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Corrigendum to “Mass spectrometry for therapeutic drug monitoring of anti-tuberculosis drugs” [Clin. Mass Spectrom. 14(Part A) (2019) 34–45] “质谱法用于抗结核药物的治疗药物监测”的勘误表[临床。质谱学。14(A部分)(2019)34-45]
IF 2.2 4区 医学 Q2 MEDICAL LABORATORY TECHNOLOGY Pub Date : 2022-08-01 DOI: 10.1016/j.jmsacl.2022.08.001
Johanna Kuhlin , Marieke G.G. Sturkenboom , Samiksha Ghimire , Ioana Margineanu , Simone H.J. van den Elsen , Noviana Simbar , Onno W. Akkerman , Erwin M. Jongedijk , Remco A. Koster , Judith Bruchfeld , Daan J. Touw , Jan-Willem C. Alffenaar
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引用次数: 0
Multiplexed quantification of insulin and C-peptide by LC-MS/MS without the use of antibodies 不使用抗体的LC-MS/MS多重定量胰岛素和c肽
IF 2.2 4区 医学 Q2 MEDICAL LABORATORY TECHNOLOGY Pub Date : 2022-08-01 DOI: 10.1016/j.jmsacl.2022.06.003
North Foulon , Elisha Goonatilleke , Michael J. MacCoss , Michelle A. Emrick , Andrew N. Hoofnagle

Introduction

The measurement of insulin and C-peptide provides a valuable tool for the clinical evaluation of hypoglycemia. In research, these biomarkers are used together to better understand hyperinsulinemia, hepatic insulin clearance, and beta cell function. Liquid chromatography-tandem mass spectrometry (LC-MS/MS) is an attractive approach for the analysis of insulin and C-peptide because the platform is specific, can avoid certain limitations of immunoassays, and can be multiplexed. Previously described LC-MS/MS methods for the simultaneous quantification of insulin and C-peptide measure the intact analytes and most have relied on immunoaffinity enrichment. These approaches can be limited in terms of sensitivity and interference from auto-antibodies, respectively. We have developed a novel method that does not require antibodies and uses proteolytic digestion to yield readily ionizable proteotypic peptides that enables the sensitive, specific, and simultaneous quantitation of insulin and C-peptide.

Methods

Serum samples were precipitated with acetonitrile. Analytes were enriched using solid phase extraction and then digested with endoproteinase Glu-C. Surrogate peptides for insulin and C-peptide were analyzed using targeted LC-MS/MS.

Results

Inter-day imprecision was below 20 %CV and linearity was observed down to the lower limit of quantitation for both analytes (insulin = 0.09 ng/mL, C-peptide = 0.06 ng/mL). Comparison to a commercially available insulin immunoassay (Beckman Coulter UniCel DxI 600 Access) revealed a 30% bias between methods.

Conclusion

A novel LC-MS/MS method for the simultaneous analysis of insulin and C-peptide using Glu-C digestion was developed and evaluated. A detailed standard operating procedure is provided to help facilitate implementation in other laboratories.

胰岛素和c肽的测定为低血糖的临床评价提供了有价值的工具。在研究中,这些生物标志物被用于更好地了解高胰岛素血症、肝胰岛素清除和β细胞功能。液相色谱-串联质谱(LC-MS/MS)是胰岛素和c肽分析的一种有吸引力的方法,因为该平台具有特异性,可以避免免疫分析的某些局限性,并且可以复用。先前描述的同时定量胰岛素和c肽的LC-MS/MS方法测量的是完整的分析物,大多数依赖于免疫亲和富集。这些方法分别在敏感性和自身抗体的干扰方面受到限制。我们已经开发了一种新的方法,不需要抗体,并使用蛋白水解消化产生易于电离的蛋白型肽,使胰岛素和c肽的敏感,特异性和同时定量。方法采用乙腈沉淀法。分析物采用固相萃取富集,然后用内源性蛋白酶Glu-C消化。采用靶向LC-MS/MS分析胰岛素和c肽的替代肽。结果两种分析物(胰岛素= 0.09 ng/mL, c肽= 0.06 ng/mL)的日间不精密度均在20% CV以下,线性关系良好。与市售胰岛素免疫测定法(Beckman Coulter UniCel DxI 600 Access)的比较显示,方法之间存在30%的偏差。结论建立了葡萄糖- c消化同时分析胰岛素和c肽的LC-MS/MS方法,并对该方法进行了评价。提供了详细的标准操作程序,以帮助促进在其他实验室的实施。
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引用次数: 4
Quantitation of non-derivatized free amino acids for detecting inborn errors of metabolism by incorporating mixed-mode chromatography with tandem mass spectrometry 结合混合模式色谱-串联质谱法的非衍生化游离氨基酸定量检测先天性代谢错误
IF 2.2 4区 医学 Q2 MEDICAL LABORATORY TECHNOLOGY Pub Date : 2022-08-01 DOI: 10.1016/j.jmsacl.2022.05.002
Patrick D. DeArmond , Dustin R. Bunch

