Graham Sinclair

PhD, FCCMG

Investigator, BC Children's Hospital
Biochemical Geneticist, BC Newborn Screening Laboratory, BC Women's Hospital & Health Centre

Newborn screening is designed to identify infants with treatable rare disorders at birth in order to start therapies before the infants get sick. These disorders can lead to developmental disability, growth failure, liver disease, seizures, and even death if untreated. The investigation of potential new candidate disorders for screening, evaluation of new screening tests or improvement of existing methods, and the measurement of the long-term effectiveness of screening to improve health are all active aspects of my research.

We have a focus on disorders affecting the use of fats as an energy source and a variant of one of these disorders that is common to coastal BC First Nations. This variant is associated with an increased risk of infant death, but may also have benefits related to traditional diets.. Investigation of this variant will lead to a better understanding of its clinical impact and help to identify effective interventions.

Academic Affiliations

  • Clinical Professor, , Department of Pathology and Laboratory Medicine, Faculty of Medicine, University of British Columbia
  • Research Theme: Childhood Diseases
  • Research Group(s): Rare Diseases

Contact Information

Location

4500 Oak St, Vancouver, BC, Canada, V6H 3N1

Improved Performance of Newborn Screening for Congenital Adrenal Hyperplasia Using 21-deoxycortisol Measurement

JOURNAL OF THE ENDOCRINE SOCIETY

DOI: 10.1210/JENDSO/BVAF157

Biallelic variants in BBOX1 cause L-Carnitine deficiency and elevated -butyrobetaine

NPJ GENOMIC MEDICINE

DOI: 10.1038/S41525-025-00523-2

Interference of ketone bodies on laboratory creatinine measurement in children with DKA: a call for change in testing practices

PEDIATRIC NEPHROLOGY

DOI: 10.1007/S00467-021-05324-0

Performance of Immunoglobulin G Serology on Finger Prick Capillary Dried Blood Spot Samples to Detect a SARS-CoV-2 Antibody Response (vol 10, e01405-21, 2022)

MICROBIOLOGY SPECTRUM

DOI: 10.1128/SPECTRUM.03376-22

Performance of Immunoglobulin G Serology on Finger Prick Capillary Dried Blood Spot Samples to Detect a SARS-CoV-2 Antibody Response

MICROBIOLOGY SPECTRUM

DOI: 10.1128/SPECTRUM.01405-21

A simple method modification to increase separation of 2-and 3-hydroxy-glutaric acid by GC-MS for clinical urine organic acids analysis

CLINICAL BIOCHEMISTRY

DOI: 10.1016/J.CLINBIOCHEM.2022.04.016

Diagnostic yield from routine metabolic screening tests in evaluation of global developmental delay and intellectual disability

Paediatrics & Child Health

Hilary Vallance and Graham Sinclair and Bojana Rakic and Sylvia Stockler-Ipsiroglu

DOI: 10.1093/pch/pxaa112

09 / 2021

Maternal vitamin B12 status in early pregnancy and its association with birth outcomes in Canadian mother-newborn Dyads

BRITISH JOURNAL OF NUTRITION

DOI: 10.1017/S0007114521000581

Analysis of 2-methylcitric acid, methylmalonic acid, and total homocysteine in dried blood spots by LC-MS/MS for application in the newborn screening laboratory: A dual derivatization approach

JOURNAL OF MASS SPECTROMETRY AND ADVANCES IN THE CLINICAL LAB

DOI: 10.1016/J.JMSACL.2021.03.001

Investigating oxythiamine levels in children undergoing kidney transplantation and the risk of immediate post-operative metabolic and hemodynamic decompensation.

Pediatric nephrology (Berlin, Germany)

Golan O and Dyer R and Sinclair G and Blydt-Hansen T

DOI: 10.1007/s00467-020-04797-9 PubMed: 33067673

10 / 2020

Performance of a Three-Tier (IRT-DNA-IRT) Cystic Fibrosis Screening Algorithm in British Columbia

International Journal of Neonatal Screening

DOI: 10.3390/ijns6020046

06 / 2020

SETD1B-associated neurodevelopmental disorder.

Journal of medical genetics

Alexandra Roston and Evans D and Gill H and McKinnon M and Isidor B and Benjamin Cogn and Mwenifumbo J and van Karnebeek C and An J and Steven Jones and Farrer M and Demos M and Mary B. Connolly and William Gibson and CAUSES Study and EPGEN Study

DOI: 10.1136/jmedgenet-2019-106756 PubMed: 32546566

06 / 2020

A Visit with Dr. Louis Woolf, Recognizing His 100th Birthday and His Contributions to the Diagnosis and Treatment of Phenylketonuria

International Journal of Neonatal Screening

DOI: 10.3390/ijns6020045

05 / 2020

Vitamin B-12 Biomarkers Reviewed: Holotranscobalamin Allows Identification of Vitamin B12 Deficiency in Children with Short-Bowel Syndrome

Current developments in nutrition

St-Cyr C and Lamers Y and Casey L and Saunders M and Sinclair G and Mattman A

05 / 2020

Clinical Impact and Cost Efficacy of Newborn Screening for Congenital Adrenal Hyperplasia

The Journal of Pediatrics

Danya A. Fox and Rebecca Ronsley and Asif R. Khowaja and Alon Haim and Hilary Vallance and Graham Sinclair and Shazhan Amed

DOI: 10.1016/j.jpeds.2019.12.057

05 / 2020

Acute Shoshin beriberi syndrome immediately post"kidney transplant with rapid recovery after thiamine administration

Pediatric Transplantation

Elias, I.M. and Sinclair, G. and Blydt-Hansen, T.D.

