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Clinical Chemistry, Vol 26, 261-265, Copyright © 1980 by American Association for Clinical Chemistry
J Greter, S Lindstedt, H Seeman and G Steen
Urine from patients with ketoacidosis was found to contain a number of aliphatic 3-hydroxy dicarboxylic acids. The acids were purified by silicic acid chromatography and their structures determined by gas chromatography-mass spectrometry of different derivatives. The major compound was 3-hydroxydecanedioic acid. Minor compounds were 3- hydroxyoctanedioic acid, 3-hydroxyoctenedioic acid, 3- hydroxydecenedioic acid, 3-hydroxydodecanedioic acid, 3- hydroxydodecenedioic acid, 3-hydroxytetradecenedioic acid, and 3- hydroxytetradecadienedioic acid. The excretion of 3-hydroxydecanedioic acid correlated positively with the excretion of hexanedioic acid, another metabolite constantly found in ketoacidosis (Pettersen et al., Clin. Chim. Acta 38: 17-24, 1972). We suggest that the 3-hydroxy dicarboxylic acids are formed from fatty acids by a combination of omega-oxidation and incomplete beta-oxidation.
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