Table 3

Plasma vitamin Bprofiles of patients with PROSC mutations on pyridoxine and ranges for vitamin B6 reference profiles of controls and patients with antiquitin, PNPO and TNSALP deficiency on pyridoxine5

Age at sampling Pyridoxine dosage Interval to last intake Vitamin B6 vitamers in plasma (nmol/L)
PLP PL PM PN PA
Patient 1 8 y300 mg/day, 1 SDNA1040779<1<1969
11 y300 mg/day, 2 SD9 hours1050629<1<11130
12 y300 mg/day, 2 SDNA153014002<13050
12.5 y300 mg/day, 1 SD2 hours146011 5002653809990
4 hours12406810121517950
6 hours15902560234380
24 hours12601831<1317
Patient 2 15 y150 mg/day, 2 SDNA2040294<1<1664
Patient 3 26 m450 mg/day, 4 SD8 hours1840198<1<1317
Patient 4 30 y300 mg/day, 3 SD24 hours65233<1<170
Reference (n=50, range)10–2894–85<1<14–564
Patients with EE of unclear aetiology on pyridoxine (antiquitin, PNPO, TNSALP deficiency excluded) (n=8, range)346–1070210–16 3001–1864–22 2001070–13 200
Patients with antiquitin deficiency on pyridoxine (n=21, range)344–1740117–13 900<1–54<1–14 700149–10 200
Patients with PNPO deficiency on pyridoxine (n=6, range)330–1080389–7640206–21701100–11 100583–9610
Patients with TNSALP deficiency on pyridoxine (n=1, two samples, range)1590–20301110–5570<1–212–23301920–5950
  • EE, epileptic encephalopathy; m, months; NA, not available; PA, pyridoxic acid; PL, pyridoxal; PLP, pyridoxal 5’-phosphate; PM, pyridoxamine; PN, pyridoxine; SD, single dosage; y, years.

  • PLP, pyridoxal and pyridoxic acid were elevated due to pyridoxine substitution. PLP values exceeded values seen in other groups of patients on pyridoxine only in two out of four patients. The vitamin B6 kinetic profile performed in P1 was comparable to healthy controls.5