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Augmenting ureagenesis in patients with partial carbamyl phosphate synthetase 1 deficiency with
Nicholas Ah Mew1, Robert McCarter2, Yevgeny Daikhin3
1Center for Translational Sciences, Children's National Health System, The George Washington University, Washington, DC; Division of Genetics and Metabolism, Children's National Health System, The George Washington University, Washington, DC.
Abstract:
Identical studies using stable isotopes were performed before and after a 3-day trial of oral N-carbamyl-l-glutamate (NCG) in 5 subjects with late-onset carbamyl phosphate synthetase deficiency. NCG augmented ureagenesis and decreased plasma ammonia in 4 of 5 subjects. There was marked improvement in nitrogen metabolism with long-term NCG administration in 1 subject.
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