Raras
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Deficiência de citrina
ORPHA:247582DOENÇA RARA

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.

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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.

Pesquisas ativas
2 ensaios
3 total registrados no ClinicalTrials.gov
Publicações científicas
308 artigos
Último publicado: 2026 Mar 27

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
Unknown
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.0
Worldwide
Início
All ages
🏥
SUS: Sem cobertura SUSScore: 0%
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Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

🫃
Digestivo
16 sintomas
🧠
Neurológico
8 sintomas
📏
Crescimento
4 sintomas
🩸
Sangue
3 sintomas
😀
Face
2 sintomas
🫘
Rins
1 sintomas

+ 59 sintomas em outras categorias

Características mais comuns

Aumento do glicerol urinário
Desejo por proteínas
Hipertrigliceridemia
Hiperlipidemia
Hemorragia gastrointestinal
Menarca atrasada
94sintomas
Sem dados (94)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 94 características clínicas mais associadas, ordenadas por frequência.

Aumento do glicerol urinárioIncreased urinary glycerol
Desejo por proteínasProtein craving
HipertrigliceridemiaHypertriglyceridemia
HiperlipidemiaHyperlipidemia
Hemorragia gastrointestinalGastrointestinal hemorrhage

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico308PubMed
Últimos 10 anos184publicações
Pico202523 papers
Linha do tempo
2026Hoje · 2026🧪 2022Primeiro ensaio clínico📈 2025Ano de pico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

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.

SLC25A13Electrogenic aspartate/glutamate antiporter SLC25A13, mitochondrialDisease-causing germline mutation(s) inTolerante
FUNÇÃO

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

LOCALIZAÇÃO

Mitochondrion inner membrane

VIAS BIOLÓGICAS (2)
Aspartate and asparagine metabolismMalate-aspartate shuttle
MECANISMO DE DOENÇA

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.

EXPRESSÃO TECIDUAL(Ubíquo)
Fígado
44.3 TPM
Brain Spinal cord cervical c-1
21.7 TPM
Skin Sun Exposed Lower leg
21.1 TPM
Cervix Endocervix
19.9 TPM
Glândula adrenal
19.0 TPM
OUTRAS DOENÇAS (3)
citrullinemia, type II, adult-onsetneonatal intrahepatic cholestasis due to citrin deficiencycitrullinemia type II
HGNC:10983UniProt:Q9UJS0

Variantes genéticas (ClinVar)

260 variantes patogênicas registradas no ClinVar.

🧬 SLC25A13: NM_014251.3(SLC25A13):c.316G>T (p.Glu106Ter) ()
🧬 SLC25A13: NM_014251.3(SLC25A13):c.1781G>A (p.Gly594Asp) ()
🧬 SLC25A13: NM_014251.3(SLC25A13):c.1030del (p.Thr344fs) ()
🧬 SLC25A13: NM_014251.2:c.-185C>T ()
🧬 SLC25A13: NM_014251.3(SLC25A13):c.16-15del ()
Ver todas no ClinVar

Classificação de variantes (ClinVar)

Distribuição de 729 variantes classificadas pelo ClinVar.

182
292
255
Patogênica (25.0%)
VUS (40.1%)
Benigna (35.0%)
VARIANTES MAIS SIGNIFICATIVAS
SLC25A13: NM_014251.3(SLC25A13):c.316G>T (p.Glu106Ter) [Pathogenic]
SLC25A13: NM_014251.3(SLC25A13):c.1781G>A (p.Gly594Asp) [Likely pathogenic]
SLC25A13: NM_014251.3(SLC25A13):c.1030del (p.Thr344fs) [Pathogenic]
SLC25A13: NM_014251.3(SLC25A13):c.616-2del [Likely pathogenic]
SLC25A13: NM_014251.3(SLC25A13):c.1230+1G>C [Pathogenic]

Vias biológicas (Reactome)

3 vias biológicas associadas aos genes desta condição.

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

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Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Pipeline de tratamentos
Pipeline regulatório — de medicamentos já aprovados a drogas em pesquisa exploratória.
·Pré-clínico2
Medicamentos catalogadosEnsaios clínicos· 0 medicamentos · 2 ensaios
Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Deficiência de citrina

🗺️

Selecione um estado ou use sua localização para ver resultados.

