Personalized nutrition therapy according to the results of urine organic acid test for oxidative stress and gut microbial environment

2021 ◽  
Vol 4 (1) ◽  
pp. 22-27
Author(s):  
Eunkyung Suh
Author(s):  
Tsz-Ki Ling ◽  
Ka-Chung Wong ◽  
Candace Yim Chan ◽  
Nike Kwai-Cheung Lau ◽  
Chun-yiu Law ◽  
...  

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Hao Liu ◽  
Jing-kun Miao ◽  
Chao-wen Yu ◽  
Ke-xing Wan ◽  
Juan Zhang ◽  
...  

Abstract Background Mitochondrial 3-hydroxy-3-methylglutaryl-CoA synthase (mHS) deficiency is an autosomal recessive inborn error of metabolism, which will give rise to failure of ketogenesis in liver during illness or fasting. It is a very rare disease with only a few patients reported worldwide, most of which had a good prognosis after proper therapies. Case presentation We report a 9-month-old boy with mHS deficiency presenting with unusually severe and persistent acidosis after diarrhea and reduced oral food intake. The metabolic acidosis persisted even after supplementation with sugar and alkaline solution. Blood purification and assisted respiration alleviated symptoms, but a second onset induced by respiratory infection several days later led to multiple organ failure and death. Urine organic acid analysis during the acute episode revealed a complex pattern of ketogenic dicarboxylic and 3-hydroxydicarboxylic aciduria with prominent elevation of glutaric acid and adipic acid, which seem to be specific to mHS deficiency. Plasma acylcarnitine analysis revealed elevated 3-hydroxybutyrylcarnitine and acetylcarnitine. This is the first report of elevated 3-hydroxybutyrylcarnitine in mHS deficiency. Whole exome sequencing revealed a novel compound heterozygous mutation in HMGCS2 (c.100C > T and c.1465delA). Conclusion This severe case suggests the need for patients with mHS deficiency to avoid recurrent illness because it can induce severe metabolic crisis, possibly leading to death. Such patients may also require special treatment, such as blood purification. Urine organic acid profile during the acute episode may give a hint to the disease.


Author(s):  
MinYan Jiang ◽  
Li Liu ◽  
HuiFen Mei ◽  
XiuZhen Li ◽  
Jing Cheng ◽  
...  

Pathology ◽  
2020 ◽  
Vol 52 ◽  
pp. S107
Author(s):  
Chun Yiu Law ◽  
Tsz Ki Ling ◽  
Ka Chung Wong ◽  
Ching Wan Lam

2008 ◽  
Vol 392 (1-2) ◽  
pp. 63-68 ◽  
Author(s):  
Pornswan Wasant ◽  
Somporn Liammongkolkul ◽  
Chulaluck Kuptanon ◽  
Nithiwat Vatanavicharn ◽  
Achara Sathienkijakanchai ◽  
...  

2020 ◽  
Vol 5 (2) ◽  
pp. 388-393
Author(s):  
Christopher W Farnsworth ◽  
Dennis J Dietzen ◽  
Stephen M Roper

Antioxidants ◽  
2020 ◽  
Vol 9 (7) ◽  
pp. 638 ◽  
Author(s):  
Adrián Macho-González ◽  
Alba Garcimartín ◽  
María Elvira López-Oliva ◽  
Sara Bastida ◽  
Juana Benedí ◽  
...  

High meat and meat-products consumption has been related to degenerative diseases. In addition to their saturated fatty acids and cholesterol contents, oxidation products generated during their production, storage, digestion, and metabolization have been largely implicated. This review begins by summarizing the concept of meat and meat-products by the main international regulatory agencies while highlighting the nutritional importance of their consumption. The review also dials in the controversy of white/red meat classification and insists in the need of more accurate classification based on adequate scores. Since one of the negative arguments that meat receives comes from the association of its consumption with the increase in oxidative stress, main oxidation compounds (malondialdehyde, thermaloxidized compounds, 4-hydroxy-nonenal, oxysterols, or protein carbonyls) generated during its production, storage, and metabolization, are included as a central aspect of the work. The review includes future remarks addressed to study the effects meat consumption in the frame of diet–gene interactions, stressing the importance of knowing the genetic variables that make individuals more susceptible to a possible oxidative stress imbalance or antioxidant protection. The importance of consumed meat/meat-products in the frame of a personalized nutrition reach in plant-food is finally highlighted considering the importance of iron and plant biophenols on the microbiota abundance and plurality, which in turn affect several aspects of our physiology and metabolism.


Sign in / Sign up

Export Citation Format

Share Document