates citrin deficiency via glucose toxicity.
Diabetes research and clinical practiceInborn errors of metabolism detectable by tandem mass spectrometry in Beijing.
Journal of pediatric endocrinology & metabolism : JPEMGenetic 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 : JPEMSodium Taurocholate Cotransporting Polypeptide (NTCP) Deficiency Hidden Behind Citrin Deficiency in Early Infancy: A Report of Three Cases.
Frontiers in 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 medicineA Case Report: Can Citrin Deficiency Lead to Hepatocellular Carcinoma in Children?
Frontiers in pediatricsIdentification of a novel splicing mutation in the SLC25A13 gene from a patient with NICCD: a case report.
BMC pediatrics[Newborn screening program and blood amino acid profiling in early neonates with citrin deficiency].
Zhonghua er ke za zhi = Chinese journal of pediatricsThe mitochondrial carrier Citrin plays a role in regulating cellular energy during carcinogenesis.
OncogeneChronic 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 metabolismIVC angioplasty using an autologous vascular graft for IVC stenosis due to metallic stent in a pediatric liver transplant.
Pediatric transplantationmRNA Therapy Improves Metabolic and Behavioral Abnormalities in a Murine Model of Citrin Deficiency.
Molecular therapy : the journal of the American Society of Gene TherapyExpanded newborn screening for inherited metabolic disorders and genetic characteristics in a southern Chinese population.
Clinica chimica acta; international journal of clinical chemistryEstimating carrier frequencies of newborn screening disorders using a whole-genome reference panel of 3552 Japanese individuals.
Human geneticsPivotal role of inter-organ aspartate metabolism for treatment of mitochondrial aspartate-glutamate carrier 2 (citrin) deficiency, based on the mouse model.
Scientific reportsGrowth impairment in individuals with citrin deficiency.
Journal of inherited metabolic diseaseBioinformatic and functional analysis of promoter region of human SLC25A13 gene.
Gene[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 geneticsRisk factors associated with mortality in neonatal intrahepatic cholestasis caused by citrin deficiency (NICCD) and clinical implications.
BMC pediatricsA 6-Year-Old Child With Citrin Deficiency and Advanced Hepatocellular Carcinoma.
PediatricsAdult-onset type II citrullinemia: Current insights and therapy.
The application of clinical geneticsMolecular and clinical characterization of citrin deficiency in a cohort of Chinese patients in Hong Kong.
Molecular genetics and metabolism reports[Analysis of SLC25A13 gene mutations and prenatal diagnosis for 20 families affected with citrin deficiency].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsPopulation genomics in South East Asia captures unexpectedly high carrier frequency for treatable inherited disorders.
Genetics in medicine : official journal of the American College of Medical GeneticsSLC25A13 c.1610_1612delinsAT mutation in an Indian patient and literature review of 79 cases of citrin deficiency for genotype-phenotype associations.
GeneCholesterol Metabolism Is Enhanced in the Liver and Brain of Children With Citrin Deficiency.
The Journal of clinical endocrinology and metabolismMedium-chain triglycerides supplement therapy with a low-carbohydrate formula can supply energy and enhance ammonia detoxification in the hepatocytes of patients with adult-onset type II citrullinemia.
Journal of inherited metabolic disease[Analysis of SLC25A13 gene mutations in five infants with neonatal intrahepatic cholestasis caused by citrin deficiency].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsp.Val452Ile mutation of the SLC25A13 gene in a Turkish patient with citrin deficiency.
The Turkish journal of pediatricsEarly Detection and Diagnosis of Neonatal Intrahepatic Cholestasis Caused by Citrin Deficiency Missed by Newborn Screening Using Tandem Mass Spectrometry.
International journal of neonatal screeningMolecular diagnosis of citrin deficiency in an infant with intrahepatic cholestasis: identification of a 21.7kb gross deletion that completely silences the transcriptional and translational expression of the affected SLC25A13 allele.
OncotargetAnalysis of islet beta cell functions and their correlations with liver dysfunction in patients with neonatal intrahepatic cholestasis caused by citrin deficiency (NICCD).
Medicine[Screening for amino acid metabolic disorders of newborns in Zhejiang province:prevalence, outcome and follow-up].
Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciencesBile acid profiles in neonatal intrahepatic cholestasis caused by citrin deficiency.
Clinica chimica acta; international journal of clinical chemistry[Mutational analysis of ASS1, ASL and SLC25A13 genes in six Chinese patients with citrullinemia].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsLiver involvement in urea cycle disorders: a review of the literature.
Journal of inherited metabolic diseaseCitrin deficiency: A rare but important metabolic disorder to consider in infants with faltering growth and hyperbilirubinaemia.
Journal of paediatrics and child health[Clinical feature and molecular diagnostic analysis of the first non-caucasian child with infantile liver failure syndrome type 1].
Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatricsNovel two-step derivation method for the synchronous analysis of inherited metabolic disorders using urine.
Experimental and therapeutic medicineBlood glucose and insulin and correlation of SLC25A13 mutations with biochemical changes in NICCD patients.
