Changes in serum total homocysteine,S-adenosylmethionine, cysteine, and glutathione levels after therapy in 3 cobalamin-deficient patients without neurological abnormalities
Patient . | Abnormality . | Day of Cbl therapy . | tHcy level, μM . | AdoMet level, nM . | Cysteine level, μM . | Cys-gly level, μM . | GSH level, μM . | |
---|---|---|---|---|---|---|---|---|
CNS . | Anemia . | |||||||
A | No | Yes | Pretherapy | 159.2 | 54.4 | 335 | 67.2 | 0.5 |
14 days | 17.0 | 79.1 | 181 | 64.1 | 2.4 | |||
B | No | Yes | Pretherapy | 88.9 | 50.0 | 316 | 52.5 | 1.0 |
30 days | 11.3 | 128.3 | 189 | 70.9 | 6.2 | |||
C | No | Yes | Pretherapy | 122.0 | 81.8 | 472 | 47.7 | 0.9 |
> 90 days | 10.9 | 110.4 | 174 | 81.1 | 6.6 |
Patient . | Abnormality . | Day of Cbl therapy . | tHcy level, μM . | AdoMet level, nM . | Cysteine level, μM . | Cys-gly level, μM . | GSH level, μM . | |
---|---|---|---|---|---|---|---|---|
CNS . | Anemia . | |||||||
A | No | Yes | Pretherapy | 159.2 | 54.4 | 335 | 67.2 | 0.5 |
14 days | 17.0 | 79.1 | 181 | 64.1 | 2.4 | |||
B | No | Yes | Pretherapy | 88.9 | 50.0 | 316 | 52.5 | 1.0 |
30 days | 11.3 | 128.3 | 189 | 70.9 | 6.2 | |||
C | No | Yes | Pretherapy | 122.0 | 81.8 | 472 | 47.7 | 0.9 |
> 90 days | 10.9 | 110.4 | 174 | 81.1 | 6.6 |
Methionine values did not change with therapy and are not shown. See Tables 3 and 4 for abbreviations.