Biotin and carnitine profiles in preterm infants in Japan

Background Biotin plays an important role as a covalently bound coenzyme for carboxylases. Carnitine is essential in β‐oxidation to transport long‐chain fatty acids across the inner mitochondrial membrane. The present study was conducted to assess the risk of biotin and carnitine deficiencies in pre...

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Veröffentlicht in:Pediatrics international 2013-06, Vol.55 (3), p.342-345
Hauptverfasser: Tokuriki, Shuko, Hayashi, Hisako, Okuno, Takashi, Yoshioka, Kikuko, Okazaki, Shintaro, Kawakita, Akiko, Ohta, Genrei, Hata, Ikue, Shigematsu, Yosuke, Ohshima, Yusei
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container_issue 3
container_start_page 342
container_title Pediatrics international
container_volume 55
creator Tokuriki, Shuko
Hayashi, Hisako
Okuno, Takashi
Yoshioka, Kikuko
Okazaki, Shintaro
Kawakita, Akiko
Ohta, Genrei
Hata, Ikue
Shigematsu, Yosuke
Ohshima, Yusei
description Background Biotin plays an important role as a covalently bound coenzyme for carboxylases. Carnitine is essential in β‐oxidation to transport long‐chain fatty acids across the inner mitochondrial membrane. The present study was conducted to assess the risk of biotin and carnitine deficiencies in preterm infants who received enteral feeding with maternal milk and/or standard infant formula made in Japan. Methods Forty‐six infants were enrolled in the study. Urine and serum samples and dried blood spots were collected at 1 week and 1 month of age. Additionally, samples were collected at 40 and 44 weeks post‐menstrual age (PMA) in preterm infants. Free carnitine and C5‐OH acylcarnitine, which consist of 3‐hydroxyisovalerylcarnitine as a major isomer, were measured in serum samples and dried blood spots using tandem mass spectrometry. Urine 3‐hydroxyisovaleric acid (3‐HIVA) was measured using gas chromatography/mass spectrometry. Results The free carnitine levels in preterm infants were significantly lower than those in term infants, but increased with PMA in serum samples and dried blood spots. C5‐OH acylcarnitine and urinary 3‐HIVA levels, which were very low in term infants, were increased with PMA in preterm infants. Conclusion The present results may indicate chronic biotin deficiency in preterm infants fed maternal milk and/or standard infant formula. Analyses of carnitine profiles of dried blood spots and urine 3‐HIVA are relatively non‐invasive and useful for the early detection of biotin deficiency in preterm infants.
doi_str_mv 10.1111/ped.12053
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Carnitine is essential in β‐oxidation to transport long‐chain fatty acids across the inner mitochondrial membrane. The present study was conducted to assess the risk of biotin and carnitine deficiencies in preterm infants who received enteral feeding with maternal milk and/or standard infant formula made in Japan. Methods Forty‐six infants were enrolled in the study. Urine and serum samples and dried blood spots were collected at 1 week and 1 month of age. Additionally, samples were collected at 40 and 44 weeks post‐menstrual age (PMA) in preterm infants. Free carnitine and C5‐OH acylcarnitine, which consist of 3‐hydroxyisovalerylcarnitine as a major isomer, were measured in serum samples and dried blood spots using tandem mass spectrometry. Urine 3‐hydroxyisovaleric acid (3‐HIVA) was measured using gas chromatography/mass spectrometry. Results The free carnitine levels in preterm infants were significantly lower than those in term infants, but increased with PMA in serum samples and dried blood spots. C5‐OH acylcarnitine and urinary 3‐HIVA levels, which were very low in term infants, were increased with PMA in preterm infants. Conclusion The present results may indicate chronic biotin deficiency in preterm infants fed maternal milk and/or standard infant formula. Analyses of carnitine profiles of dried blood spots and urine 3‐HIVA are relatively non‐invasive and useful for the early detection of biotin deficiency in preterm infants.</description><identifier>ISSN: 1328-8067</identifier><identifier>EISSN: 1442-200X</identifier><identifier>DOI: 10.1111/ped.12053</identifier><identifier>PMID: 23316835</identifier><language>eng</language><publisher>Australia: Blackwell Publishing Ltd</publisher><subject>3-hydroxyisovaleric acid ; Baby foods ; Biochemistry ; biotin ; Biotin - blood ; Biotin - deficiency ; Breastfeeding &amp; lactation ; carnitine ; Carnitine - blood ; Carnitine - deficiency ; Dried Blood Spot Testing ; Enteral Nutrition ; Female ; Gestational Age ; Humans ; infant formula ; Infant, Low Birth Weight ; Infant, Newborn ; Infant, Premature, Diseases - blood ; Intensive Care Units, Neonatal ; Japan ; Male ; Milk, Human ; Pediatrics ; Premature birth ; preterm infant ; Reference Values</subject><ispartof>Pediatrics international, 2013-06, Vol.55 (3), p.342-345</ispartof><rights>2013 The Authors. Pediatrics International © 2013 Japan Pediatric Society</rights><rights>2013 The Authors. Pediatrics International © 2013 Japan Pediatric Society.