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Urea Cycle Defects

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Abstract

There are five well-documented urea cycle defects:

  • Carbamyl phosphate synthetase deficiency (CPSD)

  • Ornithine transcarbamylase deficiency (OTCD)

  • Argininosuccinate synthetase deficiency (ASSD), also called citrullinemia

  • Argininosuccinate lyase deficiency (ASLD), also called argininosuccinic aciduria

  • Arginase deficiency, also called hyperargininemia.

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References

  • Aida S, Ogata T, Kamota T, Nakamura N (1989) Primary ornithine transcarbamylase deficiency. Acta Pathol Jpn 39: 451–456

    PubMed  CAS  Google Scholar 

  • Bachmann C (1992) Ornithine carbamoyl transferase deficiency:findings, models and problems. J Inherited Metab Dis 15: 578–591

    Article  PubMed  CAS  Google Scholar 

  • Batshaw ML (1994) Inborn errors of urea synthesis. Ann Neurol 35: 133–141

    Article  PubMed  CAS  Google Scholar 

  • Berrez JM, Bardot O, Thiard MC, Alvarez F, Latruff N (1991) Molecular analysis of a human liver mitochondrial ornithine transcarbamylase deficiency. J Inherited Metab Dis 14: 29–36

    Article  PubMed  CAS  Google Scholar 

  • Brockstedt M, Smit LME, de Grauw AJC, van der Klei-van Moorsel JM, Jakobs C (1990) A new case of hyperargininaemia: neurological and biochemical findings prior to and during dietary treatment. Eur J Pediatr 149: 341–343

    CAS  Google Scholar 

  • Bruton CJ, Corsellis JAN, Russell A (1970) Hereditary hyperammonaemia. Brain 93: 423–434

    Article  PubMed  CAS  Google Scholar 

  • Burlina AB, Bachmann C, Wermuth B, Bordugo A, Ferrari V, Colombo JP, Zacchello F (1992) Partial N-acetylglutamate synthetase deficiency:a new case with uncontrollable movement disorders. J Inherited Metab Dis 15: 395–398

    Article  PubMed  CAS  Google Scholar 

  • Carstens RP, Fenton WA, Rosenberg LR (1991) Identification of RNA splicing errors resulting in human ornithine transcarbamylase deficiency. Am J Hum Genet 48: 1105–1114

    PubMed  CAS  Google Scholar 

  • Christodoulou J, Qureshi IA, McInnes RR, Clarke JTR (1993) Ornithine transcarbamylase deficiency presenting with strokelike episodes. J Pediatr 122: 423–425

    Article  PubMed  CAS  Google Scholar 

  • Connelly A, Cross JH, Gadian DG, Hunter JV, Kirkham FJ, Leonard JV (1993) Magnetic resonance spectroscopy shows increased brain glutamine in ornithine carbamoyl transferase deficiency. Pediatr Res 33: 77–81

    Article  PubMed  CAS  Google Scholar 

  • Dolman CL, Clasen RA, Dorovini-Zis K (1988) Severe cerebral damage in ornithine transcarbamylase deficiency. Clin Neuropathol 7: 10–15

    PubMed  CAS  Google Scholar 

  • Donn SM, Thone JG (1985) Prospective prevention of neonatal hyperammonaemia in argininosuccinic acidura by arginine therapy. J Inherited Metab Dis 8: 18–20

    Article  PubMed  CAS  Google Scholar 

  • Feldmann D, Rozet JM, Pelet A, Hentzen D, Briand P, Hubert P, Largilliere C, Rabier D, Farriaux JP, Munnich A (1992) Site specific screening for point mutations in ornithine transcarbamylase deficiency. J Med Genet 29: 471–475

    PubMed  CAS  Google Scholar 

  • Finkelstein JE, Hauser ER, Leonard CO, Brusilow SW (1990) Late-onset ornithine transcarbamylase deficiency in male patients. J Pediatr 117: 897–902

