Metabolism in tetany.

Biochem J

The Department of Chemistry, New York University and Bellevue Hospital Medical College.

Published: June 2006

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1260994PMC
http://dx.doi.org/10.1042/bj0260954DOI Listing

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Article Synopsis
  • Gitelman syndrome (GS) is a rare inherited disorder that causes low potassium levels, metabolic alkalosis, low calcium in urine, and high magnesium in urine, often leading to symptoms like muscle weakness and convulsions, typically appearing in late childhood or young adulthood.
  • A case study of a 16-year-old pregnant woman revealed that she experienced severe abdominal pain, weakness, and vomiting during her first trimester, and tests showed low potassium and magnesium levels, leading to a diagnosis of GS.
  • Throughout her pregnancy, she required potassium supplementation due to consistently low levels, highlighting the need for better management protocols for pregnant women with GS, as these cases are uncommon.
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Gitelman syndrome is a rare, autosomal recessively inherited tubulopathy manifesting with hypokalemia, hypomagnesemia, hypocalciuria, and metabolic alkalosis. Common symptoms include fatigue, myalgia, reduced performance capacity, tetany, paresthesia, and delayed growth. However, as reported in the literature, diagnosis in some patients is prompted by an incidental finding of hypokalemia.

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Despite the significant presence of plant-derived tricarboxylic acids in some environments, few studies detail the bacterial metabolism of -aconitic acid (Taa) and tricarballylic acid (Tcb). In a soil bacterium, ADP1, we discovered interrelated pathways for the consumption of Taa and Tcb. An intricate regulatory scheme tightly controls the transport and catabolism of both compounds and may reflect that they can be toxic inhibitors of the tricarboxylic acid cycle.

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