Page last updated: 2024-10-16

carnitine and BH4 Deficiency

carnitine has been researched along with BH4 Deficiency in 21 studies

Research Excerpts

ExcerptRelevanceReference
"Blood levels of amino acids and acylcarnitines (tandem mass spectrometry) were measured in 18,303 patients with suspected inherited metabolic diseases."3.81Spectrum analysis of common inherited metabolic diseases in Chinese patients screened and diagnosed by tandem mass spectrometry. ( Gao, X; Gu, X; Han, F; Han, L; Ji, W; Qiu, W; Wang, Y; Ye, J; Zhang, H, 2015)
" Carnitine supplementation of AA-MFs shows reduced bioavailability due, in part, to bacterial degradation to TMAO, whereas the bioavailability of carnitine is greater with prebiotic GMP-MFs."2.87Metabolomic Markers of Essential Fatty Acids, Carnitine, and Cholesterol Metabolism in Adults and Adolescents with Phenylketonuria. ( Broniowska, K; Levy, HL; Murali, SG; Nair, N; Ney, DM; Rohr, F; Stroup, BM, 2018)
"This disorder, known as phenylketonuria, produces profound mental retardation if not detected and treated early in life."2.43A biochemical perspective on the use of tandem mass spectrometry for newborn screening and clinical testing. ( Chace, DH; Kalas, TA, 2005)
"The pathogenesis and the progression of phenylketonuria (PKU), an inborn error of phenylalanine (Phe) metabolism, have been associated with oxidative damage."1.42Protective effect of L-carnitine on Phenylalanine-induced DNA damage. ( Deon, M; Lamberty, JF; Landgraf, SS; Moura, DJ; Saffi, J; Vargas, CR; Wajner, M, 2015)
"Patients with phenylketonuria (PKU) have to follow a lifelong phenylalanine restricted diet."1.38Metabolomics of dietary fatty acid restriction in patients with phenylketonuria. ( Beblo, S; Bruegel, M; Ceglarek, U; Kiess, W; Koletzko, B; Kortz, L; Matthies, C; Mütze, U; Rohde, C; Thiery, J, 2012)
" Daily Phe intake, dosage of AA mixtures and body weight were recorded along with measurements of acylcarnitines in blood spots (by tandem mass spectrometry) and serum AA."1.35Carnitine status in early-treated children, adolescents and young adults with phenylketonuria on low phenylalanine diets. ( Kiener, C; Knerr, I; Meier, N; Rascher, W; Rauh, M; Schmid, P; Weigel, C, 2008)

Research

Studies (21)

TimeframeStudies, this research(%)All Research%
pre-19902 (9.52)18.7374
1990's3 (14.29)18.2507
2000's4 (19.05)29.6817
2010's8 (38.10)24.3611
2020's4 (19.05)2.80

Authors

AuthorsStudies
Schoen, MS1
Singh, RH1
Faverzani, JL3
Hammerschmidt, TG2
Mescka, CP2
Guerreiro, G3
Lopes, FF3
Delgado, CA1
de Moura Coelho, D2
Sitta, A5
Deon, M5
Wajner, M6
Vargas, CR6
Coelho, DM1
Bower, A1
Imbard, A1
Benoist, JF1
Pichard, S1
Rigal, O1
Baud, O1
Schiff, M1
Steinmetz, A1
Marchetti, DP1
Nascimento, LVM1
Steffens, L1
Henn, JG1
Ferro, MB1
Brito, VB1
Moura, DJ2
Stroup, BM1
Nair, N1
Murali, SG1
Broniowska, K1
Rohr, F1
Levy, HL1
Ney, DM1
Han, L1
Han, F1
Ye, J1
Qiu, W1
Zhang, H1
Gao, X1
Wang, Y1
Ji, W1
Gu, X1
Landgraf, SS1
Lamberty, JF1
Saffi, J1
Barschak, AG1
de Mari, JF1
Barden, AT1
Vanzin, CS2
Biancini, GB2
Schwartz, IV2
Weigel, C1
Kiener, C1
Meier, N1
Schmid, P1
Rauh, M1
Rascher, W1
Knerr, I1
Sempere, A1
Arias, A1
Farré, G1
García-Villoria, J1
Rodríguez-Pombo, P1
Desviat, LR1
Merinero, B1
García-Cazorla, A1
Vilaseca, MA2
Ribes, A1
Artuch, R1
Campistol, J2
Manfredini, V1
de Oliveira, AB1
Wayhs, CA1
Ribas, GO1
Giugliani, L1
Bohrer, D1
Garcia, SC1
Mütze, U1
Beblo, S1
Kortz, L1
Matthies, C1
Koletzko, B1
Bruegel, M1
Rohde, C1
Thiery, J1
Kiess, W1
Ceglarek, U1
Scala, I1
Parenti, G1
Andria, G1
Chace, DH1
Kalas, TA1
Briones, P1
Ferrer, I1
Riverola, A1
Castillo, P1
Ramon, F1
Fischer, GM1
Nemeti, B1
Farkas, V1
Debreceni, B1
Laszlo, A1
Schaffer, Z1
Somogyi, C1
Sandor, A1
Broquist, HP1
Böhles, H1
Ullrich, K1
Endres, W1
Behbehani, AW1
Wendel, U1
Schulpis, KH1
Nounopoulos, C1
Scarpalezou, A1
Bouloukos, A1
Missiou-Tsagarakis, S1
Acosta, PB1
Stepnick-Gropper, S1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Phase 2 Study of Glycomacropeptide vs. Amino Acid Diet for the Management of PKU[NCT01428258]32 participants (Actual)Interventional2011-09-30Completed
Etude de l'INflammation systémique de Bas GRade Chez Les Patients Adultes Atteints de PHénylcétonurie[NCT04879277]40 participants (Actual)Interventional2021-05-26Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Bone-specific Alkaline Phosphatase (BSAP) Plasma Concentration at Day 22

