Glutaric aciduria type 1 (GA1) is a severe inherited neurometabolic disorder whose clinical outcome has improved after implementation of newborn screening (NBS) programs and prompt beginning of guideline-directed presymptomatic metabolic treatment. We report the outcome of our 40-year experience with the diagnosis and management of GA1 which has improved but remains suboptimal.
View Article and Find Full Text PDFJ Pediatr Gastroenterol Nutr
August 2017
Objectives: Children with celiac disease (CD) may experience deficiencies of several micronutrients. The objectives of the present study were to determine the prevalence of micronutrient deficiencies in children with CD at diagnosis, 6 months, and 18 months after the start of a gluten-free diet (GFD), and examine any correlation between micronutrient deficiencies, serum tissue transglutaminase (TtG) immunoglobulin A (IgA) antibody titers, and the degree of mucosal damage at diagnosis.
Methods: Children (<17 years) with CD had their serum vitamins, minerals, and anti-TtG IgA antibodies measured at diagnosis, 6 and 18 months after starting a GFD.
Flash vacuum pyrolysis (FVP) of 1-(5-(13)C-5-tetrazolyl)isoquinoline 18 generates 1-((13)C-diazomethyl)isoquinoline 19 and 1-isoquinolyl-((13)C-carbene) 22, which undergoes carbene-nitrene rearrangement to 2-naphthylnitrene 23. The thermally generated nitrene 23 is observed directly by matrix-isolation ESR spectroscopy, but undergoes ring contraction to a mixture of 3- and 2-cyanoindenes 26 and 27 under the FVP conditions. The (13)C label distribution in the cyanoindenes was determined by (13)C NMR spectroscopy and indicates the occurrence of two parallel paths of ring contraction starting from 1-isoquinolylcarbene; path a via ring expansion to 3-aza-benzo[c]cyclohepta-1,2,4,6-tetraene 32 bifurcating to 2-naphthylnitrene 23 and 2-aza-benzobicyclo[3.
View Article and Find Full Text PDFThe relationship between 4-quinolylcarbene 17, 3-quinolylcarbene 21, 2-quinolylcarbene 25, and 1-naphthylnitrene 35 has been explored experimentally and computationally. The diazomethylquinolines generated from (5-tetrazolyl)quinolines or 1,2,3-triazolo[1,5-a]quinoline by conventional flash vacuum pyrolysis (FVP) were observed by IR spectroscopy. The carbenes were generated by falling solid flash vacuum pyrolysis (FS-FVP).
View Article and Find Full Text PDF2-Diazomethylpyridines 1D and 6D, the valence isomers of [1,2,3]triazolo[1,5-a]pyridines 1T and 6T, have been observed directly at ∼2080 cm(-1) by a combination of mild flash vacuum pyrolysis (FVP) at 200-600 °C with low temperature IR spectroscopy. Calculations confirm a ca. 17 kcal/mol barrier for the formation of 2-diazomethylpyridine 1D from [1,2,3]triazolo[1,5-a]pyridine 1T, the diazo compound lying ca.
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