DOI: 10.1111/petr.13493

Serum Betaine and Dimethylglycine Are Higher in South Asian Compared with European Pregnant Women in Canada, with Betaine and Total Homocysteine Inversely Associated in Early and Midpregnancy, Independent of Ethnicity

Journal of Nutrition

Mujica-Coopman, M.F. and Tan, A. and Schroder, T.H. and Sinclair, G. and Vallance, H.D. and Lamers, Y.

DOI: 10.1093/jn/nxz178

Atypical cerebral palsy: genomics analysis enables precision medicine

Genetics in Medicine

Matthews, A.M. and Blydt-Hansen, I. and Al-Jabri, B. and Andersen, J. and Tarailo-Graovac, M. and Price, M. and Selby, K. and Demos, M. and Connolly, M. and Drgemoller, B. and Shyr, C. and Mwenifumbo, J. and Elliott, A.M. and Lee, J. and Ghani, A. and Stckler, S. and Salvarinova, R. and Vallance, H. and Sinclair, G. and Ross, C.J. and Wasserman, W.W. and McKinnon, M.L. and Horvath, G.A. and Goez, H. and van Karnebeek, C.D.

DOI: 10.1038/s41436-018-0376-y

The p.P479L variant in CPT1A is associated with infectious disease in a BC First Nation

Paediatrics and Child Health (Canada)

Sinclair, G. and Collins, S. and Arbour, L. and Vallance, H.

DOI: 10.1093/pch/pxy106

Reference intervals for serum total vitamin B12 and holotranscobalamin concentrations and their change points with methylmalonic acid concentration to assess vitamin B12 status during early and mid-pregnancy

Clinical Chemistry and Laboratory Medicine

Schroder, T.H. and Tan, A. and Mattman, A. and Sinclair, G. and Barr, S.I. and Vallance, H.D. and Lamers, Y.

DOI: 10.1515/cclm-2018-1337

A case of the acute shoshin beriberi syndrome in a pediatric post-transplant patient with rapid recovery after thiamine administration

PEDIATRIC TRANSPLANTATION

Pyruvate Carboxylase Deficiency Type C: A Rare Cause of Acute Transient Flaccid Paralysis with Ketoacidosis

Neuropediatrics

Almomen, M. and Sinclair, G. and Stockler-Ipsiroglu, S.G. and Horvath, G.A.

DOI: 10.1055/s-0038-1667171

Optic atrophy, cataracts, lipodystrophy/lipoatrophy, and peripheral neuropathy caused by a de novo OPA3 mutation.

Cold Spring Harbor molecular case studies

Bourne SC and Townsend KN and Shyr C and Matthews A and Lear SA and Attariwala R and Lehman A and Wasserman WW and van Karnebeek C and Sinclair G and Vallance H and Gibson WT

DOI: 10.1101/mcs.a001156 PubMed: 28050599

01 / 2017

A girl with developmental delay, ataxia, cranial nerve palsies, severe respiratory problems in infancy"Expanding NDST1 syndrome

American Journal of Medical Genetics, Part A

Armstrong, L. and Tarailo-Graovac, M. and Sinclair, G. and Seath, K.I. and Wasserman, W.W. and Ross, C.J. and van Karnebeek, C.D.M.

DOI: 10.1002/ajmg.a.37621

Pregnant women of South Asian ethnicity in Canada have substantially lower vitamin B12 status compared with pregnant women of European ethnicity

British Journal of Nutrition

Schroder, T.H. and Sinclair, G. and Mattman, A. and Jung, B. and Barr, S.I. and Vallance, H.D. and Lamers, Y.

DOI: 10.1017/S0007114517002331

Loss-of-Function and Gain-of-Function Mutations in KCNQ5 Cause Intellectual Disability or Epileptic Encephalopathy

American Journal of Human Genetics

Lehman, A. and Thouta, S. and Mancini, G.M.S. and Naidu, S. and van Slegtenhorst, M. and McWalter, K. and Person, R. and Mwenifumbo, J. and Salvarinova, R. and Adam, S. and du Souich, C. and Elliott, A.M. and Nelson, T.N. and van Karnebeek, C. and Friedman, J.M. and Boelman, C. and Bolbocean, C. and Buerki, S.E. and Candido, T. and Eydoux, P. and Evans, D.M. and Gibson, W. and Horvath, G. and Huh, L. and Sinclair, G. and Tarling, T. and Toyota, E.B. and Townsend, K.N. and Van Allen, M.I. and Vercauteren, S. and Guella, I. and McKenzie, M.B. and Datta, A. and Connolly, M.B. and Kalkhoran, S.M. and Poburko, D. and Farrer, M.J. and Demos, M. and Desai, S. and Claydon, T.

