Summary
Acetylator status was determined in 25 kwashiorkor children, aged between 8 months and 3 years and in 25 age-matched control group of healthy children after a single oral dose of sulphamethazine (40 mg/kg body weight) and by measuring the acetylated sulphamethazine in blood samples, collected 6 h after the administration of sulphamethazine. p ]The percentage of slow acetylators among kwashiorkor children was 40% while among the control group of children it was 48%. The difference between the two groups was not significant. p ]Therefore, it is probable mat the slow acetylator status of the Nigerian African children may not be a contributing factor for the development of kwashiorkor, a syndrome of protein-energy malnutrition. Furthermore, the polymorphic activity of N-acetyl transferase enzyme may not be impaired in kwashiorkor.
Similar content being viewed by others
References
Bloom B.R. (1988): A new threat to world health. World Health (Geneva), June, p. 30.
Davidson S.S., Passmore R., Brock J.F., Truswell A.S. (1975) : In: Human Nutrition and Dietetics; Protein-Energy Malnutrition, 6th ed. The ELBS and Churchill Livingstone, p. 302.
Alleyene G.A.O., Hay R.W, Picou D.I., Stanfield J.P. , Whitehead R.G. (1978): In: Protein-Energy Malnutrition; The Ecology and Pathogenesis of protein-energy malnutrition. ELBS 1st ed. The ELBS and Edward Arnold, pp. 1–8.
Gomez F., Galvan R.R., Frenk S., Munoz J.C., Chavez R., Vasquez J. (1956): Mortality in second and third degree malnutrition. J. Trop. Pediatr., 2, 77–83.
Williams C.D. (1935): Kwashiorkor a nutritional disease of children associated with maize diet. Lancet, ii, 1151.
Whitney E.N, Hamilton E.M.N. (1981): Protein-calorie deficiency: in Understanding nutrition. West Publishing Co., pp. 138–151.
Wahren C. (1989): Population and Development. The OECD Observer 155, December 88/January 89, pp. 5–7.
Landman J., Jackson A.A. (1980): The role of protein deficiency in the aetiology of kwashiorkor. West Ind. Med. J., 29, 229–236.
Golden M.H.N., Ramdath D. (1987): Free radicals in the pathogenesis of kwashiorkor. Proc. Nutr. Soc., 46, 53–68.
Hendrickse R.G. (1984): The influence of anatoxins on child health in the tropics with particular reference to kwashiorkor. Trans. Roy. Soc. Trop. Med. Hyg., 78, 427–435.
Buchanan N., Eyberg C., Davis M.D. (1979): Antipyrine pharmacokinetics andD-glucaric acid excretion in kwashiorkor. Am. J. Clin. Nutr., 32, 2233–2236.
Buchanan N. (1984): Effect of Protein-Energy Malnutrition on drug metabolism in man. Wld. Rev. Nutr. Diet, 43, 129–139.
Shastri R.A., Krishnaswamy K. (1979): Metabolism of sulphadiazine in malnutrition. Br. J. Clin. Pharmacol., 7, 69–73.
Weber W.W., Hein D.W. (1985): N-acetylation pharmacogenetics. Pharmacol. Rev., 37, 26–69.
Evans D.A.P. (1977): In: Parke D.V., Smith R.L. (eds). Drug metabolism-from-microbe to man. London; Taylor & Francis p. 369.
Mbanefo C., Bababunmi E.A., Mahgoub A., et al. (1980): A study of the debrisoquine hydroxylation polymorphism in a Nigerian population. Xenobiotica, 10, 811–818.
Ellard G.A. (1984): The potential clinical significance of the isoniazid acetylator phenotype in the treatment of pulmonary tuberculosis. Tubercle, 65, 211–227.
Jeyakumar L.H., French M.R. (1981): Polymorphic acetylation of sulphamethazine in a Nigerian (Yoruba) population. Xenobiotica, 11, 319–321.
Jeyakumar L.H., French M.R. (1980): Polymorphic acetylation of sulphamethazine in man; Acetylator phenotype in sicklers and non-sicklers. Toxicol. Lett, 6, 263–265.
Jeyakumar L.H., French M.R. (1986): Acetylator phenotype among individuals with glucose-6-phosphate dehydrogenase variants. Xenobiotica, 16, 1129–1132.
Varley H. (1969): Practical Clinical Biochemistry Drugs and Poisons, 4th ed. London, Tonbridge pp. 745–747.
Emery A.E.H. (1976): Methodology in Medical Genetics. Edinburgh, Churchill Livingstone, pp. 4–5.
Idle J.R., Mahgoub A., Sloan T.P., Smith R.L., Mbanefo C.O., Bababunmi E.A. (1981): Some observations on the oxidation phenotype status of Nigerian patients presenting with cancer. Cancer Lett, 11, 331–338.
Bababunmi E.A. (1988): A biochemical approach for establishing the role of cyanide in the etiology of tropical ataxic neuropathy. Nig. J. Nutr. Sci., 9, 59–63.
Cartwright R.A., Ciashan R.W., Rogers H.J., et al. (1982): Role of N-acetyl transferase phenotypes in bladder carcinogenesis: A pharmacogenetic epidemiological approach to bladder cancer. Lancet ii, 842–845.
Woolhouse N.M., Atu-Taylor L.C. (1982): Influence of double genetic polymorphism on response to sulphamethazine. Clin. Pharmacol. Ther., 31, 377–383.
Bienzle U., Sodeinde O., Effiong C.E., Luzzatto L. (1975): Glucose-6-phosphate dehydrogenase deficiency and sickle cell anemia. Frequency and features of the association in an African Community. Blood, 4, 591–597.
Fawcett I.W., Gammon P.T. (1975): Determination of the acetylator phenotype in a Northern Nigerian population. Tubercle, 56, 199–201.
Eze L.C., Obidoa O. (1978): Acetylaoon of sulphamethazine in a Nigerian population. Biochem. Genet., 16, 1073–1077.
Salako L.A., Aderounmu A.F. (1977): Extermination of the isoniazid acetylator phenotype in a West African population. Tubercle, 58, 109–112.
Viznerova A., Slavkova Z., Ellard G.A. (1973): Determination of the acetylator phenotype of tuberculosis patients in Czechoslovakia using sulphadimidine. Tubercle, 54, 67–71.
Rao K.V.N., Mitchison D.A., Nair N.G.K., Prema K., Tripathy S.P. (1970): Sulphadimidine Acetylation Test for classification of patients as slow or rapid inactivators of isoniazid. Br. Med. J., 3, 495–497.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Jeyakumar, L.H., Arowoshegbe, U.A., Akinyinka, O.O. et al. Acetylator status of kwashiorkor children in Ibadan (South-West Nigeria). Eur. J. Drug Metab. Pharmacokinet. 15, 57–62 (1990). https://doi.org/10.1007/BF03190128
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF03190128