title: Improvement in HPLC separation of porphyrin isomers and application to biochemical diagnosis of porphyrias.
abstract: BACKGROUND
  Identification of porphyrias relies on the measurement of different porphyrins in urine, feces and plasma. Separation of porphyrin isomers is essential for the differential diagnosis of some porphyrias.
  
  
  METHODS
  Separation of naturally occurring porphyrins was achieved on a Chromolith RP-18 column with fluorimetric detection using a methanol/ammonium acetate gradient mobile phase. Fecal and plasma porphyrins were extracted with acetonitrile and water at different pH values.
  
  
  RESULTS
  Eight porphyrins including protoporphyrin eluted within 20 min with good resolution of each of the I and III positional isomer pairs for standards, urine and plasma, and within 50 min for feces. Improvement of the extraction method for fecal and plasmatic porphyrins resulted in high recovery (up to 89%) and reliable quantification of protoporphyrin.
  
  
  CONCLUSIONS
  The present RP-HPLC method is specific and efficient for routine analysis of porphyrins in human urine, feces and plasma.
authors.affiliation: Laboratory of Clinical Chemistry, University Erasme Hospital, Route de Lennik 808, 1070 Brussels, Belgium. pmacours@ulb.ac.be
authors.forename: Pascale
authors.initials: P
authors.lastname: Macours
authors.forename: Frédéric
authors.initials: F
authors.lastname: Cotton
mesh_terms: D002138:Calibration; D002851:Chromatography, High Pressure Liquid / Q000379:methods*; D003306:Coproporphyrins / Q000032:analysis / Q000097:blood / Q000652:urine; D005243:Feces / Q000737:chemistry; D006801:Humans; D007536:Isomerism; D011164:Porphyrias / Q000175:diagnosis*; D011166:Porphyrins / Q000032:analysis* / Q000097:blood / Q000652:urine; D011524:Protoporphyrins / Q000032:analysis / Q000097:blood / Q000652:urine; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D014578:Uroporphyrins / Q000032:analysis / Q000097:blood / Q000652:urine
chemical_list: D003306:Coproporphyrins; D011166:Porphyrins; D011524:Protoporphyrins; D014578:Uroporphyrins