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

Pesquisa e ensaios clínicos

3 ensaios clínicos encontrados, 2 ativos.

Distribuição por fase
Ver todos no ClinicalTrials.gov
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Publicações mais relevantes

🥇Melhor nível de evidência: Diretriz
Timeline de publicações
186 papers (10 anos)
#1

From the cytosol to the inner membrane: biogenesis of the mitochondrial carrier family.

Protein science : a publication of the Protein Society2026 Apr

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.

#2

[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 genetics2026 Feb 10

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.

#3

Elevated cerebrospinal fluid 2-Hydroxybutyric acid in two siblings with aspartate-glutamate carrier 1 deficiency.

Molecular genetics and metabolism2026 Jan

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.

#4

Glycerol-3-phosphate activates ChREBP, FGF21 transcription and lipogenesis in citrin deficiency.

Nature metabolism2025 Nov

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.

#5

Challenges in dietary management: a qualitative study on caregivers of preschool and school-age children with citrin deficiency.

Orphanet journal of rare diseases2025 Nov 12

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

Ver todas no PubMed

📚 EuropePMC201 artigos no totalmostrando 182

2026

From the cytosol to the inner membrane: biogenesis of the mitochondrial carrier family.

Protein science : a publication of the Protein Society
2026

[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

Elevated cerebrospinal fluid 2-Hydroxybutyric acid in two siblings with aspartate-glutamate carrier 1 deficiency.

Molecular genetics and metabolism
2025

Glycerol-3-phosphate activates ChREBP, FGF21 transcription and lipogenesis in citrin deficiency.

Nature metabolism
2025

Challenges in dietary management: a qualitative study on caregivers of preschool and school-age children with citrin deficiency.

Orphanet journal of rare diseases
2025

Developing an explainable machine learning model to predict false-negative citrin deficiency cases in newborn screening.

Orphanet journal of rare diseases
2025

Identification 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 metabolism
2025

Metabolic signatures and a diagnostic model for citrin deficiency based on urinary organic acids.

Clinical and translational medicine
2025

Bile 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 hepatology
2025

The status of adult patients with citrin deficiency in Japan: A report from the nation-wide study.

Molecular genetics and metabolism
2025

Deep phenotyping of patients with citrin deficiency in Singapore- single centre experience.

Molecular genetics and metabolism
2025

Neonatal-onset citrin deficiency: long-term outcomes in four cases and identification of a novel variant.

The Turkish journal of pediatrics
2025

Neonatal intrahepatic cholestasis caused by citrin deficiency: clinical features, genetic characteristics, and treatment outcomes.

BMC gastroenterology
2025

Carrier Frequency and Prevalence of Citrin Deficiency in East Asians and Koreans Based on Comprehensive Analysis of Pathogenic SLC25A13 Variants.

Annals of laboratory medicine
2025

Prevalence of common autosomal recessive and X-linked conditions in pregnant women in Vietnam: a cross-sectional study.

Scientific reports
2025

Metabolic profiles and prediction of failure to thrive of citrin deficiency with normal liver function based on metabolomics and machine learning.

Nutrition &amp; metabolism
2025

Deciphering the Mutational Background in Citrin Deficiency Through a Nationwide Study in Japan and Literature Review.

Human mutation
2025

Urea cycle defects in adulthood: clinical presentation, diagnosis and treatment in genetically encoded hepatic metabolic disorders with a potential for encephalopathy.

Metabolic brain disease
2025

Current Understanding of Pathogenic Mechanisms and Disease Models of Citrin Deficiency.

Journal of inherited metabolic disease
2025

Developing splice-switching oligonucleotides for urea cycle disorder using an integrated diagnostic and therapeutic platform.

Journal of hepatology
2024

Biochemical characteristics, genetic variants and treatment outcomes of 55 Chinese cases with neonatal intrahepatic cholestasis caused by citrin deficiency.

Frontiers in pediatrics
2025

Markedly 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 chemistry
2025

Enhancing newborn screening sensitivity and specificity for missed NICCD using selected amino acids and acylcarnitines.

Orphanet journal of rare diseases
2025

Long-term follow-up of neurocognitive function in patients with citrin deficiency and cholestasis.

