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1.
Biomed Chromatogr ; 34(3): e4765, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31778577

RESUMO

The aim of the present study was to develop a novel ultrasound-assisted derivatization method for analysis of urine that can be used for preliminary screening and monitoring of metabolic disorders. Here we describe an ultrasound-assisted derivatization method followed by GC-MS analysis to quantify 26 organic acids in urine. The optimum levels of the variables affecting the yield of derivatization were investigated, including urease doses, derivatization reagents and derivatization conditions (duration time, reaction temperature and sonic power). The method exhibited the best results with 80 µl urease. The optimal reaction conditions were 100 µl BSTFA, 80% ultrasound power, 70°C and 40 min. This method showed satisfactory linearity, good reproducibility and an acceptable limit of detection and accuracy. Therefore, it could potentially be used to as a standard method to enable comparisons between laboratories. Finally, we applied our method to urine samples from pregnant rats administered 2 or 10 mg/kg folic acid supplementation.


Assuntos
Ácidos Carboxílicos/urina , Cromatografia Gasosa-Espectrometria de Massas/métodos , Metabolômica/métodos , Sonicação/métodos , Animais , Feminino , Limite de Detecção , Modelos Lineares , Masculino , Ratos , Ratos Sprague-Dawley , Reprodutibilidade dos Testes , Urease
2.
Mol Nutr Food Res ; 63(14): e1801341, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31125183

RESUMO

SCOPE: Coffee is a complex mixture of over 1000 compounds, including diverse heteroaromatic compounds such as alkylpyrazines. Little is known about the intake, metabolism, and bodily distribution of these compounds. Therefore, a human intervention study is conducted to investigate the excretion of alkylpyrazine metabolites in urine after the ingestion of brewed coffee containing alkylpyrazines. METHODS AND RESULTS: After consuming a diet without heat-processed food, ten volunteers consumed 500 mL of freshly brewed coffee prepared from coffee pads, providing intakes of 2-methylpyrazine (2-MeP), 2,5-dimethylpyrazine (2,5-DMeP), and 2,6-dimethylpyrazine (2,6-DMeP) amounting to 17.2, 4.4, and 4.9 µmol, respectively. These alkylpyrazines are metabolized into the corresponding pyrazine carboxylic acids, namely pyrazine-2-carboxylic acid (PA), 5-hydroxypyrazine-2-carboxylic acid (5-OHPA), 5-methylpyrazine-2-carboxylic acid (5-MePA), and 6-methylpyrazine-2-carboxylic acid (6-MePA). In total, 64% of the ingested 2-MeP is excreted as PA, as well as 26% as 5-OHPA, while 91% and 97% of the ingested 2,5-DMeP and 2,6-DMeP are recovered as 5-MePA and 6-MePA, respectively, in urine samples collected after coffee consumption. CONCLUSION: This study provides evidence that alkylpyrazines are rapidly metabolized into the corresponding carboxylic acids and excreted via urine by humans, which is consistent with earlier rodent studies.


Assuntos
Café/química , Pirazinas/farmacocinética , Adulto , Ácidos Carboxílicos/farmacocinética , Ácidos Carboxílicos/urina , Cromatografia Líquida de Alta Pressão , Feminino , Voluntários Saudáveis , Humanos , Masculino , Pirazinamida/análogos & derivados , Pirazinamida/farmacocinética , Pirazinas/urina , Espectrometria de Massas por Ionização por Electrospray
3.
Food Res Int ; 120: 544-552, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-31000270