Plasma concentration of BSAP was determined as a measure of bone turnover. (NCT01428258)
Timeframe: day 22 of each dietary treatment

Interventionmicro gram per liter (Mean)
GMP Diet/GMP Medical Foods17.0
AA Diet/AA Medical Foods17.0

Change in the Plasma Phenylalanine Concentration of PKU Subjects Fed the Glycomacropeptide Diet Compared With the Change When Fed the Amino Acid Diet

Plasma will be collected at each base week and after 3 weeks on each of the dietary treatments, glycomacropeptide and amino acid, following an overnight fast. Plasma phenylalanine concentration (along with the complete profile of free amino acids) will be determined with an amino acid analyzer in the Wisconsin State Lab of Hygiene. Statistical analysis to determine the significance of the change in plasma phe concentration when comparing the 2 diets will consist of ANCOVA with covariates for baseline Phe and dietary Phe intake. The change in plasma Phe concentration from day 22 (final) to day 1 (baseline) was determined after adjusting for baseline Phe level and dietary Phe intake. (NCT01428258)
Timeframe: baseline to day 22 on each diet

Interventionmicro moles per liter plasma (Mean)
GMP Diet/GMP Medical Foods62
AA Diet/AA Medical Foods-85

Comparison of Phe Concentrations in Plasma With Concentrations in Dried Blood Spots

Concentrations of Phe in plasma and in dried blood spots collected simultaneously by subjects will be compared using 2 methodologies, regardless of intervention. At each of the 4 study visits (baseline and final for each dietary treatment): 1) venipuncture was used to collect blood and plasma was isolated and analyzed for Phe with ion exchange chromatography and 2) subjects were asked right after the venipuncture to spot their blood on filter paper for analysis of Phe with tandem mass spectroscopy (MS/MS). The discrepancy in Phe concentrations with these 2 methods was compared for each sample pair using Bland-Altman statistical analysis. Each subject should have had 4 sample pairs, 29 x 4 = 116, but we ended up with only 110 sample pairs, as explained below. (NCT01428258)
Timeframe: 4 times total, 2 per treatment

Interventionmicro moles per liter (Mean)
Phe Concentration in Plasma, Ion Exchange Chromatography731
Phe Concentration in Dried Blood Spots, Tandem Mass Spec514

Dietary Compliance

Compliance with the glycomacropeptide and amino acid dietary treatments will be assessed by comparison of the intake of medical food in grams of protein from medical food per day based on subject completion of 3-day food records prior to the final study visit on day 22. Statistical analysis for a dietary treatment effect will consist of ANOVA. (NCT01428258)
Timeframe: 3 week dietary treatment

Interventiong protein from MF/kg/day (Mean)
GMP Diet0.74
AA Diet/AA Medical Foods0.76

Executive Function Assessed by BRIEF

Completion of a standardized test, the Behavior Rating Inventory of Executive Function (BRIEF), by each subject for the GMP diet and the AA diet. Values are T-scores which have a mean of 50 points and a SD of 10 points. A T score of <50 is considered within the normative range. Data are analyzed with a paired t-test. (NCT01428258)
Timeframe: day 22 of each dietary treatment

