Evidence map›Paper›PMID 30724386›Full record

ArticleJournal of inherited metabolic disease2019

Hepatic glutamine synthetase augmentation enhances ammonia detoxification.

Leandro R Soria, Matthew Nitzahn, Angela De Angelis, Suhail Khoja, Sergio Attanasio, Patrizia Annunziata, Donna J Palmer, Philip Ng, Gerald S Lipshutz, Nicola Brunetti-Pierri

Open access · hybridAbstract read
In one paragraph

Article in Journal of inherited metabolic disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
0.9field-weighted citation impact, top 29% 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

13 citing papers in PubMed, 18 citations in OpenAlex.

  1. Glutamine metabolism in health and disease.Signal transduction and targeted therapy · 2026
    Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
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  12. Review
  13. Hyperammonemia Post Lung Transplantation: A Review.Clinical medicine insights. Circulatory, respiratory and pulmonary medicine · 2020
    Review
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

10 authors at 4 institutions in 2 countries.

Leandro R SoriaTelethon Institute of Genetics and Medicine, Pozzuoli, Italy.
Matthew NitzahnDepartment of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Angela De AngelisTelethon Institute of Genetics and Medicine, Pozzuoli, Italy.
Suhail KhojaDepartment of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Sergio AttanasioTelethon Institute of Genetics and Medicine, Pozzuoli, Italy.
Patrizia AnnunziataTelethon Institute of Genetics and Medicine, Pozzuoli, Italy.
Donna J PalmerDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA.
Philip NgDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA.
Gerald S LipshutzDepartment of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Nicola Brunetti-PierriTelethon Institute of Genetics and Medicine, Pozzuoli, Italy.ORCID 0000-0002-6895-8819
Telethon Institute Of Genetics And Medicine · ITUniversity of California, Los Angeles · USBaylor College of Medicine · USFederico II University Hospital · IT

Funding

Development of Molecular Therapy for Carbamoyl Phosphate Synthetase DeficiencyR21NS091654 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI LIPSHUTZ, GERALD S · 2015 to 2016
$424k
NINDS NIH HHS R21 NS091654
6 · The paper itself

Abstract

The urea cycle and glutamine synthetase (GS) are the two main pathways for waste nitrogen removal and their deficiency results in hyperammonemia. Here, we investigated the efficacy of liver-specific GS overexpression for therapy of hyperammonemia. To achieve hepatic GS overexpression, we generated a helper-dependent adenoviral (HDAd) vector expressing the murine GS under the control of a liver-specific expression cassette (HDAd-GS). Compared to mice injected with a control vector expressing an unrelated reporter gene (HDAd-alpha-fetoprotein), wild-type mice with increased hepatic GS showed reduced blood ammonia levels and a concomitant increase of blood glutamine after intraperitoneal injections of ammonium chloride, whereas blood urea was unaffected. Moreover, injection of HDAd-GS reduced blood ammonia levels at baseline and protected against acute hyperammonemia following ammonia challenge in a mouse model with conditional hepatic deficiency of carbamoyl phosphate synthetase 1 (Cps1), the initial and rate-limiting step of ureagenesis. In summary, we found that upregulation of hepatic GS reduced hyperammonemia in wild-type and Cps1-deficient mice, thus confirming a key role of GS in ammonia detoxification. These results suggest that hepatic GS augmentation therapy has potential for treatment of both primary and secondary forms of hyperammonemia.

Indexed as

AmmoniaAnimalsCarbamoyl-Phosphate Synthase (Ammonia)Carbamoyl-Phosphate Synthase I Deficiency DiseaseDisease Models, AnimalFemaleGenetic TherapyGene Transfer TechniquesGlutamate-Ammonia LigaseHyperammonemiaLiverMaleMiceMice, Inbred C57BLMice, TransgenicOrgan SpecificityAmmoniaCarbamoyl-Phosphate Synthase (Ammonia)Glutamate-Ammonia Ligasecarbamoyl phosphate synthetase 1 deficiencyglutamine synthetasehelper-dependent adenoviral vectorshyperammonemiaurea cycle disorders

Identifiers

PMID30724386
PMCPMC6684872
OpenAlexW2911750380

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.