DOI: 10.1016/j.ajhg.2017.05.016

De Novo Mutations in YWHAG Cause Early-Onset Epilepsy

American Journal of Human Genetics

Guella, I. and McKenzie, M.B. and Evans, D.M. and Buerki, S.E. and Toyota, E.B. and Van Allen, M.I. and Adam, S. and Boelman, C. and Bolbocean, C. and Candido, T. and Eydoux, P. and Horvath, G. and Huh, L. and Nelson, T.N. and Sinclair, G. and van Karnebeek, C. and Vercauteren, S. and Suri, M. and Elmslie, F. and Simon, M.E.H. and van Gassen, K.L.I. and Hron, D. and Keren, B. and Nava, C. and Connolly, M.B. and Demos, M. and Farrer, M.J.

DOI: 10.1016/j.ajhg.2017.07.004

Integrated Multianalyte Second-Tier Testing for Newborn Screening for MSUD, IVA, and GAMT Deficiencies

Journal of Inborn Errors of Metabolism and Screening

DOI: 10.1177/2326409816666296

07 / 2016

A three-tier algorithm for guanidinoacetate methyltransferase (GAMT) deficiency newborn screening

Molecular Genetics and Metabolism

Sinclair, G.B. and van Karnebeek, C.D.M. and Ester, M. and Boyd, F. and Nelson, T. and Stockler-Ipsiroglu, S. and Vallance, H.

DOI: 10.1016/j.ymgme.2016.05.002

Controversies in newborn screening and alternative approaches to prevention of hypoglycaemia for the common Arctic variant (P479L) in CPT1A

INTERNATIONAL JOURNAL OF CIRCUMPOLAR HEALTH

Controversies in newborn screening and alternative approaches to prevention of hypoglycemia for the common Arctic variant (P479L) in CPT1A

INTERNATIONAL JOURNAL OF CIRCUMPOLAR HEALTH

Reference interval of methylmalonic acid concentrations in dried blood spots of healthy, term newborns to facilitate neonatal screening of vitamin B12 deficiency

Clinical Biochemistry

Schroder, T.H. and Mattman, A. and Sinclair, G. and Vallance, H.D. and Lamers, Y.

DOI: 10.1016/j.clinbiochem.2016.03.007

Exome sequencing and the management of neurometabolic disorders

New England Journal of Medicine

Tarailo-Graovac, M. and Shyr, C. and Ross, C.J. and Horvath, G.A. and Salvarinova, R. and Ye, X.C. and Zhang, L.-H. and Bhavsar, A.P. and Lee, J.J.Y. and Drgemller, B.I. and Abdelsayed, M. and Alfadhel, M. and Armstrong, L. and Baumgartner, M.R. and Burda, P. and Connolly, M.B. and Cameron, J. and Demos, M. and Dewan, T. and Dionne, J. and Evans, A.M. and Friedman, J.M. and Garber, I. and Lewis, S. and Ling, J. and Mandal, R. and Mattman, A. and McKinnon, M. and Michoulas, A. and Metzger, D. and Ogunbayo, O.A. and Rakic, B. and Rozmus, J. and Ruben, P. and Sayson, B. and Santra, S. and Schultz, K.R. and Selby, K. and Shekel, P. and Sirrs, S. and Skrypnyk, C. and Superti-Furga, A. and Turvey, S.E. and Van Allen, M.I. and Wishart, D. and Wu, J. and Wu, J. and Zafeiriou, D. and Kluijtmans, L. and Wevers, R.A. and Eydoux, P. and Lehman, A.M. and Vallance, H. and Stockler-Ipsiroglu, S. and Sinclair, G. and Wasserman, W.W. and Van Karnebeek, C.D.

DOI: 10.1056/NEJMoa1515792

Health economic evaluation of plasma oxysterol screening in the diagnosis of Niemann-Pick Type C disease among intellectually disabled using discrete event simulation

Molecular Genetics and Metabolism

van Karnebeek, C.D.M. and Mohammadi, T. and Tsao, N. and Sinclair, G. and Sirrs, S. and Stockler, S. and Marra, C.

DOI: 10.1016/j.ymgme.2014.07.004

The genotypic and phenotypic spectrum of PIGA deficiency

Orphanet Journal of Rare Diseases

Tarailo-Graovac, M. and Sinclair, G. and Stockler-Ipsiroglu, S. and Van Allen, M. and Rozmus, J. and Shyr, C. and Biancheri, R. and Oh, T. and Sayson, B. and Lafek, M. and Ross, C.J. and Robinson, W.P. and Wasserman, W.W. and Rossi, A. and Van Karnebeek, C.D.M.