    Article  PubMed  CAS  Google Scholar 

  • Gallagher JV, Rifai N, Conry J, Soldin SJ (1991) Role of the clinical laboratory in evaluation of argininosuccinate lyase deficiency. Clin Chem 37: 1384–1389

    PubMed  CAS  Google Scholar 

  • Gerrits GPJM, Gabreëls FJM, Monnens LAH, De Abreu RA, van Raaij-Selten B, Niezen-Koning KE, Trijbels JMF (1993) Arginiosuccinic aciduria:clinical and biochemical findings in three children with the late onset form, with special emphasis on cerebrospinal fluid findings of amino acids and pyrimidines. Neuropediatrics 21: 15–18

    Article  Google Scholar 

  • Grody WW, Klein D, Dodson AE, Kern RM, Wissmann PB, Goodman BK, Bassand P, Marescau B, Kang SS, Leonard JV, Cederbaum SD (1992) Molecular genetic study of human arginase deficiency. Am J Hum Genet 50: 1281–1290

    PubMed  CAS  Google Scholar 

  • Grody WW, Kern RM, Klein D, Dodson AE, Wissman PB, Barsky SH, Cederbaum SD (1993) Arginase deficiency manifesting delayed clinical sequelae and induction of a kidney arginase isozyme. Hum Genet 91: 1–5

    Article  PubMed  CAS  Google Scholar 

  • Grompe M, Caskey CT, Fenwick RG (1991) Improved molecular diagnostics for ornithine transcarbamylase deficiency. Am J Hum Genet 48: 212–222

    PubMed  CAS  Google Scholar 

  • Harding BN, Leonard JV, Erdohazi M (1984) Ornithine carbamoyl transferase deficiency:a neuropathological study. Eur J Pediatr 141: 215–220

    Article  PubMed  CAS  Google Scholar 

  • Häussinger D, Steeb R, Gerok W (1992) Metabolic alkalosis as driving force for urea synthesis in liver disease: pathogenet-

    Google Scholar 

  • ic model and therapeutic implications. Clin Invest 70:411–415

    Google Scholar 

  • Hayakawa C, Aono S, Keino H, Mizutani N, Watanabe K, Ikemoto M, Totani M, Murachi T, Kashiwamata S (1991) Absence of erythrocyte arginase protein in Japanese patients with hyperargininemia. Eur J Pediatr 150: 800–803

    Article  PubMed  CAS  Google Scholar 

  • Hommmes FA, de Groot CJ, Wilmink CW, Jonxis JHP (1969) Carbamylphosphate synthetase deficiency in an infant with severe cerebral damage. Arch Dis Child 44: 688–693

    Article  Google Scholar 

  • Honeycutt D, Callahan K, Rutledge L, Evans B (1992) Heterozygote ornithine transcarbamylase deficiency presenting as symptomatic hyperammonemia during initiation of valproate therapy. Neurology 42: 666–668

    Article  PubMed  CAS  Google Scholar 

  • Hopkins IJ, Connelly JF, Dawson AG, Hird FJR, Maddison TG (1969) Hyperammonaemia due to ornithine transcarbamylase deficiency. Arch Dis Child 44: 143–148

    Article  PubMed  CAS  Google Scholar 

  • Horiuchi M, Imamura Y, Nakamura N, Maruyama I, Saheki T (1993) Carbamoylphosphate synthetase deficiency in an adult: deterioration due to administration of valproic acid. J Inherited Metab Dis 16: 39–45

    Article  PubMed  CAS  Google Scholar 

  • Hudak ML, Douglas Jones M, Brusilow SW (1985) Differentiation of transient hyperammonemia of the newborn and urea cycle enzyme defects by clinical presentation. J Pediatr 107: 712–719

    Article  PubMed  CAS  Google Scholar 

  • Kendall BE (1992) Disorders of lysosomes, peroxisomes, and mitochondria. AJNR 13: 621–653

