Variation in Tissue Carnitine Concentrations with Age and Sex in the Rat

Similar documents
M.J. Guthriel, D.G. Wagner2

M.R.C.Path. causes to the raised plasma urea in patients admitted

The estimator, X, is unbiased and, if one assumes that the variance of X7 is constant from week to week, then the variance of X7 is given by

A RECENT INVESTIGATION 7 of methods for determination of ovulation suggested

DATA RELEASE: UPDATED PRELIMINARY ANALYSIS ON 2016 HEALTH & LIFESTYLE SURVEY ELECTRONIC CIGARETTE QUESTIONS

This paper not to be cited without prior reference to the author

Monensin and Extruded Urea-Grain for Range Beef Cows

A pre-conference should include the following: an introduction, a discussion based on the review of lesson materials, and a summary of next steps.

A Plasma Humoral Factor of Extrarenal Origin Causing Release of Reninlike Activity in Hypotensive Dogs

Further Studies on the Influence of Steroids on

AP Biology Lab 12: Introduction to the Scientific Method and Animal Behavior

Interpretation. Historical enquiry religious diversity

Frequently Asked Questions: IS RT-Q-PCR Testing

NFS284 Lecture 3. How much of a nutrient is required to maintain health? Types and amounts of foods to maintain health

The demonstration of lysosomes by the controlled temperature freezing-sectioning method By LUCILLE BITENSKY

Biology 30S Unit Test Review: Digestion

Human papillomavirus (HPV) refers to a group of more than 150 related viruses.

CONSENT FOR KYBELLA INJECTABLE FAT REDUCTION

Thyroglobulin levels in serum and saliva of patients with differentiated thyroid carcinoma

ASSESSMENT OF PITUITARY FUNCTION IN PATIENTS WITH SERUM PROLACTIN LEVELS GREATER THAN 100 NG/ML*t

Topic 12: Endocrine System. Function: Group of glands that produces regulatory chemicals ( )

DIRECTED FORGETIING: SHORT-TERM MEMORY OR CONDITIONED RESPONSE? WENDY S. MILLER and HARVARD L. ARMUS The University of Toledo

Breast Cancer Awareness Month 2018 Key Messages (as of June 6, 2018)

ALCAT FREQUENTLY ASKED QUESTIONS

Scientia Horticulturae, 3 (1975) Elsevier Scientific Publishing Company, Amsterdam -- Printed in The Netherlands

Obesity/Morbid Obesity/BMI

Ketone-Body Utilization by Adult and Suckling Rat Brain in vivo

Anemia. There are three types of Anemia that effect EB patients. They are Iron Deficiency, Chronic Inflammatory and Nutritional.

Ruminal Availability of Phosphorus and Its Effect on Digestion

COPING WITH STRESS IN PARENTS OF CHILDREN AFTER RENAL TRANSPLANTATION

Q 5: Is relaxation training better (more effective than/as safe as) than treatment as usual in adults with depressive episode/disorder?

Increase of Induced Skin Tumors in the Mouse by the Lethal Yellow Gene (A 11) 1

The Cell Cycle & Cellular Division

FDA Dietary Supplement cgmp

Urinary Kallikrein in Rats Bred for Their Susceptibility and Resistance to the Hypertensive Effect of Salt

P02-03 CALA Program Description Proficiency Testing Policy for Accreditation Revision 1.9 July 26, 2017

PROCEDURAL SAFEGUARDS NOTICE PARENTAL RIGHTS FOR PRIVATE SCHOOL SPECIAL EDUCATION STUDENTS

The clinical trial information provided in this public disclosure synopsis is supplied for informational purposes only.

FOUNDATIONS OF DECISION-MAKING...

Public consultation on the NHMRC s draft revised Australian alcohol guidelines for low-risk drinking

In the last lesson we examined specific factors that affect ecosystems.

