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Citrin-deficient Patient-derived Induced Pluripotent Stem Cells As a Pathological Liver Model for Congenital Urea Cycle Disorders

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Specialty Endocrinology
Date 2024 Jun 14
PMID 38872960
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Abstract

Citrin deficiency is a congenital secondary urea cycle disorder lacking useful disease models for effective treatment development. In this study, human induced pluripotent stem cells (iPSCs) were generated from two patients with citrin deficiency and differentiated into hepatocyte-like cells (HLCs). Citrin-deficient HLCs produced albumin and liver-specific markers but completely lacked citrin protein and expressed argininosuccinate synthase only weakly. In addition, ammonia concentrations in a medium cultured with citrin-deficient HLCs were higher than with control HLCs. Sodium pyruvate administration significantly reduced ammonia concentrations in the medium of citrin-deficient HLCs and slightly reduced ammonia in HLCs differentiated from control iPSCs, though this change was not significant. Our results suggest that sodium pyruvate may be an efficient treatment for patients with citrin deficiency. Citrin-deficient iPSCs are a pathological liver model for congenital urea cycle disorders to clarify pathogenesis and develop novel therapies.

References
1.
Okano Y, Okamoto M, Yazaki M, Inui A, Ohura T, Murayama K . Analysis of daily energy, protein, fat, and carbohydrate intake in citrin-deficient patients: Towards prevention of adult-onset type II citrullinemia. Mol Genet Metab. 2021; 133(1):63-70. DOI: 10.1016/j.ymgme.2021.03.004. View

2.
Tanaka M, Nishigaki Y, Fuku N, Ibi T, Sahashi K, Koga Y . Therapeutic potential of pyruvate therapy for mitochondrial diseases. Mitochondrion. 2007; 7(6):399-401. DOI: 10.1016/j.mito.2007.07.002. View

3.
Hedden M, BUSE M . Effects of glucose, pyruvate, lactate, and amino acids on muscle protein synthesis. Am J Physiol. 1982; 242(3):E184-92. DOI: 10.1152/ajpendo.1982.242.3.E184. View

4.
Moriyama M, Li M, Kobayashi K, Sinasac D, Kannan Y, Iijima M . Pyruvate ameliorates the defect in ureogenesis from ammonia in citrin-deficient mice. J Hepatol. 2006; 44(5):930-8. DOI: 10.1016/j.jhep.2005.09.018. View

5.
Ikeda S, Yazaki M, Takei Y, Ikegami T, Hashikura Y, Kawasaki S . Type II (adult onset) citrullinaemia: clinical pictures and the therapeutic effect of liver transplantation. J Neurol Neurosurg Psychiatry. 2001; 71(5):663-70. PMC: 1737600. DOI: 10.1136/jnnp.71.5.663. View