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A study on the diagnosis and pathophysiology of carnitine deficiency

Research Project

Project/Area Number 21790990
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeSingle-year Grants
Research Field Pediatrics
Research InstitutionShimane University

Principal Investigator

KOBAYASHI Hironori  Shimane University, 医学部, 助教 (70397868)

Project Period (FY) 2009 – 2010
Project Status Completed (Fiscal Year 2010)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2010: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Fiscal Year 2009: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Keywords脂質 / ゲノム / 分析科学 / カルニチン / タンデムマス / アシルカルニチン
Research Abstract

Deficiency of carnitine transporter, a product of OCTN2 gene, causes a primary carnitine deficiency. First, this study surveyed the prevalence and clinical presentation of OCTN2 deficiency among the carnitine deficiency. Acylcarnitine analysis identified 269 cases of carnitine deficiency out of 2,694 subjects. Two cases had heterozygous mutation, S467C/WT and V465A/WT, respectively. This result suggests that catabolic state upon infection or poor nutrition can trigger metabolic decompensation even in the heterozygous carrier of OCTN2 mutation.
Second, our study established a method for functional analysis of carnitine transporter using cultured skin fibroblast. The ratio of intracellular carnitine/extracellular free carnitine in OCTN2 deficiency was significantly lower than in normal controls. This method also enables to evaluate intracellular acylcarnitine profile simultaneously as well as extracellular acylcarnitine profile using conventional method. Further application of this strategy for the functional analysis of fatty acid oxidation is expected.

Report

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

    (46 results)

All 2011 2010 2009

All Journal Article (30 results) (of which Peer Reviewed: 20 results) Presentation (16 results)

  • [Journal Article] Retrospective review of Japanese sudden unexpected death in infancy: The importance of metabolic autopsy and expanded newborn screening.2011

    • Author(s)
      Yamamoto T, Tanaka H, Kobayashi H, Okamura K, Tanaka T, Emoto Y, Sugimoto K, Nakatome M, Sakai N, Kuroki H, Yamaguchi S, Matoba R.
    • Journal Title

      Mol Genet Metab. 102(4)

      Pages: 399-406

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Clinical and molecular investigation of 19 Japanese cases of glutaric acidemia type 1.2011

    • Author(s)
      Mushimoto Y, Fukuda S, Hasegawa Y, Kobayashi H, Purevsuren J, Li H, Taketani T, Yamaguchi S.
    • Journal Title

      Mol Genet Metab. 102(3)

      Pages: 343-348

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Retrospective review of Japanese sudden unexpected death in infancy : The importance of metabolic autopsy and expanded newborn screening2011

    • Author(s)
      Yamamoto T, Tanaka H, Kobayashi H, Okamura K, et al.
    • Journal Title

      Mol Genet Metab.

      Volume: 102巻 Pages: 399-406

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Clinical and molecular investigation of 19 Japanese cases of glutaric acidemia type 12011

    • Author(s)
      Mushimoto Y, Fukuda S, Hasegawa Y, Kobayashi H, et al.
    • Journal Title

      Mol Genet Metab.

      Volume: 102巻 Pages: 343-348

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Carnitine palmitoyltransferase 2 deficiency: the time-course of blood and urinary acylcarnitine levels during initial L-carnitine supplementation.2010

    • Author(s)
      Hori T, Fukao T, Kobayashi H, Teramoto T, Takayanagi M, Hasegawa Y, Yasuno T, Yamaguchi S, Kondo N.
    • Journal Title

      Tohoku J Exp Med. 221(3)

      Pages: 191-195

    • NAID

      10027084985

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] In vitro probe acylcarnitine profiling assay using cultured fibroblasts and electrospray ionization tandem mass spectrometry predicts severity of patients with glutaric aciduria type 2.2010

    • Author(s)
      Endo M, Hasegawa Y, Fukuda S, Kobayashi H, Yotsumoto Y, Mushimoto Y, Li H, Purevsuren J, Yamaguchi S.
    • Journal Title

      J Chromatogr B 878(20)

      Pages: 1673-1676

    • NAID

      10028037822

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Heat stress deteriorates mitochondrial beta-oxidation of long-chain fatty acids in cultured fibroblasts with fatty acid beta-oxidation disorders.2010

    • Author(s)
      Li H, Fukuda S, Hasegawa Y, Purevsuren J, Kobayashi H, Mushimoto Y, Yamaguchi S.
    • Journal Title

