
Groups of disorders
These groups of disorders can be diagnosed in our Metabolic Laboratory.
Sample material, sample preparation and shipping conditions are mentioned by clicking on the investigation and on our Request forms.
Amino Acid Disorders
Investigation (1): Amino acids (plasma)
Investigation (2): Amino acids (urine)
Investigation (3): Acylcarnitine profile (DBS)
Investigation (4): Amino acids (CSF)
Investigation (5): Homocysteine (plasma)
Cholesterol Biosynthesis Disorders
Investigation: Cholesterol biosynthesis (sterol analysis, plasma)
Fatty Acid Oxidation Disorders
Investigation (1): Acylcarnitine profile (DBS, plasma)
Investigation (2): Organic acids (urine)
Investigation (3): Free fatty acids / ketones (plasma)
Investigation (4): Carnitine status (plasma)
Congenital Disorders of Glycosylation (CDG)
Investigation: Isoelektric Focussing of Transferrin (serum, DBS)
Disorders of Glutathione and Gamma-Glutamyl Cycle
Investigation (1): Glutathione in erythrocytes (Spectrophotometriy)
Investigation (2): Organic acids (urine)
Urea Cycle Disorders
Investigation (1): Amino acids (plasma)
Investigation (2): Amino acids (urine)
Investigation (3): Orotic acid (urine)
Investigation (4): Acylcarnitine profile (DBS)
Ketone Body Metabolism Disorders
Investigation (1): Organic acids (urine)
Investigation (2): Acylcarnitine profile (DBS, plasma)
Investigation (3): Carnitine status (plasma)
Investigation (4): Free fatty acids / ketones (plasma)
Carbohydrate Metabolism Disorders
Investigation (1): Galactose metabolites (DBS)
Investigation (2): Galactose-1-phosphate uridyltransferase (DBS)
Creatine Disorders
Investigation: Guanidino compounds (creatine, creatinine, guanidinoacetate; urine, plasma CSF)
Lysosomal Storage Disorders
Investigations (1): Lysosomal investigations (urine) (Oligosaccharides, neuraminic acid, total glycosaminoglycans, electrophoretic separation of glycosaminoglycans)
Investigations (2): Lysosomale investigations (enzyme analysis); diagnostic programme lysosomal storage disorders
Mitochondrial Disorders
Investigation (1): Lactate, Pyruvate (perchloric acid extract, ask for prescription before sampling)
Investigation (2): Free fatty acids / ketones (plasma)
Investigation (3): Amino acids (plasma)
Investigation (4): Organic acids (urine)
Investigation (5): Carnitine status (plasma)
Investigation (6): Lactate (CSF)
Investigation (7): Amino acids (CSF)
Neurotransmitter Disorders
Investigation (1): Basic investigations (biogenic amines, 5-MTHF, pterins, amino acids; CSF)
Investigation (2): 5-MTHF (CSF)
Investigation (3): Serotonin (EDTA blood, ask for prescription before sampling)
Investigation (4): Aromatic L-amino acid decarboxylase (AADC) activity (plasma)
Investigation (5): Pterins (DBS, urine) and DHPR activity (DBS)
Investigation (6): Vanillyl lactic acid (urine)
Organic Acidurias
Investigation (1): Organic acids (urine)
Investigation (2): Acylcarnitine profile (DBS, plasma)
Investigation (3): Carnitine status (plasma)
Investigation (4): Biotinidase activity (DBS, serum)
Peroxisomal Disorders
Investigation (1): VLCFA, phytanic acid, pristanic acid (plasma)
Investigation (2): Plasmalogens (erythrocytes)
Investigation (3): Bile acid metabolites (urine)
Purine- and Pyrimidine Disorders
Investigation: Purine and pyrimidines (urine)
Tyrosinemia Type 1
Investigation (1): Organic acids (urine)
Investigation (2): Succinylacetone (DBS)
Acylcarnitine profile
Indication: Suspicion of Organic aciduria or fatty acid oxidation defects
Material: Dried blood (filter paper card), EDTA plasma
Preparation: DBS: Dry for 2 hours at ambient temperature; Spin EDTA blood, deep freeze supernatant
Shipping conditions: DBS: Ambient temperature; Supernatant frozen or at least cooled by express mail, ideally on dry ice