Influence of Endosperm Type On the Nutritive Value Of Grain Sorghum and Corn

(From the Laboratories of the International Health Division of The Rockefeller Foundation, New York)

Hospital Preparedness Checklist

METHYL TESTOSTERONE IN PREMATURE INFANTS

Field Epidemiology Training Program

What Should One Know About Thalassaemia Minor

The Multiplication Cycle of Tobacco Rattle Virus in Tobacco Mesophyll Protoplasts

AVAILABLE COPPER, ZINC, MANGANESE AND I RON STATUS OF RAJASTHAN SOILS

ctdna-guided Change of Therapy Improves Quality of Life of a Lung Cancer Patient

BIOLOGY 101. CHAPTER 15: The Chromosomal Basis of Inheritance: Locating Genes Along Chromosomes

Underestimation of Risk Associations Due to Regression Dilution in Longterm Follow-up of Prospective Studies

Although naturally occurring cryptorchidism with its profound effects upon the testes

Iron and Iron Deficiency

23/11/2015. Introduction & Aims. Methods. Methods. Survey response. Patient Survey (baseline)

Risk factors in health and disease

Related Policies None

Effect of Stage of Maturity on the Chemical Composition and In Vitro Digestibility of Sorghum Grain

CDC Influenza Division Key Points MMWR Updates February 20, 2014

Refining Blood Collection Techniques to Improve Animal Welfare and Sample Quality

Signature Assignment. Course. ANTH 2346: General Anthropology. Assignment ID (to be assigned) Outcomes/Rubrics to be Assessed by the Assignment

PROTOCOL 1850 Millrace Drive, Suite 3A Eugene, Oregon

Effects of compost maturity on growth of komatsuna (brassica rapa var. pervidis) in neubauer's pot

HEALTH SURVEILLANCE INDICATORS: CERVICAL CANCER SCREENING. Public Health Relevance. Highlights.

Genetic and Population Studies of Quantitative Levels of Adenosine Triphosphate in Human Erythrocytes

Name: Date: Period: Notes: The Blood and Lymphatic System

STUDIES WITH HUMAN INFLUENZA VIRUS CULTIVATED IN ARTIFICIAL MEDIUM

Swindon Joint Strategic Needs Assessment Bulletin

Data Fusion for Predicting Breast Cancer Survival

SUICIDE AND MENTAL ILLNESS IN SINGAPORE

Reliability and Validity Plan 2017

Completing the NPA online Patient Safety Incident Report form: 2016

1A Human Biology Food, Digestion and Associated Body Systems

The principles of evidence-based medicine

S.K.J Construction Ltd Groundwork & Civil Engineering

MEDICATION GUIDE Pioglitazone and Metformin Hydrochloride (PYE o GLI ta zone and met FOR min HYE-droe- KLOR-ide)Tablets, USP

Code of employment practice on infant feeding

TRAINING INDIVIDUAL IMAGE INTERPRETERS USING TEAM CONSENSUS FEEDBACK. John T. Cockrell System Development Corporation. and

The Compositional Quality of Raw Milk Produced by Some Dairy Cow s Farms in Khartoum State, Sudan

LATENT VIRAL INFECTION OF CELLS IN TISSUE CULTURE BY JOHN P. BADER, PH.D., AND HERBERT R. MORGAN, M.D.

Springer-Verlag 1991

COMPARISON OF OBJECTIVE MEASUREMENT OF ANAL SPHINCTER STRENGTH WITH ANAL SPHINCTER PRESSURES AND LEVATOR ANI FUNCTION

Changes in the Extracellular and Intracellular Fluid Phases of Muscle

BRCA1 and BRCA2 Mutations

EFFECT OF PRE-NATAL RUNTING ON THE POST-NATAL DEVELOPMENT OF SKELETAL MUSCLES IN SWINE AND RATS 1'2

detailed in Ward and Lockhead (1970), is only summarized here.

