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N-乙酰谷氨酸合成酶缺乏所致高氨血症

Hyperammonemia due to N-acetylglutamate synthase deficiency

定义 英文原文(暂无中文)

A rare disorder of urea cycle metabolism causing a deficit of ammonia detoxification and arginine synthesis, and characterized by hyperammonemia of variable severity. Manifestations range from neonatal presentation of poor feeding, vomiting, lethargy, tachypnea, convulsions and coma to adult-onset headaches, hazy gastrointestinal symptoms, seizures, behavioral/psychiatric problems, confusion and lethargy.

别名

NAGS缺乏症

基本事实

遗传方式
常染色体隐性
发病年龄
各年龄段
患病率
<1 / 1 000 000(Europe)

相关基因 1

基因名称关联类型
NAGSN-acetylglutamate synthaseDisease-causing germline mutation(s) in

临床表型 42

极常见 99–80%1

  • 高氨血症 HP:0001987

常见 79–30%3

  • 婴儿型肌张力减退 HP:0008947
  • 恶心 HP:0002018
  • 呕吐 HP:0002013

偶见 29–5%21

  • 急性高氨血症 HP:0008281
  • 焦虑不安 HP:0000713
  • 焦虑 HP:0000739
  • 认知功能损害 HP:0100543
  • 昏迷 HP:0001259
  • 意识模糊 HP:0001289
  • 困倦 HP:0002329
  • 情绪不稳 HP:0000712
  • 发育迟滞 HP:0001508
  • 疲乏 HP:0012378
  • 喂养困难 HP:0011968
  • 全面发育迟缓 HP:0001263
  • 头痛 HP:0002315
  • 高丙氨酸血症 HP:0003348
  • 高谷氨酰胺血症 HP:0003217
  • 失眠 HP:0100785
  • 昏睡 HP:0001254
  • 意识丧失 HP:0007185
  • 食欲不振 HP:0004396
  • 少言寡语 HP:0002465
  • 癫痫发作 HP:0001250

罕见 <4–1%17

  • 运动刻板行为 HP:0000733
  • 共济失调 HP:0001251
  • 非典型行为 HP:0000708
  • 脑缺血 HP:0002637
  • 谵妄 HP:0031258
  • 腹泻 HP:0002014
  • 模仿性言语 HP:0010529
  • 脑病 HP:0001298
  • 肝脏肿大 HP:0002240
  • 小头畸形 HP:0000252
  • 骨髓增生异常 HP:0002863
  • 截瘫 HP:0010550
  • 多发性神经病 HP:0001271
  • 精神病发作 HP:0000725
  • 呼吸窘迫 HP:0002098
  • Reye综合征样发作 HP:0006582
  • 卒中 HP:0001297

近两年的全球研究 22L2

2024/08 起在 Europe PMC 检索所得,按发表时间倒序显示最近 20 篇。本病的检索词较宽泛,命中数可能偏高,请以标题为准。标题未译成中文——自动翻译需要接入 LLM 服务,尚未引入。

