Laboratory Genetic Metabolic Diseases AMC

protocols (pdf)

testdescription / indication
AcetoacetateKetosis
Acylcarnitine: Isomer separationSeparation of isomeric acylcarnitines e.g. C5-OH-acylcarnitine (3-OH-C5 vs 2-methyl-3-OH-C4, methylmalonyl- vs succinyl-carnitine etc.)
AcylcarnitinesFatty acid oxidation defects, organic acidemias
Amino acidsAminoacidopathies, nutrional studies
Beta-amino acidsBeta-aminoisobutyric acid, beta-alanine, gamma-aminobutyric acid (GABA). GABA transaminase deficiency and pyrimidine degradation defects
Bile acidsBile acid synthesis defects, peroxisomal disorders and cholestatic jaundice
(Monolyso)cardiolipinsBarth syndrome. Screening test in dried bloodspot, confirmation in lymphocytes, fibroblasts or tissue
Carnitine biosynthesis intermediatesTrimethyllysine, hydroxytrimethyllysine, gamma-butyrobetaine, biosynthetic precursors of carnitine, carnitine deficiency
CholestanolCerebrotendinous xanthomatosis
Creatine and guanidinoacetic acidCreatine synthesis and transport defects
D- and L-2-hydoxyglutaric acidDifferentiation between L- and D-2-hydroxyglutaric acidurias
D- and L-amino acidsR- and S-serine / R- and S-aminoisobutyric acid
2,8-DihydroxyadenineAdenine phosphoribosyltransferase (APRT) deficiency, renal stones
Dimethylmethylene blue testScreening test for mucopolysaccharidoses
Essential fatty acids (PUFAs)Nutritional studies
FlavinsRiboflavine, FMN and FAD; Flavine synthesis/transport defects
Free catecholamines and metanephrinesTumor diagnostics (neuroblastoma, pheochromocytoma)
3-hydroxybutyric acidKetosis
8-HydroxydeoxyguanosineMarker of oxidative stress
IsoprostanesMarker of cyclooxygenase-indepent lipid peroxidation
Lactic acidMitochondrial diseases, metabolic acidosis
MalondialdehydeMarker of lipid peroxidaton
Methylmalonic acidMarker of vitamin B12/cobalamin deficiency, cobalamin synthesis/transport defects
MethyltetrahydrofolateMarker of folate deficiency / folate transport defects
Mevalonic acidHyper IgD syndrome / mevalonate kinase deficiency
MHPG (4-hydroxy-3-methoxyphenylglycol)Neurotransmitters defects / tumor diagnostics (neuroblastoma, pheochromocytoma)
Mucopolysaccharides electrophoresis2D-electrophoresis of mucopolysaccharides for the differentiation of mucopolysaccharidoses
OligosaccharidesOligosaccharidoses
Organic acidsOrganic acidurias
Oxalic acidHyperoxalurias, renal stones
Oxalic anc glycolic acidHyperoxalurias, renal stones
Palmitic acid/Stearic acid ratioAssessment of fetal lung maturation
Phenolic acidsNeurotransmitters defects / tumor diagnostics (neuroblastoma, pheochromocytoma)
Phenylalanine and tyrosinePhenylketonuria
Phytanic and pristanic acidPeroxisomal defects, Refsum disease
Pipecolic acidPeroxisomal defects, pyridoxal phosphate-responsive seizures (alpha-aminoadipic semialdehyde (alpha-AASA) dehydrogenase deficiency or antiquitin deficiency)
PlasmalogensPeroxisomal defects
Polyols and sugarsTransaldolase deficiency, ribose 5-phosphate isomerase deficiency
PterinsPterin synthesis and regeneration defects, phenylketonuria and neurotransmitter defects
PurinesPurine synthesis, salvage and degradation defects
Pyridoxal phosphatePyridoxal phosphate, pyridoxal and pyridoxine; vitamin B6 responsive seizures; antiquitin deficiency and pyridoxamine 5-phosphate oxidase deficiency
Pyrimidine biosynthesis intermediatesOrotic acid, orotidine and related metabolites; urea cycle defects
PyrimidinesPyrimidine degradation defects; e.g. dihydropyrimidine dehydrogenase deficiency
Pyruvic acidMitochondrial diseases (PDH)
S-adenosylmethionine and S-adenosylhomocysteineHypermethioninemias and homocystinurias, methylation defects
Sialic acidSialic acid storage disorders (sialuria, Salla disease)
SialotransferrinsCDG syndromes, N-linked glycoproteins
SterolsCholesterol biosynthesis defects, cerebrotendinous xanthomatosis
SuccinylacetoneTyrosinemia type I
Sulphite and thiosulphateSulphite oxidase / Molybdenum cofactor deficiency
Total homocysteineHomocystinurias
Total hydroxyprolineBone/collagen turnover
Ubiquinon / Q10Mitochondrial diseases, Q10 synthesis defects and MADD
Very long-chain fatty acidsPeroxisomal disorders, X-ALD