DOI: 10.1186/s13023-015-0243-8

Defects in fatty acid amide hydrolase 2 in a male with neurologic and psychiatric symptoms

Orphanet Journal of Rare Diseases

Sirrs, S. and Van Karnebeek, C.D.M. and Peng, X. and Shyr, C. and Tarailo-Graovac, M. and Mandal, R. and Testa, D. and Dubin, D. and Carbonetti, G. and Glynn, S.E. and Sayson, B. and Robinson, W.P. and Han, B. and Wishart, D. and Ross, C.J. and Wasserman, W.W. and Hurwitz, T.A. and Sinclair, G. and Kaczocha, M.

DOI: 10.1186/s13023-015-0248-3

Six years follow up of a MU patient post treatment for lymphoma

MOLECULAR GENETICS AND METABOLISM

Defects in fatty acid amid hydrolase 2 associated with developmental and psychiatric disorders

MOLECULAR GENETICS AND METABOLISM

Is it time to consider LC-MS/MS measurement of mucopolysaccharides as the first line screening test for Sanfilippo disease?

CLINICAL BIOCHEMISTRY

DOI: 10.1016/J.CLINBIOCHEM.2014.07.051

AIMP1 deficiency presents as a cortical neurodegenerative disease with infantile onset

Neurogenetics

Armstrong, L. and Biancheri, R. and Shyr, C. and Rossi, A. and Sinclair, G. and Ross, C.J. and Tarailo-Graovac, M. and Wasserman, W.W. and Van Karnebeek, C.D.M.

DOI: 10.1007/s10048-014-0411-3

Rapid second-tier testing for newborn screening and therapeutic monitoring of maple syrup urine disease

CLINICAL BIOCHEMISTRY

DOI: 10.1016/J.CLINBIOCHEM.2014.07.075

Methylmalonic aciduria: A common incidental finding in infants undergoing metabolic investigation

CLINICAL BIOCHEMISTRY

DOI: 10.1016/J.CLINBIOCHEM.2014.07.063

Mitochondrial carbonic anhydrase VA deficiency resulting from CA5A alterations presents with hyperammonemia in early childhood

American Journal of Human Genetics

Van Karnebeek, C.D. and Sly, W.S. and Ross, C.J. and Salvarinova, R. and Yaplito-Lee, J. and Santra, S. and Shyr, C. and Horvath, G.A. and Eydoux, P. and Lehman, A.M. and Bernard, V. and Newlove, T. and Ukpeh, H. and Chakrapani, A. and Preece, M.A. and Ball, S. and Pitt, J. and Vallance, H.D. and Coulter-Mackie, M. and Nguyen, H. and Zhang, L.-H. and Bhavsar, A.P. and Sinclair, G. and Waheed, A. and Wasserman, W.W. and Stockler-Ipsiroglu, S.

DOI: 10.1016/j.ajhg.2014.01.006

Performance of serum and dried blood spot acylcarnitine profiles for detection of fatty acid -oxidation disorders in adult patients with rhabdomyolysis

Journal of Inherited Metabolic Disease

Al-Thihli, K. and Sinclair, G. and Sirrs, S. and Mezei, M. and Nelson, J. and Vallance, H.

DOI: 10.1007/s10545-012-9578-7

Detection of a novel intragenic rearrangement in the creatine transporter gene by next generation sequencing

Molecular Genetics and Metabolism

Yu, H. and van Karnebeek, C. and Sinclair, G. and Hill, A. and Cui, H. and Zhang, V.W. and Wong, L.-J.

DOI: 10.1016/j.ymgme.2013.09.018

Acylcarnitine profile in thyroid disease

Clinical Biochemistry

Wong, S. and Hannah-Shmouni, F. and Sinclair, G. and Sirrs, S. and Dahl, M. and Mattman, A.

DOI: 10.1016/j.clinbiochem.2012.10.006

Carrier frequency of gamt deficiency: First steps to newborn screening for a treatable neurometabolic disease

MOLECULAR GENETICS AND METABOLISM

Peripheral vasomotor instability in a woman with primary co-enzyme Q10 deficiency from mutations in CABC1

MOLECULAR GENETICS AND METABOLISM

Carnitine palmitoyltransferase I and sudden unexpected infant death in British Columbia First Nations

Pediatrics

Sinclair, G.B. and Collins, S. and Popescu, O. and McFadden Md, D. and Arbour, L. and Vallance, H.D.