Introduction

Amino acids are critical biomarkers for many inborn errors of metabolism, but amino acid analysis is challenging due to the range of chemical properties inherent in these small molecules. Techniques are available for amino acid analysis, but they can suffer from long run times, laborious derivatization, and/or poor resolution of isobaric compounds.

Objective

To develop and validate a method for the quantitation of a non-derivatized free amino acid profile in both plasma and urine samples using mixed-mode chromatography and tandem mass spectrometry.

Methods

Chromatographic conditions were optimized to separate leucine, isoleucine, and allo-isoleucine and maintain analytical runtime at less than 15 min. Sample preparation included a quick protein precipitation followed by LC-MS/MS analysis. Matrix effects, interferences, linearity, carryover, acceptable dilution limits, precision, accuracy, and stability were evaluated in both plasma and urine specimen types.

Results

A total of 38 amino acids and related compounds were successfully quantitated with this method. In addition, argininosuccinic acid was qualitatively analyzed. A full clinical validation was performed that included method comparison to a reference laboratory for plasma and urine with Deming regression slopes ranging from 0.38 to 1.26.

Conclusion

This method represents an alternative to derivatization-based methods, especially in urine samples where interference from metabolites and medications is prevalent.

氨基酸是许多先天性代谢错误的重要生物标志物,但由于这些小分子固有的化学性质范围,氨基酸分析具有挑战性。氨基酸分析技术是可用的,但它们可能存在运行时间长、衍生化费力和/或等压化合物分辨率差的问题。目的建立并验证一种混合模式色谱-串联质谱法测定血浆和尿液中非衍生游离氨基酸谱的方法。方法优化色谱条件,分离亮氨酸、异亮氨酸和异亮氨酸,并保持分析运行时间小于15 min。样品制备包括快速蛋白沉淀,然后进行LC-MS/MS分析。在血浆和尿液标本类型中评估基质效应、干扰、线性、携带、可接受稀释限、精密度、准确度和稳定性。结果该方法成功地定量了38个氨基酸及相关化合物。并对精氨酸琥珀酸进行了定性分析。进行了全面的临床验证,包括与血浆和尿液参考实验室的方法比较,Deming回归斜率范围为0.38至1.26。结论该方法是衍生化方法的一种替代方法,特别是在尿样中,代谢物和药物的干扰是普遍存在的。
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引用次数: 3
Targeted metabolic profiling of urinary steroids with a focus on analytical accuracy and sample stability 有针对性的代谢分析尿类固醇与重点分析的准确性和样品的稳定性
IF 2.2 4区 医学 Q2 MEDICAL LABORATORY TECHNOLOGY Pub Date : 2022-08-01 DOI: 10.1016/j.jmsacl.2022.07.006
Nora Vogg , Tobias Müller , Andreas Floren , Thomas Dandekar , Oliver Scherf-Clavel , Martin Fassnacht , Matthias Kroiss , Max Kurlbaum

Introduction

Preoperative diagnostic workup of adrenal tumors is based on imaging and hormone analyses, but charged with uncertainties. Steroid profiling by liquid chromatography tandem mass spectrometry (LC-MS/MS) in 24-h urine has shown potential to discriminate benign and malignant adrenal tumors. Our aim was to develop and validate a specific and accurate LC-MS/MS method for the quantification of deconjugated urinary marker steroids, to evaluate their pre-analytical stability and to apply the method to clinical samples of patients with adrenal tumors.

