Disorders of carnitine metabolism in premature infants with fan-associated pneumonia

We studied the concentration of carnitine and its fractions in peripheral blood in 22 premature infants with fan-associated pneumonia and in 20 conditionally healthy premature infants by tandem mass spectrometry. The birth body weight of children was 2,086.32 ± 117.13 and 2,140.9 ± 74.4 g, gestation...

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Main Authors: V. V. Garmaeva, G. M. Dementieva, M. V. Kushnareva, G. V. Baydakova, V. S. Sukhorukov, E. S. Keshishyan, E. Yu. Zakharova
Format: Article
Language:Russian
Published: Ltd. “The National Academy of Pediatric Science and Innovation” 2019-09-01
Series:Rossijskij Vestnik Perinatologii i Pediatrii
Subjects:
Online Access:https://www.ped-perinatology.ru/jour/article/view/927
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author V. V. Garmaeva
G. M. Dementieva
M. V. Kushnareva
G. V. Baydakova
V. S. Sukhorukov
E. S. Keshishyan
E. Yu. Zakharova
author_facet V. V. Garmaeva
G. M. Dementieva
M. V. Kushnareva
G. V. Baydakova
V. S. Sukhorukov
E. S. Keshishyan
E. Yu. Zakharova
author_sort V. V. Garmaeva
collection DOAJ
description We studied the concentration of carnitine and its fractions in peripheral blood in 22 premature infants with fan-associated pneumonia and in 20 conditionally healthy premature infants by tandem mass spectrometry. The birth body weight of children was 2,086.32 ± 117.13 and 2,140.9 ± 74.4 g, gestational age was 33.7 ± 0.41 and 34.16 ± 0.51 weeks, respectively. The concentration of  total carnitine was at the lower limit or decreased in 10 (45%) children in the acute period of the disease. 4 newborns with fan-associated pneumonia demonstrated persistent carnitine deficiency: the content of free carnitine was very low: 7.47 – 8, 37 μmol/l (7.97 ± 0.197 μmol/l), the concentration of total carnitine was also reduced (21.55 – 22.01 μmol/l, 21.7 ± 0.366 μmol/l). The fractions of acylcarnitines varied widely throughout the disease. One child had high rates of C18OH (0.282 μmol/l; norm 0–0.110 μmol/l) and C18:1OH (0.282 μmol/l; norm 0–0.180 μmol/l) during the entire neonatal period. It could be associated with mitochondrial trifunctional protein deficiency. The study of total carnitine and its fractions in premature infants with fan-associated pneumonia allowed us to identify violations of its metabolism, both secondary and hereditary at early stage.
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spelling doaj.art-c3a3fdd4784b4cd3bb8c2dd5bf0f33c02023-03-13T09:12:47ZrusLtd. “The National Academy of Pediatric Science and Innovation”Rossijskij Vestnik Perinatologii i Pediatrii1027-40652500-22282019-09-01644455110.21508/1027-4065-2019-64-4-45-51757Disorders of carnitine metabolism in premature infants with fan-associated pneumoniaV. V. Garmaeva0G. M. Dementieva1M. V. Kushnareva2G. V. Baydakova3V. S. Sukhorukov4E. S. Keshishyan5E. Yu. Zakharova6Детская клиника МЕДСИОСП «Научно-исследовательский клинический институт педиатрии им. академика Ю.Е. Вельтищева» ФГБОУ ВО РНИМУ им. Н.И. Пирогова Минздрава РФОСП «Научно-исследовательский клинический институт педиатрии им. академика Ю.Е. Вельтищева» ФГБОУ ВО РНИМУ им. Н.И. Пирогова Минздрава РФФГБНУ «Медико-генетический научный центр» Министерства науки и высшего образования РоссииФГБОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава РоссииОСП «Научно-исследовательский клинический институт педиатрии им. академика Ю.Е. Вельтищева» ФГБОУ ВО РНИМУ им. Н.И. Пирогова Минздрава РФФГБНУ «Медико-генетический научный центр» Министерства науки и высшего образования РоссииWe studied the concentration of carnitine and its fractions in peripheral blood in 22 premature infants with fan-associated pneumonia and in 20 conditionally healthy premature infants by tandem mass spectrometry. The birth body weight of children was 2,086.32 ± 117.13 and 2,140.9 ± 74.4 g, gestational age was 33.7 ± 0.41 and 34.16 ± 0.51 weeks, respectively. The concentration of  total carnitine was at the lower limit or decreased in 10 (45%) children in the acute period of the disease. 4 newborns with fan-associated pneumonia demonstrated persistent carnitine deficiency: the content of free carnitine was very low: 7.47 – 8, 37 μmol/l (7.97 ± 0.197 μmol/l), the concentration of total carnitine was also reduced (21.55 – 22.01 μmol/l, 21.7 ± 0.366 μmol/l). The fractions of acylcarnitines varied widely throughout the disease. One child had high rates of C18OH (0.282 μmol/l; norm 0–0.110 μmol/l) and C18:1OH (0.282 μmol/l; norm 0–0.180 μmol/l) during the entire neonatal period. It could be associated with mitochondrial trifunctional protein deficiency. The study of total carnitine and its fractions in premature infants with fan-associated pneumonia allowed us to identify violations of its metabolism, both secondary and hereditary at early stage.https://www.ped-perinatology.ru/jour/article/view/927недоношенные новорожденные дети«вентилятор-ассоциированная» пневмониякарнитинметаболизмкровь
spellingShingle V. V. Garmaeva
G. M. Dementieva
M. V. Kushnareva
G. V. Baydakova
V. S. Sukhorukov
E. S. Keshishyan
E. Yu. Zakharova
Disorders of carnitine metabolism in premature infants with fan-associated pneumonia
Rossijskij Vestnik Perinatologii i Pediatrii
недоношенные новорожденные дети
«вентилятор-ассоциированная» пневмония
карнитин
метаболизм
кровь
title Disorders of carnitine metabolism in premature infants with fan-associated pneumonia
title_full Disorders of carnitine metabolism in premature infants with fan-associated pneumonia
title_fullStr Disorders of carnitine metabolism in premature infants with fan-associated pneumonia
title_full_unstemmed Disorders of carnitine metabolism in premature infants with fan-associated pneumonia
title_short Disorders of carnitine metabolism in premature infants with fan-associated pneumonia
title_sort disorders of carnitine metabolism in premature infants with fan associated pneumonia
topic недоношенные новорожденные дети
«вентилятор-ассоциированная» пневмония
карнитин
метаболизм
кровь
url https://www.ped-perinatology.ru/jour/article/view/927
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