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Reassessing Transketolase Assays: Methodological Considerations for Detecting Functional Thiamine Deficiency.

Katie A Edwards1,2

  • 1Department of Pharmaceutical Sciences, School of Pharmacy and Pharmaceutical Sciences, Binghamton University, Binghamton, New York, USA.

Annals of the New York Academy of Sciences
|March 23, 2026
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Thiamine (vitamin B1) deficiency is common. Measuring transketolase (TKT) activity, with or without thiamine diphosphate (TDP), offers a functional assessment of thiamine utilization and enzyme function.

Area of Science:

  • Biochemistry
  • Nutritional Science
  • Enzymology

Background:

  • Thiamine (vitamin B1) deficiency is a widespread issue in humans and animals.
  • Thiamine diphosphate (TDP) is a crucial cofactor for metabolic enzymes, notably transketolase (TKT).
  • TKT is a rate-limiting enzyme in the pentose-phosphate pathway, essential for cellular metabolism.

Purpose of the Study:

  • To review preanalytical variables, assay methodologies, and data presentation for TKT measurements.
  • To explore the utility of TKT assays beyond deficiency screening, focusing on enzyme function and cofactor dependence.
  • To provide an improved framework for interpreting TKT measurements as indicators of functional thiamine status.

Main Methods:

  • Evaluation of erythrocyte and tissue TKT activity measurements in human and nonhuman studies.
Keywords:
enzyme assayslatencypentose‐phosphate pathwaythiamine deficiencytransketolasevitamin B1

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  • Analysis of strategic variations in assay conditions (e.g., TDP concentration, magnesium presence) to assess TKT function.
  • Review of factors influencing measured TKT activity and responsiveness.
  • Main Results:

    • TKT activity assays, with or without exogenous TDP, provide a functional assessment of thiamine utilization.
    • Assay condition modifications can differentiate true thiamine deficiency from impaired enzyme utilization or altered enzyme properties.
    • Understanding biological and methodological determinants is key to accurate TKT activity interpretation.

    Conclusions:

    • TKT assays offer a valuable, functional measure of thiamine status, complementing direct thiamine quantification.
    • Strategic assay design and interpretation frameworks can enhance the diagnostic utility of TKT measurements.
    • Expanded application of TKT assays can benefit clinical, translational, and ecological studies of thiamine status.