Methods

A method for the quantification of 11 deconjugated steroids (5-pregnenetriol, dehydroepiandrosterone, cortisone, cortisol, α-cortolone, tetrahydro-11-deoxycortisol, etiocholanolone, pregnenolone, pregnanetriol, pregnanediol, and 5-pregnenediol) in human urine was developed and validated based on international guidelines. Steroids were enzymatically deconjugated and extracted by solid phase extraction before LC-MS/MS quantification in positive electrospray ionization mode.

Results

Excellent linearity with R2 > 0.99 and intra- and inter-day precisions of < 10.1 % were found. Relative matrix effects were between 96.4 % and 101.6 % and relative recovery was between 98.2 % and 115.0 %. Sufficient pre-freeze stability for all steroids in urine was found at 20–25 °C for seven days and at 4–6 °C for up to 28 days. Samples were stable during long-term storage at −20 °C and −80 °C for 6 months.

Conclusions

A sensitive and robust LC-MS/MS method for the quantification of 11 urinary steroids was developed and validated according to international guidelines. Pre-analytical matrix stability was evaluated and the suitability of the method for the analysis of clinical samples and prospective validation studies was shown.

肾上腺肿瘤的术前诊断是基于影像学和激素分析,但充满了不确定性。采用液相色谱串联质谱法(LC-MS/MS)对24小时尿液进行类固醇谱分析已显示出鉴别肾上腺良性和恶性肿瘤的潜力。我们的目的是开发和验证一种特异性和准确的LC-MS/MS方法,用于定量解偶联尿液标记类固醇,评估其分析前稳定性,并将该方法应用于肾上腺肿瘤患者的临床样本。方法根据国际标准,建立测定人尿中11种去缀合类固醇(5-孕烯三醇、脱氢表雄酮、可的松、皮质醇、α-cortolone、四氢-11-脱氧皮质醇、依地胆醇酮、孕烯醇酮、孕烯三醇、孕二醇和5-孕烯二醇)含量的方法。在LC-MS/MS正电喷雾模式下定量前,酶解甾体并进行固相萃取。结果与R2 >线性良好;0.99和<的日内和日间精度;10.1%被发现。相对基质效应为96.4% ~ 101.6%,相对回收率为98.2% ~ 115.0%。在20-25°C和4-6°C条件下,所有尿液中的类固醇均具有足够的冷冻前稳定性,可保存7天,最长可保存28天。样品在- 20°C和- 80°C条件下长期保存6个月稳定。结论建立了一种灵敏、可靠的LC-MS/MS定量方法,并根据国际标准进行了验证。对分析前基质稳定性进行了评估,并证明了该方法用于临床样品分析和前瞻性验证研究的适用性。
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引用次数: 3
Haptoglobin polymorphism affects its N-glycosylation pattern in serum 结合珠蛋白多态性影响其血清n -糖基化模式
IF 2.2 4区 医学 Q2 MEDICAL LABORATORY TECHNOLOGY Pub Date : 2022-08-01 DOI: 10.1016/j.jmsacl.2022.07.001
M. Kohansal-Nodehi, M. Swiatek-de Lange, G. Tabarés, H. Busskamp

Introduction

Haptoglobin (Hp) is an abundant acute-phase protein secreted mainly by the liver into the bloodstream. There are three Hp protein phenotypes (Hp type 1–1, 2–1, and 2–2), which differ in the number of α- and β-chains, type of α-chain (the β-chain type remains the same in all the Hp phenotypes), and the polymers that they form via disulfide bonds. Hp has four N-glycosylation sites on the β-chain. Glycosylation of Hp has been reported frequently as a potential glycobiomarker for many diseases; however, whether Hp polymorphism affects its glycosylation has not yet been addressed extensively or in depth.

Objectives

This study investigated the differences between the glycosylation patterns of Hp phenotypes using serum from 12 healthy individuals (four for each Hp phenotype).

Method

An efficient method for isolating Hp from serum was established and subsequently the Hp phenotype of each sample was characterized by immunoblotting. Then, LC-MS/MS analysis of isolated Hp after treatment with three exoglycosidases (sialidase, α2-3 neuraminidase, Endo F3) was performed to characterize the glycosylation pattern of Hp for each individual sample.

