The activities of adenylosuccinate synthetase, adenylosuccinate lyase,
and adenosine monophosphate deaminase were measured in muscle from pa
tients suffering from fatigue and cramps following exercise. Results d
enote the existence of secundary deficiencies of adenylosuccinate synt
hetase and/or adenylosuccinate lyase in subjects with congenital or ac
quired myopathies. They also suggest that searches are warranted for p
rimary deficiencies of adenylosuccinate synthetase as a cause of exerc
ise intolerance. (C) 1998 John Wiley & Sons, Inc.