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Evaluation system of residual enzymatic activity by 13C-breath test, which improves treatment of patients with inborn error of metabolism

Research Project

Project/Area Number 20591214
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Pediatrics
Research InstitutionTohoku University

Principal Investigator

KURE Shigeo  Tohoku University, 大学院・医学系・研究科, 准教授 (10205221)

Co-Investigator(Kenkyū-buntansha) OHURA Toshihiro  東北大学, 大学院・医学系研究科, 非常勤講師 (10176828)
Project Period (FY) 2008 – 2010
Project Status Completed (Fiscal Year 2010)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2010: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2009: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2008: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords小児代謝 / 栄養学 / 先天代謝異常症のin vivo診断法 / 安定同位体 / 呼気試験 / アミノ酸代謝異常症 / 13C / 酵素活性測定 / 酵素 / 遺伝子 / 分析化学 / 先天代謝異常 / 安定同位元素
Research Abstract

We devised a ^<13>C-breath test, which measures ^<13>CO_2 concentration in breath after administration of ^<13>C labeled substrates. We firstly developed [1-^<13>C]glycine breath test for enzymatic diagnosis of hyperglycinemia. Patients with hyperglycinemia expired significantly less ^<13>CO_2, suggesting feasibility of enzymatic diagnosis of hyperglycinemia. We secondly devised [1-^<13>C]phenylalanine breath test for enzymatic diagnosis of phenylketonuria, and found that significantly less ^<13>CO_2was expired in patients with phenylketonuria. Similar results were obtained in ^<13>Cpyruvate breath test in pyruvate dehydrogenase complex deficiency. Thus far, 13C-breath test is safe and useful facilitating better treatment of patients with inborn error of metabolism.

Report

(4 results)
  • 2010 Annual Research Report   Final Research Report ( PDF )
  • 2009 Annual Research Report
  • 2008 Annual Research Report
  • Research Products

    (27 results)

All 2011 2010 2009 2008 Other

All Journal Article (13 results) (of which Peer Reviewed: 9 results) Presentation (8 results) Book (4 results) Remarks (2 results)

  • [Journal Article] Two novel laboratory tests facilitating diagnosis of glycine encephalopathy (nonketotic hyperglycinemia)2011

    • Author(s)
      呉繁夫.
    • Journal Title

      Brain & Development (印刷中)

    • NAID

      10031121988

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Two novel laboratory tests facilitating diagnosis of glycine encephalopathy (nonketotic hyperglycinemia)2011

    • Author(s)
      Kure S.
    • Journal Title

      Brain & Development

      Volume: 未定(印刷中)

    • NAID

      10031121988

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Nonketotic Hyperglycinemia : Proposal of a Diagnostic and Treatment Strategy.2010

    • Author(s)
      Suzuki Y, Kure S, Oota M, Fukuda M.
    • Journal Title

      Pediatric Neurology 43

      Pages: 221-224

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] アミノ酸・有機酸代謝異常症を見逃していませんか?2010

    • Author(s)
      呉繁夫
    • Journal Title

      小児内科 42

      Pages: 1183-1186

    • Related Report
      2010 Final Research Report
  • [Journal Article] Nonketotic Hyperglycinemia : Proposal of a Diagnostic and Treatment Strategy.2010

    • Author(s)
      Suzuki, et al.
    • Journal Title

      Pediatr Neurol

      Volume: 43 Pages: 221-214

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Molecular and clinical analysis of RAF1 in Noonan syndrome and related disorders : dephosphorylation of serine 259 as the essential mechanism for mutant activation.2010

    • Author(s)
      Kobayashi T, Kure S, et al
    • Journal Title

      Hum Mutat 30

      Pages: 284-294

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 「非ケトーシス型高グリシン血症」小児疾患診療のための病態生理2009

    • Author(s)
      呉繁夫
    • Journal Title

      小児内科 41

      Pages: 355-357

    • Related Report
      2010 Final Research Report
  • [Journal Article] 小児医学最近の進歩-グリシン脳症-2009

    • Author(s)
      呉繁夫
    • Journal Title

      小児科 50

      Pages: 583-58

    • Related Report
      2010 Final Research Report
  • [Journal Article] Smith-Magenis Syndrome With West Syndrome in a 5-Year-Old Girl : A Long-Term Follow-Up Study2009

    • Author(s)
      Hino-Fukuyo N, Kure S, et al.
    • Journal Title

      J Child Neurol 24

      Pages: 868-873

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 非ケトーシス型高グリシン血症2009

    • Author(s)
      呉繁夫
    • Journal Title

      小児内科 41

      Pages: 355-358

    • Related Report
      2009 Annual Research Report
  • [Journal Article] Model mice for mild-form glycine encephalopathy : Behavioral and biochemical characterizations and efficacy of antagonists for glycine binding site of N-methyl D-aspartate receptor2008

