Simultaneous high performance liquid chromatographic separation of purines, pyrimidines, N-acetylated amino acids, and dicarboxylic acids for the chemical diagnosis of inborn errors of metabolism.
OBJECTIVE
To set up a novel simple, sensitive, and reliable ion-pairing HPLC method for the synchronous separation of several purines, pyrimidines, N-acetylated amino acids, and dicarboxylic acids for the chemical diagnosis and screening of inborn errors of metabolism (IEM).


METHODS
The separation was set up using a Hypersil C-18, 5-microm particle size, 250 x 4.6 mm column, and a step gradient using two buffers and tetrabutylammonium hydroxide as the pairing reagent. A highly sensitive diode array UV detector was set up at a wavelength between 200 and 300 nm that revealed purines and pyrimidines at 260 nm and other compounds at 206 nm.


RESULTS
Compounds were determined in the plasma of 15 healthy adults, in the urine of 50 healthy subjects (1-3 years, 4-6 years, 8-10 years, 12-18 years, 25-35 years), and in 10 non-pathological amniotic fluid samples. To assess the validity of the chemical diagnosis of IEM, plasma and urine samples were analyzed in patients affected by Canavan disease (n = 10; mean age 4.6 +/- 2.3). Low plasma levels of N-acetylaspartate (16.96 +/- 19.57 micromol/L plasma; not detectable in healthy adults) and dramatically high urinary N-acetylaspartate concentrations (1872.03 +/- 631.86 micromol/mmol creatinine; 450 times higher than that which was observed in age-matched controls) were recorded. Neither N-acetylglutamate nor N-acetylaspartylglutamate could be detected in the plasma or urine of controls or patients with Canavan disease.


CONCLUSIONS
The results demonstrate the suitability of the present ion-pairing HPLC separation with UV detection of cytosine, cytidine, creatinine, uracil, uridine, beta-pseudouridine, adenine, 3-methyladenine, hypoxanthine, xanthine, xanthosine, inosine, guanosine, ascorbic acid, thymine, thymidine, uric acid, 1-methyluric acid, orotic acid, N-acetylaspartate, N-acetylglutamate, N-acetylaspartylglutamate, malonic acid, methylmalonic acid, GSH, and GSSG as a reliable method for the prenatal and neonatal chemical diagnosis and screening of IEM using biological fluids.
Tavazzi
Barbara
B
Institute of Biochemistry and Clinical Biochemistry, Catholic University of Rome Sacro Cuore, Largo F. Vito 1, 00168 Rome, Italy.
Lazzarino
Giuseppe
G
Leone
Paola
P
Amorini
Angela Maria
AM
Bellia
Francesco
F
Janson
Christopher G
CG
Di Pietro
Valentina
V
Ceccarelli
Lia
L
Donzelli
Sonia
S
Francis
Jeremy S
JS
Giardina
Bruno
B
D000293:Adolescent; D000328:Adult; D000596:Amino Acids / Q000302:isolation & purification*; D000653:Amniotic Fluid / Q000737:chemistry; D001224:Aspartic Acid / Q000031:analogs & derivatives / Q000097:blood / Q000652:urine; D017825:Canavan Disease / Q000175:diagnosis; D002648:Child; D002675:Child, Preschool; D002851:Chromatography, High Pressure Liquid / Q000379:methods*; D003998:Dicarboxylic Acids / Q000302:isolation & purification*; D006801:Humans; D007223:Infant; D008403:Mass Screening / Q000379:methods; D008661:Metabolism, Inborn Errors / Q000175:diagnosis*; D008875:Middle Aged; D011296:Prenatal Diagnosis / Q000379:methods; D011687:Purines / Q000302:isolation & purification*; D011743:Pyrimidines / Q000302:isolation & purification*; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D013056:Spectrophotometry, Ultraviolet
D000596:Amino Acids; D003998:Dicarboxylic Acids; D011687:Purines; D011743:Pyrimidines; D001224:Aspartic Acid; C000179:N-acetylaspartate