A Unified Approach to Conflict Mineral Compliance for the Tungsten Industry. The Westin, Sydney, 23 September 2013

Diabetologia 9 Springer-Verlag 1992

Independent Charitable Patient Assistance Program (IPAP) Code of Ethics

Council of Better Business Bureaus Children s Food and Beverage Advertising Initiative Burger King Corporation Blue Lagoon Drive Miami, FL 33126

Relationship Between Fertility and the Nonprotein Sulfhydryl Concentration of Seminal Fluid in the Thoroughbred Stallion

1.6. Topic 1: Cell Biology (Teacher) Essential Idea: Cell division is essential but must be controlled. 1.6 Cell Division

Corporate Governance Code for Funds: What Will it Mean?

Methadone Maintenance Treatment for Opioid Dependence

by Springer-Verlag 1977

Module 6: Goal Setting

Temporal Relationship of Glycosylated Haemoglobin Concentrations to Glucose Control in Diabetics

Chapter 6: Impact Indicators

SUBNORMAL TESTICULAR FUNCTION IN A BULL CONCEALED BY PHAGOCYTOSIS OF ABNORMAL SPERMATOZOA IN THE EFFERENT DUCTULES

PICO question In patients with glomerulonephritis what are patient preferences and values for immunosuppressive and non-immunosuppressive therapy?

Transcription:

Bichem. J. (1978) 176, 677-681 Printed in Great Britain 677 Variatin in Tissue Carnitine Cncentratins with Age and Sex in the Rat By PEGGY R. BORUM Divisin fnutritin, Department fbichemistry, Vanderbilt University Schl fmedicine, Nashville, TN 37232, U.S.A. (Received 24 April 1978) Diabetes, starvatin and varius hrmnal treatments are nwn t alter drastically camitine cncentratins in the bdy. Befre the mechanisms cntrlling carnitine metablism culd be determined, it was necessary t establish nrmal carnitine cncentratins in bth sexes at different ages. Carnitine was assayed in plasma, liver, heart and seletal muscle f rats frm birth t weaning. The plasma carnitine increased rapidly during the first 2 days after birth. Carnitine in bth heart and seletal muscle increased, whereas liver cncentratins declined during the first wee f life. A carnitine-free diet cntaining sufficient precursrs fr carnitine bisynthesis was fed t weanling rats. Grups f ten male and ten female rats were illed each wee fr 1 cnsecutive wees. Carnitine was determined in plasma, liver, heart, seletal muscle, urine and epididymis in the male. There was n difference in carnitine cncentratins between the sexes at weaning. Plasma, heart and muscle cncentratins were higher in adult male rats than in adult females. Hwever, liver carnitine and urinary carnitine cncentratins were higher in adult female than in adult male rats. The epididymal carnitine cncentratin increased very rapidly during 5 t 7 days f age and the differences in carnitine cncentratins between the sexes als became apparent during this time. Thus bth the age and the sex f the human subject r experimental animal must be cnsidered when investigating carnitine metablism. [(3-carbxy-2-hydrxyprpyl)trimethyl- Carnitine ammnium hydrxide] is required fr the transprt f lng-chain fatty acids frm the cytsl t the site f f-xidatin in the mitchndrial matrix (Wlf, 1965). Thus, in a tissue that depends n fat as an imprtant surce f fuel, the cncentratin f carnitine wuld be expected t play an imprtant rle in the metablism f that tissue. The results f Cederblad et al. (1976) indicate a relatinship between the cncentratin f carnitine and the capacity fr lngchain fatty acid xidatin in human seletal muscle (Cederblad et al., 1976). The heart and epididymis f newbrn rats are nwn t cntain much less carnitine than the same rgans f the adult (Wittels & Bressler, 1965; Marquis & Fritz, 1965). Infusin f anti-insulin serum r glucagn fr 3h, starvatin fr 24h, and the inductin f severe diabetic etacidsis with allxan, all result in prnunced elevatins in hepatic carnitine cncentratins in the rat (McGarry et al., 1975). Elevated cncentratins f hepatic carnitine may indeed be required fr the initiatin f etgenesis (McGarry & Fster, 1977). Preliminary experiments suggested there were significant differences in tissue carnitine cncentratins due t age r sex. Hwever, the factrs cntrlling these cncentratins are nt well understd, and in many experiments n carnitine metablism, transprt r Vl. 176 functin, the age, the sex and the diet f the experimental animals have nt been stringently cntrlled. The purpse f this study was t investigate the rle f age and sex in determining the cncentratins f carnitine in plasma, liver, cardiac muscle, seletal muscle and epididymis in nrmal rats. A brief accunt f these investigatins has appeared (Brum & Brquist, 1977a). Experimental Animal care and diet A grup f pregnant Sprague-Dawley rats frm Harlan Industries (Bx 29176, Indianaplis, IN 46229, U.S.A.) were fed n labratry chw during pregnancy and lactatin. The pups were illed at varius times frm befre birth t 24 days f age. A number f samples were btained during the first 48 h after birth, and these time pints were carefully determined. Fr the experiments 1 male and 1 female 22- day-ld Sprague-Dawley rats were purchased frm Harlan Industries and maintained in suspended cages with screen bttms. These rats were fed ad libitum with a defined diet that cntained n detectable carnitine, but sufficient precursrs fr carnitine bisynthesis (Brum & Brquist, 1977b). Bdy weights determined twice each wee indicated that

