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Stable isotope dilution analysis of N-acetylaspartic acid in CSF, blood, urine and amniotic fluid: accurate postnatal diagnosis and the potential for prenatal diagnosis of Canavan disease
C Jakobs, Brink HJ ten, SA Langelaar, T Zee, F Stellaard, M Macek, K Srsnova, S Srsen, WJ Kleijer
Jazyk angličtina Země Nizozemsko
Typ dokumentu kazuistiky
Grantová podpora
PL215
MZ0
CEP - Centrální evidence projektů
PubMed
1779610
Knihovny.cz E-zdroje
- MeSH
- amidohydrolasy * nedostatek MeSH
- indikátorové diluční techniky * MeSH
- kojenec MeSH
- kyselina asparagová * analogy a deriváty analýza moč MeSH
- lidé MeSH
- plodová voda * chemie MeSH
- prenatální diagnóza * MeSH
- referenční hodnoty MeSH
- těhotenství MeSH
- tělesné tekutiny * chemie MeSH
- Check Tag
- kojenec MeSH
- lidé MeSH
- těhotenství MeSH
- ženské pohlaví MeSH
- Publikační typ
- kazuistiky MeSH
A sensitive and selective analytical technique is described for the determination of N-acetylaspartic acid in body fluids using stable isotope dilution in combination with positive chemical ionization mass spectrometry with selected ion monitoring. Control mean and ranges have been established: in urine 19.5 and 6.6-35.4 mumol/mmol creat.; in plasma 0.44 and 0.17-0.81 mumol/L; in cerebrospinal fluid 1.51 and 0.25-2.83 mumol/L; and in amniotic fluid 1.27 and 0.30-2.55 mumol/L. In a patient with Canavan disease, N-acetylaspartic acid concentration was elevated 80-fold in urine and 20-fold in plasma compared to the control means. A subsequent pregnancy of the mother was monitored and the N-acetylaspartic acid concentration in the amniotic fluid was within the control range and a healthy child was born.
Department of Clinical Genetics Komensky University Martin Czechoslovakia
Department of Medical Genetics Charles University Prague Czechoslovakia
Department of Pediatrics Free University Hospital Amsterdam The Netherlands
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- $a Stable isotope dilution analysis of N-acetylaspartic acid in CSF, blood, urine and amniotic fluid: accurate postnatal diagnosis and the potential for prenatal diagnosis of Canavan disease / $c C Jakobs, Brink HJ ten, SA Langelaar, T Zee, F Stellaard, M Macek, K Srsnova, S Srsen, WJ Kleijer
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- $a A sensitive and selective analytical technique is described for the determination of N-acetylaspartic acid in body fluids using stable isotope dilution in combination with positive chemical ionization mass spectrometry with selected ion monitoring. Control mean and ranges have been established: in urine 19.5 and 6.6-35.4 mumol/mmol creat.; in plasma 0.44 and 0.17-0.81 mumol/L; in cerebrospinal fluid 1.51 and 0.25-2.83 mumol/L; and in amniotic fluid 1.27 and 0.30-2.55 mumol/L. In a patient with Canavan disease, N-acetylaspartic acid concentration was elevated 80-fold in urine and 20-fold in plasma compared to the control means. A subsequent pregnancy of the mother was monitored and the N-acetylaspartic acid concentration in the amniotic fluid was within the control range and a healthy child was born.
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