title: Screening of homocysteine from newborn blood spots by high-performance liquid chromatography with coulometric array detection.
abstract: Homocystinuria, due to a deficiency of cystationine-beta-synthase, refers to the rare inborn error of the metabolism of homocysteine. The identification and prompt treatment of homocystinuria during the neonatal period can prevent or greatly reduce the severity of the clinical consequences. We report a new method for homocystinuria diagnosis from dried blood spots on newborn screening cards, based on high-performance liquid chromatography with electrochemical coulometric array detection. This method shows an excellent linearity (y=10.36x+0.04; r=0.999), precision (RSDs ranged from 2.7 to 5.8%), recovery (87%) and appears to be a cost-effective approach, being simple, rapid, sensitive and cheap.
authors.affiliation: C.N.R. Institute of Clinical Physiology, Cardiology Department A. De Gasperis, Niguarda Hospital, Milan, Italy. ifcnigmi@tin.it
authors.forename: R
authors.initials: R
authors.lastname: Accinni
authors.forename: S
authors.initials: S
authors.lastname: Bartesaghi
authors.forename: G
authors.initials: G
authors.lastname: De Leo
authors.forename: C F
authors.initials: CF
authors.lastname: Cursano
authors.forename: G
authors.initials: G
authors.lastname: Achilli
authors.forename: A
authors.initials: A
authors.lastname: Loaldi
authors.forename: C
authors.initials: C
authors.lastname: Cellerino
authors.forename: O
authors.initials: O
authors.lastname: Parodi
mesh_terms: D002851:Chromatography, High Pressure Liquid / Q000379:methods*; D004563:Electrochemistry; D006710:Homocysteine / Q000097:blood*; D006801:Humans; D007231:Infant, Newborn; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity
chemical_list: D006710:Homocysteine