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- _4 wasQuotedFrom 412860 provenance.
- _4 value "The clinical and biochemical implications of pyruvate carboxylase deficiency. The blood and tissue metabolic perturbations reflected a deficiency of hepatic pyruvate carboxylase. Metabolic abnormalities included elevated blood concentrations of lactate, pyruvate, beta-hydroxybutyrate, acetoacetate, alanine, proline and glycine, decreased blood concentrations of glutamine, aspartate, valine and citrate, and intermittent elevations of serum cholesterol." provenance.