Glucopsychosine, Blood Spot
Use
This test is primarily useful for diagnosing and monitoring patients with Gaucher disease using dried blood spot specimens. It also serves as a second-tier test when newborn screening results indicate reduced beta-glucosidase (GBA) activity. Monitoring a patient's response to treatment is another significant clinical use. It is important to note that this test is not useful for identifying carriers of GBA1 variants, as Gaucher disease is characterized by deficient beta-glucosidase activity resulting in the accumulation of glucopsychosine (glucosylsphingosine: lyso-GL1) in symptomatic patients, thus supporting a diagnosis of Gaucher disease.
Special Instructions
Not provided.
Limitations
Patients with Gaucher disease may present with normal concentrations of glucopsychosine (lyso-GL1), potentially leading to challenges in diagnosis. The test is not intended for carrier identification, limiting its scope for genetic counseling of asymptomatic individuals.
Methodology
Mass Spectrometry (LC-MS/MS)
Biomarkers
Glucopsychosine (Glucosylsphingosine)
Analyte
LOINC Codes
- 92752-5 - Glucopsychosine DBS-sCnc
- 92752-5 - Glucopsychosine DBS-sCnc
- 18771-6 - Provider signing name
- 59462-2 - Clinical biochemist review
Result Turnaround Time
3-7 days
Related Documents
For more information, please review the documents below
Specimen
Whole Blood
Volume
2 Blood spots
Minimum Volume
1 Blood spot
Container
Preferred: Blood Spot Collection (Filter Paper); Acceptable: Whatman Protein Saver 903 filter paper, PerkinElmer 226 filter paper, Munktell filter paper, Postmortem Screening card, or collected with sodium heparin, lithium heparin, ACD-B or EDTA containing devices
Collection Instructions
Let blood dry completely on filter paper at ambient temperature in a horizontal position for a minimum of 3 hours. At least 1 spot should be complete, (ie, unpunched). Do not expose specimen to heat or direct sunlight. Do not stack wet specimens. Keep specimen dry.
Causes for Rejection
Blood spot specimen that shows serum rings or has multiple layers; Insufficient specimen
Stability Requirements
| Temperature | Period |
|---|---|
| Room Temperature | 10 days |
| Refrigerated | 10 days |
| Frozen | 59 days |
