PMID- 27943070 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200929 IS - 2192-8304 (Print) IS - 2192-8312 (Electronic) IS - 2192-8304 (Linking) VI - 35 DP - 2017 TI - Development of a Tandem Mass Spectrometry Method for Rapid Measurement of Medium- and Very-Long-Chain Acyl-CoA Dehydrogenase Activity in Fibroblasts. PG - 71-78 LID - 10.1007/8904_2016_22 [doi] AB - Mitochondrial fatty acid oxidation is a vital biochemical process for energy metabolism. Among the known fatty-acid metabolism disorders, very-long-chain acyl-CoA dehydrogenase (VLCAD) deficiency and medium-chain acyl-CoA dehydrogenase (MCAD) deficiency count among the most frequent. Both are potentially very serious diseases as they carry a risk of severe neurological post-crisis sequelae, and even sudden death. Diagnosis relies on plasma acylcarnitine profile analysis and urine organic acid analysis, followed by genetic testing to confirm diagnosis. However, in some cases, it is crucial to run a specific diagnostic assay for enzyme activity, which is generally performed in leukocytes or fibroblasts. The aim of this study was to address this need, first by developing a MCAD and VLCAD enzyme activity-specific diagnostic assay in fibroblasts (by measuring the reaction products, i.e. enoyl-CoA) via a rapid LC-MS/MS-based technique, and then by testing MCAD-deficient patients (n = 6), VLCAD-deficient patients (n = 10), and control patients (n = 12). MCAD activity was significantly different in the MCAD-deficiency (MCADD) group (mean = 0.07 nmol C8:1 formed/min/mg protein) compared to the control group (mean = 0.36 nmol C8:1 formed/min/mg protein). All MCADD patients showed less than 35% residual MCAD activity. VLCAD activity was significantly decreased in the VLCADD group (mean = 0.06 nmol C16:1 formed/min/mg protein) compared to the control group (mean = 0.86 nmol C16:1 formed/min/mg protein, respectively). All VLCADD patients showed less than 35% residual VLCAD activity. This technique allowed also to confirm that a novel ACADVL gene mutation (c.1400T>C) is responsible for a defective VLCAD activity (residual activity at 10%). FAU - Bouvier, Damien AU - Bouvier D AD - Service de Biochimie Medicale, Centre de Biologie, CHU Gabriel-Montpied, rue Montalembert, 63000, Clermont-Ferrand, France. AD - Retinoids, Reproduction Developmental Diseases, School of Medicine, Clermont Universite, Universite d'Auvergne, EA7281, 63000, Clermont-Ferrand, France. FAU - Vianey-Saban, Christine AU - Vianey-Saban C AD - Service Maladies Hereditaires du Metabolisme et Depistage Neonatal, Centre de Biologie et de Pathologie Est, CHU Lyon, INSERM U1060 CarMeN, 69500, Bron, France. FAU - Ruet, Severine AU - Ruet S AD - Service Maladies Hereditaires du Metabolisme et Depistage Neonatal, Centre de Biologie et de Pathologie Est, CHU Lyon, INSERM U1060 CarMeN, 69500, Bron, France. FAU - Acquaviva, Cecile AU - Acquaviva C AD - Service Maladies Hereditaires du Metabolisme et Depistage Neonatal, Centre de Biologie et de Pathologie Est, CHU Lyon, UMR 5305 CNRS/UCBL, 69500, Bron, France. cecile.acquaviva-bourdain@chu-lyon.fr. LA - eng PT - Journal Article DEP - 20161210 PL - United States TA - JIMD Rep JT - JIMD reports JID - 101568557 PMC - PMC5585096 EDAT- 2016/12/13 06:00 MHDA- 2016/12/13 06:01 PMCR- 2016/12/10 CRDT- 2016/12/13 06:00 PHST- 2016/07/19 00:00 [received] PHST- 2016/11/09 00:00 [accepted] PHST- 2016/11/07 00:00 [revised] PHST- 2016/12/13 06:00 [pubmed] PHST- 2016/12/13 06:01 [medline] PHST- 2016/12/13 06:00 [entrez] PHST- 2016/12/10 00:00 [pmc-release] AID - 22 [pii] AID - 10.1007/8904_2016_22 [doi] PST - ppublish SO - JIMD Rep. 2017;35:71-78. doi: 10.1007/8904_2016_22. Epub 2016 Dec 10.