Research Article

Determination of Guanidinoacetic Acid in Urine by HPLC-FLD Method

Volume: 3 Number: 1 April 25, 2024
Mehmet Şerif Cansever *, Esra İşat
EN

Determination of Guanidinoacetic Acid in Urine by HPLC-FLD Method

Abstract

Creatine deficiency syndromes are newly recognized inherited metabolic disorders. Creatine is classified into three groups according to the synthesis steps: guanidinoacetate N-methyl transferase (GAMT) deficiency, arginine-glycine amidinotransferase (AGAT) deficiency, and creatine transporter disorder. Clinically, mental retardation, speech delay, epilepsy, movement, and behavioral disorders are prominent. The common biochemical finding in all three diseases is cerebral creatine deficiency. Low urinary guanidinoacetate (GAA) levels are observed in AGAT deficiency and high urinary GAA levels are observed in GAMT deficiency. In this study, we developed a new, simple, inexpensive, and rapid chromatographic analysis method for the quantitative determination of guanidinoacetate in urine samples. Guanidinoacetate was chromatographically separated with a buffer containing 50 mM formic acid and methanol, 1.0 mL/min flow, C18 (150 mm 4.6 mm, 5.0 µm) analytical column and fluorescence detector at ƛex: 390 nm, ƛem: 470 nm.

Keywords

guanidinoacetate , creatine , HPLC-FLD

References

  1. Wyss M, Kaddurah-Daouk R. Creatine and creatinine metabolism. Physiol rev., 2000;80(3):1107-213.
  2. Ohtsuki S, Tachikawa M, Takanaga H, Shimizu H, Watanabe M, Hosoya K, et al. The blood-brain barrier creatine transporter is a major pathway for supplying creatine to the brain. J Cereb Blood Flow Metab., 2002;22(11):1327-35.
  3. Wyss M, Smeitink J, Wevers RA, Wallimann T. Mitochondrial creatine kinase: a key enzyme of aerobic energy metabolism. Biochim Biophys Acta., 1992;1102(2):119-66.
  4. Wallimann T, Tokarska-Schlattner M, Schlattner U. The creatine kinase system and pleiotropic effects of creatine. Amino Acids., 2011;40(5):1271-96.
  5. Brosnan JT, Brosnan ME. Creatine: endogenous metabolite, dietary, and therapeutic supplement. Annu rev Nutr., 2007;27:241-61.
  6. Stockler-Ipsiroglu S, Apatean D, Battini R, DeBrosse S, Dessoffy K, Edvardson S, et al. Arginine:glycine amidinotransferase (AGAT) deficiency: Clinical features and long term outcomes in 16 patients diagnosed worldwide. Mol Genet Metab., 2015;116(4):252-9.
  7. Item CB, Stöckler-Ipsiroglu S, StrombergerC, Mühl A, Alessandrì MG, Bianchi MC, et al Arginine:glycine amidinotransferase deficiency: the third inborn error of creatine metabolism in humans. Am j Hum Genet., 2001;69(5):1127-33.
  8. Verhoeven NM, schor Ds, Roos B, Battini R, Stöckler-Ipsiroglu S, Salomons GS, et al Diagnostic enzyme assay that uses stableisotope-labeled substrates to detect larginine:glycine amidinotransferase deficiency. Clin Chem., 2003;49(5):803-5.
  9. Mercimek-Andrews S, Salomons GS. Creatine Deficiency Disorders. 2009 Jan 15 [updated 2022 Feb 10]. In: Adam MP, Mirzaa GM, Pagon RA, Wallace SE, Bean Li H, Gripp KW, et al, eds. Genereviews® [Internet]. Seattle (WA): university of Washington, Seattle; 1993-2023.
  10. Mulik C, Mercimek-Andrews S. Creatine Deficiency Disorders: Phenotypes, Genotypes, Diagnosis, and Treatment outcomes. Turk Arch Pediatr., 2023;58(2):129-35.
EndNote
Cansever MŞ, İşat E (April 1, 2024) Determination of Guanidinoacetic Acid in Urine by HPLC-FLD Method. Anatolian Journal of Pharmaceutical Sciences 3 1 161–166.