Clinical and experimental pediatrics
2024

A Case of Hyperammonemia Not Attributable to Liver Disease and Treated With IV Ammonia Scavengers.

Cureus
2025

My path to citrin deficiency.

Journal of inherited metabolic disease
2024

ω-Amidase and Its Substrate α-Ketoglutaramate (the α-Keto Acid Analogue of Glutamine) as Biomarkers in Health and Disease.

Biochemistry. Biokhimiia
2025

Solving a diagnostic challenge with nanopore long-read sequencing: a novel Alu element exonic insertion with false positive MLPA finding in SLC25A13 for citrin deficiency.

Pathology
2024

Exploring RNA therapeutics for urea cycle disorders.

Journal of inherited metabolic disease
2024

Distinct roles for the domains of the mitochondrial aspartate/glutamate carrier citrin in organellar localization and substrate transport.

Molecular metabolism
2024

[Full-cycle, multidisciplinary and systematic management of citrin deficiency].

Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology
2024

The therapeutic landscape of citrin deficiency.

Journal of inherited metabolic disease
2024

Citrin deficiency-The East-side story.

Journal of inherited metabolic disease
2024

Citrin-deficient patient-derived induced pluripotent stem cells as a pathological liver model for congenital urea cycle disorders.

Molecular genetics and metabolism reports
2024

Disease spectrum, prevalence, genetic characteristics of inborn errors of metabolism in 21,840 hospitalized infants in Chongqing, China, 2017-2022.

Frontiers in genetics
2024

A rare case report: multiple intrahepatic masses in a pediatric patient with citrin deficiency.

Discover oncology
2024

Serum procalcitonin as a marker of neonatal intrahepatic cholestasis caused by citrin deficiency (NICCD).

Clinics (Sao Paulo, Brazil)
2024

Dual rare genetic diseases in five pediatric patients: insights from next-generation diagnostic methods.

Orphanet journal of rare diseases
2024

[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 genetics
2024

Clinical landscape of citrin deficiency: A global perspective on a multifaceted condition.

Journal of inherited metabolic disease
2024

Clinical, biochemical, and genotypical characteristics in urea cycle mitochondrial transporter disorders.

European review for medical and pharmacological sciences
2024

Hyperammonemia and inborn errors of metabolism.

Translational pediatrics
2024

Update 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 nutrition
2024

Diagnostic algorithm for neonatal intrahepatic cholestasis integrating single-gene testing and next-generation sequencing in East Asia.

Journal of gastroenterology and hepatology
2023

Citrin deficiency due to SLC25A13 exon deletion in a Chinese infant: A case report.

Medicine
2023

[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 hepatology
2023

Adult Onset Episodic Encephalopathy Due to Citrin Deficiency-A Case Report.

Annals of Indian Academy of Neurology
2024

Pathogenesis and Management of Citrin Deficiency.

Internal medicine (Tokyo, Japan)
2023

Features of liver injury in 138 Chinese patients with NICCD.

Journal of pediatric endocrinology &amp; metabolism : JPEM
2024

Clinical and genetic analysis of 26 Chinese patients with neonatal intrahepatic cholestasis due to citrin deficiency.

Clinica chimica acta; international journal of clinical chemistry
2023

[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 hepatology
2023

Treatment and management for children with urea cycle disorder in chronic stage.

Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences
2024

Improved sensitivity and specificity for citrin deficiency using selected amino acids and acylcarnitines in the newborn screening.

Journal of inherited metabolic disease
2023

China nationwide landscape of 16 types inherited metabolic disorders: a retrospective analysis on 372,255 clinical cases.

Orphanet journal of rare diseases
2023

Citrin Deficiency: Clinical and Nutritional Features.

Nutrients
2023

A novel SLC25A13 gene splice site variant causes Citrin deficiency in an infant.

Gene
2023

Genetic and clinical features of patients with intrahepatic cholestasis caused by citrin deficiency.

Journal of pediatric endocrinology &amp; metabolism : JPEM
2023

Case report: Three novel variants on SLC25A13 in four infants with neonatal intrahepatic cholestasis caused by citrin deficiency.

Frontiers in pediatrics
2023

The prognosis of citrin deficiency differs between early-identified newborn and later-onset symptomatic infants.