RESUMO

Polyphenol intake has been associated with health promotion because of its interaction with several metabolic pathways. This study investigates changes in the urine metabolome following acute intake of polyphenol-rich juice, purple grumixama juice. Grumixama (Eugenia brasiliensis Lam.) is a cherry native to Brazil that is known to be a rich source of anthocyanins and ellagitannins. In this research 15 healthy subjects consumed a single dose of grumixama juice. Urine samples were collected before grumixama juice intake, 0-1, 1-2, 2-4 h, with fasting at 24 h after intake. Plasma samples were also collected before intake, 30' and at 1 h, 2 h and 4 h, with fasting at 24 h after juice intake. The urine primary metabolites were analysed by a metabolomic approach using gas chromatography mass spectrometry with methyl chloroformate derivatisation for amino acids and organic acids. Also, an oxygen radical absorbance capacity method was carried out to evaluate the plasma samples antioxidant capacity changes. Subjects showed increase in plasma antioxidant capacity after juice intake (p-values < .05). A total of 114 metabolites were assessed in urine (1-2 h and 2-4 h), including 17 amino acids, 47 organic acids and several other metabolites. Among the 114 metabolites, 25 were significantly changed during the first 4 h following juice intake, as shown by the Orthogonal Partial Least Squares Discriminant Analysis (0.5 > p(corr) > 0.3) and univariate analysis (p-values < .05). Some metabolites were related to mitochondrial metabolism, such as glyoxylic acid and oxalic acid. Metabolites related to amino acid metabolism were also changed, such as beta-alanine, l-phenylalanine and l-tyrosine. In conclusion, results suggest that acute intake of grumixama juice could affect amino acid metabolism and mitochondrial metabolism, but the related health implications should be explored in further studies using additional approaches.


Assuntos
Bebidas , Eugenia , Metaboloma/efeitos dos fármacos , Preparações de Plantas , Adulto , Aminoácidos/urina , Antocianinas , Antioxidantes/análise , Ácidos Carboxílicos/urina , Feminino , Humanos , Taninos Hidrolisáveis , Masculino , Metabolômica , Preparações de Plantas/administração & dosagem , Preparações de Plantas/farmacologia , Adulto Jovem
4.
J Proteome Res ; 17(2): 813-821, 2018 02 02.
Artigo em Inglês | MEDLINE | ID: mdl-29302971

RESUMO

Different components of Panax ginseng have different properties and medicinal effects. Metabonomics was a prospective approach to analyze the global response of endogenous metabolites to physiological and pathological processes. In this study, an untargeted metabonomics method using GC/TOFMS combined with multivariate statistical techniques was applied to compare entire metabolite differences and the antistress variations among four components of P. ginseng, namely, total ginsenosides (TG), panaxadiol (PD), panaxatriol (PT), and ginseng polysaccharide (PS), in Wistar rats. The results of metabolite analysis showed that numerous urine metabolites involving neurotransmitters, amino acids, organic acids, and gut microbiota metabolites were changed after administration of the four components of P. ginseng, with TG having the least impact on urinary metabolites. The urinary metabolite profiling of these rats exposed to acute combined stress (forced swimming and behavior restriction) demonstrated that the four ginseng components attenuated urine metabolite changes involving gut microbiota metabolites, tricarboxylic acid (TCA) cycle and energy metabolites, and organic acids to different degrees, with TG improving most of the metabolites altered by stress.


Assuntos
Ansiolíticos/farmacologia , Ginsenosídeos/farmacologia , Panax/química , Polissacarídeos/farmacologia , Estresse Psicológico/tratamento farmacológico , Aminoácidos/urina , Animais , Ansiolíticos/isolamento & purificação , Ácidos Carboxílicos/urina , Cromatografia Gasosa , Metabolismo Energético/efeitos dos fármacos , Ginsenosídeos/isolamento & purificação , Imobilização , Masculino , Metaboloma , Metabolômica/métodos , Extratos Vegetais/química , Polissacarídeos/isolamento & purificação , Ratos , Ratos Wistar , Espectrometria de Massas por Ionização e Dessorção a Laser Assistida por Matriz , Estresse Psicológico/fisiopatologia , Estresse Psicológico/urina , Natação
5.
J Proteome Res ; 14(11): 4610-22, 2015 Nov 06.
Artigo em Inglês | MEDLINE | ID: mdl-26419189