DOI: 10.1542/peds.2011-2924

Enhanced interpretation of newborn screening results without analyte cutoff values

Genetics in Medicine

Marquardt, G. and Currier, R. and McHugh, D.M.S. and Gavrilov, D. and Magera, M.J. and Matern, D. and Oglesbee, D. and Raymond, K. and Rinaldo, P. and Smith, E.H. and Tortorelli, S. and Turgeon, C.T. and Lorey, F. and Wilcken, B. and Wiley, V. and Greed, L.C. and Lewis, B. and Boemer, F. and Schoos, R. and Marie, S. and Vincent, M.-F. and Sica, Y.C. and Domingos, M.T. and Al-Thihli, K. and Sinclair, G. and Al-Dirbashi, O.Y. and Chakraborty, P. and Dymerski, M. and Porter, C. and Manning, A. and Seashore, M.R. and Quesada, J. and Reuben, A. and Chrastina, P. and Hornik, P. and Atef Mandour, I. and Atty Sharaf, S.A. and Bodamer, O. and Dy, B. and Torres, J. and Zori, R. and Cheillan, D. and Vianey-Saban, C. and Ludvigson, D. and Stembridge, A. and Bonham, J. and Downing, M. and Dotsikas, Y. and Loukas, Y.L. and Papakonstantinou, V. and Zacharioudakis, G.S.A. and Barth, K. and Karg, E. and Franzson, L. and Jonsson, J.J. and Breen, N.N. and Lesko, B.G. and Berberich, S.L. and Turner, K. and Ruoppolo, M. and Scolamiero, E. and Antonozzi, I. and Carducci, C. and Caruso, U. and Cassanello, M. and La Marca, G. and Pasquini, E. and Di Gangi, I.M. and Giordano, G. and Camilot, M. and Teofoli, F. and Manos, S.M. and Peterson, C.K. and Mayfield Gibson, S.K. and Sevier, D.W. and Lee, S.-Y. and Park, H.-D. and Khneisser, I. and Browning, P. and Gulamali-Majid, F. and Watson, M.S. and Eaton, R.B. and Sahai, I. and Ruiz, C. and Torres, R. and Seeterlin, M.A. and Stanley, E.L. and Hietala, A. and McCann, M. and Campbell, C. and Hopkins, P.V. and De Sain-Van Der Velden, M.G. and Elvers, B. and Morrissey, M.A. and Sunny, S. and Knoll, D. and Webster, D. and Frazier, D.M. and McClure, J.D. and Sesser, D.E. and Willis, S.A. and Rocha, H. and Vilarinho, L. and John, C. and Lim, J. and Caldwell, S.G. and Tomashitis, K. and Cast?eiras Ramos, D.E. and Cocho De Juan, J.A. and Rueda Fernndez, I. and Yahyaoui Mac?as, R. and Egea-Mellado, J.M. and Gonzlez-Gallego, I. and Delgado Pecellin, C. and Garca-Valdecasas Bermejo, M.S. and Chien, Y.-H. and Hwu, W.-L. and Childs, T. and McKeever, C.D. and Tanyalcin, T. and Abdulrahman, M. and Queijo, C. and Lemes, A. and Davis, T. and Hoffman, W. and Mei, B. and Hoffman, G.L.

DOI: 10.1038/gim.2012.2

Guanidinoacetate methyltransferase deficiency: First steps to newborn screening for a treatable neurometabolic disease

Molecular Genetics and Metabolism

Mercimek-Mahmutoglu, S. and Sinclair, G. and van Dooren, S.J.M. and Kanhai, W. and Ashcraft, P. and Michel, O.J. and Nelson, J. and Betsalel, O.T. and Sweetman, L. and Jakobs, C. and Salomons, G.S.

DOI: 10.1016/j.ymgme.2012.07.022

The use of parenteral nutrition for the management of PKU patient undergoing chemotherapy for lymphoma: A case report

Molecular Genetics and Metabolism

Salvarinova-Zivkovic, R. and Hartnett, C. and Sinclair, G. and Dix, D. and Horvath, G. and Lillquist, Y. and Stockler-Ipsiroglu, S.

DOI: 10.1016/j.ymgme.2012.01.007

Lysine restricted diet for pyridoxine-dependent epilepsy: First evidence and future trials

Molecular Genetics and Metabolism

van Karnebeek, C.D.M. and Hartmann, H. and Jaggumantri, S. and Bok, L.A. and Cheng, B. and Connolly, M. and Coughlin, C.R. and Das, A.M. and Gospe, S.M. and Jakobs, C. and van der Lee, J.H. and Mercimek-Mahmutoglu, S. and Meyer, U. and Struys, E. and Sinclair, G. and Van Hove, J. and Collet, J.-P. and Plecko, B.R. and Stockler, S.

DOI: 10.1016/j.ymgme.2012.09.006

Evaluation of two year treatment outcome and limited impact of arginine restriction in a patient with GAMT deficiency

Molecular Genetics and Metabolism

Mercimek-Mahmutoglu, S. and Dunbar, M. and Friesen, A. and Garret, S. and Hartnett, C. and Huh, L. and Sinclair, G. and Stockler, S. and Wellington, S. and Pouwels, P.J.W. and Salomons, G.S. and Jakobs, C.

DOI: 10.1016/j.ymgme.2011.09.037

Diagnosis and management of patients with mitochondrial disease

British Columbia Medical Journal

Mattman, A. and O'Riley, M. and Waters, P.J. and Sinclair, G. and Mezei, M.M. and Clark, L. and Hendson, G. and Vallance, H. and Sirrs, S.

