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Galactosemia is a carbohydrate metabolism disorder often caused by galactose-1-phosphate uridyl transferase (GALT) deficiency. Detecting GALT deficiency involves measuring intra-erythrocyte enzyme activity. We aimed to create a robust liquid chromatography-mass spectrometry (LC-MS/MS) method to assess GALT activity in dried blood spot (DBS) samples.

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Article Synopsis
  • Classic galactosemia is a genetic disorder caused by a deficiency in the GALT enzyme, leading to complications despite a restricted diet.
  • The study involved 77 patients, identifying 18 genetic variants, including 4 novel ones, and linking certain variants with long-term issues like intellectual disability and cataracts.
  • Findings emphasize the importance of precise genetic testing, such as Sanger sequencing, for diagnosing metabolic disorders and understanding their impact on patients over time.
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Background: Classic galactosemia (CG) is a rare hereditary disease that can cause serious morbidity and death if it is not diagnosed and treated in early periods of life. Clinical findings usually occur in the neonatal period after the neonate is fed with milk that contains galactose. Most patients are presented with jaundice, hepatomegaly, hypoglycemia and cataracts.

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High-Throughput Sequencing Reveals the Loss-of-Function Mutations in Cause Recessive Classical Galactosemia.

Front Pediatr

August 2020

Department of Newborn Screening Center, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing Maternal and Child Health Care Hospital, Beijing, China.

Classical Galactosemia (CG) is a rare autosomal recessive metabolic disease caused by mutations in the galactose-1-phosphate uridyl transferase () gene. This study aim to identify pathogenic mutations underlying classic galactosemia in two Chinese families. We collected blood samples from two Chinese families and extracted genomic DNA.

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Five years of screening for galactosaemia in South Africa: Pitfalls of using Benedict's test and thin layer chromatography to screen for galactosaemia in a developing country.

Clin Chim Acta

June 2020

Department of Chemical Pathology, Faculty of Health Sciences, University of Pretoria and National Health Laboratory Service Tshwane Academic Division, Pretoria, South Africa; Division of Chemical Pathology, University of Cape Town, South Africa. Electronic address:

Background: The objective of the study was to investigate the effectiveness of screening for hereditary galactosaemia with Benedict's test and thin layer chromatography (TLC) in a tertiary laboratory from a developing country.

Methods: We retrospectively analysed the results of tests done in suspected galactosaemia patients including Benedict's test, thin layer chromatography, GALT activity and DNA analysis.

Results: 878 paediatric patients were screened with Benedict's test; the age range was 5 days to 19 years.

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