Diagnosing Inborn Errors of Plasmalogen Biosynthesis by Liquid Chromatography Tandem Mass Spectrometry
Peroxisomal plasmalogen synthesis is defective in rhizomelic chondrodysplasia punctata (RCDP) and Zellweger spectrum disorders (ZSDs). Plasmalogens are traditionally detected in packed red blood cells (RBCs) by GC-MS. However, this method cannot distinguish individual plasmalogen species. Additionally, it is a lengthy and complex assay. We have developed a liquid chromatography-tandem mass spectrometry (LC-MS/MS) method to quantify the most abundant ethanolamine plasmalogens to aid in diagnosing RCDP and ZSDs. This presentation will describe the challenges in developing and validating plasmalogen testing by LC-MS/MS. Moreover, we will review our data from controls, known patients, and RCDP1 mouse models demonstrating the clinical utility of the LC-MS/MS method in diagnosing and monitoring inborn errors of plasmalogen synthesis.