InterventionT score (Mean)
GMP Diet/GMP Medical Foods49.0
AA Diet/AA Medical Foods48.8

N-terminal Telopeptide (NTX) Plasma Concentration at Day 22

Plasma concentration of NTX was determined as a measure of bone resorption; higher levels indicate greater bone breakdown (NCT01428258)
Timeframe: day 22 of each dietary treatment

Interventionnmol per liter bone collagen equivalents (Mean)
GMP Diet/GMP Medical Foods17.5
AA Diet/AA Medical Foods17.1

Vitamin D (25-OH) Plasma Concentration at Day 22

Vitamin D was measured as a measure of the capacity for calcium absorption. Higher levels of plasma vitamin D are consistent with higher calcium absorption. (NCT01428258)
Timeframe: day 22 of each dietary treatment

Interventionng per ml (Mean)
GMP Diet/GMP Medical Foods33.8
AA Diet/AA Medical Foods33.6

Reviews

3 reviews available for carnitine and BH4 Deficiency

ArticleYear
Universal screening for inherited metabolic diseases in the neonate (and the fetus).
    The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 2012, Volume: 25, Issue:Suppl 5

    Topics: Acyl-CoA Dehydrogenase; Amino Acids; Carnitine; DNA; DNA Mutational Analysis; Female; Gestational Ag

2012
A biochemical perspective on the use of tandem mass spectrometry for newborn screening and clinical testing.
    Clinical biochemistry, 2005, Volume: 38, Issue:4

    Topics: Amino Acids; Carnitine; Humans; Infant, Newborn; Infant, Newborn, Diseases; Mass Spectrometry; Metab

2005
Amino acid metabolism.
    Nutrition reviews, 1976, Volume: 34, Issue:10

    Topics: Amino Acid Metabolism, Inborn Errors; Amino Acids; Animals; Biological Transport, Active; Carnitine;

1976

Trials

1 trial available for carnitine and BH4 Deficiency

ArticleYear
Metabolomic Markers of Essential Fatty Acids, Carnitine, and Cholesterol Metabolism in Adults and Adolescents with Phenylketonuria.
    The Journal of nutrition, 2018, 02-01, Volume: 148, Issue:2

    Topics: Adolescent; Adult; Amino Acids; Betaine; Biomarkers; Carnitine; Caseins; Cholesterol; Cross-Over Stu

2018
Metabolomic Markers of Essential Fatty Acids, Carnitine, and Cholesterol Metabolism in Adults and Adolescents with Phenylketonuria.
    The Journal of nutrition, 2018, 02-01, Volume: 148, Issue:2

    Topics: Adolescent; Adult; Amino Acids; Betaine; Biomarkers; Carnitine; Caseins; Cholesterol; Cross-Over Stu

2018
Metabolomic Markers of Essential Fatty Acids, Carnitine, and Cholesterol Metabolism in Adults and Adolescents with Phenylketonuria.
    The Journal of nutrition, 2018, 02-01, Volume: 148, Issue:2

    Topics: Adolescent; Adult; Amino Acids; Betaine; Biomarkers; Carnitine; Caseins; Cholesterol; Cross-Over Stu

2018
Metabolomic Markers of Essential Fatty Acids, Carnitine, and Cholesterol Metabolism in Adults and Adolescents with Phenylketonuria.
    The Journal of nutrition, 2018, 02-01, Volume: 148, Issue:2

    Topics: Adolescent; Adult; Amino Acids; Betaine; Biomarkers; Carnitine; Caseins; Cholesterol; Cross-Over Stu

2018

Other Studies

17 other studies available for carnitine and BH4 Deficiency

ArticleYear
Plasma metabolomic profile changes in females with phenylketonuria following a camp intervention.
    The American journal of clinical nutrition, 2022, 03-04, Volume: 115, Issue:3

    Topics: Carnitine; Choline; Fatty Acids; Female; Humans; Male; Metabolomics; Phenylketonurias

2022
Increased cytokine levels induced by high phenylalanine concentrations in late diagnosis PKU patients compared to early diagnosis: Anti-inflammatory effect of L-carnitine.
    Cell biochemistry and function, 2023, Volume: 41, Issue:4

    Topics: Carnitine; Cytokines; Delayed Diagnosis; Humans; Infant, Newborn; Interleukin-2; Interleukin-6; Inte

2023
Increased peripheral of brain-derived neurotrophic factor levels in phenylketonuric patients treated with l-carnitine.
    Archives of biochemistry and biophysics, 2023, Volume: 749

    Topics: Antioxidants; Becaplermin; Brain-Derived Neurotrophic Factor; Carnitine; Dietary Supplements; Humans

