Table 2:

Laboratory and MRS measurements of the patients and of the control subjects

PatientsCr per Os (mg/kg/bw/day)Plasmatic Cr (μmol/L)Plasmatic GAA (μmol/L)Brain Cr (mmol/L)PCr/PDEPi/PDEATP/PDEpH
GAMT-d
    Patient 180048711.43.861.030.760.587.22
400*59811.13.100.910.750.596.85
400**5127.93.311.190.700.657.43
    Patient 202440.30.930.370.720.807.08
400**4317.43.761.020.780.576.75
AGAT-d
    Patient 3061.100.730.840.637.31
4007763.871.240.850.617.21
2002033.651.190.820.707.20
    Patient 4061.050.760.870.647.31
4005884.001.490.900.657.17
2001783.851.150.810.777.36
    Patient 5081.330.760.870.647.22
4002833.991.320.870.647.04
200933.520.830.760.627.54
3002463.610.930.770.547.22
Reference valuesn.v. ± SD64 ± 141.48 ± 0.514.37 ± 0.441.40 ± 0.140.87 ± 0.080.64 ± 0.067.15 ± 0.12
  • Note:—Os indicates oral intake; Cr, creatine; bw, body weight; GAA, guanidinoacetate; PCr, phosphocreatine; PDE, phosphodiester; Pi, inorganic phosphate; GAMT-d indicates guanidinoacetate methyltransferase defect; AGAT-d, arginine:glycine amidinotransferase defect; n.v., normal value.

  • * Coupled with ornithine supplementation.

  • ** Coupled with ornithine supplementation and arginine restriction.

  • Resonance frequency of this signal was at −0.5 ppm and was assigned to GAA-P.