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Phenylalanine and tyrosine measurements across gestation by tandem mass spectrometer on dried blood spot cards from normal pregnant women.


ABSTRACT: PURPOSE:Maternal phenylketonuria (MPKU) requires strict control of phenylalanine (Phe) and supplemental tyrosine (Tyr). Monitoring during pregnancy using dried blood spot (DBS) cards by tandem mass spectrometry (MS/MS) is now standard practice, however there are no Phe and Tyr reference ranges for DBS MS/MS method in healthy pregnant women. METHODS:DBS cards (63-1364 days in storage) from healthy women with singleton pregnancies were analyzed by MS/MS. Three hundred ninety DBS cards from 170 pregnancies (5/1-39/6 weeks' gestation), were tested. RESULTS:Both Phe and Tyr levels declined from the first trimester (Phe: 36.2?+/-?10.6; Tyr 25.7?+/-?9.7?µmol/L) to the second trimester (Phe 33.4+/-9.3; Tyr 21.7+/- 6.7?µmol/L) and remained stable in the third trimester (Phe 32.3?+/-?8.7; Tyr 21.0?+/-?6.6?µmol/L). Phe and Tyr levels declined over time since collection (Phe: 0.004?µmol/L per day; Tyr 0.002?µmol/L). Nomograms by gestational age were created using raw data and data adjusted for time from sample collection. Reference ranges by trimester are provided. CONCLUSIONS:Both Phe and Tyr decline quickly during the first trimester and remain relatively constant over the second and third trimesters. These nomograms will provide a valuable resource for care of MPKU.

SUBMITTER: McBride KL 

PROVIDER: S-EPMC6620164 | biostudies-literature | 2019 Aug

REPOSITORIES: biostudies-literature

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Phenylalanine and tyrosine measurements across gestation by tandem mass spectrometer on dried blood spot cards from normal pregnant women.

McBride Kim L KL   Pluciniczak Jill J   Rhyand Timothy T   Bartholomew Dennis D  

Genetics in medicine : official journal of the American College of Medical Genetics 20190110 8


<h4>Purpose</h4>Maternal phenylketonuria (MPKU) requires strict control of phenylalanine (Phe) and supplemental tyrosine (Tyr). Monitoring during pregnancy using dried blood spot (DBS) cards by tandem mass spectrometry (MS/MS) is now standard practice, however there are no Phe and Tyr reference ranges for DBS MS/MS method in healthy pregnant women.<h4>Methods</h4>DBS cards (63-1364 days in storage) from healthy women with singleton pregnancies were analyzed by MS/MS. Three hundred ninety DBS car  ...[more]

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