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Methylmalonic aciduria and propionic acidaemia studied by proton nuclear magnetic resonance spectroscopy

Abstract

Proton nuclear magnetic resonance spectroscopy has been used to monitor changes in urinary metabolites in a patient with propionic acidaemia over a period of 10 months and in a patient with methylmalonic aciduria over a period of 11 days. Results could be obtained within 5-10 min of sample receipt. In the spectra on the patient with propionic acidaemia not only could fluctuations in 3-hydroxypropionate and propionylglycine excretion be followed, but also variations in creatine, glycine and betaine, which were often present at millimolar concentrations. The patient with methylmalonic aciduria had an acute episode of severe ketoacidosis during which the glycine excretion fell but creatine excretion rose and then fell on recovery from the episode. The changes in the creatine excretion may reflect disorders in intracellular energy supply. Nuclear magnetic resonance is a powerful technique for monitoring metabolic perturbations in the organic acidurias in 'real-time', allowing the planning and evaluation of therapy. (Auth.). 18 refs.; 4 figs.; 3 tabs.
Publication Date:
Dec 15, 1986
Product Type:
Journal Article
Reference Number:
AIX-18-056680; EDB-87-112294
Resource Relation:
Journal Name: Clin. Chim. Acta; (Netherlands); Journal Volume: 161:2
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; METABOLIC DISEASES; NUCLEAR MAGNETIC RESONANCE; URINE; BETAINE; CARBOXYLASE; CARBOXYLIC ACID SALTS; CREATINE; DIAGNOSTIC TECHNIQUES; GLYCINE; METABOLITES; AMINES; AMINO ACIDS; AMMONIUM COMPOUNDS; BIOLOGICAL MATERIALS; BIOLOGICAL WASTES; BODY FLUIDS; CARBON-CARBON LYASES; CARBOXY-LYASES; CARBOXYLIC ACIDS; DISEASES; DRUGS; ENZYMES; LIPOTROPIC FACTORS; LYASES; MAGNETIC RESONANCE; MATERIALS; ORGANIC ACIDS; ORGANIC COMPOUNDS; QUATERNARY COMPOUNDS; RESONANCE; WASTES; 550602* - Medicine- External Radiation in Diagnostics- (1980-)
OSTI ID:
6354030
Research Organizations:
London Hospital, UK. Medical Coll.; Medical Research Council, Harrow, UK. Clinical Research Centre
Country of Origin:
Netherlands
Language:
English
Other Identifying Numbers:
Journal ID: CODEN: CCATA
Submitting Site:
INIS
Size:
Pages: 173-189
Announcement Date:
Jul 01, 1987

Citation Formats

Iles, R A, Hind, A J, and Chalmers, R A. Methylmalonic aciduria and propionic acidaemia studied by proton nuclear magnetic resonance spectroscopy. Netherlands: N. p., 1986. Web. doi:10.1016/0009-8981(86)90211-1.
Iles, R A, Hind, A J, & Chalmers, R A. Methylmalonic aciduria and propionic acidaemia studied by proton nuclear magnetic resonance spectroscopy. Netherlands. https://doi.org/10.1016/0009-8981(86)90211-1
Iles, R A, Hind, A J, and Chalmers, R A. 1986. "Methylmalonic aciduria and propionic acidaemia studied by proton nuclear magnetic resonance spectroscopy." Netherlands. https://doi.org/10.1016/0009-8981(86)90211-1.
@misc{etde_6354030,
title = {Methylmalonic aciduria and propionic acidaemia studied by proton nuclear magnetic resonance spectroscopy}
author = {Iles, R A, Hind, A J, and Chalmers, R A}
abstractNote = {Proton nuclear magnetic resonance spectroscopy has been used to monitor changes in urinary metabolites in a patient with propionic acidaemia over a period of 10 months and in a patient with methylmalonic aciduria over a period of 11 days. Results could be obtained within 5-10 min of sample receipt. In the spectra on the patient with propionic acidaemia not only could fluctuations in 3-hydroxypropionate and propionylglycine excretion be followed, but also variations in creatine, glycine and betaine, which were often present at millimolar concentrations. The patient with methylmalonic aciduria had an acute episode of severe ketoacidosis during which the glycine excretion fell but creatine excretion rose and then fell on recovery from the episode. The changes in the creatine excretion may reflect disorders in intracellular energy supply. Nuclear magnetic resonance is a powerful technique for monitoring metabolic perturbations in the organic acidurias in 'real-time', allowing the planning and evaluation of therapy. (Auth.). 18 refs.; 4 figs.; 3 tabs.}
doi = {10.1016/0009-8981(86)90211-1}
journal = []
volume = {161:2}
journal type = {AC}
place = {Netherlands}
year = {1986}
month = {Dec}
}