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左旋肉碱:代谢性脑病的治疗策略

L-carnitine: therapeutic strategy for metabolic encephalopathy.

作者信息

Kim C S, Dorgan D R, Roe C R

出版信息

Brain Res. 1984 Sep 17;310(1):149-53. doi: 10.1016/0006-8993(84)90019-2.

DOI:10.1016/0006-8993(84)90019-2
PMID:6478235
Abstract

The organic anion transport system in the choroid plexus is responsible for excretion of organic anions from brain to plasma. Disruption of this system could then result in accumulation of encephalopathic acyl groups in brain in a variety of metabolic disorders. Octanoate produced inhibition of this transport system associated with disruption of mitochondrial ultrastructure. Octanoylcarnitine and L-carnitine had no effect. These compounds represent those seen in the medium chain acyl CoA dehydrogenase deficiency. L-Carnitine may be useful for protecting the central nervous system through formation of the non-toxic acylcarnitine in this and other metabolic disorders characterized by accumulation of encephalopathic metabolites.

摘要

脉络丛中的有机阴离子转运系统负责将有机阴离子从脑内排泄至血浆。该系统的破坏可能会导致在各种代谢紊乱中脑内出现脑病性酰基的蓄积。辛酸对该转运系统产生抑制作用,并伴有线粒体超微结构的破坏。辛酰肉碱和左旋肉碱则无此作用。这些化合物与中链酰基辅酶A脱氢酶缺乏症中所见的化合物相似。在这种以及其他以脑病性代谢物蓄积为特征的代谢紊乱中,左旋肉碱可能通过形成无毒的酰基肉碱来保护中枢神经系统。

相似文献

1
L-carnitine: therapeutic strategy for metabolic encephalopathy.左旋肉碱:代谢性脑病的治疗策略
Brain Res. 1984 Sep 17;310(1):149-53. doi: 10.1016/0006-8993(84)90019-2.
2
L-Carnitine prevents mitochondrial damage induced by octanoic acid in the rat choroid plexus.
Brain Res. 1990 Dec 17;536(1-2):335-8. doi: 10.1016/0006-8993(90)90046-e.
3
The effect of glucagon treatment and starvation of virgin and lactating rats on the rates of oxidation of octanoyl-L-carnitine and octanoate by isolated liver mitochondria.胰高血糖素处理以及处女鼠和泌乳期大鼠饥饿对离体肝线粒体中辛酰-L-肉碱和辛酸氧化速率的影响。
Biochem J. 1980 Aug 15;190(2):293-300. doi: 10.1042/bj1900293.
4
Octanoic acid produces accumulation of monoamine acidic metabolites in the brain: interaction with organic anion transport at the choroid plexus.辛酸会导致大脑中一元胺酸性代谢物的积累:与脉络丛处的有机阴离子转运相互作用。
J Neurochem. 1992 Apr;58(4):1499-503. doi: 10.1111/j.1471-4159.1992.tb11370.x.
5
Quantitation of urinary carnitine esters in a patient with medium-chain acyl-coenzyme A dehydrogenase deficiency: effect of metabolic state and L-carnitine therapy.中链酰基辅酶A脱氢酶缺乏症患者尿中肉碱酯的定量分析:代谢状态和L-肉碱治疗的影响
J Pediatr. 1989 Oct;115(4):577-82. doi: 10.1016/s0022-3476(89)80284-7.
6
Carnitine deficiency, organic acidemias, and Reye's syndrome.肉碱缺乏症、有机酸血症和瑞氏综合征。
Neurology. 1985 Jul;35(7):1041-5. doi: 10.1212/wnl.35.7.1041.
7
Carnitine palmitoyltransferase 2 and carnitine/acylcarnitine translocase are involved in the mitochondrial synthesis and export of acylcarnitines.肉碱棕榈酰基转移酶 2 和肉碱/酰基辅酶 A 转移酶参与酰基辅酶 A 的线粒体合成和输出。
FASEB J. 2013 May;27(5):2039-44. doi: 10.1096/fj.12-216689. Epub 2013 Jan 15.
8
Kinetic analysis of L-carnitine uptake by the choroid plexus.脉络丛对左旋肉碱摄取的动力学分析。
Brain Res. 1991 Jul 19;554(1-2):193-7. doi: 10.1016/0006-8993(91)90188-2.
9
L-carnitine supplementation as a potential antioxidant therapy for inherited neurometabolic disorders.左旋肉碱补充作为潜在的抗氧化治疗遗传性神经代谢紊乱。
Gene. 2014 Jan 10;533(2):469-76. doi: 10.1016/j.gene.2013.10.017. Epub 2013 Oct 19.
10
[Alterations of mitochondria in metabolic diseases. Carnitine deficiency, carnitine palmitoyltransferase deficiency and beta oxidation].[代谢性疾病中线粒体的改变。肉碱缺乏、肉碱棕榈酰转移酶缺乏与β氧化]
Acta Neurol (Napoli). 1989 Oct;11(5):330-4.

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Rhabdomyolysis and acute encephalopathy in late onset medium chain acyl-CoA dehydrogenase deficiency.迟发性中链酰基辅酶A脱氢酶缺乏症中的横纹肌溶解症和急性脑病
J Neurol Neurosurg Psychiatry. 1995 Feb;58(2):209-14. doi: 10.1136/jnnp.58.2.209.