Metabolomics & Nutrition AA

Amino Acids Panel.

Comprehensive quantitative profiling of 26 amino acids from a single dried blood spot, serum, or plasma sample. Performed by high-performance liquid chromatography coupled with tandem mass spectrometry (LC-MS/MS).

Quick Reference
Method
LC-MS/MS
Sample Types
DBS Serum Plasma
Analytes

26 amino acids

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What does this test assess?

This panel provides a quantitative assessment of 26 amino acids, enabling evaluation of nutritional status, protein metabolism, and detection of metabolic imbalances.

Clinical indications include:

  • Assessment of dietary adequacy in elimination, vegan, vegetarian, and restrictive diets
  • Sports nutrition monitoring and optimisation of protein intake
  • Evaluation of amino acid imbalances in clinical and subclinical settings
  • Screening for inborn errors of amino acid metabolism
  • Monitoring of parenteral nutrition and enteral feeding regimens
  • Assessment of hepatic synthetic function and catabolic states

Measured analytes

Analyte / GroupComponentsClinical Significance
Essential amino acids Histidine, Isoleucine, Leucine, Lysine, Methionine, Phenylalanine, Threonine, Tryptophan, Valine Cannot be synthesised by the body; must be obtained from diet
Conditionally essential Arginine, Glutamine, Glycine, Proline, Tyrosine Required in greater amounts during illness, stress, or growth
Non-essential Alanine, Asparagine, Aspartate, Cysteine, Glutamate, Serine Synthesised endogenously under normal conditions
Neuroactive GABA, Taurine Important roles in neurotransmission and cellular osmoregulation
Note

All 26 amino acids are quantified simultaneously from a single sample using isotope-dilution LC-MS/MS, providing high specificity and minimal matrix interference.

About amino acids

Amino acids are the fundamental building blocks of proteins and play critical roles in virtually every biological process. Beyond protein synthesis, they serve as precursors for neurotransmitters, hormones, and other bioactive molecules, and participate in energy metabolism, immune function, and detoxification.

20+

Proteinogenic amino acids forming the basis of all human proteins

9 Essential

Must be obtained through diet as the body cannot synthesise them

Neuro

Several amino acids serve as neurotransmitters or precursors

The amino acid pool in blood reflects the dynamic balance between dietary protein intake, endogenous protein synthesis and degradation, and amino acid catabolism. Alterations in this balance can indicate nutritional deficiencies, metabolic disorders, organ dysfunction, or catabolic states such as critical illness or post-surgical recovery.

Branched-chain amino acids (leucine, isoleucine, valine) are particularly important in sports medicine and clinical nutrition, as they play key roles in muscle protein synthesis, energy production during exercise, and regulation of protein turnover.

Clinical significance

Amino acid profiling is valuable across multiple clinical contexts. In paediatrics, it supports newborn screening and diagnosis of inherited amino acid disorders such as phenylketonuria (PKU) and maple syrup urine disease. In adult medicine, it aids assessment of hepatic function, renal disease, and nutritional status in malabsorption syndromes.

Key applications
Newborn screening for inherited metabolic disorders
Nutritional assessment in restrictive or specialised diets
Sports performance and recovery optimisation
Hepatic and renal function assessment
Monitoring of parenteral and enteral nutrition
Catabolic state evaluation in critical illness

Analytical technique

The test is performed using isotope-dilution high-performance liquid chromatography coupled with tandem mass spectrometry (LC-MS/MS). This approach provides simultaneous quantification of all 26 amino acids with high specificity, sensitivity, and reproducibility. Isotopically labelled internal standards ensure accurate quantification across the full dynamic range.

Sample information

This method can be performed on three sample types: dried blood spot (DBS), serum, or plasma, providing flexibility for clinical, research, and remote collection scenarios.

Literature

  1. Blau N, et al. “Physician's Guide to the Diagnosis, Treatment, and Follow-Up of Inherited Metabolic Diseases.” Springer, 2014.
  2. Wu G. “Amino acids: metabolism, functions, and nutrition.” Amino Acids, 2009, 37(1):1-17. 10.1007/s00726-009-0269-0
  3. Shimbo K, et al. “Automated precolumn derivatization system for analyzing physiological amino acids by liquid chromatography/mass spectrometry.” Biomedical Chromatography, 2010, 24(7):683-691. 10.1002/bmc.1346

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