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Table 1 MS/MS screening profiles

From: Screening for inborn errors of metabolism in high-risk children: a 3-year pilot study in Zhejiang Province, China

MS/MS analytes

Cut-off value (μmol/l)

Possible disorder(s)

Amino acids

  

↑PHE

> 103.18

Phenylketonuria

↑PHE/TYR

> 1.43

BH4 deficiency

↑MET

> 64.11

Homocystinuria

↑MET/PHE

> 0.92

 

↑LEU

> 327.51

Maple syrup urine disease

↑LEU/PHE

> 4.85

 

↑VAL

> 433.56

 

↑TYR

> 305.87

Tyrosinemia

↑TYR/PHE

> 4.00

 

↑CIT

> 37.35

Citrullinemia

↑CIT/PHE

> 0.70

Neonatal intrahepatic cholestasis caused by citrin deficiency

↑ARG

> 40.77

Argininemia

↑ARG/ORN

> 0.70

 

↓CIT

< 6.05

Ornithine transcarbamylase deficiency

↑ORN

> 393.08

 

Organic Acids

  

↑C3

> 4.33

Methylmalonic acidemia

↑C3/C2

> 0.20

Propionic acidemia

± C4DC

> 1.92

 

↑C3DC

> 0.14

Malonic acidemia

↑C3DC/C4

> 0.80

 

↑C4

> 0.92

Glutaric acidemia type II (multiple acyl-CoA dehydrogenase

↑C5

> 0.69

deficiency)

↑C8

> 0.33

 

↑C14

> 0.59

 

↑C16

> 6.13

 

↑C12

> 0.47

 

↑C5

> 0.69

Isovaleric acidemia

↑C5/C2

> 0.03

 

↑C5DC

> 0.14

Glutaric acidemia type I

↑C5DC/C8

> 2.50

 

↑C5OH

> 0.73

3-methylcrotonyl-CoA carboxylase deficiency

↑C 5OH/C3

> 0.13

3-OH-3-methylglutaryl-CoA lyase deficiency

(± C5:1)

> 0.12

Multiple carboxylase deficiency

(± C6DC)

> 0.14

 

(± C3)

> 4.33

 

↑C5:1(± C5OH)

> 0.12

β-Ketothiolase deficiency

Fatty acid oxidation defects

 

↓ C0

< 15.0

Primary carnitine deficiency

↓C2

< 9.82

 

↑C0

> 90.0

Carnitine palmitoyltransferase I deficiency

↑C0/(C16 +

> 30.00

 

C18)

  

↓C16

< 0.75

 

↑C4

> 0.92

Short-chain acyl-CoA dehydrogenase deficiency

↑C4/C2

> 0.40

 

↑C8

> 0.33

Medium-chain acyl-CoA dehydrogenase deficiency

↑C8/C10

> 0.37

 

(± C6

(> 0.33

 

C10:1)

> 0.29)

 

↑C14:1

> 0.39

Very long-chain acyl-CoA dehydrogenase deficiency

↑C14:1/C16

> 0.29

 

(± C14

  

C16, C18:1)

  

↑C16

> 6.13

Carnitine palmitoyltransferase II deficiency

↑C18

> 2.68

Carnitine-acylcarnitine translocase deficiency

↑C18:1

> 2.7

 

↑C16OH

> 0.21

Long-chain hydroxyacyl-CoA dehydrogenase deficiency

↑C18OH

> 0.17

Trifunctional protein deficiency

↑C18:1OH

> 0.15

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