Document Detail


Quantitation of orotic acid in urine using isotope dilution-selected ion gas chromatography-mass spectrometry.
MedLine Citation:
PMID:  20077096     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The measurement of urinary orotic acid excretion is an important test for establishing a diagnosis of hereditary orotic aciduria, a genetic defect of pyrimidine biosynthesis. Measurement of secondary urinary orotic acid elevation is also an important clinical test for the differential diagnosis of hyperammonemia due to some of the primary disorders of the urea cycle including ornithine transcarbamylase (OTC) deficiency, and the hyperornithinemia-hyperammonemia-homocitrullinemia (HHH) syndrome. Low levels of orotic acid are observed in carbamylphosphate synthetase (CPS) defects. This method utilizes a stable-isotope labeled internal standard (1, 3-(15)N-orotic acid), which is added to the standards, controls, and patient samples prior to extraction. Interference from urea is removed by incubation of samples with urease and the orotic acid is derivatized by trimethylsilylation. Quantitation is made against an eight-point standard curve using specific selected ions from both the labeled and unlabeled orotic acid.
Authors:
Jie Chen; Michael J Bennett
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Methods in molecular biology (Clifton, N.J.)     Volume:  603     ISSN:  1940-6029     ISO Abbreviation:  Methods Mol. Biol.     Publication Date:  2010  
Date Detail:
Created Date:  2010-01-15     Completed Date:  2010-04-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9214969     Medline TA:  Methods Mol Biol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  445-51     Citation Subset:  IM    
Affiliation:
Department of Pathology and Laboratory Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
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MeSH Terms
Descriptor/Qualifier:
Gas Chromatography-Mass Spectrometry / methods*
Humans
Orotic Acid / chemistry,  urine*
Reproducibility of Results
Trimethylsilyl Compounds / chemistry
Urea Cycle Disorders, Inborn / urine
Chemical
Reg. No./Substance:
0/Trimethylsilyl Compounds; 21149-38-2/N,N-bis(trimethylsilyl)-2,2,2-trifluoroacetamide; 65-86-1/Orotic Acid; 75-77-4/trimethylchlorosilane

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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