Department of Medicinal and Applied Chemistry, College of Life Science, Kaohsiung Medical University, Kaohsiung, Taiwan.
Research Center for Precision Environmental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Eur J Mass Spectrom (Chichester). 2024 Apr;30(2):133-140. doi: 10.1177/14690667241229626. Epub 2024 Feb 6.
Phenylketonuria (PKU) is an autosomal genetic disorder caused by a deficiency of the phenylalanine hydroxylase (PAH) enzyme. The lack of PAH results in the inability of phenylalanine (PHE) to transform into tyrosine (TYR). Consequently, this leads to the accumulation of PHE in the blood samples of newborns causing metabolic diseases such as irreversible neurological problems. An analysis was required for determining the values of PHE and TYR in blood samples from newborn babies. In this study, therefore, we developed a derivatized method to monitor PHE and TYR in plasma samples using liquid phase chromatography linked with quadrupole mass spectrometry. Accessible formaldehyde isotopes and cyanoborohydride were used to react with PHE and TYR amino groups to generate -formaldehyde-modified PHE and TYR (as standards) and -formaldehyde-modified PHE and TYR (as internal standards). We used tandem mass spectrometry for multiple reaction monitoring. We demonstrated a derivatized method suitable for the PKU screening of newborns. The recoveries for PHE and TYR were 85% and 90%, respectively. Furthermore, we compared the values of PHE and TYR in different human plasma sample storage methods, including direct plasma and dried blood spots, and the results showed no significant difference.
苯丙酮尿症(PKU)是一种常染色体遗传疾病,由苯丙氨酸羟化酶(PAH)酶的缺乏引起。PAH 的缺乏导致苯丙氨酸(PHE)无法转化为酪氨酸(TYR)。因此,这导致新生儿血液样本中的 PHE 积累,导致代谢疾病,如不可逆的神经问题。需要进行分析以确定新生儿血液样本中 PHE 和 TYR 的值。因此,在这项研究中,我们开发了一种衍生化方法,使用液相色谱与四极杆质谱联用监测血浆样品中的 PHE 和 TYR。可及的甲醛同位素和氰基硼氢化钠用于与 PHE 和 TYR 氨基反应,生成 -甲醛修饰的 PHE 和 TYR(作为标准品)和 -甲醛修饰的 PHE 和 TYR(作为内标品)。我们使用串联质谱进行多重反应监测。我们证明了一种适合新生儿 PKU 筛查的衍生化方法。PHE 和 TYR 的回收率分别为 85%和 90%。此外,我们比较了直接血浆和干血斑等不同人类血浆样品储存方法中 PHE 和 TYR 的值,结果表明无显著差异。