Pediatric research
2023

Exogenous aralar/slc25a12 can replace citrin/slc25a13 as malate aspartate shuttle component in liver.

Molecular genetics and metabolism reports
2023

Nicotinamide riboside rescues dysregulated glycolysis and fatty acid β-oxidation in a human hepatic cell model of citrin deficiency.

Human molecular genetics
2023

Incidence and genetic variants of inborn errors of metabolism identified through newborn screening: A 7-year study in eastern coastal areas of China.

Molecular genetics &amp; genomic medicine
2023

A hybrid procedure of living donor liver transplantation for a pediatric patient with citrin deficiency.

Pediatric transplantation
2023

Newborn screening for inborn errors of metabolism in a northern Chinese population.

Journal of pediatric endocrinology &amp; metabolism : JPEM
2023

The mutation spectrum of SLC25A13 gene in citrin deficiency: identification of novel mutations in Vietnamese pediatric cohort with neonatal intrahepatic cholestasis.

Journal of human genetics
2023

Amplicon sequencing-based carrier screening for 170 monogenic disorders among children with abnormal LC-MS/MS results.

Clinica chimica acta; international journal of clinical chemistry
2022

Dynamic changes of metabolic characteristics in neonatal intrahepatic cholestasis caused by citrin deficiency.

Frontiers in molecular biosciences
2022

Ketogenic Diet Treatment of Defects in the Mitochondrial Malate Aspartate Shuttle and Pyruvate Carrier.

Nutrients
2022

Obstacles to home-based dietary management for caregivers of children with citrin deficiency: a qualitative study.

Orphanet journal of rare diseases
2022

Improved diagnosis of citrin deficiency by newborn screening using a molecular second-tier test.

Molecular genetics and metabolism
2022

Asymptomatic ASS1 carriers with high blood citrulline levels.

Molecular genetics &amp; genomic medicine
2022

Pathogenic variants of the mitochondrial aspartate/glutamate carrier causing citrin deficiency.

Trends in endocrinology and metabolism: TEM
2022

Application of the Artificial Intelligence Algorithm Model for Screening of Inborn Errors of Metabolism.

Frontiers in pediatrics
2022

[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 pediatrics
2022

Rare liver diseases are not rare in China.

Liver international : official journal of the International Association for the Study of the Liver
2022

Real-life Progression of the Use of a Genetic Panel in to Diagnose Neonatal Cholestasis.

JPGN reports
2022

The diagnostic challenge of mild citrulline elevation at newborn screening.

Molecular genetics and metabolism
2022

Desflurane and remifentanil anesthesia in a child with citrin deficiency: A case report.

Medicine
2022

Usefulness of serum BUN or BUN/creatinine ratio as markers for citrin deficiency in positive cases of newborn screening.

Molecular genetics and metabolism reports
2022

Lactate-buffered solutions in patients with citrin deficiency.

Canadian journal of anaesthesia = Journal canadien d'anesthesie
2022

Clinical manifestation and long-term outcome of citrin deficiency: Report from a nationwide study in Japan.

Journal of inherited metabolic disease
2022

[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 genetics
2021

Physical and neuropsychological development of children with Citrin deficiency.

Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics
2021

Screening for neonatal inherited metabolic disorders by tandem mass spectrometry in Guangzhou.

Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences
2021

Clinical 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 sciences
2021

Neonatal Intrahepatic Cholestasis Caused by Citrin Deficiency with SLC25A13 Mutation Presenting Hepatic Steatosis and Prolonged Jaundice. A Rare Case Report.

Medicina (Kaunas, Lithuania)
2021

Food Preferences of Patients with Citrin Deficiency.

Nutrients
2021

[Citrin deficiency – pathogenesis, clinical and biochemical manifestation, diagnostics, treatment].

Postepy biochemii
2021

Molecular epidemiologic study of citrin deficiency by screening for four reported pathogenic SLC25A13 variants in the Shaanxi and Guangdong provinces, China.

Translational pediatrics
2021

Genetic landscape of recessive diseases in the Vietnamese population from large-scale clinical exome sequencing.

Human mutation
2021

Citrin deficiency: Does the reactivation of liver aralar-1 come into play and promote HCC development?

