ARGININOSUCCINIC ACIDURIA

ARGININOSUCCINIC ACIDURIA

1. What is Argininosuccinic Aciduria?

Argininosuccinic Aciduria (ASA) is an autosomal recessive disorder of the urea cycle that affects the metabolism of arginine and other amino acids. It is a metabolic disorder caused by a deficiency in the enzyme argininosuccinate lyase, which is responsible for the breakdown of arginine and other amino acids. As a result, the body cannot break down arginine properly, leading to build-up of argininosuccinic acid in the blood and tissues.

2. What are the symptoms of Argininosuccinic Aciduria?

The symptoms of Argininosuccinic Aciduria can vary depending on severity and age, but may include vomiting, poor feeding, lethargy, seizures, liver dysfunction, developmental delays, and even coma. It can also lead to intellectual disability, hypotonia, and poor growth.

3. What are the causes of Argininosuccinic Aciduria?

Argininosuccinic Aciduria is caused by a deficiency in the enzyme argininosuccinate lyase, which is responsible for the breakdown of arginine and other amino acids. This enzyme deficiency is inherited in an autosomal recessive fashion, meaning that both parents must carry the gene for the disorder in order for it to be passed on to their child.

4. How is Argininosuccinic Aciduria diagnosed?

Argininosuccinic Aciduria is usually diagnosed through a combination of blood tests and urine tests. Blood tests will measure levels of argininosuccinic acid, while urine tests will measure levels of ammonia and other amino acids. A diagnosis can also be made through genetic testing.

5. What is the treatment for Argininosuccinic Aciduria?

The treatment for Argininosuccinic Aciduria typically involves managing the symptoms and preventing any further damage to the body. This can include a special diet, medications to reduce ammonia levels, and supplements to replace the lost amino acids. In severe cases, a liver transplant may be necessary.

6. What is the prognosis for Argininosuccinic Aciduria?

The prognosis for Argininosuccinic Aciduria varies depending on the severity of the disorder, but can be generally good. With proper management and treatment, most affected individuals can lead normal, healthy lives.

7. What are the long-term complications of Argininosuccinic Aciduria?

The long-term complications of Argininosuccinic Aciduria can include liver failure, intellectual disability, and seizures.

8. What lifestyle changes can help people with Argininosuccinic Aciduria?

People with Argininosuccinic Aciduria should follow a special diet that is low in arginine and other amino acids, as well as avoiding certain medications and supplements that may interfere with the body’s ability to metabolize arginine. Regular physical activity and stress management can also help to reduce the risk of complications.

9. Are there any support groups available for people with Argininosuccinic Aciduria?

Yes, there are several support groups available for people with Argininosuccinic Aciduria, both online and in person. These groups provide information, resources, and a sense of community for those affected by the disorder.

10. Are there any clinical trials for Argininosuccinic Aciduria?

Yes, there are several clinical trials currently underway for Argininosuccinic Aciduria. These trials are researching potential treatments and therapies that may help to reduce the symptoms and complications associated with the disorder.

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