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. 2019 Sep 10;9:13067. doi: 10.1038/s41598-019-49685-x

Table 1.

IEMs that can be associated to the NMR-based urine analysis.

IEM Reference metabolites Support Metabolites Fglobal¯
Organic Acidurias
2-ketoadipic acidemia 80, 105, 135 1,82e-6
3-Hydroxy-3-Methylglutaryl-CoA-lyase Deficiency 17, 20, 25 24, 38, 84 1.74e-04
3-Hydroxyisobutiric aciduria 8, 20, 21, 102 n. a.
3-Methyl-crotonyl-glycinuria 20, 24 13 1.61e-3
3-Methyl-glutaconic acidurias 20, 25, 103 54, 132, 135 1.58e-2
Biotinidase deficiency 20, 24, 102 21 2.90e-2
β-Ketothiolase deficiency 25, 143 18, 20, 21, 24, 38 >7.14e-2
Canavan disease 110 135 >7.14e-4
Cobalamin malabsortion 108 4.13e-6
Ethylmalonic encephalopathy 43, 78, 80, 102, 135 12, 114 2.34e-3
Fumaric aciduria 80, 135 7.14e-4
Glutaric aciduria type I 19, 76, 84 18 5.38e-3
Glutaric aciduria type I (low excretor) 19, 76, 84 5.38e-3
Glutaric aciduria type I (non-excretor) 19, 76 n. a.
Glutaric aciduria type II 12, 78, 84, 92 19, 76, 114, 134 2.34e-3
Glutaric aciduria type II (late onset) 20, 78, 84 2.34e-3
Glutaric aciduria type III 84 n.a.
Hyperoxaluria type II 87 >3.09e-1
Isovaleric aciduria 20, 114 12, 18, 86, 108 n. a.
Malonyl-CoA decarboxylase deficiency 78, 108, 135 7.14e-4
Methylmalonic aciduria 16, 75, 91, 129 3.19e-2
Methylmalonate semialdehyde dehydrogenase deficiency 21, 43, 102, 108 2.00e-4
MMA Cbl A deficiency 108 22, 86, 89, 99 4.13e-6
Propionic acidemia 18, 21, 38, 40, 143 3, 22, 86, 89, 99, 128, 129 6.66e-2
Pyroglutamic acidemia 99 n. a.
Transcobalamin II deficiency 108 n. a.
Trimethylaminuria 145 4.25e-3
Amino Acidurias
Argininemia 117, 147 88, 89 4.67e-3
Argininosuccinic aciduria 47, 117, 147 86, 89 4.37e-3
Cystinuria 46, 58 4.01e-5
Dicarboxylic aminoaciduria 82 n. a.
Dimethylglycine dehydrogenase deficiency 49, 115 5.91e-12
Hartnup disease 43, 83, 98, 103, 149 75, 101 4.39e-4
Hawkinsinuria 32, 99 8.54e-2
Holocarboxylase syntetase deficiency 20, 21, 22 2.07e-1
Homocystinuria 97 49, 107 n.a.
Kyneureninase deficiency 74, 150 n. a.
Maple Sirup Urine disease 9, 15, 23 3, 8, 14, 18, 98, 103, 149 8.46e-8
Methionine malabsortion 11 n. a.
Mild Phenylketonuria 116, 124 n. a.
Phenylketonuria 10, 26, 32, 112, 123, 124, 125 37, 65 n. a.
Saccharopinuria 55 n. a.
Sarcosinemia 134 4.56e-1
Tyrosinemia type I 31, 32, 33, 75, 136 35, 113, 147 5.83e-3
Tyrosinemia type II 31, 33 113 3.51e-2
Tyrosinemia type III 31, 32, 33 >7.62e-2
Transient newborn tyrosinemia 31, 33 3.51e-2
Valinemia 149 4.39e-4
Fatty Acid Oxidation Disorders
3-Oxoacid CoA transferase deficiency 18, 38 5.38e-3
Long Chain 3-hydroxyacyl-CoA dehydrogenase deficiency 18 6.66e-2
Short Chain Acyl-CoA dehydrogenase deficiency 12, 78 4.92e-5
Short Chain 3-hydroxyacyl-CoA dehydrogenase deficiency 18 6.66e-2
Urea Cycle Disorders
Carbamoyl Phosphate synthetase I deficiency 86, 99, 147 4.37e-3
Citrullinemia 55, 117, 147, 148 47, 61, 89 3.47e-1
Neonatal intrahepatic cholestasis 32 n. a.
Ornitine carbamoyltransferase deficiency 117, 147, 148 86, 89, 99 4.67e-3
Creatine Deficiencies
Creatine transport deficiency 56, 57 n. a.
Guanidinoacetate Methyltransferase deficiency 88 n. a.
Purine/Pyrimidine Disorders
Dihydropyrimidine Dehydrogenase deficiency 141, 147 4.37e-3
Dihydropyriminidase deficiency 70, 71 141, 146, 147 4.37e-3
Orotic aciduria 117 n. a.
Carbohydrate Disorders
Fructose-1,6-bisphosphatase Deficiency 18, 38, 40 85 >7.14e-2
Fanconi-Bickel syndrome 63 61, 81 >3.47e-1
Galactosemia 61, 81 60 3.47e-1
Lysosomal Disorders
Tay-Sachs disease 99 n. a.
Mitochondrial Disorders
Dihydrolipoyl dehydrogenase E3 14, 23 2.29e-4
Lactic acidemia 43, 102 21 2.9e-2
Pyruvate carboxylase deficiency 18, 40, 102 43, 135 5.38e-3
Porphyrias
Acute Intermittent Porphyria 35 1.49e-5
Delta-aminolevulinic acid dehydratese deficiency 35 1.49e-5
Other Disorders
Asphyxia 23, 102 4.03e-2
Aminoacylase I deficiency 111 n. a.
GABA transaminase deficiency 27, 55 >1.24e-1
Molybdenum cofactor deficiency 139 1.42e-2
Ketosis 18, 38 6.66e-2

List of different inborn errors of metabolism that can be identified by NMR. Reference metabolites are required to unambiguously identify a given IEM. Support Metabolites add value to confirm a specific IEM and/or help to discriminate between related IEMs. All numbers are related to the metabolites listed in Table S2. Fglobal¯ describes the probability for the test to identify a potential IEM case in the Basque Country.