678F P. R. BORUM these animals maintained a nrmal grwth rate n this diet. Ten female rats and ten male rats were illed n the day when the animals were received and each wee thereafter fr 1 wees. Thus the nutritinal state f the animals in the first time pint f the fllwing Figures is nt as well cntrlled as in the remaining time pints. Urine was cllected by using suspended metablic cages. Assay prcedures Tissue carnitine cncentratins were measured by a mdificatin f the methd f Cederblad & Lindstedt (1972) as described by Brum et al. (1977). Plasma prtein cncentratin was determined by the micr biuret methd (Itzhai & Gill, 1964). Nncllagen prtein was slubilized by the methd f Lilienthal et al. (195), and the cncentratin assayed by the micr biuret methd. Urinary creatinine was measured by a mdificatin f the Flin and Wu prcedure as described by Technicn Bulletin N-llb (1969). r.g e 7 5 (a) Statistical analysis The t-test prgram in the 22 General Library Statistics/Engineering f Wang Labratries Inc., Tewsbury, MA 1874, U.S.A., was used t analyse the data n a 22 series calculatr. Results Carnitine cncentratins in perinatal rats Since there are n differences in carnitine cncentratins between male and female rats befre weaning, s the data fr bth sexes are presented tgether. Data presented in the fllwing Figures are based n nn-cllagen prtein. The same cnclusins are reached when the carnitine cncentratins are expressed per g wet wt. f tissue. As shwn in Fig. 1(a), there are lw carnitine cncentratins in fetal liver, with a high cncentratin at birth, which decreases thrughut the sucling perid. These values agree well with thse f Rbles-Valdes et al. (1976). Carnitine cncentratins are lw in the heart f the fetus at birth, but increase during the sucling perid. The reprted large increase in heart carnitine cncentratins between 5 and 15 days f age (Rbles- Valdes et al., 1976) was nt bserved in these studies. The mst rapid increase in heart carnitine appeared t ccur during the first 4 days after birth (see Fig. lb). The increase in carnitine cncentratins after 3- t. 4 9 (b) 7- I r. cdi 8 5-3 - F O 8 12 16 2 24 Fig. 1. Carnitine cncentratins in the liver and heart f preweaned rats The assay methds and animal treatments are described in the Experimental sectin. Pints fr animals up t 6 days f age are the means fr triplicate measurements f a pled sample frm animals. (a) Liver carnitine cncentratins. The S.E.M. are: 9 days,.3 (n=5); 1 days,.3 (n=7); 13 days,.2 (n=); 14 days,.2 (n=4); 16 days,.2 (n=4); 19 days,.1 (n=6); 21 days,.3 (n=4); 24 days,.1 (n=6). (b) Heart carnitine cncentratins. The S.E.M. are: 9 days,.3; 1 days,.3; 13 days,.3; 14 days,.3; 16 days,.5; 19 days,.7; 21 days,.2; 24 days,.7. O:.Q t. = cȯ c) - 2-5 s: ^ O O - 4 r _.- E a- 21 c13 1 8 7 (a) 5-3 - a 1 (b) F 4 8 12 16 2 24 Fig. 2. Carnitine cncentratins in the muscle andplasma f preweaned rats The animals are described in the legend t Fig. 1. (a) Muscle carnitine cncentratins. The S.E.M. are: 9 days,.2; 1 days,.3; 13 days,.3; 14 days,.5; 16 days,.2; 19 days,.5; 21 days, 2.; 24 days,.5. (b) Plasma carnitine cncentratins. The S.E.M. are: 9 days, 3.; 1 days, 3.; 13 days, 1.8; 14 days, 1.1; 16 days, 1.1; 19 days, 2.; 21 days, 1.5; 24 days, 2.8. 1978