RESUMO

The delineation of exercise biochemistry by utilizing metabolic fingerprinting has become an established strategy. We present a combined RP-UPLC-MS and (1)H NMR strategy, supplemented by photometric assays, to monitor the response of the human urinary metabolome to short maximal exercise. Seventeen male volunteers performed two identical sprint sessions on separate days, consisting of three 80 m maximal runs. Using univariate and multivariate analyses, we followed the fluctuation of 37 metabolites at 1, 1.5, and 2 h postexercise. 2-Hydroxyisovalerate, 2-hydroxybutyrate, 2-oxoisocaproate, 3-methyl-2-oxovalerate, 3-hydroxyisobutyrate, 2-oxoisovalerate, 3-hydroxybutyrate, 2-hydroxyisobutyrate, alanine, pyruvate, and fumarate increased 1 h postexercise and then returned toward baseline. Lactate and acetate were higher than baseline at 1 and 1.5 h. Hypoxanthine and inosine remained above baseline throughout the postexercise period. Urate decreased at 1 h and increased at 1.5 h before returning to baseline. Valine, isoleucine, succinate, citrate, trimethylamine, trimethylamine N-oxide, tyrosine, and formate decreased at 1 h and/or 1.5 h postexercise and then returned to baseline. Creatinine gradually decreased over the sampling period. Glycine, 4-aminohippurate, and hippurate remained below baseline throughout the postexercise period. Our findings show that even one-half minute of maximal exercise elicited major perturbations in human metabolism, several of which persisted for at least 2 h.


Assuntos
Aminoácidos/urina , Ácidos Carboxílicos/urina , Creatinina/urina , Exercício Físico/fisiologia , Metaboloma/fisiologia , Adolescente , Análise de Variância , Cromatografia de Fase Reversa , Humanos , Espectroscopia de Ressonância Magnética , Masculino , Corrida/fisiologia , Adulto Jovem
6.
Food Funct ; 6(11): 3585-92, 2015 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-26328874

RESUMO

Depression is one of the prevalent and serious mental disorders and the number of depressed patients has been on the rise globally during the recent decades. Sea buckthorn seed oil from traditional Chinese medicine (TCM) is edible and has been widely used for treatment of different diseases for a long time. However, there are few published reports on the antidepressant effect of sea buckthorn seed oil. With the objective of finding potential biomarkers of the therapeutic response of sea buckthorn seed oil in chronic unpredictable mild stress (CUMS) rats, urine metabolomics based on gas chromatography-mass spectrometry (GC-MS) coupled with multivariate analysis was applied. In this study, we discovered a higher level of pimelic acid as well as palmitic acid and a lower level of suberic acid, citrate, phthalic acid, cinnamic acid and Sumiki's acid in urine of rats exposed to CUMS procedures after sea buckthorn seed oil was administered. These changes of metabolites are involved in energy metabolism, fatty acid metabolism and other metabolic pathways as well as in the synthesis of neurotransmitters and it is helpful to facilitate the efficacy evaluation and mechanism elucidating the effect of sea buckthorn seed oil for depression management.


Assuntos
Antidepressivos/farmacologia , Depressão/tratamento farmacológico , Medicamentos de Ervas Chinesas/farmacologia , Hippophae/química , Metabolômica/métodos , Óleos de Plantas/farmacologia , Sementes/química , Animais , Biomarcadores/urina , Ácidos Carboxílicos/urina , Depressão/urina , Cromatografia Gasosa-Espectrometria de Massas , Masculino , Análise Multivariada , Ácidos Pimélicos/urina , Ratos , Ratos Sprague-Dawley
7.
Artigo em Inglês | MEDLINE | ID: mdl-22902916

RESUMO

Realgar (As(4)S(4)) is a traditional medicine used in China and Europe for thousands of years. As an arsenical, the toxicity from realgar has raised public concern. Several organic acids in urine are found to be potential biomarkers of realgar exposure, including taurine, citric, glutamic, lactic, pyruvic, succinic and uric acid. In this study, using hydrophilic interaction liquid chromatography-tandem mass spectrometry (HILIC-MS/MS), a rapid and sensitive method was developed to separate and quantify these compounds in urine. A ZIC(®)-HILIC column was used for the separation at an isocratic condition of acetonitrile and 10mM ammonium acetate in water. Analytes were detected in multiple-reaction monitoring with negative ionization mode, using ibuprofen as internal standard. Good line arities (R(2)>0.996) were obtained for all analytes with the limits of detection from 0.2 to 0.7 µg/mL. The intra-day and inter-day accuracy ranged from 89.1 to 104.4% and the relative standard deviation (RSD) did not exceed 15.0%. The recovery was more than 80%with RSD less than 14.0%. The validated method was applied to analyze the urine samples of control and reaglar treated rats, and significant changes of these organic acids were observed.


