Chromatographic techniques in inborn errors of metabolism

One metal-ion-regulated AgTNPs etching sensor array for visual discrimination of multiple organic acids

The detection and discrimination of organic acids (OAs) is of great importance in the early diagnosis of specific diseases. In this study, we established an effective visual sensor array for the identification of OA. This is the first time, to our best knowledge, that metal ions were used to regulate the etching of silver triangular nanoprisms (AgTNPs) in an OA discrimination sensor array. The sensor array was based on the oxidation etching of AgTNPs by three metal ions (Mn²⁺, Pb²⁺, and Cr³⁺) and accelerated etching of AgTNPs by OA. The introduction of metal ions alone led to a slight wavelength shift of the AgTNPs colloid solution, signifying the incomplete etching of the AgTNPs. Nevertheless, when metal ions and OA were introduced simultaneously to the solution, a significant blueshift of the localized surface plasmon resonance peak was detected, and a color change of the AgTNPs was observed, which were the consequences of morphological transitions of the AgTNPs. The addition of different OA accelerated AgTNPs etching in varying degrees, generating diverse colorimetric response patterns (i.e., RGB variations) as "fingerprints" associated with each specific organic acid. Pattern recognition algorithms and neural network simulation were employed to further data analysis, indicating the outstanding discrimination capability of the provided array for eight OA at the 33 µM level. Moreover, excellent results of selective experiments as well as real samples tests demonstrate that our proposed method possesses great potential for practical applications.

Advances in Clinical Mass Spectrometry

Although mass spectrometry has been used clinically for decades, the advent of immunoassay technology moved the clinical laboratory to more labor saving automated platforms requiring little if any sample preparation. It became clear, however, that immunoassays lacked sufficient sensitivity and specificity necessary for measurement of certain analytes or for measurement of analytes in specific patient populations. This limitation prompted clinical laboratories to revisit mass spectrometry which could additionally be used to develop assays for which there was no commercial source. In this chapter, the clinical applications of mass spectrometry in therapeutic drug monitoring, toxicology, and steroid hormone analysis will be reviewed. Technologic advances and new clinical applications will also be discussed.

Analysis of carboxylic acids in biological fluids by capillary electrophoresis

This review article addresses the different capillary electrophoretic methods that are being used for the study of both short-chain organic acids (including anionic catecholamine metabolites) and fatty acids in biological samples. This work intends to provide an updated overview (including works published until November 2004) on the recent methodological developments and applications of such procedures together with their main advantages and drawbacks. Moreover, the usefulness of CE analysis of organic acids to study and/or monitor different diseases such as diabetes, new-borns diseases or metabolism disorders is examined. The use of microchip devices and CE-MS couplings for organic acid analysis is also discussed.

Capillary electrophoresis for the determination of organic acidurias in body fluids: a review

A systematic review of the literature on capillary electrophoresis applied to short chain organic acid analysis in body fluids has been conducted with special interest on those acids related to inborn errors of metabolism. The technique is briefly described, as well as the choice of the main analytical parameters: sample pre-treatment, polarity, capillary type, background electrolyte, and detection. The applications described in the literature are listed and the main features of the technique are discussed.

Capillary electrophoresis for short-chain organic acids and inorganic anions in different samples

This review article is a comprehensive survey of capillary electrophoresis methods developed for the measurement of short-chain organic acids and inorganic anions in a wide variety of matrices, such as food and beverages, environmental, industry, and other applications, as well as clinical applications in body fluids such as urine, plasma or cerebrospinal fluid. Details of sample pretreatment and of electrophoretic conditions have been collected in tables, arranged by the type of matrix. Strategies employed for method development for the analysis of these compounds by capillary electrophoresis in real samples are discussed.

Organic acidurias and related abnormalities

Organic acid analysis is a powerful technique in the diagnosis of inborn errors of metabolism. Since the development of the technique over twenty-five years ago, it has evolved into a sophisticated and powerful method and is an essential tool in the diagnosis of the organic acidurias. The chemistry and biochemistry of organic acids, as well as sample preparation, instrumentation, and many aspects of the more commonly used methods for the analysis of these compounds, are reviewed. The biochemical and clinical characteristics of each of the primary organic acidurias are described. In addition, the various noninherited causes of secondary organic acidurias that lead to the excretion of abnormal organic acids are also described, and ways of differentiating primary from secondary causes are discussed.

Analysis of urinary organic acids by liquid chromatography-atmospheric pressure chemical ionization mass spectrometry

We developed a new method for the rapid determination of urinary organic acids using liquid chromatography-atmospheric pressure chemical ionization mass spectrometry. Mass spectra of authentic organic acids obtained in the negative-ion mode showed intense [M-H]- ions with some fragment ions. Urine samples of patients with methylmalonic aciduria, ornithine transcarbamylase deficiency, and phenylketonuria were extracted using anion-exchange columns. The mass chromatograms of the extracts showed some dominant peaks of abnormal metabolites characteristic of each disorder. This is a useful method for the analysis of urinary organic acids for the diagnosis of organic aciduria, because the sample preparation is simple.