Abstract

The precursors, 5-Aminolevulinic Acid (ALA) and Porphobilinogen (PBG), are involved in the heme biosynthetic pathway...

Highlights

  • The precursors, 5-Aminolevulinic Acid (ALA) and Porphobilinogen (PBG), are involved in the heme biosynthetic pathway

  • The ALA and PBG signals were significantly increased after elution of urine through silica Solid Phase Extraction (SPE) cartridges

  • Silica SPE cartridges were effective at removing ion suppression, improving the sensitivity and reliability of the method

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Summary

Introduction

The precursors, 5-Aminolevulinic Acid (ALA) and Porphobilinogen (PBG), are involved in the heme biosynthetic pathway. ALA and PBG have previously been measured by colorimetric methods using ion chromatography and complexation with Ehrlich’s reagent [7,8], by High Performance Liquid Chromatography (HPLC) [9], and more recently by liquid chromatography mass spectrometry (LC-MS/MS) [1,2,10]. We previously measured ALA and PBG colorimetrically using a kitset method. The precursors for heme, 5-aminolevulinic acid (ALA) and porphobilinogen (PBG), are elevated in the urine of patients during an attack of one of the acute porphyrias. ALA and PBG can be measured directly by liquid chromatography tandem mass spectrometry (LC-MS/MS) without derivatization. The aim was to develop a robust LC-MS/MS method for measuring ALA and PBG without the need for derivatization

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