Assuntos
Arsenicais/urina , Ácidos Carboxílicos/urina , Cromatografia Líquida/métodos , Sulfetos/urina , Espectrometria de Massas em Tandem/métodos , Administração Oral , Animais , Arsenicais/administração & dosagem , Biomarcadores/urina , Interações Hidrofóbicas e Hidrofílicas , Limite de Detecção , Modelos Lineares , Masculino , Ratos , Ratos Sprague-Dawley , Reprodutibilidade dos Testes , Sulfetos/administração & dosagem
8.
Int J Toxicol ; 31(3): 287-93, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22550049

RESUMO

Metabolic profiling of urine from pesticide-treated rats was investigated by the nuclear magnetic resonance (NMR)-based metabonomic strategy. Twenty-four-hour urine samples of rats were collected after administration with propoxur at doses of 0.85, 1.70, and 8.51 mg/kg, respectively, for 28 consecutive days. Liver tissue was fixed and the histopathological alterations were examined. The results showed that propoxur at high dose induced liver histopathological injury. Metabonomic analysis demonstrated that the levels of creatine and taurine markedly increased together with slight elevation of hippurate, glucose, and amino acids in low- and medium-dose groups. However, concentrations of urinary lactate, acetate, acetone, succinate, citrate, and 2-oxoglutarate increased in high-dose group. All these results suggested that propoxur could inhibit liver function through altering the energy and lipid metabolism. These data also supported the contention that the NMR-based metabonomic approach represents a promising new technology for the development of pesticide toxicity screening and mechanism exploration.


Assuntos
Inseticidas/toxicidade , Inseticidas/urina , Metaboloma/efeitos dos fármacos , Propoxur/toxicidade , Propoxur/urina , Animais , Ácidos Carboxílicos/urina , Creatina/urina , Glicina/urina , Inseticidas/farmacocinética , Fígado/efeitos dos fármacos , Fígado/patologia , Espectroscopia de Ressonância Magnética , Masculino , Metabolômica , Propoxur/farmacocinética , Ratos , Ratos Wistar , Taurina/urina
9.
J Pediatr Endocrinol Metab ; 25(11-12): 1103-9, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-23329756

RESUMO

OBJECTIVE: Early treatment (growth hormone and nutritional support) improves development in infants with Prader-Willi syndrome. This study aimed to evaluate the nutritional and metabolic condition of nine patients who were diagnosed and treated in early infancy. METHODS: Nine patients were hospitalized at the age of \xe2\u20ac\xa810 days to 11 months because of severe feeding difficulties, failure to thrive, or developmental delay. The diagnosis of Prader-Willi syndrome was confirmed by fluorescence in situ hybridization or other molecular genetic techniques. Nutritional and metabolic investigations including urinary organic acid analysis, blood amino acid, and acylcarnitine profiles were performed. RESULTS: The diagnosis was made at the mean age of 6.3 months. A deletion of the paternal gene in the 15q11-13 region was detected in all patients. Eight patients had ketosis, seven had malnutrition, five had hyperammonemia, three had liver dysfunction, three had low blood cholesterol level, and two had hypoglycemia. All patients had reduction of serum multiple amino acids and free carnitine. Significant arginine deficiency was found in all patients. Six patients had mildly elevated blood long-chain and very long-chain acylcarnitine. After supplementation with l-arginine, medium-chain fatty acids, l-carnitine, and vitamins, all patients responded with improvement of motor development and nutritional conditions. Four patients were almost caught up on physical and psychomotor development. CONCLUSIONS: Patients with Prader-Willi syndrome are in bad metabolic condition in the early period. Early diagnosis and individual nutritional interventions may improve the nutritional and developmental progress and decrease death rate in infancy.


