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Abstract
The urinary excretion rate (ng/h/1.73 m2) of prostanoids was determined with a capillary gas-liquid chromatographic mass spectrometric
method in 19 patients with cystic fibrosis (CF) aged 1–29 years. Patients with CF
showed an increased excretion of prostaglandin E2 metabolites (PGE-M) and thromboxane B2 and its metabolites at all ages. An imbalance in the excretion pattern of thromboxane
B2 metabolites also suggested a relative impairment of β-oxidation. There was no increased
excretion of dinor-6-keto-PGF1α, indicating normal prostacyclin biosynthesis. No correlation was found to genotype,
clinical score, lung function or bacterial colonization but a significant negative
relation was found between the main prostanoids in the urine and serum phospholipid
levels of essential fatty acids. The results show that, contrary to the generally
accepted decrease of prostanoid excretion in essential fatty acid deficiency, patients
with CF increase their production parallel to the development of the deficiency. Since
prostanoid synthesis is rate limited by arachidonic acid release, our data support
a previously presented hypothesis about a pathological regulation of the release of
arachidonic acid in CF.
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Article info
Publication history
Accepted:
May 16,
1996
Received:
April 3,
1996
Identification
Copyright
© 1996 Published by Elsevier Inc.