</rights><rights>Pediatrics International © 2013 Japan Pediatric Society</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fped.12053$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fped.12053$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23316835$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tokuriki, Shuko</creatorcontrib><creatorcontrib>Hayashi, Hisako</creatorcontrib><creatorcontrib>Okuno, Takashi</creatorcontrib><creatorcontrib>Yoshioka, Kikuko</creatorcontrib><creatorcontrib>Okazaki, Shintaro</creatorcontrib><creatorcontrib>Kawakita, Akiko</creatorcontrib><creatorcontrib>Ohta, Genrei</creatorcontrib><creatorcontrib>Hata, Ikue</creatorcontrib><creatorcontrib>Shigematsu, Yosuke</creatorcontrib><creatorcontrib>Ohshima, Yusei</creatorcontrib><title>Biotin and carnitine profiles in preterm infants in Japan</title><title>Pediatrics international</title><addtitle>Pediatr Int</addtitle><description>Background Biotin plays an important role as a covalently bound coenzyme for carboxylases. Carnitine is essential in β‐oxidation to transport long‐chain fatty acids across the inner mitochondrial membrane. The present study was conducted to assess the risk of biotin and carnitine deficiencies in preterm infants who received enteral feeding with maternal milk and/or standard infant formula made in Japan. Methods Forty‐six infants were enrolled in the study. Urine and serum samples and dried blood spots were collected at 1 week and 1 month of age. Additionally, samples were collected at 40 and 44 weeks post‐menstrual age (PMA) in preterm infants. Free carnitine and C5‐OH acylcarnitine, which consist of 3‐hydroxyisovalerylcarnitine as a major isomer, were measured in serum samples and dried blood spots using tandem mass spectrometry. Urine 3‐hydroxyisovaleric acid (3‐HIVA) was measured using gas chromatography/mass spectrometry. Results The free carnitine levels in preterm infants were significantly lower than those in term infants, but increased with PMA in serum samples and dried blood spots. C5‐OH acylcarnitine and urinary 3‐HIVA levels, which were very low in term infants, were increased with PMA in preterm infants. Conclusion The present results may indicate chronic biotin deficiency in preterm infants fed maternal milk and/or standard infant formula. Analyses of carnitine profiles of dried blood spots and urine 3‐HIVA are relatively non‐invasive and useful for the early detection of biotin deficiency in preterm infants.</description><subject>3-hydroxyisovaleric acid</subject><subject>Baby foods</subject><subject>Biochemistry</subject><subject>biotin</subject><subject>Biotin - blood</subject><subject>Biotin - deficiency</subject><subject>Breastfeeding &amp; lactation</subject><subject>carnitine</subject><subject>Carnitine - blood</subject><subject>Carnitine - deficiency</subject><subject>Dried Blood Spot Testing</subject><subject>Enteral Nutrition</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Humans</subject><subject>infant formula</subject><subject>Infant, Low Birth Weight</subject><subject>Infant, Newborn</subject><subject>Infant, Premature, Diseases - blood</subject><subject>Intensive Care Units, Neonatal</subject><subject>Japan</subject><subject>Male</subject><subject>Milk, Human</subject><subject>Pediatrics</subject><subject>Premature birth</subject><subject>preterm infant</subject><subject>Reference Values</subject><issn>1328-8067</issn><issn>1442-200X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkMlOwzAYhC0EoqVw4AVQJC5c0npJbOcIXUEVO6I3y4kdySVJg50I-va4CxzwxWPPN9bvAeAcwT7ya1Br1UcYxuQAdFEU4RBDuDj0mmAeckhZB5w4t4QQcsajY9DBhCDKSdwFyY1ZNaYKZKWCTNrK-IMOarvKTaFd4J3a6kbb0stcVs326k7WsjoFR7ksnD7b7z3wNhm_Dmfh_GF6O7yeh4ZwQkJJeEwimec8TbFUHCmUIB1jjVKpMqJSilWSwowlea45khzzDCZKsgzRjUd64Gr3rh_qs9WuEaVxmS4KWelV6wQiDFL_nxh59PIfuly1tvLTeYomBHLKmKcu9lSbllqJ2ppS2rX4LcUDgx3w5TtY__kIik3bwrcttm2Lx_FoK3wi3CWMa_T3X0LaD0EZYbF4v5-K2dPkZbqYjcQz-QEwJH9z</recordid><startdate>201306</startdate><enddate>201306</enddate><creator>Tokuriki, Shuko</creator><creator>Hayashi, Hisako</creator><creator>Okuno, Takashi</creator><creator>Yoshioka, Kikuko</creator><creator>Okazaki, Shintaro</creator><creator>Kawakita, Akiko</creator><creator>Ohta, Genrei</creator><creator>Hata, Ikue</creator><creator>Shigematsu, Yosuke</creator><creator>Ohshima, Yusei</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201306</creationdate><title>Biotin and carnitine profiles in preterm infants in Japan</title><author>Tokuriki, Shuko ; Hayashi, Hisako ; Okuno, Takashi ; Yoshioka, Kikuko ; Okazaki, Shintaro ; Kawakita, Akiko ; Ohta, Genrei ; Hata, Ikue ; Shigematsu, Yosuke ; Ohshima, Yusei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-i3833-a38534aff8bb2ad81d191e52e1badc3db62d9b0c79ffe81a828c09da7c16b62d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>3-hydroxyisovaleric acid</topic><topic>Baby foods</topic><topic>Biochemistry</topic><topic>biotin</topic><topic>Biotin - blood</topic><topic>Biotin - deficiency</topic><topic>Breastfeeding &amp; lactation</topic><topic>carnitine</topic><topic>Carnitine - blood</topic><topic>Carnitine - deficiency</topic><topic>Dried Blood Spot Testing</topic><topic>Enteral Nutrition</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Humans</topic><topic>infant formula</topic><topic>Infant, Low Birth Weight</topic><topic>Infant, Newborn</topic><topic>Infant, Premature, Diseases - blood</topic><topic>Intensive Care Units, Neonatal</topic><topic>Japan</topic><topic>Male</topic><topic>Milk, Human</topic><topic>Pediatrics</topic><topic>Premature birth</topic><topic>preterm infant</topic><topic>Reference Values</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tokuriki, Shuko</creatorcontrib><creatorcontrib>Hayashi, Hisako</creatorcontrib><creatorcontrib>Okuno, Takashi</creatorcontrib><creatorcontrib>Yoshioka, Kikuko</creatorcontrib><creatorcontrib>Okazaki, Shintaro</creatorcontrib><creatorcontrib>Kawakita, Akiko</creatorcontrib><creatorcontrib>Ohta, Genrei</creatorcontrib><creatorcontrib>Hata, Ikue</creatorcontrib><creatorcontrib>Shigematsu, Yosuke</creatorcontrib><creatorcontrib>Ohshima, Yusei</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatrics international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tokuriki, Shuko</au><au>Hayashi, Hisako</au><au>Okuno, Takashi</au><au>Yoshioka, Kikuko</au><au>Okazaki, Shintaro</au><au>Kawakita, Akiko</au><au>Ohta, Genrei</au><au>Hata, Ikue</au><au>Shigematsu, Yosuke</au><au>Ohshima, Yusei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Biotin and carnitine profiles in preterm infants in Japan</atitle><jtitle>Pediatrics international</jtitle><addtitle>Pediatr Int</addtitle><date>2013-06</date><risdate>2013</risdate><volume>55</volume><issue>3</issue><spage>342</spage><epage>345</epage><pages>342-345</pages><issn>1328-8067</issn><eissn>1442-200X</eissn><abstract>Background Biotin plays an important role as a covalently bound coenzyme for carboxylases. Carnitine is essential in β‐oxidation to transport long‐chain fatty acids across the inner mitochondrial membrane. The present study was conducted to assess the risk of biotin and carnitine deficiencies in preterm infants who received enteral feeding with maternal milk and/or standard infant formula made in Japan. Methods Forty‐six infants were enrolled in the study. Urine and serum samples and dried blood spots were collected at 1 week and 1 month of age. Additionally, samples were collected at 40 and 44 weeks post‐menstrual age (PMA) in preterm infants. Free carnitine and C5‐OH acylcarnitine, which consist of 3‐hydroxyisovalerylcarnitine as a major isomer, were measured in serum samples and dried blood spots using tandem mass spectrometry. Urine 3‐hydroxyisovaleric acid (3‐HIVA) was measured using gas chromatography/mass spectrometry. Results The free carnitine levels in preterm infants were significantly lower than those in term infants, but increased with PMA in serum samples and dried blood spots. C5‐OH acylcarnitine and urinary 3‐HIVA levels, which were very low in term infants, were increased with PMA in preterm infants. Conclusion The present results may indicate chronic biotin deficiency in preterm infants fed maternal milk and/or standard infant formula. Analyses of carnitine profiles of dried blood spots and urine 3‐HIVA are relatively non‐invasive and useful for the early detection of biotin deficiency in preterm infants.</abstract><cop>Australia</cop><pub>Blackwell Publishing Ltd</pub><pmid>23316835</pmid><doi>10.1111/ped.12053</doi><tpages>4</tpages></addata></record>
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ispartof Pediatrics international, 2013-06, Vol.55 (3), p.342-345
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subjects 3-hydroxyisovaleric acid
Baby foods
Biochemistry
biotin
Biotin - blood
Biotin - deficiency
Breastfeeding & lactation
carnitine
Carnitine - blood
Carnitine - deficiency
Dried Blood Spot Testing
Enteral Nutrition
Female
Gestational Age
Humans
infant formula
Infant, Low Birth Weight
Infant, Newborn
Infant, Premature, Diseases - blood
Intensive Care Units, Neonatal
Japan
Male
Milk, Human
Pediatrics
Premature birth
preterm infant
Reference Values
title Biotin and carnitine profiles in preterm infants in Japan
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