Assuntos
Insuficiência de Crescimento/etiologia , Transtornos da Nutrição do Lactente/etiologia , Síndrome de Prader-Willi/complicações , Arginina/sangue , Arginina/deficiência , Ácidos Carboxílicos/urina , Carnitina/análogos & derivados , Carnitina/sangue , Cromossomos Humanos Par 15 , Dietoterapia , Diagnóstico Precoce , Insuficiência de Crescimento/diagnóstico , Insuficiência de Crescimento/dietoterapia , Feminino , Deleção de Genes , Humanos , Hibridização in Situ Fluorescente , Lactente , Transtornos da Nutrição do Lactente/diagnóstico , Transtornos da Nutrição do Lactente/dietoterapia , Recém-Nascido , Masculino , Síndrome de Prader-Willi/diagnóstico , Síndrome de Prader-Willi/dietoterapia , Tempo para o Tratamento
10.
Br J Nutr ; 108(2): 290-7, 2012 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-22142937

RESUMO

The non-extractable fraction of many fruit and vegetables contains putatively bioactive polyphenolic compounds that, in most cases, have not been well characterised structurally. Non-extractable proanthocyanidins (NEPA) of a polymeric nature are part of the dietary fibre fraction of food. Using liquid chromatography coupled to a mass spectrometer equipped with an electrospray ionisation chamber and a triple quadrupole mass analyser for tandem analysis (HPLC-ESI-QqQ-MS/MS) techniques, we examine the phenolic metabolites present in urine and faeces from rats 24 h after ingestion of an NEPA-rich fraction. We show that NEPA are partially depolymerised during their transit along the intestinal tract, as evidenced by the presence of (epi)catechin (EC) monomers and dimers in faeces and phase II conjugates of EC in urine. Moreover, NEPA are further metabolised by the intestinal microbiota into smaller metabolites including phenolic acids that are present in urine as both free phenolics and conjugates with glucuronate or sulphate moieties. For the first time, we report evidence that NEPA behave in vivo as a source of phenolics that are released progressively and deliver phenolic species that come into contact with the intestinal walls and are bioavailable for at least 24 h after ingestion.


Assuntos
Catequina/metabolismo , Fibras na Dieta/metabolismo , Suplementos Nutricionais/análise , Frutas/química , Fenóis/análise , Proantocianidinas/metabolismo , Vitis/química , Animais , Ácidos Carboxílicos/análise , Ácidos Carboxílicos/química , Ácidos Carboxílicos/urina , Catequina/análise , Catequina/química , Catequina/urina , Fibras na Dieta/análise , Fezes/química , Feminino , Glucuronatos/química , Glucuronatos/urina , Absorção Intestinal , Cinética , Lignanas/análise , Lignanas/química , Lignanas/urina , Estrutura Molecular , Fenóis/química , Fenóis/urina , Proantocianidinas/química , Ratos , Ratos Sprague-Dawley , Solubilidade , Sulfatos/química , Sulfatos/urina
11.
J Nutr ; 139(8): 1487-94, 2009 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-19535424

RESUMO

We used a (1)H NMR-based metabonomics approach to examine the physiological effects of the seaweed Ascophyllum nodosum in a mammalian model, assess the dosage level required to elicit a response in the urinary profile, and identify potential toxic effects. Male Sprague-Dawley rats (n = 6/group) were fed a control or 5, 10, or 15% freeze-dried, ground A. nodosum diet for 4 wk. Urine samples were collected 3 times daily (0-4, 4-8, and 8-24 h) prior to feeding experimental diets and, at the end of the study, were profiled using (1)H NMR spectroscopy. Food intake, weight gain, and serum enzyme (alanine transaminase and aspartate transaminase) levels indicated that seaweed diets were well tolerated. The spectral data and principal component analysis (PCA) revealed that rats fed 5, 10, and 15% seaweed diets had increased urinary excretion of citrate, 2-oxoglutarate, succinate, trimethylamine (TMA), TMA-N-oxide, and malonate and decreased excretion of taurine, creatinine, and acetate compared with the controls. In addition, mannitol was detected in the 8- to 24-h urine samples from seaweed-fed rats. Metabolic responses related to ingestion of seaweed polyphenolics and fiber were not observed in the spectral profiles. Increased seaweed concentration in the diet did not increase the magnitude of the rats' response as detected by (1)H NMR. Visual analysis and PCA of the spectral data for serum samples collected at the end of the study did not show diet-related clustering. The lack of toxicity at 15% seaweed incorporation allows the use of this concentration in future A. nodosum intervention studies.