Biochimie
2021

In-house multiplex ligation-dependent probe amplification assay for citrin deficiency: analytical validation and novel exonic deletions in SLC25A13.

Pathology
2021

Rapid Genetic Diagnosis of Citrin Deficiency by Multicolor Melting Curve Analysis.

Frontiers in pediatrics
2021

Neonatal intrahepatic cholestasis caused by citrin deficiency with no hepatic steatosis: a case report.

BMC pediatrics
2021

Hypoglycemic attacks and growth failure are the most common manifestations of citrin deficiency after 1 year of age.

Journal of inherited metabolic disease
2022

Hemostatic rebalance in neonatal intrahepatic cholestasis with citrin deficiency.

Pediatrics international : official journal of the Japan Pediatric Society
2021

Adult-onset citrullinaemia type II with liver cirrhosis: A rare cause of hyperammonaemia.

Open medicine (Warsaw, Poland)
2021

Analysis of daily energy, protein, fat, and carbohydrate intake in citrin-deficient patients: Towards prevention of adult-onset type II citrullinemia.

Molecular genetics and metabolism
2021

Identification of rare variants causing urea cycle disorders: A clinical, genetic, and biophysical study.

Journal of cellular and molecular medicine
2021

Spectrum analysis of inborn errors of metabolism for expanded newborn screening in a northwestern Chinese population.

Scientific reports
2021

Neonatal 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
2021

[Clinical characteristics and gene variants of patients with infantile intrahepatic cholestasis].

Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics
2021

Citrin deficiency: Early severe cases in a European country.

Clinics and research in hepatology and gastroenterology
2020

Citrin deficiency mimicking mitochondrial depletion syndrome.

BMC pediatrics
2020

Dietary Management, Clinical Status and Outcome of Patients with Citrin Deficiency in the UK.

Nutrients
2020

Update 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 research
2020

Combined primary carnitine deficiency with neonatal intrahepatic cholestasis caused by citrin deficiency in a Chinese newborn.

BMC pediatrics
2020

Hypoketotic hypoglycemia in citrin deficiency: a case report.

BMC pediatrics
2021

Metabolic basis and treatment of citrin deficiency.

Journal of inherited metabolic disease
2020

AGC2 (Citrin) Deficiency-From Recognition of the Disease till Construction of Therapeutic Procedures.

Biomolecules
2020

Retrospective evaluation of 85 patients with urea cycle disorders: one center experience, three new mutations.

Journal of pediatric endocrinology &amp; metabolism : JPEM
2020

Neonatal cholestasis due to citrin deficiency: diagnostic pitfalls.

Acta biochimica Polonica
2020

Diabetes mellitus exacerbates citrin deficiency via glucose toxicity.

Diabetes research and clinical practice
2020

Inborn errors of metabolism detectable by tandem mass spectrometry in Beijing.

Journal of pediatric endocrinology &amp; metabolism : JPEM
2020

Genetic Analysis of Peroxisomal Genes Required for Longevity in a Yeast Model of Citrin Deficiency.

Diseases (Basel, Switzerland)
2020

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 gastroenterology
2020

Combining newborn metabolic and genetic screening for neonatal intrahepatic cholestasis caused by citrin deficiency.

Journal of inherited metabolic disease
2020

Clinical findings in five Turkish patients with citrin deficiency and identification of a novel mutation on SLC25A13.

Journal of pediatric endocrinology &amp; metabolism : JPEM
2019

Sodium Taurocholate Cotransporting Polypeptide (NTCP) Deficiency Hidden Behind Citrin Deficiency in Early Infancy: A Report of Three Cases.

Frontiers in genetics
2020

Serum 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
2019

A Case Report: Can Citrin Deficiency Lead to Hepatocellular Carcinoma in Children?

Frontiers in pediatrics
2019

Identification of a novel splicing mutation in the SLC25A13 gene from a patient with NICCD: a case report.

BMC pediatrics
2019

[Newborn screening program and blood amino acid profiling in early neonates with citrin deficiency].

Zhonghua er ke za zhi = Chinese journal of pediatrics
2020

The mitochondrial carrier Citrin plays a role in regulating cellular energy during carcinogenesis.

Oncogene
2020

Chronic pancreatitis and pancreatic pseudocyst with adult-onset type II citrullinemia.

