Evidence map›Paper›PMID 28007335›Full record

ArticleMolecular genetics and metabolism2017

Precision medicine in rare disease: Mechanisms of disparate effects of N-carbamyl-l-glutamate on mutant CPS1 enzymes.

Dashuang Shi, Gengxiang Zhao, Nicholas Ah Mew, Mendel Tuchman

Abstract readCase Reports
In one paragraph

Article in Molecular genetics and metabolism, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.7field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 15 citations in OpenAlex.

  1. An oversized AAV8 vector to deliver CPS1.Molecular therapy. Nucleic acids · 2025
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. CPS1: Looking at an ancient enzyme in a modern light.Molecular genetics and metabolism · 2020
    Review
  8. Split AAV-Mediated Gene Therapy Restores Ureagenesis in a Murine Model of Carbamoyl Phosphate Synthetase 1 Deficiency.Molecular therapy : the journal of the American Society of Gene Therapy · 2020
    Article
  9. JIMD reports · 2019
    Article
  10. Gut microbes
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Dashuang ShiCenter for Genetic Medicine Research, Department of Integrative Systems Biology, Children's Research Institute, Children's National Health System, The George Washington University, Washington, DC 20010, USA. Electronic address: dshi@childrensnational.org.
Gengxiang ZhaoCenter for Genetic Medicine Research, Department of Integrative Systems Biology, Children's Research Institute, Children's National Health System, The George Washington University, Washington, DC 20010, USA.
Nicholas Ah MewCenter for Genetic Medicine Research, Department of Integrative Systems Biology, Children's Research Institute, Children's National Health System, The George Washington University, Washington, DC 20010, USA.
Mendel TuchmanCenter for Genetic Medicine Research, Department of Integrative Systems Biology, Children's Research Institute, Children's National Health System, The George Washington University, Washington, DC 20010, USA.
Children's National · USGeorge Washington University · US

Funding

Research_ProjectU54HD090257 · NICHD · CHILDREN'S RESEARCH INSTITUTE · PI GUAY-WOODFORD, LISA MARIE · 2016 to 2020
$5.9M
N-acetylglutamate Synthase: Structure, Function & DefectsR01DK064913 · NIDDK · CHILDREN'S RESEARCH INSTITUTE · PI CALDOVIC, LJUBICA MORIZONO · 2003 to 2017
$4.9M
N-carbamylglutamate in the treatment of hyperammonemiaR01HD058567 · NICHD · CHILDREN'S RESEARCH INSTITUTE · PI TUCHMAN, MENDEL · 2008 to 2016
$4.4M
NICHD NIH HHS R01 HD058567NICHD NIH HHS U54 HD090257NIDDK NIH HHS R01 DK064913
6 · The paper itself

Abstract

This study documents the disparate therapeutic effect of N-carbamyl-l-glutamate (NCG) in the activation of two different disease-causing mutants of carbamyl phosphate synthetase 1 (CPS1). We investigated the effects of NCG on purified recombinant wild-type (WT) mouse CPS1 and its human corresponding E1034G (increased ureagenesis on NCG) and M792I (decreased ureagenesis on NCG) mutants. NCG activates WT CPS1 sub-optimally compared to NAG. Similar to NAG, NCG, in combination with MgATP, stabilizes the enzyme, but competes with NAG binding to the enzyme. NCG supplementation activates available E1034G mutant CPS1 molecules not bound to NAG enhancing ureagenesis. Conversely, NCG competes with NAG binding to the scarce M792I mutant enzyme further decreasing residual ureagenesis. These results correlate with the respective patient's response to NCG. Particular caution should be taken in the administration of NCG to patients with hyperammonemia before their molecular bases of their urea cycle disorders is known.

Indexed as

Adenosine TriphosphateAnimalsCarbamoyl-Phosphate Synthase (Ammonia)Carbamoyl-Phosphate Synthase I Deficiency DiseaseDrug Therapy, CombinationFemaleGlutamatesHumansMaleMiceMutationPrecision MedicineProtein StabilityProtein Structure, TertiaryRare DiseasesAdenosine TriphosphateCarbamoyl-Phosphate Synthase (Ammonia)GlutamatesN-carbamylglutamateCarbamyl phosphate synthetase 1 deficiencyHyperammonemiaN-acetyl-l-glutamateUrea cycle disorder, mutations

Identifiers

PMID28007335
PMCPMC5346444
OpenAlexW2560243869

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.