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Clinical Chemistry 44: 188-190, 1998;
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(Clinical Chemistry. 1998;44:188-190.)
© 1998 American Association for Clinical Chemistry, Inc.


Letters

Simplified Simultaneous Assay of Total Plasma Homocysteine and Methionine by HPLC and Pulsed Integrated Amperometry

David E. C. Cole1, Denis C. Lehotay, and Jovan Evrovski

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 . . . [Full Text of this Article]


Acknowledgments


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References




The following articles in journals at HighWire Press have cited this article:


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Am. J. Clin. Nutr.Home page
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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Arch Intern MedHome page
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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Clin. Chem.Home page
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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