Clinical journal of gastroenterology
2019

Current treatment for citrin deficiency during NICCD and adaptation/compensation stages: Strategy to prevent CTLN2.

Molecular genetics and metabolism
2019

IVC angioplasty using an autologous vascular graft for IVC stenosis due to metallic stent in a pediatric liver transplant.

Pediatric transplantation
2019

mRNA Therapy Improves Metabolic and Behavioral Abnormalities in a Murine Model of Citrin Deficiency.

Molecular therapy : the journal of the American Society of Gene Therapy
2019

Expanded newborn screening for inherited metabolic disorders and genetic characteristics in a southern Chinese population.

Clinica chimica acta; international journal of clinical chemistry
2019

Estimating carrier frequencies of newborn screening disorders using a whole-genome reference panel of 3552 Japanese individuals.

Human genetics
2019

Pivotal role of inter-organ aspartate metabolism for treatment of mitochondrial aspartate-glutamate carrier 2 (citrin) deficiency, based on the mouse model.

Scientific reports
2019

Growth impairment in individuals with citrin deficiency.

Journal of inherited metabolic disease
2019

Bioinformatic and functional analysis of promoter region of human SLC25A13 gene.

Gene
2019

[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 genetics
2019

Risk factors associated with mortality in neonatal intrahepatic cholestasis caused by citrin deficiency (NICCD) and clinical implications.

BMC pediatrics
2019

A 6-Year-Old Child With Citrin Deficiency and Advanced Hepatocellular Carcinoma.

Pediatrics
2018

Adult-onset type II citrullinemia: Current insights and therapy.

The application of clinical genetics
2018

Molecular and clinical characterization of citrin deficiency in a cohort of Chinese patients in Hong Kong.

Molecular genetics and metabolism reports
2018

[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 genetics
2019

Population 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 Genetics
2018

SLC25A13 c.1610_1612delinsAT mutation in an Indian patient and literature review of 79 cases of citrin deficiency for genotype-phenotype associations.

Gene
2018

Cholesterol Metabolism Is Enhanced in the Liver and Brain of Children With Citrin Deficiency.

The Journal of clinical endocrinology and metabolism
2018

Medium-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
2018

[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 genetics
2017

p.Val452Ile mutation of the SLC25A13 gene in a Turkish patient with citrin deficiency.

The Turkish journal of pediatrics
2018

Early Detection and Diagnosis of Neonatal Intrahepatic Cholestasis Caused by Citrin Deficiency Missed by Newborn Screening Using Tandem Mass Spectrometry.

International journal of neonatal screening
2017

Molecular 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.

Oncotarget
2017

Analysis of islet beta cell functions and their correlations with liver dysfunction in patients with neonatal intrahepatic cholestasis caused by citrin deficiency (NICCD).

Medicine
2017

[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 sciences
2017

Bile acid profiles in neonatal intrahepatic cholestasis caused by citrin deficiency.

Clinica chimica acta; international journal of clinical chemistry
2017

[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 genetics
2017

Liver involvement in urea cycle disorders: a review of the literature.

Journal of inherited metabolic disease
2017

Citrin deficiency: A rare but important metabolic disorder to consider in infants with faltering growth and hyperbilirubinaemia.

Journal of paediatrics and child health
2017

[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 pediatrics
2017

Novel two-step derivation method for the synchronous analysis of inherited metabolic disorders using urine.

Experimental and therapeutic medicine
2017

Blood glucose and insulin and correlation of SLC25A13 mutations with biochemical changes in NICCD patients.

Experimental biology and medicine (Maywood, N.J.)
2017

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 metabolism
2017

Circulating tricarboxylic acid cycle metabolite levels in citrin-deficient children with metabolic adaptation, with and without sodium pyruvate treatment.

Molecular genetics and metabolism
2016

Effectiveness of Medium-Chain Triglyceride Oil Therapy in Two Japanese Citrin-Deficient Siblings: Evaluation Using Oral Glucose Tolerance Tests.

The Tohoku journal of experimental medicine
2016

[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 hepatology
2016

The first Mongolian cases of phenylketonuria in selective screening of inborn errors of metabolism.

Molecular genetics and metabolism reports
2017

Biochemical and molecular characteristics of citrin deficiency in Korean children.

