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Carglumic Acid

Detailed information about Carglumic Acid

CAS Number

1188-38-1

Category

Carbamoyl phosphate synthetase 1 (CPS 1) activator

Regulatory Status

CEP/EDMF

EDMF available

Innovator Brand

CARBAGLU

Therapeutic Area

Treatment of Hyperammonaemia

USDMF

#40884

Others

Carglumic Acid

Mechanism of Action

Carglumic acid is a synthetic structural analogue of N-acetylglutamate (NAG) which is produced from glutamate and acetyl-CoA in a reaction catalyzed by N-acetylglutamate synthase (NAGS), a mitochondrial liver enzyme.

NAG acts as the essential allosteric activator of carbamoyl phosphate synthetase 1 (CPS 1), a mitochondrial liver enzyme which catalyzes the first reaction of the urea cycle.

The urea cycle, whose role is the disposition of ammonia, includes a series of biochemical reactions in the liver resulting in the conversion of ammonia into urea, which is then excreted through the urine. Carglumic acid acts as a CPS1 activator, improves or restores the function of the urea cycle, and facilitates ammonia detoxification and urea production.

Uses

Acute and Chronic Hyperammonemia due to N-acetylglutamate Synthase (NAGS) Deficiency.

Acute Hyperammonemia due to Propionic Acidemia (PA) or Methylmalonic Acidemia (MMA)

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