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Serum carnitine & disabling fatigue in multiple sclerosis

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www.ProHealth.com • December 20, 1996


The serum concentrations of total, free and acylcarnitine were
compared in 25 patients with multiple sclerosis (MS) and among
age- and sex-matched normal controls by the new enzymatic
cycling method in order to clarify whether the fatigue in MS
might be due to possible carnitine-related fatty acid
metabolic abnormalities in the mitochondria of skeletal
muscles. Patients with MS were divided into those with and
those without excessive fatigue. Levels of total and free
carnitine were not significantly different between MS
patients and normal controls. Levels of acylcarnitine, whose
decrease in chronic fatigue syndrome has been reported, were
also similar between MS patients and normal controls. There
was no difference in these carnitine levels between MS
patients with and without excessive fatigue. We argue that
acylcarnitine deficiency and fatty acid metabolic dysfunction
in mitochondria are not relevant to the excessive fatigue in
patients with MS, and further explanatory investigations are
to be sought.

Fukazawa T, Sasaki H, Kikuchi S, Hamada T, Tashiro K




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