VARIATION IN TISSUE CARNITINE CONCENTRATIONS birth bserved in cardiac-muscle and seletal-muscle tissue are very similar (Fig. 2a). Plasma carnitine cncentratins are presented in Fig. 2(b). There is a very rapid increase in plasma carnitine cncentratins during the first 48 h after birth. Plasma carnitine cncentratins As bserved in Fig. 3, the plasma carnitine cncentratins d nt change appreciably in female rats frm 22 t 85 days f age. Hwever, they increase dramatically in male rats, such that the adult male rat has apprximately twice that fund in the plasma f the female rat. Liver carnitine cncentratins The adult male rat des nt have a higher cncentratin f carnitine in the liver than the female, as was bserved in the plasma. Rather, carnitine cncentratins appear t be smewhat higher in female liver (see Fig. 4). Cd Ca- Cd._ C) a.) la u 7 6 [ 5 3 [ 2 [ _ 1 8 8 8 en uj z X QX X II 22 29 36 43 5 57 64 71 78 85 Fig. 3. Carnitine cncentratins in theplasma ffemale and male rats frm age 22 days t 85 days The assay methds and the animal treatments are described in the Experimental sectin. Each pint is the mean fr plasma carnitine determinatins n ten animals, with the S.E.M. indicated by the bars. The P values fr the difference between carnitine cncentratins fr female and male rats were determined as described in the Experimental sectin. Symbls: *, females;, males. N.S., P>.5. Vl. 176 3.6 3.4 3.2 3. 2.8. a 2.6 = 2.2 2. n E 1.8 a 1.6 a * 1.4 O 1.2. 1. 9.8 u.6.4.2 F F I- I. U) 6666 tn. Ce en, X. Z Z Z Z Q. Q. Q. X 22 29 36 43 5 57 64 71 78 85 679 Fig. 4. Carnitine cncentratins in the liver ffemale and inale rats frm age 22 days t 85 days Liver carnitine cncentratins were determined in the same animals described in the legend t Fig. 3. Symbls: *, females; Cl, males. N.S., P>.5. Cardiac-muscle and seletal-muscle carnitine cncentratins Cardiac-muscle carnitine values are presented in Fig. 5(a). The carnitine cncentratins in the cardiac muscle f the adult male rat are significantly higher than the carnitine cncentratins f the adult female heart. Fig. 5(b) shws the same trend in seletal muscle. The cncentratin f seletal-muscle carnitine is higher in males than in females after abut 5 days f age. Epididymal carnitine cncentratins Epididymal carnitine cncentratins in the male rats used in this experiment are presented in Table 1. There is a dramatic increase in the epididymal carnitine cncentratins at the same time that significantly higher cncentratins f carnitine are fund in the plasma, heart and muscle f the male rat cmpared with that f the female rat.

