A citrulinemia tipo I de início na idade adulta é uma forma de citrulinemia tipo I caracterizada clinicamente pelo início de sintomas na idade adulta, incluindo hiperamonemia variável e achados neurológicos menos marcantes que podem incluir dor de cabeça intensa, escotomas, episódios semelhantes a enxaqueca, ataxia, fala arrastada, letargia e sonolência. Pode ocorrer um aumento grave da pressão intracraniana.
Introdução
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A citrulinemia tipo I de início na idade adulta é uma forma de citrulinemia tipo I caracterizada clinicamente pelo início de sintomas na idade adulta, incluindo hiperamonemia variável e achados neurológicos menos marcantes que podem incluir dor de cabeça intensa, escotomas, episódios semelhantes a enxaqueca, ataxia, fala arrastada, letargia e sonolência. Pode ocorrer um aumento grave da pressão intracraniana.
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Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 1 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
1 gene identificado com associação a esta condição.
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.
Variantes genéticas (ClinVar)
314 variantes patogênicas registradas no ClinVar.
Vias biológicas (Reactome)
2 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 — Late-onset citrullinemia type I
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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.
99 Chinese ASS1 carriers: Genetics, metabolism, and citrulline levels.
Citrullinemia type I is an autosomal recessive disorder caused by mutations in the ASS1 gene, whereas ASS1 mutation carriers typically have a mutation in only one allele. While carriers are usually asymptomatic, they often show mildly elevated plasma citrulline levels. This study aims to investigate the relationship between the genetic background of ASS1 carriers and plasma citrulline levels, as well as the potential mechanisms behind the elevation. The study analyzed 99 ASS1 mutation carriers identified through neonatal screening. Clinical and genetic data were collected, including plasma citrulline levels at initial and follow-up screenings. This is the first large-scale analysis of the relationship between ASS1 mutations and plasma citrulline levels in carriers. Twenty-eight distinct variants were identified, with c.1087C > T (p.R363W) being the most common. Plasma citrulline levels in carriers were elevated, showing a rising then falling pattern over first six months, with a peak of 65.84 µmol/L during re-screening. Levels gradually declined thereafter and stabilized around 49.92 μmol/L, but consistently remained above the normal reference range. A citrulline threshold of 62.04 µmol/L effectively differentiated ASS1 carriers from Citrullinemia type I patients (AUC = 0.984). Elevated plasma citrulline levels are often seen in mutations affecting the monomer-monomer interface, though other mechanisms may be involved. This study identified 62.04 µmol/L as a reference threshold at the time of newborn screening to distinguish ASS1 carriers from Citrullinemia type I patients, observed a dynamic pattern of citrulline levels over the first six months in carriers, and suggested a potential role for dominant-negative effects in the underlying mechanism.
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📚 EuropePMC3 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[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 genomicsMetabolic 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 gastroenterologyEarly-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 mutationCurrent Understanding of Pathogenic Mechanisms and Disease Models of Citrin Deficiency.
Journal of inherited metabolic diseaseRetrospective 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.
CureusExploring 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 metabolismUsing 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.
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Nature metabolismSerum procalcitonin as a marker of neonatal intrahepatic cholestasis caused by citrin deficiency (NICCD).
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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.
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Molecular genetics and metabolismASS1 deficiency is associated with impaired neuronal differentiation in zebrafish larvae.
Molecular genetics and metabolismCitrin deficiency due to SLC25A13 exon deletion in a Chinese infant: A case report.
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Genetics in medicine : official journal of the American College of Medical GeneticsCitrullinemia 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.
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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.
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Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatologyCitrullinemia and What Else?
Endocrine, metabolic & immune disorders drug targetsA 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 laboratoryDomino liver transplantation for maple syrup urine disease in children: A single-center case series.
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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.
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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 geneticsRare Adult-onset Citrullinemia Type 1 in the Postpartum Period: A Case Report.
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International journal of reproductive biomedicineA hybrid procedure of living donor liver transplantation for a pediatric patient with citrin deficiency.
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Molecular genetics & genomic medicineThe mutation spectrum of SLC25A13 gene in citrin deficiency: identification of novel mutations in Vietnamese pediatric cohort with neonatal intrahepatic cholestasis.
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Annals of laboratory medicineHyperammonemia in a pregnant woman with citrullinemia type I: a case report and literature review.
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International journal of molecular sciencesCitrullinemia type I in Chinese children: Identification of two novel argininosuccinate synthetase gene mutations.
Frontiers in pediatricsClinical 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.
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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 diseasesDiagnosis 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 diseaseClinical 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.
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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 diseaseHemostatic 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 disease[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 zhiSARS 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 NeuroimagingMetabolic 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 PolonicaDiseases Caused by Mutations in Mitochondrial Carrier Genes SLC25: A Review.
BiomoleculesDiabetes mellitus exacerbates citrin deficiency via glucose toxicity.
