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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1980-4-23
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pubmed:abstractText |
Biochemical investigations are reported in an infant with methylmalonic aciduria and homocystinuria who died at 4 months of age. Postmortem analysis of liver obtained 2 weeks after the child was treated with vitamin B12 revealed deficient activity of both cobalamin dependent enzymes: N5-methyltetrahydrofolate: homocysteine methyltransferase (requiring Me-Cbl), and methylmalonyl CoA mutase (requiring Ado-Cbl). MMA-CoA mutase activity could be restored to normal in vitro by added Ado-Cbl, but MeTHF-HCy transferase activity was not significantly enhanced by addition of Me-Cbl. Though the serum total cobalamin was normal, total cobalamin in liver and kidney was abnormally low. In the kidney Me-Cbl and Ado-Cbl were disproportionally decreased whereas in the liver only Ado-Cbl was significantly reduced. This suggests that at least some of the CN-Cbl administered was converted to the coenzymes in liver which would explain the reduction of MMA- and HCy-excretion during therapy. The results show 1. that this infant suffered from a congenital defect in one of the steps of intracellular cobalamin metabolism or transport common to the synthesis of both coenzymes, 2. that life-long treatment with vitamin B12 (OH-Cbl) may be of value in similar cases, particularly if given early in the course of the disease.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/5-Methyltetrahydrofolate-Homocystein...,
http://linkedlifedata.com/resource/pubmed/chemical/Amino Acids,
http://linkedlifedata.com/resource/pubmed/chemical/Coenzymes,
http://linkedlifedata.com/resource/pubmed/chemical/Methylmalonic Acid,
http://linkedlifedata.com/resource/pubmed/chemical/Methylmalonyl-CoA Mutase,
http://linkedlifedata.com/resource/pubmed/chemical/Vitamin B 12
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pubmed:status |
MEDLINE
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pubmed:issn |
0018-022X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
34
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
483-96
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:43301-5-Methyltetrahydrofolate-Homocysteine S-Methyltransferase,
pubmed-meshheading:43301-Amino Acids,
pubmed-meshheading:43301-Coenzymes,
pubmed-meshheading:43301-Homocystinuria,
pubmed-meshheading:43301-Humans,
pubmed-meshheading:43301-Infant,
pubmed-meshheading:43301-Kidney,
pubmed-meshheading:43301-Liver,
pubmed-meshheading:43301-Male,
pubmed-meshheading:43301-Metabolism, Inborn Errors,
pubmed-meshheading:43301-Methylmalonic Acid,
pubmed-meshheading:43301-Methylmalonyl-CoA Mutase,
pubmed-meshheading:43301-Vitamin B 12
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pubmed:year |
1979
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pubmed:articleTitle |
Congenital defect in intracellular cobalamin metabolism resulting in homocystinuria and methylmalonic aciduria. II. Biochemical investigations.
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pubmed:publicationType |
Journal Article,
Case Reports
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