Endogenous synthesis of galactose in normal men and patients with hereditary galactosaemia

Despite restricted ingestion of lactose, patients with galactose-1–phosphate uridyltransferase deficiency have raised concentrations of galactose metabolites in blood and urine. Endogenous production of galactose may underline this phenomenon. Using isotopically labelled galactose in a continuous in...

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Veröffentlicht in:The Lancet (British edition) 1995-10, Vol.346 (8982), p.1073-1074
Hauptverfasser: Berry, G.T., Nissim, I., Lin, Z., Mazur, A.T., Gibson, J.B., Segal, S.
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container_end_page 1074
container_issue 8982
container_start_page 1073
container_title The Lancet (British edition)
container_volume 346
creator Berry, G.T.
Nissim, I.
Lin, Z.
Mazur, A.T.
Gibson, J.B.
Segal, S.
description Despite restricted ingestion of lactose, patients with galactose-1–phosphate uridyltransferase deficiency have raised concentrations of galactose metabolites in blood and urine. Endogenous production of galactose may underline this phenomenon. Using isotopically labelled galactose in a continuous intravenous infusion, we employed the steady-state flux method to calculate endogenous galactose production rate in three normal men and three patients with classic galactosaemia. We found that galactosaemic patients and normal subjects synthesise gram quantities of galactose per day. The rate of synthesis ranged from 0·53–1·05 mg/kg per h. Endogenous production of galactose may be an important factor in the pathogenesis of the complications of the brain and ovary, and could explain the persistent elevation of galactose metabolites in patients despite dietary restriction of galactose.
doi_str_mv 10.1016/S0140-6736(95)91745-4
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subjects Adult
Biological and medical sciences
Blood
Brain
Carbohydrates (enzymatic deficiencies). Glycogenosis
Dietary restrictions
Errors of metabolism
Female
Galactose
Galactose - biosynthesis
Galactosemia
Galactosemias - diet therapy
Galactosemias - genetics
Galactosemias - metabolism
Genetics
Humans
Ingestion
Intravenous administration
Intravenous infusion
Lactose
Male
Medical research
Medical sciences
Men
Metabolic diseases
Metabolism
Metabolites
Pathogenesis
Synthesis
Urine
title Endogenous synthesis of galactose in normal men and patients with hereditary galactosaemia
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