Newcastle Laboratories

Guanidinoacetate and creatine, plasma

Clinical Background:

For investigation of suspected metabolic disorders of creatine synthesis or transport including guanidinoacetate methyltranferase (GAMT) deficiency, arginine:glycine amidinotransferase (AGAT) defic...

For investigation of suspected metabolic disorders of creatine synthesis or transport including guanidinoacetate methyltranferase (GAMT) deficiency, arginine:glycine amidinotransferase (AGAT) deficiency and creatine transporter deficiency. Plasma guanidinoacetate is also used in monitoring patients with these disorders.

N.B: to investigate the X-linked creatine transport defect, a urine sample is required for measurement of creatine/creatinine ratio.

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Test Details

  • Discipline:

    Biochemistry

    Biochemistry

  • Specimen Container Adult:

    Lithium heparin plasma

    Serum

    Lithium heparin plasma

    Serum

  • Specimen Container Paediatric:

    Lithium heparin plasma

    Serum

    Lithium heparin plasma

    Serum

  • Minimum Volume Adult:

    0.5 mL 

    0.5 mL 

  • Minimum Volume Paediatric:

    0.5 mL 

    0.5 mL 

  • Sample Stability:

    Guanidinoacetate and creatine are stable in plasma at ambient temperature for at least 2 weeks.

    Guanidinoacetate and creatine are stable in plasma at ambient temperature for at least 2 weeks.

  • Transport Requirements:

    Send to laboratory at ambient temperature.




    Send to laboratory at ambient temperature.




  • Reference Ranges:

    Creatine               Age ≤ 10 years                   41 – 115 µmol/L

                                 Age > 10 years                   8 – 89 µmol/L

     

    Guanidinoacetate            Age ≤ 10 years     ...

    Creatine               Age ≤ 10 years                   41 – 115 µmol/L

                                 Age > 10 years                   8 – 89 µmol/L

     

    Guanidinoacetate            Age ≤ 10 years     0.55 – 2.36

                                            Age > 10 years     0.85 – 3.31

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  • Routine Contact Name:

    Duty Biochemist

  • Routine Telephone:

    Freeman: 0191 244 8889

    RVI: 0191 282 9719

    Freeman: 0191 244 8889

    RVI: 0191 282 9719

  • Routine Email:

  • Specialist Test:

    Yes

    Yes

  • Specialist Contact Name:

    Metabolic Clinical Scientist

    Metabolic Clinical Scientist

  • Specialist Telephone:

    0191 282 9685 (Consultant Clinical Scientist)

    0191 282 0334 (Metabolic Laboratory)

    0191 282 9685 (Consultant Clinical Scientist)

    0191 282 0334 (Metabolic Laboratory)

  • Specialist Email:

Availability:

Sample sent to an external laboratory for analysis

Turn Around:

4 weeks

Send To:

Department of Blood Sciences

Level 3
Leazes Wing
Royal Victoria Infirmary
Queen Victoria Road
Newcastle upon Tyne
NE1 4LP

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