PARENTERAL NUTRITION IN MANAGEMENT OF PKU PATIENT DURING CHEMOTHERAPY FOR LYMPHOMA

JOURNAL OF INHERITED METABOLIC DISEASE

Protective effects of d-3-hydroxybutyrate and propionate during hypoglycemic coma: Clinical and biochemical insights from infant rats

Molecular Genetics and Metabolism

Schutz, P.W. and Struys, E.A. and Sinclair, G. and Stockler, S.

DOI: 10.1016/j.ymgme.2011.02.015

Clinical validation of cutoff target ranges in newborn screening of metabolic disorders by tandem mass spectrometry: A worldwide collaborative project

Genetics in Medicine

McHugh, D.M.S. and Cameron, C.A. and Abdenur, J.E. and Abdulrahman, M. and Adair, O. and Al Nuaimi, S.A. and ?hlman, H. and Allen, J.J. and Antonozzi, I. and Archer, S. and Au, S. and Auray-Blais, C. and Baker, M. and Bamforth, F. and Beckmann, K. and Pino, G.B. and Berberich, S.L. and Binard, R. and Boemer, F. and Bonham, J. and Breen, N.N. and Bryant, S.C. and Caggana, M. and Caldwell, S.G. and Camilot, M. and Campbell, C. and Carducci, C. and Cariappa, R. and Carlisle, C. and Caruso, U. and Cassanello, M. and Castilla, A.M. and Ramos, D.E.C. and Chakraborty, P. and Chandrasekar, R. and Ramos, A.C. and Cheillan, D. and Chien, Y.-H. and Childs, T.A. and Chrastina, P. and Sica, Y.C. and Cocho De Juan, J.A. and Colandre, M.E. and Espinoza, V.C. and Corso, G. and Currier, R. and Cyr, D. and Czuczy, N. and D'Apolito, O. and Davis, T. and De Sain-Van Der Velden, M.G. and Pecellin, C.D. and Di Gangi, I.M. and Di Stefano, C.M. and Dotsikas, Y. and Downing, M. and Downs, S.M. and Dy, B. and Dymerski, M. and Rueda, I. and Elvers, B. and Eaton, R. and Eckerd, B.M. and El Mougy, F. and Eroh, S. and Espada, M. and Evans, C. and Fawbush, S. and Fijolek, K.F. and Fisher, L. and Franzson, L. and Frazier, D.M. and Garcia, L.R.C. and Bermejo, M.S.G.-V. and Gavrilov, D. and Gerace, R. and Giordano, G. and Irazabal, Y.G. and Greed, L.C. and Grier, R. and Grycki, E. and Gu, X. and Gulamali-Majid, F. and Hagar, A.F. and Han, L. and Hannon, W.H. and Haslip, C. and Hassan, F.A. and He, M. and Hietala, A. and Himstedt, L. and Hoffman, G.L. and Hoffman, W. and Hoggatt, P. and Hopkins, P.V. and Hougaard, D.M. and Hughes, K. and Hunt, P.R. and Hwu, W.-L. and Hynes, J. and Ibarra-Gonzlez, I. and Ingham, C.A. and Ivanova, M. and Jacox, W.B. and John, C. and Johnson, J.P. and Jnsson, J.J. and Karg, E. and Kasper, D. and Klopper, B. and Katakouzinos, D. and Khneisser, I. and Knoll, D. and Kobayashi, H. and Koneski, R. and Ko?ich, V. and Kouapei, R. and Kohlmueller, D. and Kremensky, I. and La Marca, G. and Lavochkin, M. and Lee, S.-Y. and Lehotay, D.C. and Lemes, A. and Lepage, J. and Lesko, B. and Lewis, B. and Lim, C. and Linard, S. and Lindner, M. and Lloyd-Puryear, M.A. and Lorey, F. and Loukas, Y.L. and Luedtke, J. and Maffitt, N. and Magee, J.F. and Manning, A. and Manos, S. and Marie, S. and Hadachi, S.M. and Marquardt, G. and Martin, S.J. and Matern, D. and Gibson, S.K.M. and Mayne, P. and McCallister, T.D. and McCann, M. and McClure, J. and McGill, J.J. and McKeever, C.D. and McNeilly, B. and Morrissey, M.A. and Moutsatsou, P. and Mulcahy, E.A. and Nikoloudis, D. and Norgaard-Pedersen, B. and Oglesbee, D. and Oltarzewski, M. and Ombrone, D. and Ojodu, J. and Papakonstantinou, V. and Reoyo, S.P. and Park, H.-D. and Pasquali, M. and Pasquini, E. and Patel, P. and Pass, K.A. and Peterson, C. and Pettersen, R.D. and Pitt, J.J. and Poh, S. and Pollak, A. and Porter, C. and Poston, P.A. and Price, R.W. and Queijo, C. and Quesada, J. and Randell, E. and Ranieri, E. and Raymond, K. and Reddic, J.E. and Reuben, A. and Ricciardi, C. and Rinaldo, P. and Rivera, J.D. and Roberts, A. and Rocha, H. and Roche, G. and Greenberg, C.R. and Mellado, J.M.E. and Juan-Fita, M.J. and Ruiz, C. and Ruoppolo, M. and Rutledge, S.L. and Ryu, E. and Saban, C. and Sahai, I. and Garca-Blanco, M.I.S. and Santiago-Borrero, P. and Schenone, A. and Schoos, R. and Schweitzer, B. and Scott, P. and Seashore, M.R. and Seeterlin, M.A. and Sesser, D.E. and Sevier, D.W. and Shone, S.M. and Sinclair, G. and Skrinska, V.A. and Stanley, E.L. and Strovel, E.T. and Jones, A.L.S. and Sunny, S. and Takats, Z. and Tanyalcin, T. and Teofoli, F. and Thompson, J.R. and Tomashitis, K. and Domingos, M.T. and Torres, J. and Torres, R. and Tortorelli, S. and Turi, S. and Turner, K. and Tzanakos, N. and Valiente, A.G. and Vallance, H. and Vela-Amieva, M. and Vilarinho, L. and Von Dbeln, U. and Vincent, M.-F. and Vorster, B.C. and Watson, M.S. and Webster, D. and Weiss, S. and Wilcken, B. and Wiley, V. and Williams, S.K. and Willis, S.A. and Woontner, M. and Wright, K. and Yahyaoui, R. and Yamaguchi, S. and Yssel, M. and Zakowicz, W.M.

