Summary
In a metabolic pathway from galactose to glucose-1-phosphate, there are three major enzymes, galactokinase, galactose-1-phosphate uridyl transferase (GALT) and UDP-galactose-4-epimerase. The deficiency of one of these enzymes causes accumulation of galactose in blood, which provides a pathognomonic marker. A new reversed-phase HPLC method with fluorescence detector has been developed for the measurement of galactose in 50μL of blood on Guthrie filter paper using 8-amino-2-naphthalenesulfonic acid (8,2-ANS) as derivatization reagent for the diagnosis of Galactosemia. Galactose was extracted from blood spotted on filter paper and derivatized with 8,2-ANS to produce Schiff bases, and reduced with sodium cyanoborohydride. Linear range was from 2 mg dL−1 to 20 mg dL−1 (r=0.9998). Detection limit (S/N=3) of this method was 90 ng dL−1. The mean recovery of galactose was 102.7% (SD =0.3%, n=14). The normal range of blood galactose in Korean neonates (specimen collected within 7 days after birth) was below 6 mg dL−1 (n=5 for each gender) without any gender difference. When applied to 11 anonymous blood spots of heterogeneous genotypes of GALT deficiency all of the patients' blood samples showed abnormal elevation of galactose.
The results indicate that the new method using 8,2-ANS yields consistent and correct galactose determination that is simple and practical as a rapid first screening tool for patients with galactosemia.
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Hong, S.P., Yoon, H.R. & Kim, M.K. Development of a new HPLC diagnostic method for galactosemia using 8-amino-2-naphthalenesulfonic acid. Chromatographia 54, 83–86 (2001). https://doi.org/10.1007/BF02491838
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DOI: https://doi.org/10.1007/BF02491838