Results

The data reveal significant differences among the branching, sialylation, and fucosylation of Hp types, documenting the effect of Hp polymorphism on its glycosylation.

Conclusion

Overall, the study suggests that Hp phenotype characterization should be considered during the investigation of Hp glycosylation.

触珠蛋白(Hp)是一种丰富的急性期蛋白,主要由肝脏分泌到血液中。Hp蛋白有三种表型(Hp型1-1、2-1和2-2),它们在α-和β-链的数量、α-链的类型(β-链的类型在所有Hp表型中都是相同的)以及它们通过二硫键形成的聚合物上有所不同。Hp在β链上有四个n -糖基化位点。Hp的糖基化经常被报道为许多疾病的潜在糖生物标志物;然而,Hp多态性是否影响其糖基化尚未得到广泛或深入的研究。目的利用12名健康人(每种Hp表型4名)的血清,研究Hp表型糖基化模式的差异。方法建立从血清中分离Hp的高效方法,并用免疫印迹法对样品进行表型分析。然后,采用LC-MS/MS分析三种外糖苷酶(唾液酸酶、α2-3神经氨酸酶、Endo F3)处理后的Hp分离样品,以表征每个样品的Hp糖基化模式。结果Hp型的分支化、唾液化和聚焦化存在显著差异,说明Hp多态性对其糖基化的影响。总之,本研究提示在Hp糖基化研究中应考虑Hp表型特征。
{"title":"Haptoglobin polymorphism affects its N-glycosylation pattern in serum","authors":"M. Kohansal-Nodehi,&nbsp;M. Swiatek-de Lange,&nbsp;G. Tabarés,&nbsp;H. Busskamp","doi":"10.1016/j.jmsacl.2022.07.001","DOIUrl":"10.1016/j.jmsacl.2022.07.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Haptoglobin (Hp) is an abundant acute-phase protein secreted mainly by the liver into the bloodstream. There are three Hp protein phenotypes (Hp type 1–1, 2–1, and 2–2), which differ in the number of α- and β-chains, type of α-chain (the β-chain type remains the same in all the Hp phenotypes), and the polymers that they form via disulfide bonds. Hp has four N-glycosylation sites on the β-chain. Glycosylation of Hp has been reported frequently as a potential glycobiomarker for many diseases; however, whether Hp polymorphism affects its glycosylation has not yet been addressed extensively or in depth.</p></div><div><h3>Objectives</h3><p>This study investigated the differences between the glycosylation patterns of Hp phenotypes using serum from 12 healthy individuals (four for each Hp phenotype).</p></div><div><h3>Method</h3><p>An efficient method for isolating Hp from serum was established and subsequently the Hp phenotype of each sample was characterized by immunoblotting. Then, LC-MS/MS analysis of isolated Hp after treatment with three exoglycosidases (sialidase, α2-3 neuraminidase, Endo F3) was performed to characterize the glycosylation pattern of Hp for each individual sample.</p></div><div><h3>Results</h3><p>The data reveal significant differences among the branching, sialylation, and fucosylation of Hp types, documenting the effect of Hp polymorphism on its glycosylation.</p></div><div><h3>Conclusion</h3><p>Overall, the study suggests that Hp phenotype characterization should be considered during the investigation of Hp glycosylation.</p></div>","PeriodicalId":52406,"journal":{"name":"Journal of Mass Spectrometry and Advances in the Clinical Lab","volume":"25 ","pages":"Pages 61-70"},"PeriodicalIF":2.2,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a6/08/main.PMC9352458.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40594166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Corrigendum to “Analytical validation of protein biomarkers for risk of spontaneous preterm birth” [Clin. Mass Spectrom. 3 (2017) 25–38] “自发性早产风险的蛋白质生物标志物的分析验证”的勘误表[临床。质谱,3 (2017)25-38 [j]
IF 2.2 4区 医学 Q2 MEDICAL LABORATORY TECHNOLOGY Pub Date : 2022-08-01 DOI: 10.1016/j.jmsacl.2022.07.007
Chad Bradford , Rob Severinsen , Trina Pugmire , Matison Rasmussen , Kathryn Stoddard , Yuta Uemura , Spencer Wheelwright , Marija Mentinova , Daniel Chelsky , Stephen W. Hunsucker , Paul Kearney , Durlin Hickok , Tracey C. Fleischer , Ilia Ichetovkin , J. Jay Boniface , Gregory C. Critchfield , John M. Peltier
{"title":"Corrigendum to “Analytical validation of protein biomarkers for risk of spontaneous preterm birth” [Clin. Mass Spectrom. 3 (2017) 25–38]","authors":"Chad Bradford ,&nbsp;Rob Severinsen ,&nbsp;Trina Pugmire ,&nbsp;Matison Rasmussen ,&nbsp;Kathryn Stoddard ,&nbsp;Yuta Uemura ,&nbsp;Spencer Wheelwright ,&nbsp;Marija Mentinova ,&nbsp;Daniel Chelsky ,&nbsp;Stephen W. Hunsucker ,&nbsp;Paul Kearney ,&nbsp;Durlin Hickok ,&nbsp;Tracey C. Fleischer ,&nbsp;Ilia Ichetovkin ,&nbsp;J. Jay Boniface ,&nbsp;Gregory C. Critchfield ,&nbsp;John M. Peltier","doi":"10.1016/j.jmsacl.2022.07.007","DOIUrl":"10.1016/j.jmsacl.2022.07.007","url":null,"abstract":"","PeriodicalId":52406,"journal":{"name":"Journal of Mass Spectrometry and Advances in the Clinical Lab","volume":"25 ","pages":"Page 71"},"PeriodicalIF":2.2,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cc/4b/main.PMC9372730.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40700462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical validation of a liquid chromatography-tandem mass spectrometry method for the quantification of calcineurin and mTOR inhibitors in dried matrix on paper discs 液相色谱-串联质谱法定量纸盘上干燥基质中钙调磷酸酶和mTOR抑制剂的临床验证
IF 2.2 4区 医学 Q2 MEDICAL LABORATORY TECHNOLOGY Pub Date : 2022-08-01 DOI: 10.1016/j.jmsacl.2022.06.002
Ignacio Guillermo Bressán , María Isabel Giménez , Susana Francisca Llesuy

