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AAUCD<br />

60202<br />

Glutamic Acid (Glu)<br />

1-Methylhistidine (1MHis)<br />

3-Methylhistidine (3MHis)<br />

Argininosuccinic Acid (Asa)<br />

Carnosine (Car)<br />

Anserine (Ans)<br />

Homocitrulline (Hcit)<br />

Arginine (Arg) 5-39 11-35 11-27 11-32<br />

Alpha-aminoadipic Acid (Aad)<br />

Gamma-amino-n-butyric Acid<br />

(GABA)<br />

Beta-aminoisobutyric Acid (bAib)<br />

Alpha-amino-n-butyric Acid (Abu)<br />

Hydroxylysine (Hyl)<br />

Proline (Pro)<br />

Ornithine (Orn)<br />

Cystathionine (Cth)<br />

Cystine (Cys)<br />

Lysine (Lys) 11-63 9-33 10-25 13-42<br />

Methionine (Met)<br />

Valine (Val) 14-61 9-28 8-20 11-40<br />

Tyrosine (Tyr) 8-83 5-24 5-17<br />

Homocystine (Hcy)<br />

Isoleucine (Ile)<br />

Leucine (Leu) 12-41 6-21 7-16 7-29<br />

Phenylalanine (Phe) 7-40 5-18 7-21<br />

Tryptophan (Trp)<br />

Allo-isoleucine (AlloIle)<br />

Clinical References: Rinaldo P, Hahn S, Matern D: Inborn errors of amino acid, organic acid, and<br />

fatty acid metabolism. In Tietz Textbook of Clinical Chemistry and Molecular Diagnosis. Fourth edition.<br />

Edited by CA Burtis, ER Ashwood, DE Bruns. St. Louis, WB Saunders Company, 2005, pp 2207-2247<br />

Amino Acids, Urea Cycle Disorders Panel, Plasma<br />

Clinical Information: Urea cycle disorders (UCD) are a group of inherited disorders of amino acid<br />

catabolism that result when any of the enzymes in the urea cycle (carbamoylphosphate synthetase I [CPS<br />

I]; ornithine transcarbamylase [OTC]; argininosuccinic acid synthetase [ASS]; argininosuccinic acid lyase<br />

[ASL]; arginase [ARG]; or the cofactor producer, N-acetyl glutamate synthetase [NAGS]), demonstrate<br />

deficient or reduced activity. The urea cycle serves to break down nitrogen and defects in any of the steps<br />

of the pathway can result in an accumulation of ammonia, which can be toxic to the nervous system.<br />

Infants with a complete enzyme deficiency typically appear normal at birth, but as ammonia levels rise,<br />

Current as of January 4, 2013 7:15 pm CST 800-533-1710 or 507-266-5700 or <strong>Mayo</strong><strong>Medical</strong><strong>Laboratories</strong>.com Page 116

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