      J Chromatogr B 878(20)

      Pages: 1669-1672

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] A common mutation, R208X, identified in Vietnamese patients with mitochondrial acetoacetyl-CoA thiolase (T2) deficiency.2010

    • Author(s)
      Fukao T, Nguyen HT, Nguyen NT, Vu DC, Can NT, Pham AT, Nguyen KN, Kobayashi H, Hasegawa Y, Bui TP, Niezen-Koning KE, Wanders RJ, de Koning T, Nguyen LT, Yamaguchi S, Kondo N.
    • Journal Title

      Mol Genet Metab. 100(1)

      Pages: 37-41

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Effect of heat stress and bezafibrate on mitochondrial beta-oxidation: comparison between cultured cells from normal and mitochondrial fatty acid oxidation disorder children using in vitro probe acylcarnitine profiling assay.2010

    • Author(s)
      Li H, Fukuda S, Hasegawa Y, Kobayashi H, Purevsuren J, Mushimoto Y, Yamaguchi S.
    • Journal Title

      Brain Dev. 32(5)

      Pages: 362-370

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Molecular analysis of a presymptomatic case of carnitine palmitoyl transferase I (CPT I) deficiency detected by tandem mass spectrometry newborn screening in Japan.2010

    • Author(s)
      Tsuburaya R, Sakamoto O, Arai N, Kobayashi H, Hasegawa Y, Yamaguchi S, Shigematsu Y, Takayanagi M, Ohura T, Tsuchiya S.
    • Journal Title

      Brain Dev. 32(5)

      Pages: 409-411

    • NAID

      10027491517

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] タンデムマス導入による新生児マススクリーニングの新時代 タンデムマスによる新生児スクリーニングに対するin vitro probe acylcarnitine profiling assayによる脂肪酸β酸化能評価の有用性に関する検討2010

    • Author(s)
      小林弘典, 李紅, プレブスレン・ジャミヤン, 虫本雄一, 長谷川有紀, 山口清次
    • Journal Title

      日本先天代謝異常学会雑誌 26(1)

      Pages: 50-54

    • Related Report
      2010 Final Research Report
  • [Journal Article] タンデムマスによる新生児マススクリーニング2010

    • Author(s)
      小林弘典, 山口清次
    • Journal Title

      小児科 51(12)

      Pages: 1697-1700

    • NAID

      40017391005

    • Related Report
      2010 Final Research Report
  • [Journal Article] 新生児拡大マススクリーニング タンデムマス法2010

    • Author(s)
      小林弘典
    • Journal Title

      小児科臨床 63(10)

      Pages: 2063-2069

    • Related Report
      2010 Final Research Report
  • [Journal Article] 新生児医療の最前線 新しい新生児マススクリーニング タンデムマスの導入2010

    • Author(s)
      小林弘典, 山口清次
    • Journal Title

      Neonatal Care 23(9)

      Pages: 889-894

    • Related Report
      2010 Final Research Report
  • [Journal Article] 幼児期に繰り返す嘔吐発作で発症したメチルマロン酸血症の同胞例2010

    • Author(s)
      粟野宏之, 八木麻理子, 起塚庸, 小林弘典, 長谷川有紀, 山口清次, 坂本修, 大浦敏博, 竹島泰弘, 松尾雅文
    • Journal Title

      日本小児科学会雑誌 114(6)

      Pages: 961-965

    • NAID

      10026413753

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Two-Source Capture Recapture Methodを用いた日本におけるメチルマロン酸血症の発症率及び小児慢性特定疾患治療研究事業での登録率の検討2010

    • Author(s)
      顧艶紅, 小林弘典, 加藤忠明, 長谷川有紀, 原田正平, 山口清次
    • Journal Title

      日本マス・スクリーニング学会誌 20(1)

      Pages: 33-37

    • NAID

      10029813603

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] タンデムマスによる新生児・乳幼児突然死をきたす先天代謝異常症の早期発見2010

    • Author(s)
      小林弘典, 山口清次
    • Journal Title

      産婦人科の実際 59(6)

      Pages: 931-936

    • NAID

      40017165316

    • Related Report
      2010 Final Research Report
  • [Journal Article] Carnitine palmitoyltransferase 2 deficiency : the time-course of blood and urinary acylcarnitine levels during initial L-carnitine supplementation2010

    • Author(s)
      Hori T, Fukao T, Kobayashi H, Teramoto T, et al.
    • Journal Title

      Tohoku J Exp Med.