68 P. R. BORUM Urinary carnitine cncentratins The urinary carnitine values in Table 2 are based n mg f creatinine in the urine. The same trend emerges when the carnitine values are expressed n the basis f a 24h cllectin perid. At the same time pints at which earlier data shwed higher cncentratins f carnitine in mst tissues f the male rat than in the female rat, the female is excreting mre carnitine in her urine than is the male rat. c a L Ln L O 6 C 5 C C) II II II 6 Zz Q. Q. z Z Z X. X. X Q. E Z.5 C:) e 4 a 3 29 36 7 Fig. 5. Carnitine cncentratins in the heart and muscle f female and male rats frm 22 days t 85 days (a) Heart carnitine cncentratins were determined in the same animals described in the legend t Fig. 3. (b) Seletal-muscle carnitine cncentratins. Symbls: *, females; a, males. N.S., P>.5. Discussin Nutritinally the labratry rat must quicly switch frm the predminantly carbhydrate transplacental alimentatin t a high-fat diet f mil. During the sucling perid, the rat btains mst f its energy frm fatty acid xidatin, s the presence f an adequate amunt f carnitine in the newbrn may be f the utmst imprtance (Bailey & Lcwd, 1973). The primary surce f carnitine in nenatal tissues, at least 2-3 days pst partum, is the mther rat, whse liver and mil carnitine cncentratins are very high (Rbles-Valdes et al., 1976). It is nt nwn if the newbrn liver is capable fsynthesizing adequate amunts f carnitine when the newbrn is deprived f dietary carnitine. The cmplete series f experiments with male and female rats frm 22 t 85 days f age has been carried ut twice with identical results. An imprtant aspect f this wr is that since all rats were fed n a diet cntaining n carnitine, but sufficient lysine and methinine fr carnitine bisynthesis, the plasma carnitine cncentratins are nt simply a reflectin f recent ral carnitine intae. The high cncentratin f carnitine fund in heart, muscle, and liver n the day f shipment (Figs. 4, Sa and 5b) may indeed Table 1. Age-dependence f carnitine cncentratins in the epididymis f rats The mean epididymal carnitine cncentratins f male rats at varius ages are presented±s.e.m. fr ten animals. The increase in carnitine cncentratins ver that f the weanling is als given. Carnitine Increase ver Age (nml/mg f weanling cncentratin (days) nn-cllagen prtein) (-fld) 22 8+1 1. 29 16±1 2. 36 25±1 3.2 43 29+2 3.7 5 48±4 6. 57 79+7 9.8 64 129±17 16.1 71 154±1 19.2 78 161± 1 2.2 85 25+22 25.6 Table 2. Age-dependence f urinarv carnitine excretin in female and male rats The mean urinary carnitine cncentratins f male and female rats are presented±s.e.m. fr 16 animals. The P value is fr female urinary carnitine values against male urinary carnitine values. N.S., P>.5. Carnitine (nml/mg f creatinine) Age (days) 22 29 36 43 5 57 64 71 78 85 Females 397±56 338 ±33 233 ±36 27±23 162±26 247+27 217±18 136+18 215± 12 2± 13 Males 543±54 18±25 92±15 57±13 41± 8 59±19 55±1 61± 9 16±15 165±16 p N.S..1.1.1.1.1.1.1.1.5 1978

