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2010 Fiscal Year Final Research Report

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

Research Project

  • PDF
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
Keywords小児代謝 / 栄養学 / 先天代謝異常症のin vivo診断法
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.

  • Research Products

    (15 results)

All 2011 2010 2009 Other

All Journal Article (5 results) (of which Peer Reviewed: 2 results) Presentation (6 results) Book (3 results) Remarks (1 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)

    • 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

    • 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

  • [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

  • [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

  • [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
  • [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
    • Year and Date
      20100326-20100328
  • [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
  • [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
  • [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
  • [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
  • [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
    • Total Pages
      33-35
    • Publisher
      診断と治療社
  • [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
    • Total Pages
      249-251
    • Publisher
      中山書店
  • [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
    • Total Pages
      509-511
    • Publisher
      朝倉書店
  • [Remarks] ホームページ

    • URL

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

URL: 

Published: 2012-01-26   Modified: 2016-04-21  

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