Research Article

Carnitine and/or Acetylcarnitine Deficiency as a Cause of Higher Levels of Ammonia

Table 1

Mean ± SD ammonia, CAR, and ALCAR levels and ACYLCAR/CAR ratio in patients with PHT (Group A) and in patients with VPA (Group B). Mean plasma VPA concentrations of patients in Group B are also shown.

Ammonia ± SD
(μg/dL)
VPA ± SD
(mg/L)
CAR ± SD
(μmol/L)
ALCAR ± SD
(μmol/L)
ACYLCAR/CAR ± SD

Group A61.7 ± 27.337.8 ± 8.611.5 ± 3.00.35 ± 0.15
Group B105.2 ± 57.239.8 ± 13.012.6 ± 5.50.45 ± 0.13
value0.005NSNS0.0005
Normal values in healthy individuals25–9419–59>9.80.1–0.40
Group B
 With hyperammonemia140.0 ± 47.7
44.9 ± 29.834.9 ± 11.49.9 ± 3.0
0.44 ± 0.13
 Without hyperammonemia54.6 ± 19.730.1 ± 20.344.5 ± 10.3
17.4 ± 5.7
0.47 ± 0.11

Significantly different from the corresponding value in Group A.