VARIATION IN TISSUE CARNITINE CONCENTRATIONS 681 reflect the respnse f tissue carnitine cncentratins t starvatin (McGarry et al., 1975) and the nrmal changes brught n by the stress f shipment. Althugh the mechanism resulting in the altered tissue cncentratins after shipment are nt well understd, the data emphasize the need t cntrl stringently bth the diet and the envirnment f animals that are used in tissue carnitine studies. The results f these experiments clearly shw that tissue carnitine cncentratins in the rat are influenced bth by the age and sex f the animal. Present wr indicates that the same situatin may apply t humans. It has been reprted that in humans plasma carnitine cncentratins are lwer in the female than in the male (Cederblad, 1976). We have cnfirmed these results, and have als fund that histlgically nrmal male muscle has 27.4±1.6 (±s.e.m.; n=23) nml f carnitine/mg f nn-cllagen prtein, whereas nrmal female muscle has 2.3 ± 1.5 (± S.E.M.; n= 16) nml f carnitine/mg f nn-cllagen prtein. The difference between carnitine cncentratins in nrmal male and nrmal female muscle is significantly different (P=.5). Thus bth the age and the sex f each subject must be cnsidered, whether an investigatin invlves the effect f sme hrmnal r envirnmental factr n carnitine metablism in experimental animals, r the study f a patient with a disease characterized by abnrmal tissue carnitine cncentratins. The main site f carnitine bisynthesis is the liver, with sme carnitine being synthesized in the testes (Haigler & Brquist, 1974; Cx & Hppel, 1974). Thus the carnitine cncentratin in any ther tissue is the summatin f the transprt f carnitine int and ut f that tissue. The carnitine cncentratin f a tissue wuld therefre be regulated by factrs cntrlling the rate f carnitine bisynthesis and carnitine transprt. Preliminary studies indicate that a prduct f the varies and a prduct f the testes as well as a prduct f the pituitary have a rle in the cntrl f tissue carnitine cncentratins (P. R. Brum, unpublished wr). I than Mrs. Carla M. Yr and Mrs. M. Cllier fr excellent technical assistance and Mrs. Marie Hall fr secretarial help. This wr was supprted by NIH Grant AM-1619 and a grant frm the Muscular Dystrphy Assciatin f America. References Bailey, E. & Lcwd, E. A. (1973) Enzyme 15, 239-253 Brum, P. R. & Brquist, H. P. (1977a) Fed. Prc. Fed. Am. Sc. Exp. Bil. 36, 29 Brum, P. R. & Brquist, H. P. (1977b) J. Nutr. 17, 129-1215 Brum, P. R., Brquist, H. P. & Relfs, R. 1. (1977) J. Neurl. Sci. 34, 279-286 Cederblad, G. (1976) Clin. Chim. Acta 67, 27-212 Cederblad, G. & Lindstedt, S. (1972) Clin. Chim. Acta 37, 235-243 Cederblad, G., Bylund, A. C., Hlm, J. & Schersten, T. (1976) Scand. J. Clin. Lab. Invest. 36, 547-553 Cx, R. A. & Hppel, C. L. (1974) Bichem. J. 142, 699-71 Haigler, H. T. & Brquist, H. P. (1974) Bichem. Biphys. Res. Cmmun. 56, 678-681 Itzhai, R. F. & Gill, D. M. (1964) Anal. Bichem. 9, 41-41 Lilienthal, J. L., Jr., Zierler, K. L., Fl, B. P., Bua, R. & Riley, M. J. (195) J. Bil. Chem. 182, 51-58 Marquis, N. R. & Fritz, I. B. (1965) J. Bil. Chem. 24, 2193-2196 McGarry, J. D. & Fster, D. W. (1977) Arch. Intern. Med. 137,495-51 McGarry, J. D., Rbles-Valdes, C. & Fster, D. W. (1975) Prc. Natl. Acad. Sci. U.S.A. 72, 4385-4388 Rbles-Valdes, C., McGarry, J. D. & Fster, D. W. (1976) J. Bil. Chem. 251, 67-612 Technicn Bulletin N- llb (1969) Technicn Crpratin, Tarrytwn, NY Wittels, B. & Bressler, R. (1965) J. Clin. Invest. 44, 1629-1646 Wlf, G. (ed.) (1965) Recent Research in Carnitine, M.I.T. Press, Cambridge, MA Vl. 176