PMID- 11750281 OWN - NLM STAT- MEDLINE DCOM- 20021104 LR - 20190706 IS - 0009-8981 (Print) IS - 0009-8981 (Linking) VI - 316 IP - 1-2 DP - 2002 Feb TI - A sensitive and simplified method to analyze free fatty acids in children with mitochondrial beta oxidation disorders using gas chromatography/mass spectrometry and dried blood spots. PG - 117-21 AB - BACKGROUND: A precise diagnosis of mitochondrial fatty acid beta-oxidation (FAO) disorders can be difficult as several enzymatic reactions are involved. METHODS: Using 5 blood spots on filter paper, each 3 mm in diameter, octanoate, decanoate, cis-4-decenoic acid (C10:1) and cis-5-tetradecenoic acid (C14:1) were measured by one step transmethylation and gas chromatography-mass spectrometry (GC/MS). RESULTS: In subjects with medium-chain acyl-CoA dehydrogenase (MCAD) deficiency C10:1 was increased. C14:1 was increased in very long-chain acyl-CoA dehydrogenase (VLCAD) deficiency, and both were increased in multiple acyl CoA dehydrogenase (MAD) deficiency. CONCLUSIONS: Free fatty acids (FFAs) can be measured with a small amount of blood sample if selective ion monitoring (SIM) in GC/MS analysis is used. A single microtube was sufficient throughout the procedure prior to injection onto GC/MS. FAU - Kimura, Masahiko AU - Kimura M AD - Department of Pediatrics, Shimane Medical University, 89-1 Enya, Izumo, Shimane 693-8501, Japan. kimura@shimane-med.ac.jp FAU - Yoon, Hye Ran AU - Yoon HR FAU - Wasant, Pornswan AU - Wasant P FAU - Takahashi, Yukitoshi AU - Takahashi Y FAU - Yamaguchi, Seiji AU - Yamaguchi S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Netherlands TA - Clin Chim Acta JT - Clinica chimica acta; international journal of clinical chemistry JID - 1302422 RN - 0 (Fatty Acids) RN - EC 1.3.8.7 (Acyl-CoA Dehydrogenase) RN - EC 1.3.8.8 (Acyl-CoA Dehydrogenase, Long-Chain) SB - IM MH - Acyl-CoA Dehydrogenase MH - Acyl-CoA Dehydrogenase, Long-Chain/*deficiency MH - Blood Specimen Collection/methods MH - Child MH - Fatty Acids/*blood MH - Gas Chromatography-Mass Spectrometry/methods/standards MH - Humans MH - Mitochondrial Diseases/blood/*diagnosis/*enzymology MH - Oxidation-Reduction MH - Sensitivity and Specificity EDAT- 2001/12/26 10:00 MHDA- 2002/11/26 04:00 CRDT- 2001/12/26 10:00 PHST- 2001/12/26 10:00 [pubmed] PHST- 2002/11/26 04:00 [medline] PHST- 2001/12/26 10:00 [entrez] AID - S0009898101007410 [pii] AID - 10.1016/s0009-8981(01)00741-0 [doi] PST - ppublish SO - Clin Chim Acta. 2002 Feb;316(1-2):117-21. doi: 10.1016/s0009-8981(01)00741-0.