      Volume: 221巻 Pages: 191-195

    • NAID

      10027084985

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] In vitro probe acylcarnitine profiling assay using cultured fibroblasts and electrospray ionization tandem mass spectrometry predicts severity of patients with glutaric aciduria type 22010

    • Author(s)
      Endo M, Hasegawa Y, Fukuda S, Kobayashi H, Yotsumoto Y, et al.
    • Journal Title

      J Chromatogr B Analyt Technol Biomed Life Sci

      Volume: 878巻 Pages: 1673-1676

    • NAID

      10028037822

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Heat stress deteriorates mitochondrial beta-oxidation of long-chain fatty acids in cultured fibroblasts with fatty acid beta-oxidation disorders2010

    • Author(s)
      Li H, Fukuda S, Hasegawa Y, Purevsuren J, Kobayashi H, Mushimoto Y, Yamaguchi S.
    • Journal Title

      J Chromatogr B Analyt Technol Biomed Life Sci

      Volume: 878巻 Pages: 1669-1672

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Effect of heat stress and bezafibrate on mitochondrial beta-oxidation : comparison between cultured cells from normal and mitochondrial fatty acid oxidation disorder children using in vitro probe acylcarnitine profiling assay2010

    • Author(s)
      Li H, Fukuda S, Hasegawa Y, Kobayashi H, Purevsuren J, Mushimoto Y, Yamaguchi S.
    • Journal Title

      Brain Dev

      Volume: 32巻 Pages: 362-370

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] タンデムマス導入による新生児マススクリーニングの新時代タンデムマスによる新生児スクリーニングに対するin vitro probe acylcarnitine profiling assayによる脂肪酸β酸化能評価の有用性に関する検討2010

    • Author(s)
      小林弘典, 李紅, プレブスレン・ジャミヤン, 虫本雄一, 長谷川有紀, 山口清次
    • Journal Title

      日本先天代謝異常学会雑誌

      Volume: 26巻 Pages: 50-54

    • Related Report
      2010 Annual Research Report
  • [Journal Article] タンデムマスによる新生児マススクリーニング2010

    • Author(s)
      小林弘典, 山口清次
    • Journal Title

      小児科

      Volume: 51巻 Pages: 1697-1700

    • NAID

      40017391005

    • Related Report
      2010 Annual Research Report
  • [Journal Article] 新生児拡大マススクリーニングタンデムマス法2010

    • Author(s)
      小林弘典
    • Journal Title

      小児科臨床

      Volume: 63巻 Pages: 2063-2069

    • Related Report
      2010 Annual Research Report
  • [Journal Article] 新生児医療の最前線 新しい新生児マススクリーニングタンデムマスの導入2010

    • Author(s)
      小林弘典, 山口清次
    • Journal Title

      Neonatal Care

      Volume: 23巻 Pages: 889-894

    • Related Report
      2010 Annual Research Report
  • [Journal Article] Clinical and molecular aspects of Japanese patients with mitochondrial trifunctional protein deficiency.2009

    • Author(s)
      Purevsuren J, Fukao T, Hasegawa Y, Kobayashi H, Li H, Mushimoto Y, Fukuda S, Yamaguchi S.
    • Journal Title

      Mol Genet Metab. 98(4)

      Pages: 372-377

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Enzymatic evaluation of glutaric acidemia type 1 by an in vitro probe assay of acylcarnitine profiling using fibroblasts and electrospray ionization/tandem mass spectrometry (MS/MS).2009

    • Author(s)
      Mushimoto Y, Hasegawa Y, Kobayashi H, Li H, Purevsuren J, Nakamura I, Taketani T, Fukuda S, Yamaguchi S.
    • Journal Title

      J Chromatogr B. 877(25)

      Pages: 2648-2651

    • NAID

      10028022580

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] 中鎖アシルCoA脱水素酵素欠損症日本人5症例の発症形態の検討2009

    • Author(s)
      虫本雄一, 小林弘典, 長谷川有紀, 李紅, 福田誠司, 近藤陽一, 脇口宏, 藤枝幹也, 高杉尚志, 山口結, 吉良龍太郎, 原寿郎, 山口清次
    • Journal Title

      日本小児科学会雑誌 113(1)

