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Test Code TALDO Polyols, Quantitative, Urine

Useful For

Diagnosing deficiencies of transaldolase, transketolase, sedoheptulose, or ribose-5-phosphate isomerase

Reporting Name

Polyols, QN, U

Specimen Type

Urine


Necessary Information


1. Patient's age is required.

2. Biochemical Genetics Patient Information (T602) is recommended, but not required, to be filled out and sent with the specimen to aid in the interpretation of test results.



Specimen Required


Supplies: Urine Tubes, 10 mL (T068)

Specimen Volume: 2 mL

Collection Instructions:

1. Collect a random urine specimen.

2. No preservative.


Specimen Minimum Volume

1 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Urine Refrigerated (preferred) 28 days
  Frozen  28 days

Reference Values

ERYTHRITOL

≤11 months: <220 mmol/mol creatinine

1-3 years: <267 mmol/mol creatinine

4-17 years: <171 mmol/mol creatinine

>or =18 years: <99 mmol/mol creatinine

 

ARABINITOL

≤11 months: <140 mmol/mol creatinine

1-3 years: <149 mmol/mol creatinine

4-17 years: <97 mmol/mol creatinine

>or =18 years: <51 mmol/mol creatinine

 

RIBITOL

≤11 months: <31 mmol/mol creatinine

1-3 years: <31 mmol/mol creatinine

4-17 years: <17 mmol/mol creatinine

>or =18 years: <11 mmol/mol creatinine

 

SEDOHEPTULOSE

≤11 months: <76 mmol/mol creatinine

1-3 years: <27 mmol/mol creatinine

4-17 years: <28 mmol/mol creatinine

>or =18 years: <22 mmol/mol creatinine

Interpretation

An interpretive report will be provided.

 

All profiles are reviewed by the laboratory director and interpretation is based on pattern recognition. A detailed interpretation is given, including an overview of the results and of their significance, a correlation to available clinical information, elements of differential diagnosis, recommendations for additional biochemical testing and in vitro confirmatory studies (enzyme assay, molecular analysis), name and phone number of key contacts who may provide these studies at Mayo Clinic or elsewhere, and a phone number to reach one of the laboratory directors in case the referring physician has additional questions.

Clinical Reference

1. Wamelink MM, Ramos RJ, van den Elzen AP, et al. First two unrelated cases of isolated sedoheptulokinase deficiency: A benign disorder?. J Inherit Metab Dis. 2015;38(5):889-894. doi:10.1007/s10545-014-9809-

2. OMIM: 617044. Short Stature, Developmental Delay, and Congenital Heart Defects; SDDHD. Johns Hopkins University; 2016. Last updated April 07, 2021, Accessed September 27, 2024. Available at www.omim.org/entry/617044

3. OMIM: 617213. Sedoheptulokinase Deficiency; SHPKD. Johns Hopkins University; 2016. Accessed September 27, 2024. Available at www.omim.org/entry/617213

4. Eyaid W, Al Harbi T, Anazi S, et al. Transaldolase deficiency: report of 12 new cases and further delineation of the phenotype. J Inherit Metab Dis. 2013;36(6):997-1004

5. Huck JH, Verhoeven NM, Struys EA, et al. Ribose-5-phosphate isomerase deficiency: new inborn error in the pentose phosphate pathway associated with a slowly progressive leukoencephalopathy. Am J Hum Genet. 2004;74(4):745-751

6. Stincone A, Prigione A, Cramer T, et al. The return of metabolism: biochemistry and physiology of the pentose phosphate pathway. Biol Rev Camb Philos Soc. 2015;90(3):927-963. doi:10.1111/brv.12140

7. Wamelink MC, Valayannopoulos V, Jakobs C. Ribose-5-phosphate isomerase deficiency and transaldolase deficiency. In: Valle DL, Antonarakis S, Ballabio A, Beaudet AL, Mitchell GA. eds. The Online Metabolic and Molecular Bases of Inherited Disease. McGraw Hill; 2019. Accessed September 27, 2024. Available at https://ommbid.mhmedical.com/content.aspx?sectionid=225081431&bookid=2709

Day(s) Performed

Tuesday; Friday

Report Available

3 to 7 days

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Test Classification

This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. It has not been cleared or approved by the US Food and Drug Administration.

CPT Code Information

82542

LOINC Code Information

Test ID Test Order Name Order LOINC Value
TALDO Polyols, QN, U 74447-4

 

Result ID Test Result Name Result LOINC Value
35824 Erythritol 48107-7
35825 Arabinitol 47829-7
35826 Ribitol 47884-2
35827 Sedoheptulose 78967-7
35829 Interpretation (TALDO) 74448-2
35830 Reviewed By 18771-6

Method Name

Gas Chromatography Mass Spectrometry (GC-MS)

Forms

1. Biochemical Genetics Patient Information (T602)

2. If not ordering electronically, complete, print, and send a Biochemical Genetics Test Request (T798) with the specimen.