Valen P A, Nakayama D A, Veum J A, Wortmann R L
Adv Exp Med Biol. 1986;195 Pt B:525-8. doi: 10.1007/978-1-4684-1248-2_81.
These results indicate that measuring venous ammonia concentrations after forearm ischemic exercise is an effective means of screening for MADA deficiency but that submaximal exercise performance, whether due to weakness, pain or poor effort, can provide false positive results. Measurements of purine compounds released after exercise may increase the specificity of forearm ischemic exercise testing for MADA deficiency. The low level of purines released after exercise in MADA-deficient subjects supports the hypothesis that disordered purine metabolisms occurs when MADA activity is absent.
这些结果表明,测量前臂缺血运动后的静脉血氨浓度是筛查MADA缺乏症的有效方法,但次最大运动表现,无论是由于虚弱、疼痛还是努力程度不足,都可能产生假阳性结果。测量运动后释放的嘌呤化合物可能会提高前臂缺血运动试验对MADA缺乏症诊断的特异性。MADA缺乏症患者运动后释放的嘌呤水平较低,这支持了在缺乏MADA活性时会发生嘌呤代谢紊乱的假说。