      Pages: 1800-1804

    • NAID

      10026276839

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] 経過中血液ろ紙分析でカットオフ値を下回った極長鎖アシル-CoA脱水素酵素欠損症の2例 血清分析の必要性2009

    • Author(s)
      虫本雄一, 小林弘典, 長谷川有紀, 坂本修, 大浦敏博, 山口清次
    • Journal Title

      日本マス・スクリーニング学会誌 19(3)

      Pages: 255-259

    • NAID

      10026395084

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] ESI-MS/MSと培養細胞を用いたin vitro probe acylcarnitine profiling assayによる脂肪酸β酸化能の評価2009

    • Author(s)
      小林弘典、虫本雄一、山口清次
    • Journal Title

      JSBMS letters 34巻

      Pages: 21-26

    • Related Report
      2009 Annual Research Report
  • [Presentation] タンデムマスによる新生児スクリーニングのデータ解釈と臨床的意義2010

    • Author(s)
      小林弘典
    • Organizer
      平成22年度先天性代謝異常・内分泌疾患マス・スクリーニング基礎理論研修会(招待講演)
    • Place of Presentation
      国立成育医療研究センター、東京
    • Year and Date
      2010-10-30
    • Related Report
      2010 Final Research Report
  • [Presentation] タンデムマスによる新生児スクリーニングのデータ解釈と臨床的意義2010

    • Author(s)
      小林弘典
    • Organizer
      平成22年度先天性代謝異常・内分泌疾患マス・スクリーニング基礎理論研修会
    • Place of Presentation
      国立成育医療研究センター、東京(招待講演)
    • Year and Date
      2010-10-30
    • Related Report
      2010 Annual Research Report
  • [Presentation] Toxic effect of cereulide of bacillus cereus on mitochondrial fatty acid oxidation.2010

    • Author(s)
      Purevsuren J, Hasegawa Y, Kobayashi H, Mushimoto Y, Fukuda S, Yamaguchi S.
    • Organizer
      第52回日本先天代謝異常学会
    • Place of Presentation
      大阪国際会議場、大阪市
    • Year and Date
      2010-10-22
    • Related Report
      2010 Final Research Report
  • [Presentation] ミトコンドリア三頭酵素欠損症に対するベサフィブレートの効果に関するIn vitro probe assayでの検討2010

    • Author(s)
      小林弘典,プレブスレン ジャミセン, 李紅, 虫本雄一, 長谷川有紀, 山口清次
    • Organizer
      第52回日本先天代謝異常学会
    • Place of Presentation
      大阪国際会議場、大阪市
    • Year and Date
      2010-10-22
    • Related Report
      2010 Final Research Report
  • [Presentation] ミトコンドリア三頭酵素欠損症に対するベサフィブレートの効果に関するInvitro probe assayでの検討2010

    • Author(s)
      小林弘典, プレブスレンジャミヤン, 李紅, 虫本雄一, 長谷川有紀, 山口清次
    • Organizer
      第52回日本先天代謝異常学会
    • Place of Presentation
      大阪国際会議場、大阪市
    • Year and Date
      2010-10-22
    • Related Report
      2010 Annual Research Report
  • [Presentation] Toxic effect of cereulide of bacillus cereus on mitochondrial fatty acid oxidation2010

    • Author(s)
      Purevsuren J, Hasegawa Y, Kobayashi H, Mushimoto Y, Fukuda S, Yamaguchi S
    • Organizer
      第52回日本先天代謝異常学会
    • Place of Presentation
      大阪国際会議場、大阪市
    • Year and Date
      2010-10-22
    • Related Report
      2010 Annual Research Report
  • [Presentation] Effect of heat stress and bezafibrate on mitochondrial fatty acid oxidation (FAO) in FAO disorders: evaluation by in vitro probe acylycarnitine assay.2010

    • Author(s)
      Yamaguchi S, Li H, Purevsuren J, Mushimoto Y, Kobayashi H, Hasegawa Y, Fukuda S.
    • Organizer
      Society for the study of inborn errors of metabolism.
    • Place of Presentation
      The Istanbul Convention and Exhibition Center, Istanbul, Turkey
    • Year and Date
      2010-08-31
    • Related Report
      2010 Final Research Report
  • [Presentation] Effect of heat stress and bezafibrate on mitochondrial fatty acid oxidation (FAO) in FAO disorders : evaluation by in vitro probe acylycarnitine assay2010