Diabetes research and clinical practiceGenetic 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 reviewThe 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 medicineAdult 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 reportsEarly 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.
OncogeneLate-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 geneticsMetabolic liver diseases presenting with neonatal cholestasis: at the crossroad between old and new paradigms.
European journal of pediatricsRisk factors associated with mortality in neonatal intrahepatic cholestasis caused by citrin deficiency (NICCD) and clinical implications.
BMC pediatricsA comprehensive multiplex PCR based exome-sequencing assay for rapid bloodspot confirmation of inborn errors of metabolism.
BMC medical geneticsA 6-Year-Old Child With Citrin Deficiency and Advanced Hepatocellular Carcinoma.
PediatricsAdult-onset type II citrullinemia: Current insights and therapy.
The application of clinical geneticsNeonatal Lupus Erythematosus in a newborn with Citrullinemia.
Acta reumatologica portuguesaAuxiliary Partial Orthotopic Liver Transplantation for Monogenic Metabolic Liver Diseases: Single-Centre Experience.
JIMD reportsUrea cycle disorders in India: clinical course, biochemical and genetic investigations, and prenatal testing.
Orphanet journal of rare diseases[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 geneticsCitrullinemia with an Atypical Presentation: Paroxysmal Hypoventilation Attacks.
Journal of pediatric neurosciencesHigh incidence of maternal vitamin B12 deficiency detected by newborn screening: first results from a study for the evaluation of 26 additional target disorders for the German newborn screening panel.
World journal of pediatrics : WJPDiversity in the incidence and spectrum of organic acidemias, fatty acid oxidation disorders, and amino acid disorders in Asian countries: Selective screening vs. expanded newborn screening.
Molecular genetics and metabolism reports[Identification of a homozygous ASS1 mutation in a child with citrullinemia type Ⅰ with high-melting curve method].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsHypomorphic citrullinaemia due to mutated ASS1 with episodic ataxia.
BMJ case reportsCholesterol 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 diseaseDiagnosis of citrullinemia type 1 carriage after identification of mild citrullinemia on neonatal screening.
Pediatrics international : official journal of the Japan Pediatric SocietyBiochemical markers and neuropsychological functioning in distal urea cycle disorders.
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 pediatricsSudden development of adult-onset type II citrullinemia after total gastrectomy: a case report.
Surgical case reportsAnalysis of islet beta cell functions and their correlations with liver dysfunction in patients with neonatal intrahepatic cholestasis caused by citrin deficiency (NICCD).
MedicineAminoacidopathies: Prevalence, Etiology, Screening, and Treatment Options.
Biochemical genetics[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 chemistryQuantitation of phenylbutyrate metabolites by UPLC-MS/MS demonstrates inverse correlation of phenylacetate:phenylacetylglutamine ratio with plasma glutamine levels.
Molecular genetics and metabolismTeaching NeuroImages: Reversible brain MRI lesions in adult-onset type II citrullinemia.
NeurologyExtracellular vesicles from human liver stem cells restore argininosuccinate synthase deficiency.
Stem cell research & therapyFirst report of carglumic acid in a patient with citrullinemia type 1 (argininosuccinate synthetase deficiency).
Journal of clinical pharmacy and therapeuticsPRMT7 Interacts with ASS1 and Citrullinemia Mutations Disrupt the Interaction.
Journal of molecular biologyCorrigendum to "Modelling urea-cycle disorder citrullinemia type 1 with disease-specific iPSCs" [Biochem. Biophys. Res. Commun. 486(3) (2017) 613-619].
Biochemical and biophysical research communicationsBlood glucose and insulin and correlation of SLC25A13 mutations with biochemical changes in NICCD patients.
Experimental biology and medicine (Maywood, N.J.)Modelling urea-cycle disorder citrullinemia type 1 with disease-specific iPSCs.
Biochemical and biophysical research communicationsOral 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 metabolismIdentification of three novel mutations in fourteen patients with citrullinemia type 1.
Clinical biochemistryMutations in the Human Argininosuccinate Synthetase (ASS1) Gene, Impact on Patients, Common Changes, and Structural Considerations.
Human mutation[Citrullinemia type I with recurrent liver failure in a child].
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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.
- 99 Chinese ASS1 carriers: Genetics, metabolism, and citrulline levels.
- Effusive-constrictive pericarditis in a patient with late-onset systemic lupus erythematosus.
- Thrombosed epic mitral bioprosthesis in the late postoperative period: A case report.
- Clinical and molecular characteristics of early-onset pancreatic and biliary cancers.
- Prevalence and risk factors for neonatal sepsis among very preterm infants in China: a systematic review and meta-analysis.
- HLA genotyping and clinical characteristics of early-onset and late-onset anti-LGI1 encephalitis: a single-center cohort study in China.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:247573(Orphanet)
- MONDO:0016601(MONDO)
- GARD:20660(GARD (NIH))
- Variantes catalogadas(ClinVar)
- Busca completa no PubMed(PubMed)
- Q55786325(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
