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Chapter 38 - Urea Cycle Disorders in Children

from Section IV - Metabolic Liver Disease

Published online by Cambridge University Press:  19 January 2021

Frederick J. Suchy
Affiliation:
University of Colorado, Children’s Hospital Colorado, Aurora
Ronald J. Sokol
Affiliation:
University of Colorado, Children’s Hospital Colorado, Aurora
William F. Balistreri
Affiliation:
Cincinnati Children’s Hospital Medical Center, Cincinnati
Jorge A. Bezerra
Affiliation:
Cincinnati Children’s Hospital Medical Center, Cincinnati
Cara L. Mack
Affiliation:
University of Colorado, Children’s Hospital Colorado, Aurora
Benjamin L. Shneider
Affiliation:
Texas Children’s Hospital, Houston
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Summary

The urea cycle, first described in 1932 by Krebs and Henseleit, is the only metabolic pathway responsible for converting nitrogenous waste, produced by the breakdown of protein and other nitrogen-containing molecules into urea, which can be easily excreted from the body (Figure 38.1). Urea cycle disorders (UCDs) result from defects in this pathway and lead to an inability to rid excess nitrogen from the body, resulting in accumulation of nitrogen species, namely ammonia and glutamine, which are toxic in high concentrations. The incidence of these disorders is estimated to be at least one in 35,000 births [1], but partial defects, which may not manifest until later in life, may make this number higher.

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Publisher: Cambridge University Press
Print publication year: 2021

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