Creatine metabolism in combined methylmalonic aciduria and homocystinuria

Methylation is an important aspect of many fundamental biological processes including creatine biosynthesis. We studied five patients with an inborn error of cobalamin metabolism to characterize the relation between homocysteine and creatine metabolism. Plasma guanidinoacetate concentrations were in...

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Veröffentlicht in:Annals of neurology 2005-04, Vol.57 (4), p.557-560
Hauptverfasser: Bodamer, Olaf A., Sahoo, Trilochan, Beaudet, Arthur L., O'Brien, William E., Bottiglieri, Teodoro, Stöckler-Ipsiroglu, Sylvia, Wagner, Conrad, Scaglia, Fernando
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container_end_page 560
container_issue 4
container_start_page 557
container_title Annals of neurology
container_volume 57
creator Bodamer, Olaf A.
Sahoo, Trilochan
Beaudet, Arthur L.
O'Brien, William E.
Bottiglieri, Teodoro
Stöckler-Ipsiroglu, Sylvia
Wagner, Conrad
Scaglia, Fernando
description Methylation is an important aspect of many fundamental biological processes including creatine biosynthesis. We studied five patients with an inborn error of cobalamin metabolism to characterize the relation between homocysteine and creatine metabolism. Plasma guanidinoacetate concentrations were increased, 14.9 ± 4.8μmol/L (p < 0.0001), whereas plasma creatine concentrations were in the low reference range, 43.8 ± 20.7μmol/L (p = not significant). Individuals with combined methylmalonic aciduria and homocystinuria have a functional impairment of the creatine synthetic pathway probably secondary to a relative depletion of labile methyl groups. The neurotoxic effects of guanidinoacetate may be partly responsible for the observed neurological phenotype. Ann Neurol 2005;57:557–560
doi_str_mv 10.1002/ana.20419
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subjects Adult
Amino Acid Metabolism, Inborn Errors - metabolism
Aminoacid disorders
Biological and medical sciences
Child
Child, Preschool
Creatine - metabolism
Errors of metabolism
Female
Glycine - analogs & derivatives
Glycine - analysis
Homocysteine - metabolism
Homocystinuria - metabolism
Humans
Male
Medical sciences
Metabolic diseases
Methionine - metabolism
Methylmalonic Acid - blood
Methylmalonic Acid - urine
Nervous system involvement in other diseases. Miscellaneous
Neurology
Vitamin B 12 - metabolism
title Creatine metabolism in combined methylmalonic aciduria and homocystinuria
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