2023
Diagnostic contribution of metabolic workup for neonatal inherited metabolic disorders in the absence of expanded newborn screening.
    Scientific reports, 2019, Oct-01, Volume: 9, Issue:1

    Topics: Amino Acids; Carnitine; Female; Humans; Infant; Infant, Newborn; Infant, Newborn, Diseases; Intensiv

2019
L-carnitine protects DNA oxidative damage induced by phenylalanine and its keto acid derivatives in neural cells: a possible pathomechanism and adjuvant therapy for brain injury in phenylketonuria.
    Metabolic brain disease, 2021, Volume: 36, Issue:7

    Topics: Brain Injuries; Carnitine; Humans; Keto Acids; Oxidative Stress; Phenylalanine; Phenylketonurias

2021
Spectrum analysis of common inherited metabolic diseases in Chinese patients screened and diagnosed by tandem mass spectrometry.
    Journal of clinical laboratory analysis, 2015, Volume: 29, Issue:2

    Topics: Acyl-CoA Dehydrogenase; Adolescent; Adult; Amino Acid Metabolism, Inborn Errors; Amino Acids; Carbox

2015
Protective effect of L-carnitine on Phenylalanine-induced DNA damage.
    Metabolic brain disease, 2015, Volume: 30, Issue:4

    Topics: Adolescent; Carnitine; Dietary Supplements; DNA Damage; Female; Humans; Male; Phenylalanine; Phenylk

2015
L-carnitine blood levels and oxidative stress in treated phenylketonuric patients.
    Cellular and molecular neurobiology, 2009, Volume: 29, Issue:2

    Topics: Adolescent; Carnitine; Child; Diet, Protein-Restricted; Dietary Supplements; Down-Regulation; Female

2009
Carnitine status in early-treated children, adolescents and young adults with phenylketonuria on low phenylalanine diets.
    Annals of nutrition & metabolism, 2008, Volume: 53, Issue:2

    Topics: Adolescent; Adult; Analysis of Variance; Carnitine; Case-Control Studies; Child; Child, Preschool; C

2008
Study of inborn errors of metabolism in urine from patients with unexplained mental retardation.
    Journal of inherited metabolic disease, 2010, Volume: 33, Issue:1

    Topics: Adenylosuccinate Lyase; Adolescent; Adult; Aged; Carnitine; Child; Child, Preschool; Chromium; Cohor

2010
Evidence that L-carnitine and selenium supplementation reduces oxidative stress in phenylketonuric patients.
    Cellular and molecular neurobiology, 2011, Volume: 31, Issue:3

    Topics: Adolescent; Antioxidants; Carnitine; Dietary Supplements; Humans; Oxidative Stress; Phenylketonurias

2011
Metabolomics of dietary fatty acid restriction in patients with phenylketonuria.
    PloS one, 2012, Volume: 7, Issue:8

    Topics: Blood Platelets; Carnitine; Child; Chromatography, Gas; Chromatography, Liquid; Eicosanoids; Fatty A

2012
Controlled diet in phenylketonuria may cause serum carnitine deficiency.
    Journal of inherited metabolic disease, 1993, Volume: 16, Issue:1

    Topics: Adolescent; Adult; Carnitine; Child; Child, Preschool; Diet; Humans; Infant; Phenylalanine; Phenylke

1993
Metabolism of carnitine in phenylacetic acid-treated rats and in patients with phenylketonuria.
    Biochimica et biophysica acta, 2000, Jun-15, Volume: 1501, Issue:2-3

    Topics: Adult; Animals; Betaine; Carnitine; Female; Glutamic Acid; Homogentisic Acid; Humans; Ketoglutaric A

2000
Inadequate iron availability as a possible cause of low serum carnitine concentrations in patients with phenylketonuria.
    European journal of pediatrics, 1991, Volume: 150, Issue:6

    Topics: Adolescent; Adult; Carnitine; Child; Child, Preschool; Ferritins; Hemoglobins; Humans; Infant; Iron;

1991
Serum carnitine level in phenylketonuric children under dietary control in Greece.
    Acta paediatrica Scandinavica, 1990, Volume: 79, Issue:10

    Topics: Carnitine; Child, Preschool; Dietary Proteins; Female; Food, Formulated; Greece; Humans; Infant; Mal

1990
Problems related to diet management of maternal phenylketonuria.
    Journal of inherited metabolic disease, 1986, Volume: 9 Suppl 2

    Topics: alpha-Linolenic Acid; Carnitine; Cations, Divalent; Cell Membrane Permeability; Cholesterol; Dietary

1986