Introduction

Advances in liquid chromatography coupled to tandem mass spectrometry (LC–MS/MS) have enabled the quantification of immunosuppressants using microsampling techniques. In this context, dried matrix on paper discs (DMPD) could be a useful alternative to conventional venipuncture. Although analytical validation is necessary to establish the suitability of method performance, it is not sufficient to proceed with its implementation into routine clinical practice. Also necessary is that equivalence between sampling methods be demonstrated in a clinical validation study.

Objetives

To clinically validate a LC-MS/MS method for the quantification of tacrolimus, sirolimus, everolimus and cyclosporin A using DMPD.

Methods

According to the recommendations of international guidelines, at least 40 whole blood (WB) and DMPD paired samples for each analyte were collected by skilled technicians and analyzed using LC-MS/MS. Results were evaluated in terms of statistical agreement and bias values at medical decision points.

Results

For all analytes, Passing-Bablok regression analysis revealed that confidence intervals (CIs) for slopes and intercepts included 1 and 0, respectively. It also showed that biases at medical decision points were not clinically relevant. No statistically significant differences between DMPD and WB were found using difference plots and agreement analysis. In this regard, CIs for bias estimators included 0, and more than 95% of the results fell within the limits of agreement.

Conclusion

The feasibility of the clinical application of simultaneous quantification of tacrolimus, sirolimus, everolimus and cyclosporin A in DMPD was demonstrated. Results showed that this microsampling technique is interchangeable with conventional WB sampling when specimens are collected by trained personnel.

