Pharmacological rescue of carnitine transport in primary carnitine deficiency

2006 ◽  
Vol 27 (6) ◽  
pp. 513-523 ◽  
Author(s):  
Cristina Amat di San Filippo ◽  
Marzia Pasquali ◽  
Nicola Longo
1997 ◽  
Vol 42 (5) ◽  
pp. 583-587 ◽  
Author(s):  
Roser Pons ◽  
Rosalba Carrozzo ◽  
Ingrid Tein ◽  
Winsome F Walker ◽  
Linda J Addonizio ◽  
...  

1998 ◽  
Vol 1 (1) ◽  
pp. 34-39 ◽  
Author(s):  
Fernando Scaglia ◽  
Yuhuan Wang ◽  
Rani H Singh ◽  
Philip P Dembure ◽  
Marzia Pasquali ◽  
...  

2016 ◽  
Vol 68 (Suppl. 3) ◽  
pp. 5-9 ◽  
Author(s):  
Nicola Longo

Carnitine is needed for transfer of long-chain fatty acids across the inner mitochondrial membrane for subsequent β-oxidation. Carnitine can be synthesized by the body and is also obtained in the diet through consumption of meat and dairy products. Defects in carnitine transport such as those caused by defective activity of the OCTN2 transporter encoded by the SLC22A5 gene result in primary carnitine deficiency, and newborn screening programmes can identify patients at risk for this condition before irreversible damage. Initial biochemical diagnosis can be confirmed through molecular testing, although direct study of carnitine transport in fibroblasts is very useful to confirm or exclude primary carnitine deficiency in individuals with genetic variations of unknown clinical significance or who continue to have low levels of carnitine despite negative molecular analyses. Genetic defects in carnitine biosynthesis do not generally result in low plasma levels of carnitine. However, deletion of the trimethyllysine hydroxylase gene, a key gene in carnitine biosynthesis, has been associated with non-dysmorphic autism. Thus, new roles for carnitine are emerging that are unrelated to classic inborn errors of metabolism.


1988 ◽  
Vol 319 (20) ◽  
pp. 1331-1336 ◽  
Author(s):  
William R. Treem ◽  
Charles A. Stanley ◽  
David N. Finegold ◽  
Daniel E. Hale ◽  
Paul M. Coates

1996 ◽  
Vol 19 (3) ◽  
pp. 243-246 ◽  
Author(s):  
Michael J. Bennett ◽  
Daniel E. Hale ◽  
Rodney J. Pollitt ◽  
Sadick Variend ◽  
Charles A. Stanley

2013 ◽  
Vol 34 (4) ◽  
pp. 655-655 ◽  
Author(s):  
Yi-Chen Chen ◽  
Yin-Hsiu Chien ◽  
Pin-Wen Chen ◽  
Nelson Leung-Sang Tang ◽  
Pao-Chin Chiu ◽  
...  

Author(s):  
Catherine A. Ziats ◽  
William B. Burns ◽  
Matt L. Tedder ◽  
Laura Pollard ◽  
Tim Wood ◽  
...  

2018 ◽  
Vol 10 (2) ◽  
Author(s):  
Abdulrahman Alghamdi ◽  
Hani Almalki ◽  
Aiman Shawli ◽  
Rahaf Waggass ◽  
Fahad Hakami

Systemic primary carnitine deficiency (SPCD) is an autosomal recessive inborn error of fatty acid metabolism caused by a defect in the transporter responsible for moving carnitine across plasma membrane. The clinical features of SPCD vary widely based on the age of onset and organs involved. During infancy, patients might show episodes of hypoketotic hypoglycemia, hepatomegaly, elevated transaminases, and hyperammonemia. Skeletal myopathy, elevated creatine kinase, and cardiomyopathy are the main manifestations in children with SPCD, while in adults, the disorder is usually manifested as cardiomyopathy, arrhythmias, or fatigability. Here, we report a 5-year-old boy with SPCD that presented as dilated cardiomyopathy with atypical features, such as anemia, respiratory distress, and proximal muscle weakness. This report supports considering carnitine deficiency treatment in the work-up of unexplained pediatric dilated cardiomyopathy.


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