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BRIEF RESEARCH REPORT article

Front. Mol. Biosci.

Sec. Metabolomics

Volume 12 - 2025 | doi: 10.3389/fmolb.2025.1643667

Paediatric CSF acylcarnitine reference ranges

Provisionally accepted
  • 1North-West University, Potchefstroom, South Africa
  • 2Amsterdam UMC Locatie VUmc, Amsterdam, Netherlands
  • 3Stellenbosch University, Stellenbosch, South Africa

The final, formatted version of the article will be published soon.

Acylcarnitines play a crucial role in energy metabolism pathways, primarily known for their involvement in the beta oxidation of fatty acids. However, their roles extend beyond mitochondrial transport; they also contribute to the synthesis of lipids in the brain. The alteration of both plasma and cerebrospinal fluid (CSF) acylcarnitine levels has been reported in various central nervous system (CNS) disorders. However, existing CSF acylcarnitine analysis has primarily focused on adults, highlighting a critical gap in paediatrics, and plasma may not fully reflect CNS-specific metabolic changes. This study aimed to establish reference ranges of CSF acylcarnitine concentrations in paediatric patients. Using LC-MS/MS, we profiled CSF acylcarnitines in 57 non-meningitis children. The acylcarnitine concentrations reported in this study range from 0.01 µM to 4.21 µM. These findings provide a critical reference for future research exploring the role of acylcarnitines in paediatric CNS disorders, bridging a significant gap in the current understanding of acylcarnitine metabolism in children.

Keywords: acylcarnitines, cerebrospinal fluid (CSF), Paediatrics, Children, Reference ranges

Received: 09 Jun 2025; Accepted: 22 Sep 2025.

Copyright: © 2025 Plaatjie, TUTU VAN FURTH, Solomons, Van Der Kuip and Mason. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Shayne Mason, nmr.nwu@gmail.com

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