CSF/plasma ratios of amino acids: reference data and transports in children

Tomoyuki Akiyama1, Katsuhiro Kobayashi1, Akihito Higashikage2

  • 1Department of Child Neurology, Okayama University Hospital, Okayama, Japan.

Brain & Development
|January 5, 2013
PubMed

Insights

Age, gender, and medications significantly alter amino acid cerebrospinal fluid (CSF)/plasma ratios in children. Amino acid transport interactions in children are similar to adults, following established transport system specificities.

Area of Science:

  • Neurochemistry
  • Pediatric Medicine
  • Pharmacology

Background:

  • Cerebrospinal fluid (CSF) amino acid profiles are crucial for neurological function.
  • Understanding the blood-CSF barrier's amino acid transport in children is vital for diagnosing and managing metabolic and neurological disorders.

Purpose of the Study:

  • To investigate the influence of age, gender, and medications on amino acid CSF/plasma ratios in children.
  • To compare amino acid transport across the blood-CSF barrier in children versus adults.

Main Methods:

  • Amino acid concentrations in CSF and plasma were measured using ion-exchange high-performance liquid chromatography.
  • Linear multiple regression analyzed the effects of age, gender, and medications.
  • Correlation analysis examined amino acid transport interactions via CSF/plasma ratios.

Main Results:

  • Age-dependent differences were observed in CSF/plasma ratios for serine, valine, histidine, arginine, and glutamate.
  • Gender influenced ratios for serine, alanine, threonine, valine, and histidine.
  • Specific anti-epileptic drugs (valproate, clobazam, pyridoxal phosphate) altered ratios for various amino acids.
  • Transport interactions among neutral and cationic amino acids in children mirrored adult patterns.

Conclusions:

  • Age, gender, and anti-epileptic drug treatments significantly impact amino acid CSF/plasma ratios in pediatric populations.
  • Amino acid transport mechanisms at the blood-CSF barrier in children are comparable to those in adults.
  • Findings highlight the need to consider demographic and pharmacological factors in pediatric neurochemical assessments.
Abstract

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