Diagnosis of creatine metabolism disorders by determining creatine and guanidinoacetate in plasma and urine

Methods Mol Biol. 2010:603:175-85. doi: 10.1007/978-1-60761-459-3_17.

Abstract

Creatine metabolism disorders include a creatine transporter deficiency, as well as, deficiencies of two enzymes involved in creatine synthesis, arginine-glycine amidinotransferase (AGAT) and guanidinoacetate methyltransferase (GAMT). Laboratory diagnosis of these disorders relies on the determination of creatine and guanidinoacetate in both plasma and urine. Here we describe a rapid HPLC/MS/MS method for these measurements using a normal phase HILIC column after analyte derivatization.

MeSH terms

  • Amidinotransferases / deficiency
  • Chromatography, High Pressure Liquid / methods
  • Creatine / blood*
  • Creatine / urine*
  • Glycine / analogs & derivatives*
  • Glycine / blood
  • Glycine / urine
  • Guanidinoacetate N-Methyltransferase / deficiency
  • Humans
  • Metabolic Diseases / blood
  • Metabolic Diseases / diagnosis*
  • Metabolic Diseases / urine
  • Tandem Mass Spectrometry

Substances

  • Guanidinoacetate N-Methyltransferase
  • Amidinotransferases
  • glycine amidinotransferase
  • glycocyamine
  • Creatine
  • Glycine