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Skin fibroblasts are incubated with cell medium enriched with palmitic
acid (C16:0 fatty acid), L-carnitine, and isotopically labeled L-valine
([13]C-Val) and L-isoleucine ([13]C-Ile). Cell lines deficient of 1 of the
enzymes involved in fatty acid oxidation and branched chain amino
acid metabolism fail to metabolize acyl-CoA species, which accumulate
in the cell medium as acylcarnitines. The medium is separated from
the cells following the incubation. The cell pellet is used for protein
determination and the medium will be spotted and dried on filter paper.
An acylcarnitine analysis is performed by tandem mass spectometry
(MS/MS) using a 1/4" filter paper punch, following the addition of
isotopically labeled acylcarnitines as internal standards, extraction and
derivatization to methyl esters. The assay is performed in triplicate.
(Matern D: Acylcarnitines, incl. in vitro loading tests. In Laboratory Guide
to the Methods in Biochemical Genetics. Edited by N Blau, M Duran,
KM Gibson. Springer-Verlag, Heidelberg, 2006; in press)