Journal of human genetics
2016

SLC25A13 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 reports
2016

Anesthetic experience of an adult male with citrullinemia type II: a case report.

BMC anesthesiology
2016

A Specially Designed Multi-Gene Panel Facilitates Genetic Diagnosis in Children with Intrahepatic Cholestasis: Simultaneous Test of Known Large Insertions/Deletions.

PloS one
2016

[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 genetics
2016

Molecular diagnosis of pediatric patients with citrin deficiency in China: SLC25A13 mutation spectrum and the geographic distribution.

Scientific reports
2016

Idiopathic eruptive macular pigmentation in a child with citrin deficiency.

Pediatrics international : official journal of the Japan Pediatric Society
2016

Case report: An adult-onset type II citrin deficiency patient in the emergency department.

Experimental and therapeutic medicine
2016

Identification 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 international
2016

Malfunction in Mitochondrial β-Oxidation Contributes to Lipid Accumulation in Hepatocyte-Like Cells Derived from Citrin Deficiency-Induced Pluripotent Stem Cells.

Stem cells and development
2016

Molecular Genetic Dissection and Neonatal/Infantile Intrahepatic Cholestasis Using Targeted Next-Generation Sequencing.

The Journal of pediatrics
2015

CITRIN DEFICIENCY: AN INFANT INCIDENTALLY DETECTED BY PHENYLKETONURIA SCREENING WITH A NOVEL MUTATION IN SLC25A13 GENE.

Genetic counseling (Geneva, Switzerland)
2015

Phenylalanine Hydroxylase Deficiency and Citrin Deficiency in a Chinese Infant.

Chinese medical journal
2015

An Adolescent Case of Citrin Deficiency With Severe Anorexia Mimicking Anorexia Nervosa.

Pediatrics
2016

Chronic hepatitis without hepatic steatosis caused by citrin deficiency in a child.

Hepatology research : the official journal of the Japan Society of Hepatology
2015

Citrin deficiency presenting as acute liver failure in an eight-month-old infant.

World journal of gastroenterology
2015

[Treatment and Pathomechanism of Citrin Deficiency].

Brain and nerve = Shinkei kenkyu no shinpo
2016

Neonatal 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 Kinderchirurgie
2015

Mechanism 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 acta
2015

Citrin deficiency: A treatable cause of acute psychosis in adults.

Neurology India
2015

Detection of inborn errors of metabolism using GC-MS: over 3 years of experience in southern China.

Journal of pediatric endocrinology &amp; metabolism : JPEM
Ver todos os 201 no EuropePMC

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Doenças relacionadas

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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.

  1. From the cytosol to the inner membrane: biogenesis of the mitochondrial carrier family.
    Protein science : a publication of the Protein Society· 2026· PMID 41870299mais citado
  2. [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
  3. Elevated cerebrospinal fluid 2-Hydroxybutyric acid in two siblings with aspartate-glutamate carrier 1 deficiency.
    Molecular genetics and metabolism· 2026· PMID 41475179mais citado
  4. Glycerol-3-phosphate activates ChREBP, FGF21 transcription and lipogenesis in citrin deficiency.
    Nature metabolism· 2025· PMID 41238906mais citado
  5. Challenges in dietary management: a qualitative study on caregivers of preschool and school-age children with citrin deficiency.
    Orphanet journal of rare diseases· 2025· PMID 41225605mais citado
  6. Development of a quantitative real-time PCR-based newborn screening system for citrin deficiency using dried blood spots.
    Mol Genet Metab· 2026· PMID 41923674recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:247582(Orphanet)
  2. MONDO:0016602(MONDO)
  3. GARD:20661(GARD (NIH))
  4. Variantes catalogadas(ClinVar)
  5. Busca completa no PubMed(PubMed)
  6. 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.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Deficiência de citrina
Compêndio · Raras BR

Deficiência de citrina

ORPHA:247582 · MONDO:0016602
Prevalência
Unknown
Herança
Autosomal recessive
Ensaios
2 ativos
Início
All ages
Prevalência
0.0 (Worldwide)
MedGen
UMLS
C1863844
EuropePMC
Wikidata
Papers 10a
Evidência
🥇 Diretriz
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