Experimental biology and medicine (Maywood, N.J.)Oral aversion to dietary sugar, ethanol and glycerol correlates with alterations in specific hepatic metabolites in a mouse model of human citrin deficiency.
Molecular genetics and metabolismCirculating tricarboxylic acid cycle metabolite levels in citrin-deficient children with metabolic adaptation, with and without sodium pyruvate treatment.
Molecular genetics and metabolismEffectiveness of Medium-Chain Triglyceride Oil Therapy in Two Japanese Citrin-Deficient Siblings: Evaluation Using Oral Glucose Tolerance Tests.
The Tohoku journal of experimental medicine[Value of albumin in diagnosis of neonatal intrahepatic cholestasis caused by citrin deficiency].
Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatologyThe first Mongolian cases of phenylketonuria in selective screening of inborn errors of metabolism.
Molecular genetics and metabolism reportsBiochemical and molecular characteristics of citrin deficiency in Korean children.
Journal of human geneticsSLC25A13 cDNA cloning analysis using peripheral blood lymphocytes facilitates the identification of a large deletion mutation: Molecular diagnosis of an infant with neonatal intrahepatic cholestasis caused by citrin deficiency.
Molecular medicine reportsAnesthetic experience of an adult male with citrullinemia type II: a case report.
BMC anesthesiologyA Specially Designed Multi-Gene Panel Facilitates Genetic Diagnosis in Children with Intrahepatic Cholestasis: Simultaneous Test of Known Large Insertions/Deletions.
PloS one[Analysis of clinical features and SLC25A13 gene mutations in a family affected with neonatal intrahepatic cholestasis].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsMolecular diagnosis of pediatric patients with citrin deficiency in China: SLC25A13 mutation spectrum and the geographic distribution.
Scientific reportsIdiopathic eruptive macular pigmentation in a child with citrin deficiency.
Pediatrics international : official journal of the Japan Pediatric SocietyCase report: An adult-onset type II citrin deficiency patient in the emergency department.
Experimental and therapeutic medicineIdentification of a Large SLC25A13 Deletion via Sophisticated Molecular Analyses Using Peripheral Blood Lymphocytes in an Infant with Neonatal Intrahepatic Cholestasis Caused by Citrin Deficiency (NICCD): A Clinical and Molecular Study.
BioMed research internationalMalfunction in Mitochondrial β-Oxidation Contributes to Lipid Accumulation in Hepatocyte-Like Cells Derived from Citrin Deficiency-Induced Pluripotent Stem Cells.
Stem cells and developmentMolecular Genetic Dissection and Neonatal/Infantile Intrahepatic Cholestasis Using Targeted Next-Generation Sequencing.
The Journal of pediatricsCITRIN DEFICIENCY: AN INFANT INCIDENTALLY DETECTED BY PHENYLKETONURIA SCREENING WITH A NOVEL MUTATION IN SLC25A13 GENE.
Genetic counseling (Geneva, Switzerland)Phenylalanine Hydroxylase Deficiency and Citrin Deficiency in a Chinese Infant.
Chinese medical journalAn Adolescent Case of Citrin Deficiency With Severe Anorexia Mimicking Anorexia Nervosa.
PediatricsChronic hepatitis without hepatic steatosis caused by citrin deficiency in a child.
Hepatology research : the official journal of the Japan Society of HepatologyCitrin deficiency presenting as acute liver failure in an eight-month-old infant.
World journal of gastroenterology[Treatment and Pathomechanism of Citrin Deficiency].
Brain and nerve = Shinkei kenkyu no shinpoNeonatal Intrahepatic Cholestasis Caused by Citrin Deficiency Differentiated from Biliary Atresia.
European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur KinderchirurgieMechanism for increased hepatic glycerol synthesis in the citrin/mitochondrial glycerol-3-phosphate dehydrogenase double-knockout mouse: Urine glycerol and glycerol 3-phosphate as potential diagnostic markers of human citrin deficiency.
Biochimica et biophysica actaCitrin deficiency: A treatable cause of acute psychosis in adults.
Neurology IndiaDetection of inborn errors of metabolism using GC-MS: over 3 years of experience in southern China.
Journal of pediatric endocrinology & metabolism : JPEMAssociações
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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.
- From the cytosol to the inner membrane: biogenesis of the mitochondrial carrier family.
- [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
- Elevated cerebrospinal fluid 2-Hydroxybutyric acid in two siblings with aspartate-glutamate carrier 1 deficiency.
- Glycerol-3-phosphate activates ChREBP, FGF21 transcription and lipogenesis in citrin deficiency.
- Challenges in dietary management: a qualitative study on caregivers of preschool and school-age children with citrin deficiency.
- Development of a quantitative real-time PCR-based newborn screening system for citrin deficiency using dried blood spots.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:247582(Orphanet)
- MONDO:0016602(MONDO)
- GARD:20661(GARD (NIH))
- Variantes catalogadas(ClinVar)
- Busca completa no PubMed(PubMed)
- Q55786326(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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