    • Author(s)
      Yamaguchi S, Li H, Purevsuren J, Mushimoto Y, Kobayashi H, Hasegawa Y, Fukuda S
    • Organizer
      Society for the study of inborn errors of metabolism
    • Place of Presentation
      The Istanbul Convention and Exhibition Center, Istanbul, Turkey
    • Year and Date
      2010-08-31
    • Related Report
      2010 Annual Research Report
  • [Presentation] 自治体主導のタンデムマス・スクリーニング:島根県での試み2010

    • Author(s)
      小林弘典, 虫本雄一, 長谷川有紀, 他
    • Place of Presentation
      横浜市
    • Year and Date
      2010-08-29
    • Related Report
      2010 Final Research Report
  • [Presentation] 自治体主導のタンデムマス・スクリーニング:島根県での試み2010

    • Author(s)
      小林弘典, 虫本雄一, 長谷川有紀, 他
    • Organizer
      第37回日本マス・スクリーニング学会
    • Place of Presentation
      ワークピア横浜、横浜市
    • Year and Date
      2010-08-29
    • Related Report
      2010 Annual Research Report
  • [Presentation] Development of a diagnostic method of systemic carnitine deficiency by in vitro probe acylcarnitine assay using tandem mass spectrometry and fibroblasts.2010

    • Author(s)
      Purevsuren J, Kobayashi H, Hasegawa Y, Li H, Mushimoto Y, Yamaguchi S.
    • Organizer
      The 1st Asian Congress for Inherited Metabolism.
    • Place of Presentation
      福岡国際会議場,福岡
    • Year and Date
      2010-03-10
    • Related Report
      2010 Final Research Report
  • [Presentation] Developed diagnostic method for carnitine cycle disorders using in vitro acylacrnitine probe assay2010

    • Author(s)
      Jamiyan Purevsuren, Hironori Kobayashi, Yuki Hasegawa, Hong Li, Yuichi Mushimoto, Seiji Yamaguchi
    • Organizer
      The 1^<st> Asian Congress for Inherited Metabolism
    • Place of Presentation
      福岡国際会議場(福岡市)
    • Year and Date
      2010-03-10
    • Related Report
      2009 Annual Research Report
  • [Presentation] In vitro probe assayによる脂肪酸代謝異常症の代謝能評価2009

    • Author(s)
      小林弘典, 虫本雄一, 長谷川有紀、Purevusren Jamiyan, 李紅, 山口清次
    • Organizer
      第51回日本先天代謝異常学会総会・第8回アジア先天代謝異常症シンポジウム
    • Place of Presentation
      京王プラザホテル, 東京
    • Year and Date
      2009-11-07
    • Related Report
      2010 Final Research Report
  • [Presentation] In vitro probe assayによる脂肪酸代謝異常症の代謝能評価2009

    • Author(s)
      小林弘典, 虫本雄一, 長谷川有紀、Purevusren Jamiyan, 李紅, 山口清次
    • Organizer
      第51回日本先天代謝異常学会総会・第8回アジア先天代謝異常症シンポジウム
    • Place of Presentation
      京王プラザホテル(東京都)
    • Year and Date
      2009-11-07
    • Related Report
      2009 Annual Research Report
  • [Presentation] Development of a diagnostic method of systemic carnitine deficiency by in vitro probe acylcarnitine assay using tandem mass spectrometry and fibroblasts. of Metabolism.2009

    • Author(s)
      Kobayashi K, Purevsure J, Hasegawa Y, Yamaguchi S.
    • Organizer
      11^<th> International Congress of Inborn Errors
    • Place of Presentation
      Manchester Grand Hyatt Hotel, San Diego, CA, USA
    • Year and Date
      2009-08-31
    • Related Report
      2010 Final Research Report
  • [Presentation] Development of a diagnostic method of systemic carnitine deficiency by in vitro probe acylcarnitine assay using tandem mass spectrometry and fibroblasts2009

    • Author(s)
      Hironori Kobayashi, Jamiyan Purevsuren, Yuki Hasegawa, Seiji Yamaguchi
    • Organizer
      11^<th> International Congress of Inborn Errors of Metabolism
    • Place of Presentation
      Manchester Grand Hyatt Hotel, San Diego, CA, USA
    • Year and Date
      2009-08-31
    • Related Report
      2009 Annual Research Report

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Published: 2009-04-01   Modified: 2016-04-21  

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