Table 1 Main characteristics of patients

From: Characterization and treatment monitoring of ureagenesis disorders using stable isotopes

Patient ID

Gender

Neonatal onset yes: 1; no: 0

Asympt: 0

Sympt: 1

Affected gene

Variant (s)

Age at assay (y)

NH3 at diagnosis (µmol/L)

Additional Information

CPS1D_1

F

1

1

CPS1 (NM_001875.5)

c.2291C>T, p.(Pro764Leu); c.3935dup, p.(Met1312IlefsTer11)

0.34

289

Low protein diet (1.4 g/kg/d)

CPS1D_2

F

0

0

c.4002G>A, p.(Glu1334 = ) splicing; c.4229G>A, p.(Trp1410Ter)

31.8

117

 

CPS1D_3A, B, C

M

1

1

c.3520C>T, p.(Arg1174Ter); c.4229G>A, p.(Trp1410Ter)

0.95, 1.01,

1.20

2760

A: pre-LTX, B: 21 and C: 71 d post-LTx

OTCD_1

M

0

1

OTC (NM_000531.6)

c.604C>T, p.(His202Tyr)

10.7

344

 

OTCD_2

M

0

1

c.394T>C, p.(Ser132Pro)

13.6

487

 

OTCD_3

M

0

1

c.264A>T, p.(Lys88Asn)

17.9

557

 

OTCD_4

M

0

1

c.622G>A, p.(Ala208Thr)

74.4

22

Low protein diet (42 g/d)

OTCD_5^^

M

0

1

c.622G>A, p.(Ala208Thr)

82.5

26

Low protein diet (35 g/d)

OTCD_6

M

0

1

c.264A>T, p.(Lys88Asn)

3.9

42

Protein in diet: 26 g/d, 1.6 g/kg/d

OTCD_7

M

0

1

deep intronic c.540 + 265G > A

2.1

52.2

positive NBS for low citrulline (3.2 cut off 7.1)

OTCD_8*

M

0

1

c.264A>T, p.(Lys88Asn)

11.3

133

Protein in diet: 38 g/d, 0.87 g/kg/d

OTCD_9*

M

0

1

c.264A>T, p.(Lys88Asn)

14.0

102

Protein in diet: 43 g/d, 0.6 g/kg/d

OTCD_10

M

0

1

c.365A>G, p.(Glu122Gly)

2.3

  

OTCD_11

M

1

1

c.594C>A, p.(Asn198Lys)

0.77

  

OTCD_12

M

0

1

c.394T>C, p.(Ser132Pro)

34.7

453

 

OTCD_13

M

0

1

c.216 + 1G > A, splicing

2.8

449

 

OTCD_14

M

1

1

c.386G>A, p.(Arg129His)

16.6

688

Liver OTC activity showing 40% of WT, neonatal onset on day 6

OTCD_15

F

0

1

c.958C>T, p.(Arg320Ter)

6.9

417

 

OTCD_16-

F

0

1

c.433C>T, p.(Gln145Ter)

35.9

64

 

OTCD_17

F

0

1

c.2T>C; p.?

4.0

614

 

OTCD_18-

F

0

1

c.718-1G > A, splicing

5.3

340

 

OTCD_19_A, B, C

F

0

1

c.274C>T, p.(Arg92Ter)

8.5, 8.6,

8.6

208

 

OTCD_20

F

0

1

not identified

17.7

214

 

OTCD_21^^

F

0

1

c.622G>A, p.(Ala208Thr)

53.0

26

Low protein diet (45 g/d)

OTCD_22#

F

0

0

c.698C>T, p.(Ala233Val)

1.3

never HA

Plasma OTC activity (68% of the median of female controls)

OTCD_23_A#,B

F

0

0

c.698C>T, p.(Ala233Val)

0.08, 1.4

never HA

Plasma OTC activity and 37% of the median of female controls

OTCD_24-

F

0

0

c.433C>T, p.(Gln145Ter)

2.3

  

OTCD_25-

F

0

0

c.718-1G > A, splicing

33.8

never HA

 

OTCD_26_A, B

F

0

0

c.674C>T, p.(Pro225Leu)

34.2, 35.1

51

mother of OTC male with fatal neonatal onset

OTCD_27

F

0

0

c.386G>A, p.(Arg129His)

35.08

never HA

 

OTCD_28*

F

0

0

c.674C>T, p.(Pro225Leu)

   

OTCD_29*

F

0

0

c.674C>T, p.(Pro225Leu)

   

ASSD_1A, B

M

1

1

ASS1 (NM_054012.4)

c.1168G>A, p.(Gly390Arg) homozygous

0.21, 0.38

2262

A: pre-LTX,

B: 42 d post LTx

ASSD_2

M

0

0

c.535T>C, p.(Trp179Arg); c.917T>G, p.(Val306Gly)