    PubMed  CAS  Google Scholar 

  • Kobayashi K, Itakura Y, Saheki T, Nakano K, Sase M, Oyanagi K, Okamoto R, Mino M (1986) Absence of argininosuccinate lyase protein in the liver of two patients with argininosuccinic aciduria. Clin Chim Acta 159: 59–67

    Article  PubMed  CAS  Google Scholar 

  • Kornfeld M, Woodfin BM, Papile L, Davis LE, Bernard LR (1985) Neuropathology of ornithine carbamyl transferase deficiency. Acta Neuropathol (Berl) 65: 261–264

    Article  CAS  Google Scholar 

  • Levin B, Abraham JM, Oberholzer VG, Burgess EA (1969) Hyperammonaemia: a deficiency of liver ornithine transcarbamylase. Arch Dis Child 44: 152–161

    Article  PubMed  CAS  Google Scholar 

  • Maestri NE, Hauser ER, Bartholomew D, Brusilow SW (1991) Prospective treatment of urea cycle disorders. J Pediatr 119: 923–928

    Article  PubMed  CAS  Google Scholar 

  • Mamourian AC, du Plessis A (1991) Urea cycle defect: a case with MR and CT findings resembling infarct. Pediatr Radiol 21: 594–595

    Article  PubMed  CAS  Google Scholar 

  • Marescau B, de Deyn PP, Lowenthal A, Qureshi IA, Antonozzi I, Bachmann C, Cederbaum SD, Cerone R, Chamoles N, Colombo JP, Hyland K, Gatti R, Kang SS, Letarte J, Lambert M, Mizutani N, Possemiers I, Rezvani I, Snyderman SE, Terheggen HG, Yoshino M (1990) Guanidino compound analysis as a complementary diagnostic parameter for hyperargininemia: follow-up of guanidino compound levels during therapy. Pediatr Res 27: 297–303

    Article  PubMed  CAS  Google Scholar 

  • Martin JJ, Farriaux JP, De Jonghe P (1982) Neuropathology of citrullinemia. Acta Neuropathol (Berl) 56: 303–306

    Article  CAS  Google Scholar 

  • Matsuda I, Nagata N, Matsuura T, Oyanagi K, Tada K, Narisawa K, Kitagawa T, Sakiyama T, Yamashita F, Yoshino M (1991) Retrospective survey of urea cycle disorders: part 1. Clinical and laboratory observations of thirty-two Japanese male patients with ornithine transcarbamylase deficiency. Am J Med Genet 38: 85–89

    Google Scholar 

  • Matsuura T, Hoshide R, Fukushima M, Sakiyama T, Owada M, Matsuda I (1993a) Prenatal monitoring of ornithine transcarbamoylase deficiency in two families by DNA analysis. J Inherited Metab Dis 16: 31–38

    Article  PubMed  CAS  Google Scholar 

  • Matsuura T, Hoshide R, Setoyama C, Shimada K, Hase Y, Yanagawa T, Kajita M, Matsuda I (1993b) Four novel gene mutations in five Japanese male patients with neonatal or late onset OTC deficiency:application of PCR-single-strand conformation polymorphisms for all exons and adjacent introns. Hum Genet 92: 49–56

    Article  PubMed  CAS  Google Scholar 

  • Mayatepek E, Kurczynski TW, Hoppel CL, Gunning WT (1991) Carnitine deficiency associated with ornithine transcarbamylase deficiency. Pediatr Neurol 7: 196–199

    Article  PubMed  CAS  Google Scholar 

  • McInnes RR, Shih V, Chilton S (1984) Interallelic complementation in an inborn error of metabolism: genetic heterogeneity in argininosuccinate lyase deficiency. Proc Natl Acad Sci U S A 81: 4480–4484

    Article  PubMed  CAS  Google Scholar 

  • Msali M, Batshaw ML, Suss R, Brusilow SW, Mellits ED (1984) Neurologic outcome in children with inborn errors of urea synthesis. N Engl J Med 310: 1500–1505

    Article  Google Scholar 

  • Olier J, Gallego J, Digon E (1989) Computerized tomography in primary hyperammonemia. Neuroradiology 31: 356–257

