Simultaneous LC-MS/MS determination of phenylbutyrate, phenylacetate benzoate and their corresponding metabolites phenylacetylglutamine and hippurate in blood and urine

Inborn errors of urea metabolism result in hyperammonemia. Treatment of urea cycle disorders can effectively lower plasma ammonium levels and results in survival in the majority of patients. Available medications for treating urea cycle disorders include sodium benzoate (BA), sodium phenylacetate (P...

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Veröffentlicht in:Journal of inherited metabolic disease 2010-12, Vol.33 (Suppl 3), p.321-328
Hauptverfasser: Laryea, Maurice D., Herebian, Diran, Meissner, Thomas, Mayatepek, Ertan
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container_issue Suppl 3
container_start_page 321
container_title Journal of inherited metabolic disease
container_volume 33
creator Laryea, Maurice D.
Herebian, Diran
Meissner, Thomas
Mayatepek, Ertan
description Inborn errors of urea metabolism result in hyperammonemia. Treatment of urea cycle disorders can effectively lower plasma ammonium levels and results in survival in the majority of patients. Available medications for treating urea cycle disorders include sodium benzoate (BA), sodium phenylacetate (PAA), and sodium phenylbutyrate (PBA) and are given to provide alternate routes for disposition of waste nitrogen excretion. In this study, we develop and validate a liquid chromatography tandem mass spectrometry (LC-MS/MS) method for simultaneous determination of benzoic acid, phenylacetic acid, phenylbutyric acid, phenylacetylglutamine, and hippuric acid in plasma and urine from children with inborn errors of urea synthesis. Plasma extracts and diluted urine samples were injected on a reverse-phase column and identified and quantified by selected reaction monitoring (SRM) in negative ion mode. Deuterated analogues served as internal standards. Analysis time was 7 min. Assay precision, accuracy, and linearity and sample stability were determined using enriched samples. Quantification limits of the method were 100 ng/ml (0.3–0.8 μmol/L) for all analytes, and recoveries were >90%. Inter- and intraday relative standard deviations were
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Treatment of urea cycle disorders can effectively lower plasma ammonium levels and results in survival in the majority of patients. Available medications for treating urea cycle disorders include sodium benzoate (BA), sodium phenylacetate (PAA), and sodium phenylbutyrate (PBA) and are given to provide alternate routes for disposition of waste nitrogen excretion. In this study, we develop and validate a liquid chromatography tandem mass spectrometry (LC-MS/MS) method for simultaneous determination of benzoic acid, phenylacetic acid, phenylbutyric acid, phenylacetylglutamine, and hippuric acid in plasma and urine from children with inborn errors of urea synthesis. Plasma extracts and diluted urine samples were injected on a reverse-phase column and identified and quantified by selected reaction monitoring (SRM) in negative ion mode. Deuterated analogues served as internal standards. Analysis time was 7 min. 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subjects Benzoates - blood
Benzoates - therapeutic use
Benzoates - urine
Biochemistry
Biomarkers - blood
Biomarkers - urine
Biotransformation
Calibration
Chromatography, Reverse-Phase - standards
Glutamine - analogs & derivatives
Glutamine - blood
Glutamine - urine
Hippurates - blood
Hippurates - urine
Human Genetics
Humans
Hyperammonemia - blood
Hyperammonemia - drug therapy
Hyperammonemia - urine
Internal Medicine
Limit of Detection
Linear Models
Medicine
Medicine & Public Health
Metabolic Diseases
Pediatrics
Phenylacetates - blood
Phenylacetates - therapeutic use
Phenylacetates - urine
Phenylbutyrates - blood
Phenylbutyrates - therapeutic use
Phenylbutyrates - urine
Predictive Value of Tests
Reference Standards
Reproducibility of Results
Research Report
Spectrometry, Mass, Electrospray Ionization
Tandem Mass Spectrometry - standards
Urea Cycle Disorders, Inborn - blood
Urea Cycle Disorders, Inborn - drug therapy
Urea Cycle Disorders, Inborn - urine
title Simultaneous LC-MS/MS determination of phenylbutyrate, phenylacetate benzoate and their corresponding metabolites phenylacetylglutamine and hippurate in blood and urine
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