8.6

8.8

 

ASSD_3

M

0

0

c.535T>C, p.(Trp179Arg) homozygous

4.4

8.4

Protein in diet: 25 g/d, 1.3 g/kg/d

ASSD_4

M

0

0

c.535T>C, p.(Trp179Arg); c.827T>A, p.(Met276Lys)

4.8

never HA

 

ASLD_1

F

1

1

ASL (NM_000048.4)

c.470G>T, p.(Gly157Val); r.568_602del, p.(Val190TrpfsTer33)

0.16

281

 

ASLD_2

F

1

1

c.707G>A, p.(Arg236Gln) homozygous

5.9

317

 

ASLD_3A, B

F

1

1

c.719-1G > A; splicing homozygous

0.48, 0.81

810

A: pre-LTX,

B: 100 d post-LTx

ASLD_4A, B

F

1

1

c.436C>T, p.(Arg146Trp) homozygous

7.4, 8.6

1261

A: pre-LTX,

B: 1 year post-LTx

ASLD_5A, B

M

1

1

c.479A>C, p.(His160Pro) homozygous

0.87, 1.1

1052

A: pre-LTX,

B: 30 d post-LTx

ASLD_6_A, B

M

1

1

c.1128C>A, p.(Tyr376Ter) homozygous

0.25, 1. 6

204

A: pre-LTX,

B: 6 m post-LTx

ASLD_7A, B

M

1

1

c.1366C>G, p.(Arg456Gly) homozygous

17.6, 18.1

na

 

ARGD_1

M

0

1

ARG1 (NM_000045.4)

c.306-506A > G, r.305_306ins115, p.(Leu103LysfsTer6)

2.8

110

 

ARGD_2

M

0

1

not known

7.8

not known

 

ARGD_3A, B

M

1

1

c.647ins32bp, p.?;

c.871C>T, p.(Arg291Ter)

13.9, 14.4

>400

Patient on ERT

CTND_1

F

1

1

SLC25A13 (NM_014251.3)

c.1628dup, p.(Ile544TyrfsTer24) homozygous

2.5

not elevated

 

CTND_2+

F

0

1

c.1311 + 1G > A, splicing; c.1348del, p.(Glu450LysfsTer58)

11.5

not elevated

 

CTND_3+

M

0

1

c.1311 + 1G > A, splicing; c.1348del, p.(Glu450LysfsTer58)

17.4

not elevated

 

CTND_4

M

1

1

c.173_174del, p.(Val58GlyfsTer24);

c.1813C>T, p.(Arg605Ter)

4.9

not elevated

 

CTND_5

M

1

1

c.74C>A, p.(Ala25Glu); c.1078C>T, p.(Arg360Ter)

9.5

not elevated

 

CTND_6

M

0

1

c.1177 + 1G > A, p.(Ala340_Arg392del); c.1763G>A, p.(Arg588Gln)

52.8

not known

 

HHH_1A, B, C

M

1

1

SLC25A15 (NM_014252.4)

c.535C>T, p.(Arg179Ter) homozygous

0.02, 0.02,

1.8

910

 

HHH_2

M

0

0

c.380C>T, p.(Thr127 Met) homozygous

9.0

not elevated

 

PA

M

1

1

PCCA/B

-

22.3

slightly elevated

 

HE

M

0

1

-

-

68.2

186

chronic liver disease, adult, secondary HA, single event, hepatic encephalopathy

LPI

M

0

1

SLC7A7 (NM_003982.4)

c.726G>A, (p.Trp242Ter) homozygous

9.6

57

 

TMEM70D

M

0

1

TMEM70 (NM_017866.6)

c.317-2A > G, splicing

homozygous

8.3

120

 

DLDD

M

0

1

DLD (NM_000108.5)

c.685G >T, p.(Gly229Cys) homozygous

18.5

211

 
  1. ARGD arginase 1 deficiency, ASLD argininosuccinate lyase deficiency, ASSD argininosuccinate synthetase deficiency, CTND citrin deficiency, CPS1D carbamoylphosphate synthetase 1 deficiency, DLDD dihydrolipoamide dehydrogenase deficiency, ERT enzyme replacement therapy, HA hyperammonemia, HE hepatic encephalopathy and chronic liver disease, HHH hyperornithinemia, hyperammonemia and homocitrullinuria syndrome, LPI lysinuric protein intolerance, LTx liver transplantation, NBS newborn screening, OTCD ornithine transcarbamylase deficiency, PA propionic acidemia, TMEM70D transmembrane protein 70 deficiency, na not available, ^^: father/daughter; +: brother/sister; * mother/ daughter; ** brothers; - mother/ daughter; # aunt/niece.
  2. More detailed information on patients is provided in Suppl. Table 1.