UPLC–MS/MS method was developed for relative quantification of various Gb3 isoforms.
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Patients showed high methylated/non-methylated Gb3 isoform concentrations versus controls.
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Methylated Gb3 isoforms were generally absent or in trace amounts in control urine samples.
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Biomarker correlations were evaluated with age, gender and ERT treatment of patients.
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Patients with p.N215S mutation excreted abnormal concentrations of methylated Gb3 isoforms.
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