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Quantitative analysis of urinary acylglycines for the diagnosis of beta-oxidation defects using GC-NCI-MS

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The analysis of acylglycines is an important biochemical tool for the diagnosis of inherited disorders of mitochondrial fatty acid P-oxidation. A stable isotope dilution gas chromatography negative chemical ionisation mass spectrometry method for the quantitative analysis of short and medium-chain acylglycines as their bis(trifluoromethyl)benzyl (BTFMB) ester derivatives is described. The diagnostic usefulness of the method was demonstrated in nine patients with medium-chain acyl-coenzyme A (CoA) dehydrogenase (MCAD) deficiency, and seven patients with multiple acyl-CoA dehydrogenation defect (MAD). The urinary acylglycine profiles in these patients were compared to those in controls (n = 19), children on a medium-chain triglyceride (MCT) supplemented diet (n = 4), and patients with various other diseases (n = 5). (C) 2000 Elsevier Science B.V. All rights reserved.

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Chemistry, Analytical Pharmacology & Pharmacy

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Citation

JOURNAL OF PHARMACEUTICAL AND BIOMEDICAL ANALYSIS. - Vol. 21, n. 6 (JAN 2000), p. 1215-1224

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PERGAMON-ELSEVIER SCIENCE LTD

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