Lactic acidosis in long-chain fatty acid beta-oxidation disorders.

Abstract:

:Among the many disorders of fatty acid beta-oxidation known today, the disorders of long-chain fatty acid oxidation are the most severe and life-threatening. One remarkable abnormality, not observed in, for instance, medium-chain acyl-CoA dehydrogenase deficiency, is the moderate to severe lactic acidaemia in long-chain fatty acid beta-oxidation-deficient patients, suggesting that oxidation of pyruvate is also compromised. In order to understand the underlying basis of the lactic acidaemia in these patients, we have studied the formation of L-lactate and pyruvate in cultured skin fibroblasts incubated with D-glucose. All long-chain fatty acid beta-oxidation-deficient cell lines studied were found to show a moderate elevation of lactate when compared with control and medium-chain acyl-CoA dehydrogenase-deficient fibroblasts. Interestingly, differences were found between cells deficient in long-chain 3-hydroxyacyl-CoA dehydrogenase and very-long-chain acyl-CoA dehydrogenase, suggesting that saturated acyl-CoA esters and their 3-hydroxyacyl-CoA derivatives affect pyruvate metabolism differently.

journal_name

J Inherit Metab Dis

authors

Ventura FV,Ruiter JP,IJlst L,de Almeida IT,Wanders RJ

doi

10.1023/a:1005480516801

subject

Has Abstract

pub_date

1998-08-01 00:00:00

pages

645-54

issue

6

eissn

0141-8955

issn

1573-2665

journal_volume

21

pub_type

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