“…Dysregulated ammonia metabolism occurs in a number of chronic diseases, including liver cirrhosis, heart failure, and chronic obstructive pulmonary disease ( Dasarathy and Hatzoglou, 2018 ; Medeiros et al., 2014 ; Valero et al., 1974 ). During the consequent hyperammonemia, skeletal muscle becomes a major organ for ammonia uptake ( Ganda and Ruderman, 1976 ; Lockwood et al., 1979 ; Qiu et al., 2013 ) with complex molecular and metabolic perturbations( Dasarathy and Hatzoglou, 2018 ; Davuluri et al., 2016a , 2016b ; Kumar et al., 2021 ; Medeiros et al., 2014 ; Valero et al., 1974 ; Welch et al., 2021 ). However, circulating and skeletal muscle ammonia concentrations do not parallel each other, which may be because of an increased expression of inducible skeletal muscle ammonia transporter, RhBG ( Kant et al., 2019 ; McDaniel et al., 2016 ; Qiu et al., 2013 ).…”