Kinetic and Cross-Sectional Studies on the Genesis of Hypoargininemia in Severe Pediatric Plasmodium falciparum Malaria

儿童重症恶性疟原虫疟疾低精氨酸血症发生的动力学和横断面研究

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作者:Matthew P Rubach, Haoyue Zhang, Salvatore M Florence, Jackson P Mukemba, Ayam R Kalingonji, Nicholas M Anstey, Tsin W Yeo, Bert K Lopansri, J Will Thompson, Esther D Mwaikambo, Sarah Young, David S Millington, J Brice Weinberg, Donald L Granger2

Methods

93.2 μmol/h/kg of body weight (IQR, 84.4 to 129.3 μmol/h/kg) versus 88.0 μmol/h/kg (IQR, 73.0 to 102.2 μmol/h/kg) (P = 0.247) by the two mass spectrometric methods in SM and 93.7 μmol/h/kg (IQR, 79.1 to 117.8 μmol/h/kg) versus 81.0 μmol/h/kg (IQR, 75.9 to 88.6 μmol/h/kg) (P = 0.165) by the two mass spectrometric methods in HC. A limited supply of amino acid precursors for arginine synthesis likely contributes to the hypoargininemia and NO insufficiency in falciparum malaria in children.

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