Abstract In this research project two topics were studied, initiated with the effect of post-column mixed organic solvents on the ionization of several LC-(ESI)MS/MS methods. A well known effect in LC-MS/MS methods is ion suppression, which leads to a decreased sensitivity. This is for instance caused by co-eluting less volatile compounds with the analyte. However, post-column mixed organic solvents prior to the electrospray ionization- (ESI) interface, could possibly increase the ionization efficiency. In order to examine effects for the positive and negative ionization mode, the VUmc metabolic laboratory LC-MS/MS methods for S-adenosylmethionine (SAM) and Sadenosylhomocysteine (SAH), D- and L-2-hydroxyglutarate (D- and L-2-HG), sialic acid (SA) and homocysteine - methionine were selected for the post-column experiments. For every method a selection was made from the following organic solvents: 1- and 2propanol, methanol, acetone, acetonitrile, tetrahydrofurane, ethanol and 2 mM acetyl acetone in 50% methanol. After post-column mixing at different flow rates of these solvents during measurements, peak areas were obtained, and for enhanced signals the signal to noise (S/N) ratios were calculated. Maximal enhancement of the signals was obtained during post-column mixing of 2-propanol for SAH. However, the S/N ratios did not show a similar elevation progress, indicating an increased noise level by post-column mixed 2-propanol. No general effects on ionization were observed for the examined LCMS/MS methods during post-column mixing organic solvents. Furthermore, no clear differences were obtained between positive and negative ionization. The second part of this research project focused on the LC-MS/MS measurement of mitochondrial beta-oxidation acyl-coenzyme A (acyl-CoA) intermediates, extracted from cultured fibroblasts. Fatty acids are stepwise degraded into acetyl-coA units by the mitochondrial beta-oxidation, in which process energy is obtained. The mitochondrial beta-oxidation pathway consists of various enzymatic conversions. An impaired enzyme of this pathway causes a beta-oxidation disorder, leading to accumulated intracellular acyl-CoAs of a certain carbon chain length, and elevated extracellular acylcarnitine analogue levels. Former studies of beta-oxidation in cultured fibroblasts have often determined acylcarnitine levels in the culturing medium. By the measurement of intra cellular acyl-CoAs and acylcarnitines in culturing medium of the same fibroblasts, differences could be shown between these methods. During this project, fibroblasts were cultured in the presence of palmitate or Lpalmitoylcarnitine. Furthermore, a LC-MS/MS method was developed which separates short (C2) from long chain (maximum C16) acyl-CoAs. Acyl-CoAs were measured in lysates from harvested cultured fibroblasts. Additionally, acylcarnitines were determined in culturing medium with the LC-MS/MS method of the VUmc metabolic laboratory. In experiments with L-palmitoylcarnitine clear signals originating from beta-oxidation acylCoA intermediates were measured. Additionally, a cultured medium-chain acyl-CoA dehydrogenase (MCAD) deficient fibroblast cell line was tested showing a difference in the pattern compared with control samples. In measurements of acyl-CoAs in cell lysates however, not all intermediates were observed and signals were often low. Obtained acylCoAs in the comparison of control- and MCAD deficient fibroblasts showed very low signals and no difference between the cell lines. This is possible caused by residual enzyme activity in obtained cell lysates. Therefore, the measurement of acylcarnitines in culturing medium, compared with acyl-CoAs in cultured fibroblast lysates, is at this moment a better method to determine beta-oxidation flux. This is possible caused by degradation of acyl-CoAs through residual enzyme activity in obtained cell lysates. The measurement of acylcarnitines in culturing medium, compared to acyl-CoAs in cultured fibroblast lysates, is therefore currently a better method to determine beta-oxidation flux.