Table 2.
Variable | MMA subtype/gene name | mut0 subjects transplant status | ||||
---|---|---|---|---|---|---|
mut0/MMUT | mut−/MMUT | cblA/MMAA | cblB/MMAB | Liver ± kidney | Kidney | |
N | 26 | 6 | 9 | 2 | 13 | 4 |
Males | 12 | 4 | 9 | 2 | 7 | 2 |
Females | 14 | 2 | 0 | 0 | 6 | 2 |
Age | 15.2 ± 6.7 | 6.9 ± 2.5 | 22.3 ± 14.7 | 3.7/34.1 | 19.3 ± 8.7 | 26.3 ± 10.1 |
% 1-13C3 metabolized 60 minutes | 10.97 ± 5.2 7 | 31.95 ± 8.25b | 34.67 ± 4.37c | 8.35/32.75 | 31.17 ± 7.72c | 11.33 ± 1.84 |
120 minutes | 23.47 ± 8.99 | 44.10 ± 8.95b | 50.26 ± 6.45c | 16.34/47.22 | 45.34 ± 9.02c | 23.86 ± 3.61 |
AUC dose metabolized 60 minutes | 257.12 ± 123.6 | 944.11 ± 303.47a | 1,000.40 ± 172.28c | 191.2/1040 | 917.01 ± 248.56c | 249.40 ± 50.0 |
120 minutes | 1,322.9 ± 568.14 | 3,289.66 ± 937.84a | 3,645.22 ± 477.60c | 988.20/3,485.0 | 3,222.4 ± 730.66c | 1,337.50 ± 210.34 |
Tmax Δ13C (min) | 50.52 ± 16.42 | 25.50 ± 6.89c | 22.22 ± 7.12c | 40.0/17.0 | 20.53 ± 12.29c | 52.50 ± 15.0 |
REE (cal) | 1,182.84 ± 261.3 | 816.16 ± 370.96 | 1,373.44 ± 278.46 | 609.3/1,653.1 | 1,351.12 ± 312.62 | 1,319.13 ± 181.12 |
REE (cal)/FFM (kg) | 49.72 ± 10.48 | 51.63 ± 8.67 | 36.71 ± 7.17 | na/31.43 | 41.73 ± 8.69 | 54.1 |
Height z-score | −1.86 ± 1.74 | −1.31 ± 1.34 | −0.39 ± 0.98 | −1.94/−1.31 | −1.59 ± 0.84 | −2.58 ± 1.56 |
BMI z-score | 0.45 ± 1.22 | 1.03 ± 1.35 | −0.51 ± 1.21 | 1.94/1.67 | 0.71 ± 1.23 | −0.15 ± 1.95 |
OFC z-score | −0.58 ± 1.46 | −0.02 ± 1.47 | 0.67 ± 1.28 | −0.15/0.50 | −0.33 ± 1.47 | −0.76 ± 1.81 |
BMD z-score: subtotal | −2.65 ± 1.48 | −1.71 ± 0.77 | −0.62 ± 1.29 | na/−0.50 | −1.87 ± 1.30 | −4.19 |
BMD z-score: height corrected, subtotal | −1.27 ± 0.92 | −1.01 ± 0.56 | 0.23 ± 1.71 | na/1.09 | −0.93 ± 1.22 | −1.67 |
Complete protein intake (%RDA) | 80.33 ± 30.45 | 84.52 ± 14.39 | 102.43 ± 26.6 | 49.08/90.91 | 93.28 ± 33.15 | 74.87 ± 20.80 |
FSIQ/ABC | 70.6 ± 22.33 | 89.7 ± 14.88 | 92.1 ± 14.22a | 65/na | 69.84 ± 19.68 | 87.50 ± 22.54 |
eGFR creatinine (ml/min/1.73 m2) | 63.83 ± 34.38 | 126.22 ± 35.94b | 108.19 ± 27.66b | 45.96/37.59 | 65.95 ± 27.93 | 43.83 ± 26.95 |
eGFR creat/cyst-C (ml/min/1.73 m2) | 56.65 ± 26.59 | 97.09 ± 11.25c | 90.76 ± 13.01c | 39.33/36.19 | 60.78 ± 18.70 | 43.18 ± 25.57 |
Serum MMA (μmol/L) | 1,604.61 ± 1,220.02 | 95.59 ± 99.40b | 39.26 ± 21.04c | 805.0/279.0 | 459.53 ± 589.85b | 3,900.25 ± 5,469.40 |
Acylcarnitine/free carnitine ratio | 3.22 ± 2.27 | 0.79 ± 0.63b | 0.32 ± 0.14c | 2.93 − 0.7 | 0.92 ± 0.36c | 2.15 ± 1.6 |
FGF21 (pg/ml) | 5,817.21 ± 7,410.63 | 1,167.14 ± 1,431.66 | 319.84 ± 229.31a | 19,791.8 − 400.4 | 1,881.11 ± 2,485.01a | 5,739.38 ± 5,313.32 |
GDF15 (pg/ml) | 3,019.07 ± 2,182.89 | 351.81 ± 199.42 | 290.25 ± 177.68 | na − 1,631.5 | 1,767.41 ± 1,299.28 | 2,603.72 ± 2,187.10 |
A p value of multiple comparisons for FGF21 was <0.05 for the log10 transformed variable, not the absolute values. One-way analysis of variance (ANOVA) and post hoc correction for multiple comparisons by Bonferroni or Tamhane was used depending on the result of Levine’s test of homogeneity of variances, between MMA subtypes and muto and within mut0 subtype, between individuals without and with an organ transplant.
AUC area under the curve, BMD bone mineral density measured by dual energy X-ray absorptiometry (DXA) (subtotal refers to BMD of total body minus head), BMI body mass index, eGFR estimated glomerular filtration rate (based on creatinine or combined creatinine and cystatin C values, per the Bedside Schwartz and CKiD 2012 equations), FGF21 fibroblast growth factor 21, FFM fat-free or lean mass (in kilograms), FSIQ full-scale IQ (by age-appropriate cognitive assessment, or ABC score based on Vineland adaptive behavior scales), GDF15 growth differentiation factor 15, MMA methylmalonic acid, OFC occipitofrontal (head) circumference, RDA recommended daily allowance, REE resting energy expenditure (in calories), Tmax time to reach maximum delta of exhaled 13CO2/12CO2.
aP < 0.05.
bP < 0.01.
cP < 0.001.