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Letters |
1 Depts. of Lab. Med. & Pathobiol., Med. and Paediatr. (Genetics), Univ. of TorontoBanting Inst., Rm. 415, 100 College St., Toronto, ON M5G 1L5Canada
To the Editor:
Measurement of total plasma homocysteine (tHcy) can be a useful adjunct in the diagnosis of cobalamin or folate deficiency and is emerging as an independent predictor in many vaso-occlusive diseases (1). As clinical interest in this metabolite grows, the demand for simple and efficient methods of determination has increased. In some situations, a methionine-loading test may be conducted to evaluate homocysteine catabolism, but methionine is rarely measured concomitantly, because it usually requires a different assay methodology altogether. In homocystinuria caused by cystathionine beta-synthase deficiency, circulating methionine is often increased, whereas homocystinuria resulting from a relative deficiency of the remethylation pathway is characterized by hypomethioninemia (2).
In our previously reported serum assay for tHcy (3), we used the DX-500 Ion Chromatograph (Dionex Canada), outfitted with two pumps (in parallel), valves, and two columns (a 4 x 50 mm OmniPac PCX-500 precolumn and a 4 x 250 mm OmniPac PCX-500 analytical column) plumbed in series to permit "heart-cut" trapping of tHcy (4). However, with the ED40 electrochemical detector set for pulsed integrated amperometry (PIA) mode, any compound with a reduced sulfur atom, including methionine, will generate a signal proportional to concentration (5).
In our initial procedure, the disulfide reduction procedure with sodium
borohydride (NaBH4) (6) was the most
labor-intensive step
Acknowledgments
Footnotes
References
The following articles in journals at HighWire Press have cited this article:
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L. A Houghton, K. L Sherwood, R. Pawlosky, S. Ito, and D. L O'Connor [6S]-5-Methyltetrahydrofolate is at least as effective as folic acid in preventing a decline in blood folate concentrations during lactation. Am. J. Clinical Nutrition, April 1, 2006; 83(4): 842 - 850. [Abstract] [Full Text] [PDF] |
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M. Di Buono, L. J. Wykes, D. E. C. Cole, R. O. Ball, and P. B. Pencharz Regulation of Sulfur Amino Acid Metabolism in Men in Response to Changes in Sulfur Amino Acid Intakes J. Nutr., March 1, 2003; 133(3): 733 - 739. [Abstract] [Full Text] [PDF] |
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L. J. Langman, J. G. Ray, J. Evrovski, E. Yeo, and D. E.C. Cole Hyperhomocyst(e)inemia and the Increased Risk of Venous Thromboembolism: More Evidence From a Case-Control Study Arch Intern Med, April 10, 2000; 160(7): 961 - 964. [Abstract] [Full Text] [PDF] |
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D. E.C. Cole, H. J. Ross, J. Evrovski, L. J. Langman, S. E.S. Miner, P. A. Daly, and P.-Y. Wong Correlation between total homocysteine and cyclosporine concentrations in cardiac transplant recipients Clin. Chem., November 1, 1998; 44(11): 2307 - 2312. [Abstract] [Full Text] [PDF] |
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