    • Author(s)
      Kojima-Ishii K, et.al.
    • Journal Title

      Pediatr Res 64

      Pages: 228-233

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] No effect of the Trp64Arg variant of the bata3-aderenergic receptor gene on weight loss by behavioral intervention among Japanese adults2008

    • Author(s)
      Kuriyama S, et.al.
    • Journal Title

      Metabolism 57

      Pages: 1570-1575

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Clinical manifestations in patients with SOS1 mutations range from Noonan syndrome to CFC syndrome2008

    • Author(s)
      Narumi Y, et.al.
    • Journal Title

      J Hum Genetw53 53

      Pages: 834-841

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Presentation] PKU研究から生まれた基本概念-新生児スクリーニング、Phe制限食、BH4反応性2011

    • Author(s)
      呉繁夫
    • Organizer
      第5回成育代謝異常症研究会
    • Place of Presentation
      国立成育医療センター(東京)
    • Year and Date
      2011-03-04
    • Related Report
      2010 Final Research Report
  • [Presentation] PKUに対するBH4療法-有効性の発見と治療の現状2010

    • Author(s)
      呉繁夫
    • Organizer
      第52回先天代謝異常学会総会
    • Place of Presentation
      大阪国際会議場(大阪府)
    • Year and Date
      2010-10-23
    • Related Report
      2010 Final Research Report
  • [Presentation] グリシンおよびフェニルアラニン代謝異常症の病態解明と治療法開発に関する研究2010

    • Author(s)
      呉繁夫
    • Organizer
      第52回先天代謝異常学会総会
    • Place of Presentation
      大阪国際会議場(大阪府)
    • Year and Date
      2010-10-21
    • Related Report
      2010 Final Research Report
  • [Presentation] グリシンおよびフェニルアラニン代謝異常症の病態解明と治療法開発に関する研究2010

    • Author(s)
      呉繁夫
    • Organizer
      日本先天代謝異常学会総会
    • Place of Presentation
      大阪国際会議場
    • Year and Date
      2010-10-21
    • Related Report
      2010 Annual Research Report
  • [Presentation] フェニルケトン尿症に対するテトラヒドロビオプテリン療法2010

    • Author(s)
      呉繁夫
    • Organizer
      第113回日本先天代謝異常症学術集会
    • Place of Presentation
      盛岡市民ホール(盛岡市)
    • Year and Date
      2010-04-23
    • Related Report
      2010 Final Research Report
  • [Presentation] Nonketotic hyperglycinemia2010

    • Author(s)
      Kure S
    • Organizer
      The 13^<th> Annual Meeting of the Infantile Seizure Society
    • Place of Presentation
      Howard Plaza Hotel, Taipei, Taiwan
    • Year and Date
      2010-03-27
    • Related Report
      2009 Annual Research Report
  • [Presentation] 遺伝生化学-先天代謝異常症入門2010

    • Author(s)
      呉繁夫
    • Organizer
      第1回遺伝医学セミナー入門コース
    • Place of Presentation
      ぷらざ菜の花(千葉市)
    • Year and Date
      2010-02-18
    • Related Report
      2010 Final Research Report
  • [Presentation] Glycine encephalopathy International Symposium on Epilepsy in Neurometabolic disease2010

    • Author(s)
      呉繁夫
    • Organizer
      Epilepsy in Neurometabolic Disease
    • Place of Presentation
      Taipei, Taiwan
    • Related Report
      2010 Final Research Report
  • [Book] 症例から学ぶ先天代謝異常症(遠藤文夫、山口清次、高柳正樹、深尾敏博編)(日齢2より筋緊張低下、無呼吸を呈した男児)2010

    • Author(s)
      高柳俊光、呉繁夫
    • Publisher
      診断と治療社
    • Related Report
      2010 Final Research Report
  • [Book] 「高グリシン血症」小児科臨床ピクシスNo.23(五十嵐隆、高柳正樹編)(見逃せない先天代謝異常症)2010

    • Author(s)
      呉繁夫
    • Publisher
      中山書店
    • Related Report
      2010 Final Research Report
  • [Book] ビタミン総合事典(日本ビタミン学会編)(BH4反応性フェニルアラニン水酸化酵素欠損症)2010

    • Author(s)
      呉繁夫
    • Publisher
      朝倉書店
    • Related Report
      2010 Final Research Report
  • [Book] 高グリシン血症(第3章)(小児科臨床ピクシスNo23、見逃せない先天代謝異常症)(五十嵐隆、高柳正樹編)2010

    • Author(s)
      呉繁夫
    • Publisher
      中山書店
    • Related Report
      2010 Annual Research Report
  • [Remarks] ホームページ

    • URL

      http://plaza.umin.ac.jp/~ped-thk/pgroup_sententaisya.html

    • Related Report
      2010 Final Research Report
  • [Remarks]

    • URL

      http://plaza.umin.ac.jp/~ped-thk/pgroup_sententaisya.html

    • Related Report
      2010 Annual Research Report

URL: 

Published: 2008-04-01   Modified: 2016-04-21  

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