GC×GC Detective Stories: Biomarkers, Biofuels, and Shape-Shifting Molecules
Philip Marriott, Renée Webster, and Konstantinos Kouremenos revisit three investigations in which an additional dimension of separation provided the information needed to solve three very different analytical mysteries
By
James Strachan
Frank van Geel
October 1, 2026
Clinical Scorecard: GC×GC Detective Stories: Biomarkers, Biofuels, and Shape-Shifting Molecules
At a Glance
Category Detail
Condition Inborn Errors of Metabolism (IEM)
Key Mechanisms Use of comprehensive two-dimensional gas chromatography (GC×GC) to identify biomarkers obscured in conventional separations.
Target Population Newborns undergoing metabolic screening.
Care Setting Clinical laboratories performing metabolic disorder diagnostics.
Key Highlights
GC×GC-TOFMS identified crotonylglycine as a novel urinary biomarker for HMGCS2 deficiency. Conventional one-dimensional GC-MS failed to detect crotonylglycine due to coelution with adipic acid. The urinary organic acid profile can be transient, complicating diagnosis during metabolic stability. GC-MS remains the reference technique for urinary organic acid analysis. Advances in chromatographic resolution have expanded the biomarker repertoire for diagnosing IEMs.
Guideline-Based Recommendations
Diagnosis
Use GC×GC to enhance detection of biomarkers in metabolic disorders.
Management
Monitor urinary organic acid profiles during episodes of metabolic decompensation.
Monitoring & Follow-up
Collect samples during acute presentations to avoid false negatives.
Risks
Transient urinary organic acid profiles may lead to misdiagnosis if not sampled appropriately.
Patient & Prescribing Data
Newborns screened for metabolic disorders.
Identification of specific biomarkers can guide treatment and management of IEMs.
Clinical Best Practices
Employ both GC-MS and LC-MS/MS in parallel for comprehensive metabolic analysis. Utilize advanced chromatographic techniques to resolve complex mixtures.
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