PMID- 36607993 OWN - NLM STAT- MEDLINE DCOM- 20230110 LR - 20230319 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 18 IP - 1 DP - 2023 TI - Metabolomics of a neonatal cohort from the Alliance for Maternal and Newborn Health Improvement biorepository: Effect of preanalytical variables on reference intervals. PG - e0279931 LID - 10.1371/journal.pone.0279931 [doi] LID - e0279931 AB - BACKGROUND: The study was conducted to determine reference interval (RI) and evaluate the effect of preanalytical variables on Dried blood spot (DBS)-amino acids, acylcarnitines and succinylacetone of neonates. METHODOLOGY: DBS samples were collected within 48-72 hours of life. Samples were analyzed for biochemical markers on tandem mass spectrometer at the University of Iowa. Comparison of RI across various categorical variables were performed. RESULTS: A total of 610 reference samples were selected based on exclusion criteria; 53.2% being females. Mean gestational age (GA) of mothers at the time of delivery was 38.7+/-1.6 weeks; 24.5% neonates were of low birth weight and 14.3% were preterm. Out of the total 610 neonates, 23.1% were small for GA. Reference intervals were generated for eleven amino acids, thirty-two acylcarnitines and succinylacetone concentrations. Markers were evaluated with respect to the influence of gender, GA, weight and time of sampling and statistically significant minimal differences were observed for some biomarkers. CONCLUSION: RI for amino acids, succinylacetone and acylcarnitine on DBS has been established for healthy neonates, which could be of use in the clinical practice. Clinically significant effect of GA, weight, gender and time of sampling on these markers were not identified. CI - Copyright: (c) 2023 Jafri et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. FAU - Jafri, Lena AU - Jafri L AUID- ORCID: 0000-0001-6807-5429 AD - Department of Pathology and Laboratory Medicine, Chemical Pathology, Aga Khan University, Karachi, Pakistan. FAU - Khan, Aysha Habib AU - Khan AH AD - Department of Pathology and Laboratory Medicine, Aga Khan University, Karachi, Pakistan. FAU - Ilyas, Muhammad AU - Ilyas M AD - Department of Pediatrics and Child Health, Aga Khan University, Karachi, Pakistan. FAU - Nisar, Imran AU - Nisar I AD - Department of Pediatrics and Child Health, Aga Khan University, Karachi, Pakistan. FAU - Khalid, Javairia AU - Khalid J AD - Department of Pediatrics and Child Health, Aga Khan University, Karachi, Pakistan. FAU - Majid, Hafsa AU - Majid H AD - Department of Pathology and Laboratory Medicine, Aga Khan University, Karachi, Pakistan. FAU - Hotwani, Aneeta AU - Hotwani A AD - Department of Pediatrics and Child Health, Aga Khan University, Karachi, Pakistan. FAU - Jehan, Fyezah AU - Jehan F AD - Department of Pediatrics and Child Health, Aga Khan University, Karachi, Pakistan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230106 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Amino Acids) RN - 0 (acylcarnitine) RN - S7UI8SM58A (Carnitine) RN - 0 (Amines) SB - IM MH - Infant, Newborn MH - Female MH - Humans MH - Infant MH - Male MH - *Infant Health MH - *Amino Acids MH - Carnitine MH - Infant, Low Birth Weight MH - Amines PMC - PMC9821480 COIS- The authors have declared that no competing interests exist. EDAT- 2023/01/07 06:00 MHDA- 2023/01/11 06:00 PMCR- 2023/01/06 CRDT- 2023/01/06 13:44 PHST- 2022/07/06 00:00 [received] PHST- 2022/12/18 00:00 [accepted] PHST- 2023/01/06 13:44 [entrez] PHST- 2023/01/07 06:00 [pubmed] PHST- 2023/01/11 06:00 [medline] PHST- 2023/01/06 00:00 [pmc-release] AID - PONE-D-22-19104 [pii] AID - 10.1371/journal.pone.0279931 [doi] PST - epublish SO - PLoS One. 2023 Jan 6;18(1):e0279931. doi: 10.1371/journal.pone.0279931. eCollection 2023.