An accurate stable isotope dilution gas chromatographic mass spectrometric approach to the diagnosis of guanidinoacetate methyltransferase deficiency
An accurate stable isotope dilution gas chromatographic mass spectrometric approach to the diagnosis of guanidinoacetate methyltransferase deficiency
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DOI:
10.1016/s0731-7085(98)00280-5
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发表时间:
1998-12-01
影响因子:
3.4
通讯作者:
Jakobs, C
中科院分区:
文献类型:
--
作者:
Struys, EA;Jansen, EEW;Jakobs, C
A gas chromatography-mass spectrometry (GC-MS) method is described for the quantification of guanidinoacetate in different body fluids, using a two step derivatisation procedure which involves a reaction with hexafluoroacetylacetone to form a bis(trifluoromethyl)pyrimidine ring structure followed by a reaction with pentafluorobenzyl bromide. C-13(2)-labelled guanidinoacetate is used as an internal standard. Bis(trifluoromethyl)pyrimidine pentafluorobenzyl derivatives were separated on a polar capillary GC-column and were quantified using negative chemical ionisation mass fragmentography. The detection limit of the method is 1 pmol guanidinoacetate in a 100 mu l sample. Control values were obtained for urine (53.9 +/- 25.9 mmol mol(-1) creatinine), plasma (1.08 +/- 0.31 mu mol l(-1)), cerebrospinal fluid (CSF) (0.114 +/- 0.068 mu mol l(-1)) and amniotic fluid (3.44 +/- 0.64 mu mol l(-1)). The applicability of the method is illustrated by the determination of guanidinoacetate in urine, plasma and CSF of a patient affected with guanidinoacetate methyltransferase deficiency. In all body fluids of this patient, guanidinoacetate was highly elevated. (C) 1998 Elsevier Science B.V. All rights reserved.