Sugihiratake Mushroom (Angel's Wing Mushroom)-Induced Cryptogenic Encephalopathy may Involve Vitamin D Analogues

In autumn 2004, many Japanese patients with renal failure developed cryptogenic encephalopathy by consuming sugihiratake mushroom, a Japanese delicacy. To elucidate the relationship between the cryptogenic cases and this mushroom, we conducted a multivariate analysis of metabolites in ‘Probably Toxi...

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Veröffentlicht in:Biological & pharmaceutical bulletin 2006, Vol.29(12), pp.2514-2518
Hauptverfasser: Sasaki, Hideki, Akiyama, Hiroshi, Yoshida, Yoshifumi, Kondo, Kazunari, Amakura, Yoshiaki, Kasahara, Yoshimasa, Maitani, Tamio
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container_end_page 2518
container_issue 12
container_start_page 2514
container_title Biological & pharmaceutical bulletin
container_volume 29
creator Sasaki, Hideki
Akiyama, Hiroshi
Yoshida, Yoshifumi
Kondo, Kazunari
Amakura, Yoshiaki
Kasahara, Yoshimasa
Maitani, Tamio
description In autumn 2004, many Japanese patients with renal failure developed cryptogenic encephalopathy by consuming sugihiratake mushroom, a Japanese delicacy. To elucidate the relationship between the cryptogenic cases and this mushroom, we conducted a multivariate analysis of metabolites in ‘Probably Toxic’ sugihiratake collected from the area of encephalopathy outbreaks, and ‘Probably Safe’ sugihiratake collected from unaffected areas using UPLC/ToF MS. The results indicate that the presence of milligram quantities of vitamin D-like compounds per 10 g of dried sugihiratake from the areas of encephalopathy outbreaks. Two hypotheses to induce the encephalopathy are proposed: the found metabolites are (1) vitamin D agonists, which induce acute and severe hypercalcemia and/or hyperammonemia and/or vitamin D toxicity, or (2) vitamin D antagonists, which induce acute and severe hypocalcemia.
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subjects Agaricales
Brain Diseases - etiology
encephalopathy
Foodborne Diseases
Humans
Mass Spectrometry
multivariate analysis
sugihiratake
time-of-flight (ToF)-MS
ultra performance liquid chromatography (UPLC)
vitamin D
Vitamin D - analogs & derivatives
title Sugihiratake Mushroom (Angel's Wing Mushroom)-Induced Cryptogenic Encephalopathy may Involve Vitamin D Analogues
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