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A Clinicobiochemical Study of Tryptophan and Other Plasma and Urinary Amino Acids in the Family With Hartnup Disease

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Developments in Tryptophan and Serotonin Metabolism

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 527))

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Abstract

Two cases of Hartnup disease were diagnosed in a five member family. A changeable polymorph and severe clinical features of a 16 year old girl was described. Total plasma amino acids value was significantly decreased in the girl compared to the sum of plasma amino acids value in the brother, mother, father and to the summed maximal values of normal range. Intermediate aminoaciduria was also found with atypical amino acids pattern. Total plasma amino acids concentration was significantly reduced (27.20%) in the mother, while no significant decrease in the son (1.83%) and father (7.51%) were found compared to the summed maximal values of normal range. In the clinicaly healthy father, 38 years of age, a gross aminoaciduria with atypical pattern of amino acids was also found. Urinary amino acids concentration in the son and his mother were rather normal, although low concentration of eight amino acids was found in the mother’s urine. Cerebrospinal fluid 5-hydroxyindoleacetic acid level was reduced in the girl.

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References

  1. D.N. Baron, C.E. Dent, H. Harris, E.W. Hart, and J. B. Jepson, Hereditary pellagra - like skin rash with temporary cerebellar ataxia, constant renal aminoacidura, and other bizarre biochemical feature, The Lancet 2, 421–428 (1956).

    Article  Google Scholar 

  2. M.D. Milne, M.A. Grawford, C.B. Girao, and L.W. Loughridge, The metabolic disorder in Hartnup disease, Quart. J. Med. 29, 407–421 (1960).

    CAS  Google Scholar 

  3. M.D. Milne, Disorders of amino-acids transport, Brit. Med. J. 1, 327–336 (1964).

    Article  PubMed  CAS  Google Scholar 

  4. V.E. Shih, E.M. Bixby, D.H. Alpers, C.S. Bartsocas, and S.O. Thier, Studies of intestinal transport defect in Hartnup disease, Gastroenterology 61, 445–453 (1971).

    PubMed  CAS  Google Scholar 

  5. C.R. Scriver, B. Mahon, H.L. Levy, C.L. Clow, T.M. Reade, J. Kronick, B. Lemieux, and C. Laberge, The Hartnup phenotype: Mendelian transport disorder, multifactorial disease, Am. J. Hum. Genet. 40, 401–412 (1987).

    PubMed  CAS  Google Scholar 

  6. S.O. Thier, and D.H. Alpers, Disorders of intestinal transport of amino acids, Am. J. Dis. Child. 117,13–23, 1969.

    PubMed  CAS  Google Scholar 

  7. D.D. Milovanovic, Lj. Milovanovic, B. Stankovic, and D. Radulovic, Tryptophan and its metabolites in a family with Hartnup disease, in: Kynurenine and Serotonin Pathways, Volume 294, edited by R. Schwartz, S.N. Young, and R.R. Brown (Plenum Press, New York, 1991), pp. 669–674.

    Chapter  Google Scholar 

  8. A. Knapp, and U. Grimm, Studies of the clinical importance and molecular defect of hereditary vitamin B6 dependent xanthurenic aciduria, in: Progress in Tryptophan and Serotonin Research, edited by H.G. Schlossberger, W. Kochen, B. Linzen and H. Steinhart (Walter de Gruyter, Berlin-New York, 1984), pp. 359–364.

    Google Scholar 

  9. P.W.K. Wong, and P.M. Pillai, Clinical and biochemical observations in two cases of Hartnup disease, Arch. Dis. Child. 41, 383–388 (1966).

    Article  CAS  Google Scholar 

  10. S. Udenfriend, E. Titus, and H. Weissbach, The identification of 5-hydroxy-3-indoleacetic acid in normal urine and method for its assay, J. Biol. Chem. 216, 499–505 (1955).

    PubMed  CAS  Google Scholar 

  11. M.D. Armstrong, and U. Stave, A study of plasma free amino acid levels. II. Normal values for children and adults, Metabolism, 22, 561–569 (1973).

    Article  PubMed  CAS  Google Scholar 

  12. D.D. Milovanovic, Neki biohemijski aspekti miopatija sa posebnim osvrtom na ispitivanje slobodnih aminokiselina seruma, in: Proceedings with European alliance of muscular dystrophy associations-Beograd. Volume 25, Neurologija (izvanredan broj, Zagreb, 1977), pp. 57–64.

    Google Scholar 

  13. S. Meites, Amino acids, in: Pediatric clinical chemistry, 2nd ed., (American association for clinical chemistry, Washington, 1981), pp. 82–88.

    Google Scholar 

  14. M.J. Carver, and R. Paska, Ion-exchange chromatography of urinary amino acids. 1. Normal children, Clin. Chim. Acta 6,721–724 (1961).

    CAS  Google Scholar 

  15. W.J. Bank, L.P. Rowland, and J. 1psen, Amino acids of plasma and urine in diseases of muscle, Arch. Neurol. 24,176–186 (1971).