DOI: 10.1097/GIM.0b013e31820d5e67

The CPT1A c.1436C>T (p.P479L) variant is common to coastal BC First Nations and is associated with an increased risk of sudden unexpected death

MOLECULAR GENETICS AND METABOLISM

Glycine cleavage enzyme complex: Molecular cloning and expression of the H-protein cDNA from cultured human skin fibroblasts

Biochemistry and Cell Biology

Zay, A. and Choy, F.Y.M. and Patrick, C. and Sinclair, G.

DOI: 10.1139/o10-156

OPTIMIZATION OF PRE-EXERCISE MEDIUM-CHAIN TRIGLYCERIDES SUPPLEMENTATION BY REAL-TIME MONITORING IN PATIENTS WITH LCHAD

JOURNAL OF INHERITED METABOLIC DISEASE

Infantile cardioencephalopathy due to a COX15 gene defect: Report and review

American Journal of Medical Genetics, Part A

Alfadhel, M. and Lillquist, Y.P. and Waters, P.J. and Sinclair, G. and Struys, E. and Mcfadden, D. and Hendson, G. and Hyams, L. and Shoffner, J. and Vallance, H.D.

DOI: 10.1002/ajmg.a.33881

Fish odour syndrome

CMAJ

Li, M. and Al-Sarraf, A. and Sinclair, G. and Frohlich, J.

DOI: 10.1503/cmaj.100642

Carnitine palmitoyltransferase 1A (CPT1A) P479L prevalence in live newborns in Yukon, Northwest Territories, and Nunavut

Molecular Genetics and Metabolism

Collins, S.A. and Sinclair, G. and McIntosh, S. and Bamforth, F. and Thompson, R. and Sobol, I. and Osborne, G. and Corriveau, A. and Santos, M. and Hanley, B. and Greenberg, C.R. and Vallance, H. and Arbour, L.

DOI: 10.1016/j.ymgme.2010.07.013

Treatment of intractable epilepsy in a female with SLC6A8 deficiency

Molecular Genetics and Metabolism

Mercimek-Mahmutoglu, S. and Connolly, M.B. and Poskitt, K.J. and Horvath, G.A. and Lowry, N. and Salomons, G.S. and Casey, B. and Sinclair, G. and Davis, C. and Jakobs, C. and Stockler-Ipsiroglu, S.

DOI: 10.1016/j.ymgme.2010.08.016

The paradox of the carnitine palmitoyltransferase type Ia P479L variant in Canadian Aboriginal populations

Molecular Genetics and Metabolism

Greenberg, C.R. and Dilling, L.A. and Thompson, G.R. and Seargeant, L.E. and Haworth, J.C. and Phillips, S. and Chan, A. and Vallance, H.D. and Waters, P.J. and Sinclair, G. and Lillquist, Y. and Wanders, R.J.A. and Olpin, S.E.

DOI: 10.1016/j.ymgme.2008.12.018

Heparin cofactor II-thrombin complex: A biomarker of MPS disease

Molecular Genetics and Metabolism

Randall, D.R. and Colobong, K.E. and Hemmelgarn, H. and Sinclair, G.B. and Hetty, E. and Thomas, A. and Bodamer, O.A. and Volkmar, B. and Fernhoff, P.M. and Casey, R. and Chan, A.K. and Mitchell, G. and Stockler, S. and Melancon, S. and Rupar, T. and Clarke, L.A.

DOI: 10.1016/j.ymgme.2008.05.001

Heparin cofactor II-thrombin complex as an MPS disease biomarker: Are the MPSs serpinopathies?

