Investigations into regulating metabolic pathways with stable isotopes
have, over the past decade, undergone major development with the use
of nuclear magnetic resonance and mass spectrometry in studying labeli
ng patterns of newly synthesized biomolecules. In this review, we conc
entrate on investigations of mass isotopomer distribution (MID) measur
ed by mass spectrometry. We review the applications of MID to analytic
al problems, in particular the possibility of amplifying the measureme
nt of low isotopic enrichments by incorporating multiple molecules or
atoms of a primary analyte into the molecule of a secondary analyte, t
he MID of which is assayed. We also review new information on the regu
lation of intermediary metabolism gathered from the analysis of MID pa
tterns of synthesized compounds. Lastly, we review the applications of
MID to the synthesis of polymeric molecules, with emphasis on the val
idity of these techniques. A number of these techniques are applicable
to investigations of nutrient metabolism in health and disease.