1
|
Wevers RA, Engelke UFH, Moolenaar SH, Bräutigam C, de Jong JGN, Duran R, de Abreu RA, van Gennip AH. 1H-NMR Spectroscopy of Body Fluids: Inborn Errors of Purine and Pyrimidine Metabolism. Clin Chem 1999. [DOI: 10.1093/clinchem/45.4.539] [Citation(s) in RCA: 69] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Abstract
Background: The diagnosis of inborn errors of purine and pyrimidine metabolism is often difficult. We examined the potential of 1H-NMR as a tool in evaluation of patients with these disorders.
Methods: We performed 1H-NMR spectroscopy on 500 and 600 MHz instruments with a standardized sample volume of 500 μL. We studied body fluids from 25 patients with nine inborn errors of purine and pyrimidine metabolism.
Results: Characteristic abnormalities could be demonstrated in the 1H-NMR spectra of urine samples of all patients with diseases in the pyrimidine metabolism. In most urine samples from patients with defects in the purine metabolism, the 1H-NMR spectrum pointed to the specific diagnosis in a straightforward manner. The only exception was a urine from a case of adenine phosphoribosyl transferase deficiency in which the accumulating metabolite, 2,8-dihydroxyadenine, was not seen under the operating conditions used. Similarly, uric acid was not measured. We provide the 1H-NMR spectral characteristics of many intermediates in purine and pyrimidine metabolism that may be relevant for future studies in this field.
Conclusion: The overview of metabolism that is provided by 1H-NMR spectroscopy makes the technique a valuable screening tool in the detection of inborn errors of purine and pyrimidine metabolism.
Collapse
Affiliation(s)
- Ron A Wevers
- Institutes of Neurology and Paediatrics, University Hospital Nijmegen, 6525 GC Nijmegen, The Netherlands
| | - Udo FH Engelke
- Institutes of Neurology and Paediatrics, University Hospital Nijmegen, 6525 GC Nijmegen, The Netherlands
| | - Sytske H Moolenaar
- Institutes of Neurology and Paediatrics, University Hospital Nijmegen, 6525 GC Nijmegen, The Netherlands
| | - Christa Bräutigam
- University Marburg, Department of Neuropediatrics and Metabolic Diseases, D-35037 Marburg, Germany
| | - Jan GN de Jong
- Institutes of Neurology and Paediatrics, University Hospital Nijmegen, 6525 GC Nijmegen, The Netherlands
| | - Ries Duran
- University Paediatric Hospital Utrecht, Laboratory of Metabolic Diseases, NL-3512 LK Utrecht, The Netherlands
| | - Ronney A de Abreu
- Institutes of Neurology and Paediatrics, University Hospital Nijmegen, 6525 GC Nijmegen, The Netherlands
| | - Albert H van Gennip
- Laboratory for Genetic Metabolic Disease, Academic Medical Centre, NL-1105 A2 Amsterdam, The Netherlands
| |
Collapse
|
2
|
Wevers RA, Engelke U, Rotteveel JJ, Heerschap A, De Jong JG, Abeling NG, van Gennip AH, de Abreu RA. 1H NMR spectroscopy of body fluids in patients with inborn errors of purine and pyrimidine metabolism. J Inherit Metab Dis 1997; 20:345-50. [PMID: 9266352 DOI: 10.1023/a:1005313524869] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Affiliation(s)
- R A Wevers
- Institute of Neurology, University Hospital Nijmegen, The Netherlands
| | | | | | | | | | | | | | | |
Collapse
|
3
|
van Gennip AH, Driedijk PC, Elzinga A, Abeling NG. Screening for defects of dihydropyrimidine degradation by analysis of amino acids in urine before and after acid hydrolysis. J Inherit Metab Dis 1992; 15:413-5. [PMID: 1405482 DOI: 10.1007/bf02435991] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Affiliation(s)
- A H van Gennip
- Division of Pediatrics, University Hospital AMC, The Netherlands
| | | | | | | |
Collapse
|