液相色谱耦合串联质谱(LC-MS /MS)的进步使得使用微采样技术定量免疫抑制剂成为可能。在这种情况下,干燥的纸盘基质(DMPD)可能是传统静脉穿刺的有用替代方法。虽然分析验证对于建立方法性能的适用性是必要的,但这不足以将其应用于常规临床实践。同样有必要的是,在临床验证研究中证明取样方法之间的等效性。目的建立定量分析他克莫司、西罗莫司、依维莫司和环孢素a的LC-MS/MS方法。方法按照国际指南的建议,由熟练的技术人员采集每种分析物至少40份全血(WB)和DMPD配对样本,采用LC-MS/MS进行分析。根据医疗决策点的统计一致性和偏倚值对结果进行评估。结果对于所有分析物,Passing-Bablok回归分析显示斜率和截距的置信区间(ci)分别为1和0。它还表明,在医疗决策点上的偏见与临床无关。采用差异图和一致性分析,DMPD与WB无统计学差异。在这方面,偏倚估计者的ci包括0,超过95%的结果落在一致的范围内。结论同时定量他克莫司、西罗莫司、依维莫司和环孢素A在DMPD中的应用是可行的。结果表明,当由训练有素的人员采集标本时,这种微采样技术与传统的WB采样技术是可互换的。
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引用次数: 2
Ocrelizumab quantitation by liquid chromatography-tandem mass spectrometry 液相色谱-串联质谱法定量Ocrelizumab
IF 2.2 4区 医学 Q2 MEDICAL LABORATORY TECHNOLOGY Pub Date : 2022-08-01 DOI: 10.1016/j.jmsacl.2022.07.004
Erik I. Hallin , Trond Trætteberg Serkland , Kjell-Morten Myhr , Øivind Torkildsen , Silje Skrede

Introduction

Ocrelizumab is a monoclonal anti-CD20 antibody approved for the treatment of multiple sclerosis (MS). The clinical value of therapeutic drug monitoring (TDM) for this antibody in treatment of MS is unknown, and an adequately specific and precise quantitation method for ocrelizumab in patient serum could facilitate investigation. Liquid chromatography-tandem mass spectrometry (LC-MS/MS)-based quantitation methods have been shown to have higher analytic specificity and precision than enzyme-linked immunosorbent assays.

Objectives

To establish and validate an LC-MS/MS-based quantitation method for ocrelizumab.

Methods

We present an LC-MS/MS-based quantitation method using immunocapture purification followed by trypsinization and analysis by a triple quadrupole mass analyzer obtaining results within the same day.

Results

We found that the ocrelizumab peptide GLEWVGAIYPGNGDTSYNQK (Q1/Q3 Quantifier ion: 723.683+/590.77 y112+ Qualifier ion: 723.683+/672.30 y122+) can be used for quantitation and thereby developed a method for quantifying ocrelizumab in human serum with a quantitation range of 1.56 to 200 µg/mL. The method was validated in accordance with EMA requirements in terms of selectivity, carry-over, lower limit of quantitation, calibration curve, accuracy, precision and matrix effect. Ocrelizumab serum concentrations were measured in three MS patients treated with ocrelizumab, immediately before and after ocrelizumab infusion, with additional sampling after 2, 4, 8 and 12 weeks. Measured serum concentrations of ocrelizumab showed expected values for both Cmax and drug half-life over the sampled time period.

Conclusion

We have established a reliable quantitation method for serum ocrelizumab that can be applied in clinical studies, facilitating the evaluation of ocrelizumab TDM in MS.

ocrelizumab是一种被批准用于治疗多发性硬化症(MS)的单克隆抗cd20抗体。该抗体治疗药物监测(TDM)在治疗多发性硬化症中的临床价值尚不清楚,对患者血清中ocrelizumab进行充分特异性和精确定量的方法可以促进研究。基于液相色谱-串联质谱(LC-MS/MS)的定量方法已被证明比酶联免疫吸附法具有更高的分析特异性和精度。目的建立并验证奥克雷珠单抗的LC-MS/ ms定量方法。方法采用免疫捕获纯化、胰蛋白酶化和三重四极杆质谱分析仪分析的LC-MS/ ms定量方法,在同一天内获得结果。结果发现奥克雷珠单抗肽gllewvgaiypgngdtsynqk (Q1/Q3 Quantifier离子:723.683+/590.77 y112+ Qualifier离子:723.683+/672.30 y122+)可用于定量,从而建立了奥克雷珠单抗在人血清中的定量方法,定量范围为1.56 ~ 200µg/mL。从选择性、携带性、定量下限、校准曲线、准确度、精密度和矩阵效应等方面对该方法进行了验证。在3名接受Ocrelizumab治疗的MS患者中,在输注Ocrelizumab之前和之后立即测量Ocrelizumab的血清浓度,并在2周、4周、8周和12周后进行额外采样。测量ocrelizumab的血清浓度显示了在采样时间内Cmax和药物半衰期的期望值。结论建立了一种可靠的可用于临床研究的血清ocrelizumab定量方法,便于评价ocrelizumab在MS中的TDM作用。
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引用次数: 3
Development and validation of a paper spray mass spectrometry method for the rapid quantitation of remdesivir and its active metabolite, GS-441524, in human plasma 建立和验证纸喷雾质谱法快速定量人血浆中瑞德西韦及其活性代谢物GS-441524
IF 2.2 4区 医学 Q2 MEDICAL LABORATORY TECHNOLOGY Pub Date : 2022-08-01 DOI: 10.1016/j.jmsacl.2022.06.001
Christine Skaggs , Hannah Zimmerman , Nicholas Manicke , Lindsey Kirkpatrick

