methylmalonic acidemia diagnosis by laboratory methods

Authors

fatemeh keyfi immunobiochemistry lab, immunology research center, school of medicine, mashhad university of medical sciences, mashhad, iran - pardis clinical and genetic laboratory, mashhad, iran

saeed talebi department of medical genetics, faculty of medicine, tehran university of medical sciences, tehran, iran

abdol-reza varasteh tel: +98 51-38 44 20 16; fax: +98 51- 3845 22 36

abstract

methylmalonic acidemia (mma) is usually caused by a deficiency of the enzyme methylmalonyl-coa mutase (mcm), a defect in the transport or synthesis of its cofactor, adenosyl-cobalamin (cbla, cblb, cblc, cblf, cbld, and cblx), or deficiency of the enzyme methylmalonyl-coa epimerase. a comprehensive diagnostic approach involves investigations of metabolites with tandem mass spectrometry, organic acid analysis with gas chromatography, enzymatic studies with fibroblast cell culture, and finally, mutation analysis. with biochemical techniques and enzymatic assay the reliable characterization of patients with isolated mma for mutation analysis can be achieved. reliable classification of these patients is essential for ongoing and prospective studies on treatments, outcomes, and prenatal diagnoses. this article reviews the diagnostic techniques used to characterize patients with mma.

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Journal title:
reports of biochemistry and molecular biology

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