MS/MS analytes | Cut-off value (μmol/l) | Possible disorder(s) |
---|---|---|
Amino acids | Â | Â |
↑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 | Â | Â |
↑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 | Â | |
↓ C0 | < 15.0 | Primary carnitine deficiency |
↓C2 | < 9.82 |  |
↑C0 | > 90.0 | Carnitine palmitoyltransferase I deficiency |
↑C0/(C16 + | > 30.00 |  |
C18) | Â | Â |
↓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) | Â |
↑C14:1 | > 0.39 | Very long-chain acyl-CoA dehydrogenase deficiency |
↑C14:1/C16 | > 0.29 |  |
(± C14 |  |  |
C16, C18:1) | Â | Â |
↑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 |  |