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Study of early detection of patients with inherited metabolic disorders characterized clinically by severe ketoacidosis.

Research Project

Project/Area Number 07670865
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Pediatrics
Research InstitutionShimane Medical University

Principal Investigator

YAMAGUCHI Seiji  Shimane Medical University, Professor, 医学部, 教授 (60144044)

Co-Investigator(Kenkyū-buntansha) KIMURA Masahiko  Shimane Medical University, Research Associate, 医学部, 助手 (00263533)
FUKAO Toshiyuki  Gifu University, School of Medicine, Research Associate, 医学部, 助手 (70260578)
Project Period (FY) 1995 – 1996
Project Status Completed (Fiscal Year 1996)
Budget Amount *help
¥2,500,000 (Direct Cost: ¥2,500,000)
Fiscal Year 1996: ¥1,100,000 (Direct Cost: ¥1,100,000)
Fiscal Year 1995: ¥1,400,000 (Direct Cost: ¥1,400,000)
Keywordsorganic acidemia / ketone body disorder / GC / MS / enzyme assay / cultured cells / 培養リンパ球 / 有機酸代謝異常症 / ケトン体
Research Abstract

Episodes of ketoacidosis are rather common in childhood, but we sometimes come across severe patients. There is a possibility that inherited metabolic disorders like organic acidemias are concealed in such patients. Many organic acidemias can be readily detected by GC/MS.Recently, ketone body catabolic disoredrs, which are closely related to organic acidemias, have also been recognized. The ketone body disorders include 3 types of diseases, 3-ketothiolase deficiency, cytosolic acetoacetyl-CoA thiolase (CT) deficiency or succinyl-CoA : 3-ketoacid CoA transferase (SCOT) deficiency. The latter two diseases may be difficult in diagnosis by GC/MS alone, because its metabolic profile is often nonspecific. Further, accurate assessment of CT activity in cultured cells is difficult at the present time. We developed a system to precisely diagnose the diseases associated with severe ketoacidosis.
1) Development of the system of automated GC/MS data profiling and disease detection : This automated system enabled to profile urinary organic acids and chemically diagnose organic acidemias, which are often associated with severe ketoacidosis. We confirmed the usefulness of this system by testing urine samples from patients with previously known diseases.
2) Development of simple and practical assay method for the detection of CT deficiency : We used cultured lymphoblasts and developed a practical assay method of CT,separating from mitochondrial thiolases or SCOT,both related to ketone body catabolism, using rapid digitonine separation of cytosol and organelle fractions. The efficiency of separation were confirmed by immunoblotting and immunotitration experiments.

Report

(3 results)
  • 1996 Annual Research Report   Final Research Report Summary
  • 1995 Annual Research Report
  • Research Products

    (46 results)

All Other

All Publications (46 results)