    CAS  Google Scholar 

  16. D.D. Milovanovié, Lj. Milovanovié, and D. Vranjegevie, Serum tryptophan to large neutral amino acid ratio and urinary tryptophan in three patients with phenylketonuria in a family, in:Tryptophan Serotonin and Melatonin Volume467 edited by G. Heuther, W. Kochen, T.J. Simat and H. Steinhart (Kluwer Academic/Plenum Publishers, New York, 1999), pp. 289–295.

    Chapter  Google Scholar 

  17. A. Logan. C.P. Schlicke, and G.B. Manning, Familial pancreatitisAm. J. Surg. 115,112–117 (1968).

    Article  PubMed  Google Scholar 

  18. J.M. Carver, S..I. Dutch, and C.L. Willson, Aminoaciduria in representative neuromuscular disordersMetabolism 10582–584 (1961).

    PubMed  CAS  Google Scholar 

  19. D.D. Milovanovié, A. Dukié, R. Stepanovie, D. Pekovid, and D. Vranješevie, Hartnupova bolest (prikaz dva bolesnika izjedne porodice)Srp. Arh. Celok. Lek. 3–4,3–4 (2000).

    Google Scholar 

  20. D.D. Milovanovié, and H.L. Stevanovie, Serotonin and 5-hydroxyindoleacetic acid CSF levels and plasma tryptophan in neurological diseases, in:Progress in Tryptophan and Serotonin Researchedited by D.A. Bender, M.H. Joseph; W. Kochen, and H. Steinhart, (Walter de Gruyter, Berlin and New York, 1987), pp. 325–332.

    Google Scholar 

  21. D.D. Milovanovié, B. Stankovié, Lj. Milovanovié, Z. Koriéanac, and D. Trpkovic, Urinary 5hydroxyindoleacetic acid and serum phenobarbital of children suffering from epilepsy, in:Progress in Tryptophan and Serotonin Researchedited by H.G. Schlossberger, W. Kochen, B.Linzen and H. Steinhart (Walter de Gruyter, Berlin and New York, 1984), pp.473–478.

    Google Scholar 

  22. L.O. Badaljan, V.A. Tabolin, and J.U.E. Veltišéev, Nasledstvennie bolezni u detej. lzdateljstvo »Medicina« Moskva, 5–20 (1971).

    Google Scholar 

  23. H. Harris, and M.D. Milne, Cystinuria and Hartnup disease, in:Biochemical Disorders in Human Diseaseedited by R.H.S. Thomson and E.J. King, 2nd (Churchill Ltd, London, 1964), pp. 769–785.

    Google Scholar 

  24. J.D. Fernstrom, and R.J. Wurtman, Brain serotonin content: Physiological regulation by plasma neutral amino acidsScience 178,414–416 (1972).

    Article  PubMed  CAS  Google Scholar 

  25. J.D. Fernstrom, Tryptophan availability and serotonin synthesis in rat brain: Effects of experimental diabetes, in:Progress in Tryptophan and Serotonin Researchedited by H.G. Schlossberger, W. Kochen, B. Linzen and H. Steinhart (Walter de Gruyter, Berlin and New York, 1984), pp. 161–172.

    Google Scholar 

  26. H.Q. Wu, U. Ungerstedt, and R. Schwarcz, L-Alpha-Aminoadipic acid as a regulator of kynurenic acid production in the hyppocampus-a microdialysis study in freely moving ratsEur. J. Pharmacol. 281, 55–61 (1995).

    Article  PubMed  CAS  Google Scholar 

  27. L.E. Rosenberg, S. Downing, J.L. Durant, and S. Segal, Cystinuria: Biochemical evidence for three genetically distinct diseasesJ. Clin. Invest. 45,365–371 (1966).

    Article  PubMed  CAS  Google Scholar 

  28. A., Singer, and S. Das, Cystinuria: A review of the pathophysiology and managementJ. Ural. 142, 669–673 (1989).

    CAS  Google Scholar 

  29. M.L. Stoller, J.E. Bruce, C.A. Bruce, T. Foroud, S.C. Kirkwood, andP.J.Stambrook,Linkage of type-II and typeIllcystinuria to 19Q13.1 codominant inheritance of 2 cystinuric alleles at 19Q13.1 produces an extreme stone-forming phenotype,Am. J. Med. Genet. 86,134–139 (1999).

    Article  PubMed  CAS  Google Scholar 

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Milovanovic, D.D. (2003). A Clinicobiochemical Study of Tryptophan and Other Plasma and Urinary Amino Acids in the Family With Hartnup Disease. In: Allegri, G., Costa, C.V.L., Ragazzi, E., Steinhart, H., Varesio, L. (eds) Developments in Tryptophan and Serotonin Metabolism. Advances in Experimental Medicine and Biology, vol 527. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-0135-0_36

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  • DOI: https://doi.org/10.1007/978-1-4615-0135-0_36

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-4939-6

  • Online ISBN: 978-1-4615-0135-0

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