Assuntos
Ascophyllum , Ácidos Carboxílicos/metabolismo , Ciclo do Ácido Cítrico/efeitos dos fármacos , Preparações de Plantas/farmacologia , Animais , Ácidos Carboxílicos/urina , Fibras na Dieta/administração & dosagem , Fibras na Dieta/farmacologia , Relação Dose-Resposta a Droga , Flavonoides/administração & dosagem , Flavonoides/farmacologia , Espectroscopia de Ressonância Magnética , Masculino , Manitol/urina , Metabolômica , Fenóis/administração & dosagem , Fenóis/farmacologia , Preparações de Plantas/administração & dosagem , Polifenóis , Ratos , Ratos Sprague-Dawley
13.
Scanning Microsc ; 7(3): 1041-7; discussion 1047-8, 1993 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-8146605

RESUMO

Two sets of animal experiments using guinea pigs were planned to evaluate the effect of ascorbic acid supplementation on the lithogenic process. In the first set of experiments, 10, 40, and 60 mg doses of ascorbic acid/100g body weight/day were given for 105 days. Neither of the ascorbic acid doses given induced crystalluria, calcification or stone formation, thereby confirming our previous findings that ascorbic acid in the doses used by clinicians does not cause urolith formation. In the second set of experiments, ascorbic acid was supplemented in hypercalciuric (induced by calcium carbonate feeding) and hyperoxaluric (induced by sodium oxalate feeding) animals for 45 days. The results indicated that it exacerbated the calcification process in renal and bladder tissue.


Assuntos
Ácido Ascórbico/toxicidade , Cálculos Renais/induzido quimicamente , Rim/patologia , Cálculos da Bexiga Urinária/induzido quimicamente , Bexiga Urinária/patologia , Animais , Ácido Ascórbico/urina , Cálcio/urina , Ácidos Carboxílicos/urina , Creatinina/urina , Cobaias , Concentração de Íons de Hidrogênio , Cálculos Renais/urina , Magnésio/urina , Masculino , Mucoproteínas/urina , Fósforo/urina , Ácido Úrico/urina , Cálculos da Bexiga Urinária/urina , Uromodulina
14.
Eur J Pediatr ; 144(5): 451-6, 1986 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-3956533

RESUMO

The profound metabolic disturbances which occur in isovaleric acidaemia are due to the intramitochondrial accumulation of isovaleryl coenzyme A (CoA) with a consequent reduction in the availability of free CoA. Secondary carnitine insufficiency is also a feature of this and other disorders of organic acid metabolism. A patient who presented at 2.5 years of age was diagnosed using capillary GC-MS as having isovaleric acidaemia. She showed the full spectrum of abnormal organic acids previously associated with the 'neonatal' form of the disease despite her late presentation, indicating that it is inappropriate to refer to acute early and late onset forms of isovaleric acidaemia. Instead, a spectrum of disease exists, determined by environmental factors, residual enzyme activities and modifying effects of different phenotypes in different individuals. She also showed evidence of carnitine insufficiency. An oral challenge with L-carnitine resulted in the excretion of large amounts of urinary acylcarnitines which were shown by use of fast atom bombardment mass spectrometry to be primarily isovalerylcarnitine. Regular glycine supplementation caused no significant increase in urinary isovalerylglycine and had to be stopped because of side-effects after 5 days. An oral L-carnitine challenge during glycine supplementation resulted in a marked increase in isovalerylglycine excretion, again associated with the excretion of large amounts of isovalerylcarnitine. Carnitine acts by removing (detoxifying) intramitochondrial isovaleryl groups and, in the presence of glycine, it promotes the formation of isovalerylglycine. We believe L-carnitine supplementation is of value in the treatment of isovaleric acidaemia and that, in the present case, L-carnitine together with a moderate dietary restriction has proved to be the optimum form of therapy.


Assuntos
Erros Inatos do Metabolismo dos Aminoácidos/terapia , Carnitina/uso terapêutico , Glicina/uso terapêutico , Ácidos Pentanoicos/sangue , Valeratos/sangue , Erros Inatos do Metabolismo dos Aminoácidos/dietoterapia , Erros Inatos do Metabolismo dos Aminoácidos/tratamento farmacológico , Aminoácidos/sangue , Aminoácidos/urina , Ácidos Carboxílicos/sangue , Ácidos Carboxílicos/urina , Carnitina/metabolismo , Pré-Escolar , Terapia Combinada , Quimioterapia Combinada , Feminino , Hemiterpenos , Humanos
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