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10.1073/pnas.1714670115

http://scihub22266oqcxt.onion/10.1073/pnas.1714670115
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C5777051!5777051!29279371
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suck abstract from ncbi


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pmid29279371      Proc+Natl+Acad+Sci+U+S+A 2018 ; 115 (2): 391-6
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  • Enhancement of hepatic autophagy increases ureagenesis and protects against hyperammonemia #MMPMID29279371
  • Soria LR; Allegri G; Melck D; Pastore N; Annunziata P; Paris D; Polishchuk E; Nusco E; Thöny B; Motta A; Häberle J; Ballabio A; Brunetti-Pierri N
  • Proc Natl Acad Sci U S A 2018[Jan]; 115 (2): 391-6 PMID29279371show ga
  • Waste nitrogen is converted into urea by the healthy liver. Systemic ammonia is elevated in patients with inherited urea-cycle disorders or acute and chronic liver diseases. Hyperammonemia is a challenging medical condition that holds high risks of mortality and irreversible brain damage. Current treatments are often inadequate. Autophagy is a lysosomal recycling pathway that plays a major role in metabolism. Here, we found that liver autophagy is involved in ammonia homeostasis in vivo and that enhancement of hepatic autophagy increases ureagenesis by providing key urea-cycle intermediates and ATP. Importantly, pharmacological enhancement of autophagy protects against hyperammonemia resulting from both inherited and acquired causes. These findings may lead to development of new drugs promoting ammonia clearance in patients with hyperammonemia.
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