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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.
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.
Objective:
We intended to investigate the effects of age, gender, and medications on amino acid cerebrospinal fluid (CSF)/plasma ratios in children, and to determine whether amino acid transports across the blood-CSF barrier in children differ from those in adults.
Patients And Methods:
Amino acid concentrations measured by ion-exchange high-performance liquid chromatography were used (CSF from 99 children, simultaneously collected plasma from 76 children). Influence of age, gender, and medications on the amino acid CSF concentrations and CSF/plasma ratios were analyzed by linear multiple regression. Interactions of amino acid transports were analyzed by correlation analysis of CSF/plasma ratios.
Results:
CSF/plasma ratios of serine, valine, histidine, and arginine were higher in younger children. The glutamate CSF/plasma ratio was higher in older children. Serine, alanine, threonine, valine, and histidine CSF/plasma ratios were lower in females. Glutamine, methionine, tyrosine, and phenylalanine CSF/plasma ratios were elevated with valproate therapy. Serine, threonine, valine, leucine, and tyrosine CSF/plasma ratios were lower with clobazam therapy. The asparagine CSF/plasma ratio was elevated with pyridoxal phosphate therapy. Transports of most essential neutral amino acids interacted with each other, as did neutral amino acids with low molecular weights. Cationic amino acids interacted with each other and some essential neutral amino acids. Acidic amino acids had no interactions with other amino acids.
Conclusions:
Age, gender, and anti-epileptic drugs affect amino acid CSF/plasma ratios in children. Transport interactions between amino acids in children showed no remarkable difference from those of adults and generally followed the substrate specificities of multiple amino acid transport systems.
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