CPSI plays a vital role in protein and nitrogen metabolism. Once ammonia has been brought into the mitochondria via glutamine or glutamate, it is CPSI's job to add the ammonia to bicarbonate along with a phosphate group to form carbamoyl phosphate.
Carbamoyl phosphate is then put into the
urea cycle to eventually create urea. Urea can then be transferred back to the
blood stream and to the
kidneys for filtration and on to the
bladder for excretion.
Disease Lack of or non-functional CPS1 due to mutation in the
CPS1 gene on
chromosome 2 that leads to carbamoyl phosphate synthetase I deficiency. CPS1 deficiency is an
autosomal recessive metabolic disorder inherited from the mutation-carrier parents. When CPS1 functionality is absent, proteins and nitrogen are poorly, rather incompletely metabolised, resulting in high levels of ammonia in the body. This is dangerous because ammonia is highly toxic to the body, especially the
nervous system, and can result in
intellectual disability and
seizures. The disease is rare and is estimated to occur one in 1.3 million people worldwide, but the condition is poorly recorded since most individuals with the disease die during infancy. ==Notes==