    Article  PubMed  CAS  Google Scholar 

  • Qureshi IA, Letarte J, Ouellet R, Larochelle J, Lemieux B (1983) A new French-Canadian family affected by hyperarginiaemia. J Inherited Metab Dis 6: 179–182

    Article  PubMed  CAS  Google Scholar 

  • Simard L, OBrien WE, McInnes RR (1986) Argininosuccinate lyase deficiency:evidence for heterogeneous structural gene mutations by immunoblotting. Am J Hum Genet 39: 38–51

    PubMed  CAS  Google Scholar 

  • Slomski R, Braulke I, Behrend C, Schröder E, Colombo JP, Reiss J (1992) Ornithine transcarbamylase ( OTC) deficiency in a female patient with a de novo deletion of the paternal X chromosome. Hum Genet 89: 632–634

    Google Scholar 

  • Solitare GB, Shih VE, Nelligan DJ, Dolan TF (1969) Argininosuccinic aciduria: clinical, biochemical, anatomical and neuropathological observations. J Ment Defic Res 13: 153170

    Google Scholar 

  • Strautnicks S, Rutland P, Malcolm S (1991) Arginine 109 to glutamine mutation in a girl with ornithine carbamoyl transferase deficiency. J Med Genet 28: 871–874

    Article  Google Scholar 

  • Travers H, Reed JS, Kennedy JA (1986) Ultrastructural study of the liver in argininosuccinase deficiency. Pediatr Pathol 5: 307–318

    Article  PubMed  CAS  Google Scholar 

  • Tsai MY, Holzknecht RA, Tuchman M (1993) Single-strand conformational polymorphism and direct sequencing applied to carrier testing in families with ornithine transcarbamylase deficiency. Hum Genet 91: 321–325

    Article  PubMed  CAS  Google Scholar 

  • Tuchman M (1992) The clinical, biochemical, and molecular spectrum of ornithine transcarbamylase deficiency. J Lab Clin Med 120: 836–850

    PubMed  CAS  Google Scholar 

  • Tuchman M (1993) Mutations and polymorphisms in the human ornithine transcarbamylase gene. Hum Mutat 2: 174–178

    Article  PubMed  CAS  Google Scholar 

  • Tuchman M, Mauer SM, Holzknecht RA, Summar ML, Vnencak-Jones CL (1992) Prospective versus clinical diagnosis and therapy of acute neonatal hyperammonaemia in two sisters with carbamyl phosphate synthetase deficiency. J Inherited Metab Dis 15: 269–277

    Article  PubMed  CAS  Google Scholar 

  • Uchino T, Haraguchi Y, Aparicio JM, Mizutani N, Higashikawa M, Naitoh H, Mori M, Matsuda I (1992) Three novel mutations in the liver-type arginase gene in three unrelated Japanese patients with argininemia. Am J Hum Genet 51: 1406–1412

    PubMed  CAS  Google Scholar 

  • Walker DC, McCloskey DA, Simard LR, McInnes RR (1990) Molecular analysis of human argininosuccinate lyase: mutant characterization and alternative splicing of the coding region. Proc Natl Acad Sci U S A 87: 9625–9629

    Article  PubMed  CAS  Google Scholar 

  • Widhalm K, Koch S, Scheibenreiter S, Knoll E, Colombo JP, Bachmann C, Thalhammer 0 (1992) Long-term follow-up of 12 patients with the late-onset variant of argininosuccinic acid lyase deficiency: no impairment of intellectual and psychomotor development during therapy. Pediatrics 87: 1182–1184

    Google Scholar 

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© 1995 Springer-Verlag Berlin Heidelberg

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van der Knaap, M.S., Valk, J. (1995). Urea Cycle Defects. In: Magnetic Resonance of Myelin, Myelination, and Myelin Disorders. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-03078-3_39

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  • DOI: https://doi.org/10.1007/978-3-662-03078-3_39

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-03080-6

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