Supra-Regional Assay Service
Centres for Analysis and Clinical Interpretation
Centres

Centres / Genetic Enzymes / London / Guy's

Purine Research Laboratory
This laboratory forms part of the Metabolic Diseases Group at Guy's Hospital.
Contact: Dr Lynette Fairbanks
Tel: 020 7188 1266
Fax: 020 7188 1280
Email: purines@umds.ac.uk
Address for specimens:
Purine Research Laboratory
5th floor, Thomas Guy House
Guy's Hospital
London Bridge
London SE1 9RT

Analyses are carried out for the following disorders of purine and pyrimidine metabolism using the samples indicated:

Disorder

Sample

Adenine phosphoribosyltransferase (APRT), DHA Lithiasis

WB EDTA, U

Adenosine deaminase (ADA) deficiency

WB EDTA, S, F, U, CVS

Adenosine deaminase (ADA) (tuberculosis marker)

AF, PF, CF, S

Adenylate deaminase (muscle AMP deaminase)

WB EDTA

Adenylosuccinase deficiency 

WB EDTA, U

CDP-choline phosphotransferase deficiency

WB EDTA

Dihydropyrimidine dehydrogenase (DPD) deficiency 

WB EDTA, S, F, U

Dihydropyrimidinase deficiency (DPA) 

WB EDTA, U

Familial juvenile gout 

WB EDTA, U

Hereditary orotic aciduria (UMP synthase deficiency) 

WB EDTA, U

Hereditary xanthinuria

WB EDTA, U

Hypoxanthine guanine phosphoribosyltransferase deficiency (HPRT)
(Lesch-Nyhan, partial)

WB EDTA, S, F, U, CVS

ITP pyrophosphohydrolase deficiency 

WB EDTA

Methylthioadenosine phosphorylase deficiency 

WB EDTA

Phosphoribosylpyrophosphate synthetase (PRPPS) superactivity 

WB EDTA, U

Purine nucleoside phosphorylase (PNP) deficiency 

WB EDTA, U

Pyrimidine 5' nucleotidase deficiency (UMP hydrolase 1) 

WB EDTA

S-adenosyl-homocysteine hydrolase (SAH) deficiency 

WB EDTA

Thiopurine methyl transferase (TPMT) deficiency 

WB EDTA

Xanthine dehydrogenase deficiency, 

U

Xanthine oxidase with sulphite oxidase deficiency (molybdenum cofactor) 

U

WB = whole blood; S = serum; F = fibroblasts; U = urine; CVS = chorionic villus (pre-natal);
AF = ascitic fluid; PF = pleural fluid; CF = pericardial fluid; L = liver