Modelling urea cycle disorders using iPSCs

Abstract The urea cycle is a liver-based pathway enabling disposal of nitrogen waste. Urea cycle disorders (UCDs) are inherited metabolic diseases caused by deficiency of enzymes or transporters involved in the urea cycle and have a prevalence of 1:35,000 live births. Patients present recurrent acut...

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Main Authors: Claire Duff, Julien Baruteau
Format: Article
Language:English
Published: Nature Portfolio 2022-09-01
Series:npj Regenerative Medicine
Online Access:https://doi.org/10.1038/s41536-022-00252-5
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author Claire Duff
Julien Baruteau
author_facet Claire Duff
Julien Baruteau
author_sort Claire Duff
collection DOAJ
description Abstract The urea cycle is a liver-based pathway enabling disposal of nitrogen waste. Urea cycle disorders (UCDs) are inherited metabolic diseases caused by deficiency of enzymes or transporters involved in the urea cycle and have a prevalence of 1:35,000 live births. Patients present recurrent acute hyperammonaemia, which causes high rate of death and neurological sequelae. Long-term therapy relies on a protein-restricted diet and ammonia scavenger drugs. Currently, liver transplantation is the only cure. Hence, high unmet needs require the identification of effective methods to model these diseases to generate innovative therapeutics. Advances in both induced pluripotent stem cells (iPSCs) and genome editing technologies have provided an invaluable opportunity to model patient-specific phenotypes in vitro by creating patients’ avatar models, to investigate the pathophysiology, uncover novel therapeutic targets and provide a platform for drug discovery. This review summarises the progress made thus far in generating 2- and 3-dimensional iPSCs models for UCDs, the challenges encountered and how iPSCs offer future avenues for innovation in developing the next-generation of therapies for UCDs.
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spelling doaj.art-102d60ad66214f22b286647e9bdcb5832022-12-22T03:52:12ZengNature Portfolionpj Regenerative Medicine2057-39952022-09-01711910.1038/s41536-022-00252-5Modelling urea cycle disorders using iPSCsClaire Duff0Julien Baruteau1Genetics and Genomic Medicine Department, Great Ormond Street Institute of Child Health, University College LondonGenetics and Genomic Medicine Department, Great Ormond Street Institute of Child Health, University College LondonAbstract The urea cycle is a liver-based pathway enabling disposal of nitrogen waste. Urea cycle disorders (UCDs) are inherited metabolic diseases caused by deficiency of enzymes or transporters involved in the urea cycle and have a prevalence of 1:35,000 live births. Patients present recurrent acute hyperammonaemia, which causes high rate of death and neurological sequelae. Long-term therapy relies on a protein-restricted diet and ammonia scavenger drugs. Currently, liver transplantation is the only cure. Hence, high unmet needs require the identification of effective methods to model these diseases to generate innovative therapeutics. Advances in both induced pluripotent stem cells (iPSCs) and genome editing technologies have provided an invaluable opportunity to model patient-specific phenotypes in vitro by creating patients’ avatar models, to investigate the pathophysiology, uncover novel therapeutic targets and provide a platform for drug discovery. This review summarises the progress made thus far in generating 2- and 3-dimensional iPSCs models for UCDs, the challenges encountered and how iPSCs offer future avenues for innovation in developing the next-generation of therapies for UCDs.https://doi.org/10.1038/s41536-022-00252-5
spellingShingle Claire Duff
Julien Baruteau
Modelling urea cycle disorders using iPSCs
npj Regenerative Medicine
title Modelling urea cycle disorders using iPSCs
title_full Modelling urea cycle disorders using iPSCs
title_fullStr Modelling urea cycle disorders using iPSCs
title_full_unstemmed Modelling urea cycle disorders using iPSCs
title_short Modelling urea cycle disorders using iPSCs
title_sort modelling urea cycle disorders using ipscs
url https://doi.org/10.1038/s41536-022-00252-5
work_keys_str_mv AT claireduff modellingureacycledisordersusingipscs
AT julienbaruteau modellingureacycledisordersusingipscs