Amino Acids, Plasma (Sendout)

General Information

Lab Name

Amino Acids, PLASMA

Lab Code

RAA

Epic Name

Amino Acids, Plasma

External Test Id

LAB811

Description

Description: Measurement of 25 amino acids by ion exchange chromatography. This test includes the following: Taurine, Aspartic Acid, Hydroxyproline, Threonine, Serine, Asparagine, Glutamic Acid, Glutamine, Proline, Glycine, Alanine, Citrulline, Valine, Cystine, Methionine, Alloisoleucine, Isoleucine, Leucine, Tyrosine, Phenylalanine, Homocystine, Ornithine, Lysine, Histidine, Arginine.

Clinical Utility: Amino acid analysis can be useful in the clinical work up, diagnosis, or dietary monitoring of the following disorders: Phenylketonuria, tyrosinemia, maple syrup urine disease, urea cycle defects (argininosuccinic aciduria, argininemia, CPS, OTC deficiency, citrullinemia), non-ketotic hyperglycinemia, homocystinuria, defects of cobalamin metabolism, cystinuria (urine only), ornithinemia, and lysinuric protein intolerance. Amino acid analysis is also performed for nutritional monitoring.

Ordering Requirements: Include relevant clinical information (drug therapy, family history, etc.) in the Epic order comment to ensure proper interpretation.

References

Synonyms

AAQNT, Alanine, Alloisoleucine, Arginine, Asparagine, Aspartic Acid, Citrulline, citrullinemia, Cystine, Glutamic Acid, Glutamine, Glycine, Histidine, Homocystine, Hydroxyproline, hyperglycinemia, Isoleucine, LAB811, Leucine, Lysine, Methionine, NKH, Ornithine, Phenylalanine, Proline, Serine, Taurine, Threonine, Tyrosine, Valine

Components

Code Name
RTAU Taurine
RASP Aspartic Acid
RHYP Hydroxyproline
RTHR Threonine
RSER Serine
RASN Asparagine
RGLA Glutamic Acid
RGLN Glutamine
RPLN Proline
RGLY Glycine
RALAN Alanine
RCIT Citrulline
RVALN Valine
RCYST Cystine
RMTH Methionine
RALEU Alloisoleucine
RILE Isoleucine
RLEU Leucine
RTYR Tyrosine
RPHE Phenylalanine
RHOM Homocystine
RORN Ornithine
RLYS Lysine
RHIS Histidine
RARG Arginine
RNTRP1 Amino Acid Interpretation
OLDIS1 Outside Laboratory Disclaimer

Interpretation

Method

Ion exchange chromatography with post column derivatization

Reference Range

See individual components

Ref. Range Notes

Refer to Plasma Amino Acid Reference Ranges.

Interferences and Limitations

Note: Amino Acids performed on urine samples is not clinically indicated.

Ordering & Collection

Specimen Type

Blood

Collection

3 mL blood in DARK GREEN (Na Heparin) or LIME GREEN PST (Lithium Heparin)

Also Accepted: RED or LAVENDER TOP (EDTA) tube. Note: Serum or EDTA plasma is acceptable, but not preferred.

Collection Timing: For infants and children, draw sample prior to feeding or 2-3 hours after a meal.

Handling Instructions

Outside Laboratories: Centrifuge sample and transfer plasma/serum to a separate plastic vial within one hour of collection. Freeze plasma/serum at -20°C while awaiting shipment. Transport on dry ice.

  • Optional: To ensure proper interpretation, include relevant clinical information (drug therapy, and family history) on the DLMP requisition.

Stability: Frozen (preferred): 1 month; Refrigerated: 24 hours; Ambient: 2 hours.

Quantity

requested: 1 mL plasma or serum
minimum: 0.5 mL plasma or serum

Processing

Centrifuge sample and transfer plasma/serum to a separate plastic vial within one hour of collection. Freeze plasma/serum at -20°C.

SPS, order this test on a separate accession.

Sendouts:

  • Order SEACHL Test: LAB811
  • Interfaced: Yes [Interface: 601; Department: SOSC]
  • If clinical information (drug therapy, family history) is included in the order, print the Epic requisition and send it with a copy of the MayoAccess Batch Sheet.
  • Send samples on dry ice via DLMP or DE courier.

Stability: Frozen: 1 month; Refrigerated: 24 hours; Ambient: 2 hours.

Performance

LIS Dept Code

SCHL Interfaced Sendouts (SOSC)

Performing Location(s)

Sendout Seattle Children's Hospital Laboratories
206-987-2617

4800 Sand Point Way NE
Seattle, WA 98105

Room Number: FB.2.441

Other Locations/Notes

Seattle Children's Hospital Laboratory, Biochemical Genetics: 206-987-2216

Frequency

Performed: Monday through Friday. TAT: 2-5 days from sample receipt at Seattle Children's Lab.

Available STAT?

No

Billing & Coding

CPT codes

82139

LOINC

12468-5

Interfaced Order Code

UOW5040