  • [Publications] Wakazono A: "Molecular, biochemical, and clinical characterization of mitochondrial acetoacetyl-coenzyme A thiolase deficiency in two further patients" Human Mutation. 5. 34-42 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Fukao T: "Mitochodrial acetoacetyl-coenzyme A thiolase gene : a novel 68-bp deletion involving 3 ' splicesite of intron 7, causing exon 8 skipping in a Caucasian patient with β-ketotiolase deficiency" Human Mutation. 5. 94-96 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Fukao T: "Molecular basis of β-ketothiolase deficiency : mutations and polymorphysms inthe human mitochondrial acetoacetyl-coenzyme A thiolase gene" Human Mutation. 5. 113-120 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Watanabe H: "identification of the D-enantiomer of 2-hydroxyglutaric aciduria type II" Clin Chim Acta. 238. 115-124 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] 山口清次: "GC/MSによる有機酸代謝異常の診断,プロピオン酸血症とマルチプルカルボキシラーゼ欠損症の鑑別診断" 臨床検査. 39. 469-472 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] 山口清次: "グルタル酸尿症2型、肝・胆道症候群" 日本臨床別冊. 325-328 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Shigematsu Y: "Prenatal diagnosis of organic acidemias based on amniotic fluid levels of acyicarnitnies." Pediatr Res. 39. 680-684 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Itoh T: "Effect of carnitine administration on glycine metabolism in patients with isovaieric acidemia ; significance of acetylcarnitine determination to estimate the proper carnitine dose." Tohoku J Exp Med. 179. 101-109 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Fukao T: "Immunotitration analysis of cytosolic acetoacetyl-coenzyme A thiolase activity in human fibroblasts." Pediatr Res. 39. 1055-1058 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Masuno M: "Assignment of the human cytosolic acetoacetyl-coenzyme A thiolase(ACAT2) gene to chromosome 6q25.3-q26." Genomics. 36. 217-218 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] 山口清次: "乳児期に発症する有機酸代謝異常症の早期発見と対応" 小児科. 37. 101-112 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] 木村正彦: "GC/MSによる3-ヒドロキシイソ酪酸尿症の同定" 日本医用マススペクトル学会講演集. 21. 125-128 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] 山口清次(古庄敏行編): "臨床DNA診断法 -β-ケトチオラーゼ欠損庄-" 金原出版, P374-376 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] 山口清次(井村裕夫編): "最新内科学体系第8巻 -II型グルタル酸血症-" 中山書店, p354-356 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] 山口清次(井村裕夫編): "最新内科学体系第8巻 -β-ケトチオラーゼ欠損症-" 中山書店, p138-142 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Wakazono A: "Molecular, biochemical, and clinical characterization of mitochondrial acetoacetyl-coenzyme A thiolase deficiency in two further patients" Human Mutation. 5. 32-42 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Fukao T: "Mitochondrial acetoacetyl-coenzyme A thiolase gene : a novel 68-bp deletion involving 3' splicesite of intron 7, causing exon 8 skipping in a Caucasian patient with beta-ketotiolase deficiency" Human Mutation. 5. 94-96 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Fukao T: "Molecular basis of beta-ketothiolase deficiency : mutations and polymorphysms in the human mitochondrial acetoacetyl-coenzyme A thiolase gene" Human Mutation. 5. 113-120 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Watanabe H: "Identification of the D-enantiomer of 2-hydroxyglutaric aciduria type II" Clin Chim Acta. 238. 115-124 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Yamaguchi S: "Chemical diagnosis of organic acid disorders by GC/MS : Differential diagnosis of propionic acidemia and multiple carboxylase deficiency" Rinsho Kensa. 39. 469-472 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Yamaguchi S: "Glutaric acidemia type 2 (in Japanese)" Nihon Rinsho. (suppl), 5. 325-328 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Shigematsu Y: "Prenatal diagnosis of organic acidemias based on amniotic fluid levels acylcarnitnies" Pediatr Res. 39. 680-684 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Itoh T: "Effect of carnitine administration on glycine metabolism in patients with isovaleric acidemia : significance of acetylcarnitine determination to estimate the proper carnitine dose" Tohoku J Exp Med. 179. 101-109 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Fukao T: "Immunotitration analysis of cytosolic acetoacetyl-coenzyme A thiolase activity in human fibroblasts" Pediatr Res. 39. 1055-1058 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Masuno M: "Assignment of the human cytosolic acetoacetyl-coenzyme A thiolase (ACAT2) gene to chromosome 6q25.3-q26" Genomics. 36. 217-218 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Yamaguchi S: "Early detection and intervention to infantile-onset congenital organic acidemias (in Japanese)" Pediatrics of Japan. 37. 101-112 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Kimura M: "Identification of 3-hydroxyisobutyric aciduria by GC/MS.(in Japanese)" Proceedings of Japanese Society For Biomedical Mass Spectrometry. 21. 125-128 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Yamaguchi S (eds.by Furusho T,et al.): Clinical DNA Diagnosis -beta-Ketothiolase deficiency- (in Japanese). Kanehara Publisher, Japan, 374-376 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Yamaguchi S (eds.by Imura H,et al.): Integrated Handbook of Internal Medicine, Vol.8 -Glutaric aciduria type2- (in Japanese). Nakayama Bookshop Publisher, Japan, 354-356 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Yamaguchi S (eds.by Imura H,et al.): Integrated Handbook of Internal Medicine, Vol.8 -beta-Ketothiolase deficiency- (in Japanese). Nakayama Bookshop Publisher, Japan, 138-142 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Shigematsu Y: "Prenatal diagnosis of organic acidemias based on amniotic fluid levels of acylcarnitnies." Pediatr Res. 39. 680-684 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] Itoh T: "Effect of carnitine administration on glycine metabolism in patients with isovaleric acidemia:significance of acetylcarnitine determination to estimate the proper carnitine dose." Tohoku Exp Med. 179. 101-109 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] Fukao T: "Immunotitration analysis of cytosolic acetoacetyl-coenzyme A thiolase activity in human fibroblasts." Pediatr Res. 39. 1055-1058 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] Masuno M: "Assignment of the human cytosolic acetoacetyl-coenzyme A thiolase(ACT2)gene to chromosome 6q25.3-q26." Genomics. 36. 217-218 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] 山口清次: "乳児期に発症する有機酸代謝異常症の早期発見と対応" 小児科. 37. 101-112 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] 木村正彦: "GC/MSによる3-ヒドロキシイソ酪酸尿症の同定." 日本医用マススペクトル学会講演集. 21. 125-128 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] 山口清次(井村裕夫編): "最新内科学体系第8巻 -II型グルタル酸血症-" 中山書店、東京, 354-356 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] 山口清次(井村裕夫編): "最新内科学体系第8巻 -β-ケトチオラーゼ欠損症-" 中山書店、東京, 138-142 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] Wakazono A: "Molecular,biochemical,and clinical characterization of mitochondrial acetoacetyl-coenzyme A thiolase deficiency in two further patients" Human Mutation. 5. 34-32 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] Fukao T: "Mitochondrial acetoacetyl-coenzyme A thiolase gene : a novel 68-bp deletion involving 3′splice site of intron 7, causing exon 8 skipping in a Caucasian patient with β-ketotiolase deficiency" Human Mutation. 5. 94-96 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] Fukao T: "Molecular basis of β-ketothiolase deficiency : mutations and polymorphysms in the human mitochondrial acetoacetyl-coenzyme A thiolase gene" Human Mutation. 5. 113-120 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] Watanabe H: "Identification of the D-enantiomer of 2-hydroxyglutaric aciduria type II" Clin Chim Acta. 238. 115-124 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] 山口清次: "GC/MSによる有機酸代謝異常の診断.プロピオン酸血症とマルチプルカルボキシラーゼ欠損症の鑑別診断" 臨床検査. 39. 469-472 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] 山口清次: "グルタル酸尿症2型、肝・胆道症候群" 日本臨床別冊. 325-328 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] 山口清次(古庄敏行編): "臨床DNA診断法 -β-ケトチオラーゼ欠損症-" 金原出版, 1134 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] 山口清次(井村裕夫編): "最新内科学体系第8巻-II型グルタル酸血症-" 中山書店, 422 (1995)

    • Related Report
      1995 Annual Research Report

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Published: 1995-04-01   Modified: 2016-04-21  

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