Dear Sir,Recently, Spichtig et al. [1] published in this journal aTechnical Note regarding the analysis of sialic acids frominfant formulas using 1,2-diamino-4,5-methylenedioxyben-zene derivatives, a method previously proposed by us in2007 [2]. In this Technical Note, Spichtig et al. stated thatlactose does not interfere with the analysis, conversely towhat we hypothesized in our article. Although in the workreported in their Technical Note they did not include infantformulas or milk, in workpublished in 2010 [3]they appliedthe proposed method to several dairy products, includinginfant formulas. In the most recent work, they used com-mercial lactose and quantified fetuin sialic acids when thisprotein was in lactose solution (no concentration reported)and in aqueous solution. They reported an increase of30 μg/100 mg in the former solution when comparedwith the latter, which they attributed to a certain amountof sialyllactose present in the commercial lactose be-cause of its dairy origin. This residual sialic acid in lactosewas quantified (6.5-24.7 μg/100 mg), and the concentrationdiffered withthe supplierand was consideredverylow bytheauthors.Regarding this controversial topic, and in response to theaforementioned article, we would like to clarify our previousreport.First,weobservedaproblemintheaccuratequantitationof sialic acids from infant formulas and proposed a way toeffectively resolve this via an additional purification step. Wesuggested that lactose could be a possible reason for the ob-served phenomenon. In fact, in a series of recent tests in ourlaboratory, when commercial lactose (from Sigma) was spikedwith different amounts of N-acetylneuraminic acid (Neu5Ac)and quantified using the method reported the recovery in-creased as the amount of Neu5Ac added increased: 5.15 μgwas recovered when 5 μg was added, but 19.55 μg wasrecoveredwhen15μg was added. This represents a matrixeffect caused by lactose that produces a systematic error pro-portional to the concentration of Neu5Ac. So, we do not agreewith the statement in the abstract of the technical note thatlactose does not interfere with the analysis and we stronglyrecommend the purification step if accurate quantitation ofsialic acids in infant formulas is required.References