Odd-numbered long-chain fatty acids in erythrocyte phospholipids as long-term follow-up parameter in propionic acidemia

Verfasser / Beitragende:
[Thomas Meissner, Michael Leichsenring, Ertan Mayatepek]
Ort, Verlag, Jahr:
2004
Enthalten in:
Clinical Chemistry and Laboratory Medicine, 42/9(2004-09-01), 1005-1008
Format:
Artikel (online)
ID: 378904701
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024 7 0 |a 10.1515/CCLM.2004.203  |2 doi 
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245 0 0 |a Odd-numbered long-chain fatty acids in erythrocyte phospholipids as long-term follow-up parameter in propionic acidemia  |h [Elektronische Daten]  |c [Thomas Meissner, Michael Leichsenring, Ertan Mayatepek] 
520 3 |a Odd-numbered long-chain fatty acids (OLCFAs) increase in total erythrocyte lipids or plasma in patients with propionic acidemia and have been proposed as a useful parameter of metabolic control. However, up to now no parameter for long-term metabolic control has been available for this disorder. In contrast to previous investigations, we investigated OLCFAs with particular reference to differences for two phospholipid fractions of erythrocyte lipids. The phosphatidylethanolamine (PE) fraction of erythrocyte lipids has a slow turnover rate and might reflect the metabolic propionyl-CoA burden over a period of some weeks. Distinct increases in OLCFA of up to 200% in the phosphatidylcholine fraction were observed after episodes of metabolic decompensation and maximum OLCFA levels were found 3 weeks after the onset of a crisis. As a sign of poor metabolic control, OLCFA levels in PE steadily increased after recurrent episodes of decompensation, but not in clinically stable patients. However, in one patient with clinically good metabolic control, OLCFAs continually increased after the second year of life for an as yet unknown reason. In conclusion, data from this study indicate the usefulness of OLCFA analysis in the PE fraction of erythrocyte lipids, in particular with regard to the need for such a parameter for evidence-based improvement of management strategies in propionic acidemia. 
540 |a © Walter de Gruyter 
690 7 |a Medical equipment & techniques  |2 nationallicence 
690 7 |a Medical diagnosis  |2 nationallicence 
690 7 |a Diseases & disorders  |2 nationallicence 
690 7 |a inborn errors of metabolism  |2 nationallicence 
690 7 |a odd-numbered long-chain fatty acids  |2 nationallicence 
690 7 |a propionic acidemia  |2 nationallicence 
700 1 |a Meissner  |D Thomas  |u Department of General Pediatrics, University, Children's Hospital, Düsseldorf, Germany  |4 aut 
700 1 |a Leichsenring  |D Michael  |u University Children's Hospital, Ulm, Germany  |4 aut 
700 1 |a Mayatepek  |D Ertan  |u Department of General Pediatrics, University, Children's Hospital, Düsseldorf, Germany  |4 aut 
773 0 |t Clinical Chemistry and Laboratory Medicine  |d Walter de Gruyter  |g 42/9(2004-09-01), 1005-1008  |x 1434-6621  |q 42:9<1005  |1 2004  |2 42  |o cclm 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Meissner  |D Thomas  |u Department of General Pediatrics, University, Children's Hospital, Düsseldorf, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Leichsenring  |D Michael  |u University Children's Hospital, Ulm, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Mayatepek  |D Ertan  |u Department of General Pediatrics, University, Children's Hospital, Düsseldorf, Germany  |4 aut 
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