  • 2026-06开放获取
    A Four-Year Prospective Pilot Study of Newborn Screening for Late-Onset Proximal Urea-Cycle Disorders in Hyogo Prefecture in Japan
    International journal of neonatal screening · DOI · Europe PMC
  • 2026-05开放获取
    Self-Reported Health-Related Quality of Life (HRQoL) in Adults With Urea Cycle Disorders
    Journal of inherited metabolic disease · DOI · Europe PMC
  • 2026-04综述
    The role of real-world data and real-world evidence in advancing regulatory science and targeted therapeutics: a narrative review from the United States perspective
    Personalized medicine · 被引 1 · DOI · Europe PMC
  • 2026-03病例报告开放获取
    Neonatal carbamoyl phosphate synthetase I deficiency with severe hyperammonemic coma: the first report from Palestine
    BMC pediatrics · DOI · Europe PMC
  • 2025-12综述开放获取
    Expert consensus on the combined screening of genes and biomarkers for neonatal diseases
    World journal of pediatrics : WJP · DOI · Europe PMC
  • 2025-12病例报告开放获取
    Diagnostic and management challenges of a case of N-acetylglutamate synthase deficiency in a resource-limited healthcare setting in Tanzania: a case report
    BMC pediatrics · DOI · Europe PMC
  • 2025-12病例报告开放获取
    Case Report: Carglumic acid accelerates ammonia clearance in a neonate with methylmalonic acidemia
    Frontiers in pediatrics · DOI · Europe PMC
  • 2025-09综述
    Current Treatment Modalities for Urea Cycle Disorders
    Paediatric drugs · 被引 1 · DOI · Europe PMC
  • 2025-08开放获取
    Reforming China's Rare Disease Security System: Risk Management Perspectives and a Dedicated Insurance Innovation
    Healthcare (Basel, Switzerland) · 被引 2 · DOI · Europe PMC
  • 2025-08开放获取
    Clinical characteristics and long-term outcomes of 101 patients with urea cycle disorders in China
    Orphanet journal of rare diseases · DOI · Europe PMC
  • 2025-07综述开放获取
    Urea Cycle Disorders Overview
  • 2025-06
    Prevalence of fibrosis in hepatic explants and biopsies from individuals with urea cycle disorders
    Molecular genetics and metabolism · 被引 1 · DOI · Europe PMC
  • 2025-05
    Data-driven consideration of genetic disorders for global genomic newborn screening programs
    Genetics in medicine : official journal of the American College of Med · 被引 29 · DOI · Europe PMC
  • 2025-03开放获取
    Specific drugs for rare diseases in a province of eastern China under catalog management: from 2021 to 2023
    Frontiers in pharmacology · DOI · Europe PMC
  • 2025-03开放获取
    Understanding the Natural History and the Effects of Current Therapeutic Strategies on Urea Cycle Disorders: Insights from the UCD Spanish Registry
    Nutrients · 被引 2 · DOI · Europe PMC
  • 2025-03开放获取
    Perspectives on long-term medical management of urea cycle disorders: insights from a survey of UK healthcare professionals
    Orphanet journal of rare diseases · 被引 2 · DOI · Europe PMC
  • 2025-03开放获取
    Global research dynamics in urea cycle disorders: a bibliometric study highlighting key players and future directions
    Orphanet journal of rare diseases · DOI · Europe PMC
  • 2025-02病例报告开放获取
    Carglumic acid as a treatment for persistent hyperammonemia in carnitine-acylcarnitine translocase deficiency: A case study
    Molecular genetics and metabolism reports · DOI · Europe PMC
  • 2025-02开放获取
    Use of an oversized AAV8 vector for CPS1 deficiency results in long-term survival and ammonia control
    Molecular therapy. Nucleic acids · 被引 3 · DOI · Europe PMC
  • 2025-02开放获取
    Epidemiology of SARS-CoV-2 Infection in Patients with Neuromuscular Disease and Inborn Errors of Metabolism: A Cross-sectional Study for a Pediatric Outpatient Referral in Japan
    The Kobe journal of medical sciences · DOI · Europe PMC

境外已获批用于本病的药物 0L2

欧盟与美国均未检索到已获批用于本病的药物。

已获孤儿药资格、尚未获批的在研药物(2 项)

孤儿药资格只是一种监管身份——它意味着监管机构认可这是罕见病用药并给予研发激励,不代表这个药已被证明有效,也不代表将来一定能上市。绝大多数最终不会成药。列在这里是为了看清有哪些方向正在被尝试。

  • heterologous human adult liver-derived progenitor cells欧盟2013-07-17
    Treatment of N-acetylglutamate synthetase (NAGS) deficiency
    官方记录
  • Prohippur欧盟2016-11-18
    sodium benzoate
    Treatment of N-acetylglutamate synthetase (NAGS) deficiency
    官方记录

数据来自欧洲药品管理局(EMA)的药品与孤儿药资格公开导出表,以及美国 FDA 孤儿药资格数据库。两边口径不同:欧盟一侧取的是当前状态仍为「已授权」的药品;美国一侧记录的是「曾获批准」这一事实,FDA 的公开表不追踪药物此后是否退市(例如 Relyvrio 于 2024 年撤市,表中仍记为已获批)。请以官方记录页为准。

外部标识与链接

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本页数据来源

  • 疾病定义、同义词、基因、表型、流行病学:Orphanet(CC BY 4.0)
  • 中文病名:Orphanet 中文包,冻结于 2020-06-01
  • 表型中文标签:HPO 简体中文翻译(CHPO 上游成果)