MOLECULAR GENETICS AND METABOLISM

DOI: 10.1016/J.YMGME.2007.08.009

Generation of a conditional knockout of murine glucocerebrosidase: Utility for the study of Gaucher disease

Molecular Genetics and Metabolism

Sinclair, G.B. and Jevon, G. and Colobong, K.E. and Randall, D.R. and Choy, F.Y.M. and Clarke, L.A.

DOI: 10.1016/j.ymgme.2006.09.008

Secretion of human glucocerebrosidase from stable transformed insect cells using native signal sequences

Biochemistry and Cell Biology

Sinclair, G. and Pfeifer, T.A. and Grigliatti, T.A. and Choy, F.Y.M.

DOI: 10.1139/o05-165

Heparin cofactor II-thrombin complex in MPS I: A biomarker of MPS disease

Molecular Genetics and Metabolism

Randall, D.R. and Sinclair, G.B. and Colobong, K.E. and Hetty, E. and Clarke, L.A.

DOI: 10.1016/j.ymgme.2006.01.005

Synonymous codon usage bias and the expression of human glucocerebrosidase in the methylotrophic yeast, Pichia pastoris

Protein Expression and Purification

Sinclair, G. and Choy, F.Y.M.

DOI: 10.1016/S1046-5928(02)00526-0

Heterologous expression and characterization of a rare gaucher disease mutation (c.481C > T) from a canadian aboriginal population using archival tissue samples

Molecular Genetics and Metabolism

Sinclair, G. and Choy, F.Y.M. and Ferreira, P.

DOI: 10.1006/mgme.2001.3215

A novel complex allele and two new point mutations in type 2 (acute neuronopathic) Gaucher disease

Blood Cells, Molecules, and Diseases

Sinclair, G. and Choy, F.Y.M. and Humphries, L.

DOI: 10.1006/bcmd.1998.0210

Second-Tier Testing for Newborn Screening

The performance of newborn screening programs can be defined by the positive predictive value (PPV) of the screening tests, a major component of which is the false positive rate. Traditional approaches to screening for some disorders have an unacceptable false positive rate, but attempts to minimize this rate by raising screening cutoffs can lead to increased false negative rates and the associated devastating outcomes of a missed case. We have developed a number of second-tier screening tests, sampled from the same original newborn screening bloodspot, as an approach to reduce false positive rates without negatively affecting the sensitivity of testing. Our work involves the development of a number of mass spectrometry-based testing approaches and evaluation of the performance impacts of these tests in routine use. To date, we have implemented second-tier testing for congenital adrenal hyperplasia (CAH) and Maple Syrup Urine Disease (MSUD) and have methods in development for Propionic Acidemia (PA), Methylmalonic Acidemia (MMA), and Homocystinuria (HCY).

GAMT Deficiency Screening

Guanidinoacetate methyltransferase (GAMT) deficiency is an inherited disorder of creatine biosynthesis that leads to severe neurological complications in affected children. Treatment with supplemental creatine and other dietary restrictions has been shown to be effective when initiated early. This makes GAMT deficiency a potential candidate for newborn screening. We are investigating the carrier frequency for GAMT deficiency in BC to determine a theoretical disease incidence and evaluating the measurement of guanidinoacetate (GAA) in bloodspots as a potential approach to population-wide newborn screening for this treatable disorder.

CPT1a P479L Variant

The carnitine palmitoyltransferase 1A (CPT1a) p.P479L variant has recently been found to be common in coastal First Nations communities in BC and also in aboriginal populations in Alaska, NWT, Nunavut, and Greenland. CPT1a is a central enzyme in fatty acid oxidation and is required for import of fatty acids into the mitochondrion to be utilized as an energy source. This variant (p.P479L) was first identified in individuals with symptoms suggestive of a fatty acid oxidation disorder and has been shown to decrease CPT1a activity in vitro. We have performed a population based retrospective study in BC to confirm that the variant is common to coastal communities and is associated with a small increased risk in sudden unexpected death in infancy. Similar results have been found in Nunavut and Alaska. There is evidence, however, that this variant is also associated with improved plasma lipid profiles and obesity markers in adults suggesting a selective advantage, possibly related to alterations in the regulation of enzyme activity. We are continuing to investigate both the potential harms and benefits of this variant through prospective studies with community participants and basic biochemical investigations using in vitro methods to better understand the biochemical and clinical implications of this common variant.

Grants

BC Children's Hospital Telethon Competition; Determination of the incidence and natural history of carnitine palmitoyltransferase I deficiency in BC First Nations; COMP; $22,000CDN; Principal Investigator

Hilary Vallance; Coinvestigators

Graham Sinclair, Laura Arbour.

BC Children's Hospital Telethon Competition

Development of methods for screening X-linked creatine transporter deficiency (X-CRTRD) in mental retardation.; COMP; $9,910 CDN; Principal Investigator

Sylvia Stockler; Coinvestigators

Hilary Vallance, Graham Sinclair.

Honours & Awards

2004 Garrod Association Biochemical Genetics Fellowship; $25,000CDN

2004 Bluma Tischler Postdoctoral Fellowship; $22,500CDN

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