rdf:type |
|
lifeskim:mentions |
|
pubmed:issue |
2
|
pubmed:dateCreated |
1987-1-16
|
pubmed:abstractText |
A patient with severe progressive neuropathy and growth retardation who showed a persistent ketosis despite normal blood glucose levels is described. A liver biopsy was analyzed for 3-oxoacyl-CoA thiolase activity. One of the mitochondrial 3-oxoacyl-CoA thiolases which in normal control liver could be activated by K+ was virtually absent in the patient's liver. An intensive search for 3-methylhydroxybutyric acid and 3-methylacetoacetic acid by gas chromatography/mass spectroscopy in the patient's urine failed to show the presence of these acids, demonstrating that the 3-methylacetoacetyl-CoA thiolase is functioning in this patient. It is therefore concluded that the persistent ketosis is due to a deficiency of the mitochondrial acetoacetyl-CoA specific thiolase.
|
pubmed:language |
eng
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pubmed:journal |
|
pubmed:citationSubset |
IM
|
pubmed:chemical |
|
pubmed:status |
MEDLINE
|
pubmed:month |
Oct
|
pubmed:issn |
0885-4505
|
pubmed:author |
|
pubmed:issnType |
Print
|
pubmed:volume |
36
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
198-206
|
pubmed:dateRevised |
2006-11-15
|
pubmed:meshHeading |
pubmed-meshheading:3778684-Acetyl-CoA C-Acyltransferase,
pubmed-meshheading:3778684-Acidosis, Lactic,
pubmed-meshheading:3778684-Acyltransferases,
pubmed-meshheading:3778684-Carboxylic Acids,
pubmed-meshheading:3778684-Child, Preschool,
pubmed-meshheading:3778684-Chromatography, Gas,
pubmed-meshheading:3778684-Female,
pubmed-meshheading:3778684-Growth Disorders,
pubmed-meshheading:3778684-Humans,
pubmed-meshheading:3778684-Ketone Bodies,
pubmed-meshheading:3778684-Ketosis,
pubmed-meshheading:3778684-Lactates,
pubmed-meshheading:3778684-Lactic Acid,
pubmed-meshheading:3778684-Mitochondria, Liver
|
pubmed:year |
1986
|
pubmed:articleTitle |
Mitochondrial acetoacetyl-CoA thiolase deficiency.
|
pubmed:publicationType |
Journal Article,
Case Reports
|