Galactose oxidation using C-13 in healthy and galactosemic children

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Citações na Scopus
1
Tipo de produção
article
Data de publicação
2015
Título da Revista
ISSN da Revista
Título do Volume
Editora
ASSOC BRAS DIVULG CIENTIFICA
Autores
RESENDE-CAMPANHOLI, D. R.
FERRIOLI, E.
PFRIMER, K.
CIAMPO, L. A. Del
CAMELO JUNIOR, J. S.
Citação
BRAZILIAN JOURNAL OF MEDICAL AND BIOLOGICAL RESEARCH, v.48, n.3, p.280-285, 2015
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Galactosemia is an inborn error of galactose metabolism that occurs mainly as the outcome of galactose-1-phosphate uridyltransferase (GALT) deficiency. The ability to assess galactose oxidation following administration of a galactose-labeled isotope (1-C-13-galactose) allows the determination of galactose metabolismin a practical manner. We aimed to assess the level of galactose oxidation in both healthy and galactosemic Brazilian children. Twenty-one healthy children and seven children with galactosemia ranging from 1 to 7 years of age were studied. A breath test was used to quantitate (CO2)-C-13 enrichment in exhaled air before and at 30, 60, and 120 min after the oral administration of 7 mg/kg of an aqueous solution of 1-C-13-galactose to all children. The molar ratios of (CO2)-C-13 and (CO2)-C-12 were quantified by the mass/charge ratio (m/z) of stable isotopes in each air sample by gas-isotope-ratio mass spectrometry. In sick children, the cumulative percentage of C-13 from labeled galactose (CUMPCD) in the exhaled air ranged from 0.03% at 30 min to 1.67% at 120 min. In contrast, healthy subjects showed a much broader range in CUMPCD, with values from 0.4% at 30 min to 5.58% at 120 min. The study found a significant difference in galactose oxidation between children with and without galactosemia, demonstrating that the breath test is useful in discriminating children with GALT deficiencies.
Palavras-chave
Galactosemias, Isotope labeling, Children, Breath tests
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