Introduction

Remdesivir (GS-5734) is a nucleoside analog prodrug with antiviral activity against several single-stranded RNA viruses, including the novel severe respiratory distress syndrome virus 2 (SARS-CoV-2). It is currently the only FDA-approved antiviral agent for the treatment of individuals with COVID-19 caused by SARS-CoV-2. However, remdesivir pharmacokinetics/pharmacodynamics (PK/PD) and toxicity data in humans are extremely limited. It is imperative that precise analytical methods for the quantification of remdesivir and its active metabolite, GS-441524, are developed for use in further studies. We report, herein, the first validated anti-viral paper spray-mass spectrometry (PS-MS/MS) assay for the quantification of remdesivir and GS-441524 in human plasma. We seek to highlight the utility of PS-MS/MS technology and automation advancements for its potential future use in clinical research and the clinical laboratory setting.

Methods

Calibration curves for remdesivir and GS-441524 were created utilizing seven plasma-based calibrants of varying concentrations and two isotopic internal standards of set concentrations. Four plasma-based quality controls were prepared in a similar fashion to the calibrants and utilized for validation. No sample preparation was needed. Briefly, plasma samples were spotted on a paper substrate contained within pre-manufactured plastic cassette plates, and the spots were dried for 1 h. The samples were then analyzed directly for 1.2 min utilizing PS-MS/MS. All experiments were performed on a Thermo Scientific Altis triple quadrupole mass spectrometer utilizing automated technology.

Results

The calibration ranges were 20 – 5000 and 100 – 25000 ng/mL for remdesivir and GS-441524, respectively. The calibration curves for the two antiviral agents showed excellent linearity (average R2 = 0.99–1.00). The inter- and intra-day precision (%CV) across validation runs at four QC levels for both analytes was less than 11.2% and accuracy (%bias) was within ± 15%. Plasma calibrant stability was assessed and degradation for the 4 °C and room temperature samples were seen beginning at Day 7. The plasma calibrants were stable at −20 °C. No interference, matrix effects, or carryover was discovered during the validation process.

Conclusions

PS-MS/MS represents a useful methodology for rapidly quantifying remdesivir and GS-441524, which may be useful for clinical PK/PD, therapeutic drug monitoring (TDM), and toxicity assessment, particularly during the current COVID-19 pandemic and future viral outbreaks.

remdesivir (GS-5734)是一种核苷类似物前药,对几种单链RNA病毒具有抗病毒活性,包括新型严重呼吸窘迫综合征病毒2 (SARS-CoV-2)。它是目前fda批准的唯一用于治疗由SARS-CoV-2引起的COVID-19个体的抗病毒药物。然而,瑞德西韦在人体中的药代动力学/药效学(PK/PD)和毒性数据非常有限。为进一步研究开发瑞德西韦及其活性代谢物GS-441524的精确定量分析方法势在必行。在此,我们报告了首次验证的抗病毒纸喷雾-质谱(PS-MS/MS)测定方法,用于定量人血浆中的瑞德西韦和GS-441524。我们试图强调PS-MS/MS技术的实用性和自动化的进步,因为它在临床研究和临床实验室环境中的潜在未来应用。方法采用7种不同浓度的血浆校正剂和2种固定浓度的同位素内标建立瑞德西韦和GS-441524的校准曲线。以与校准剂类似的方式制备四种基于等离子体的质量控制,并用于验证。不需要样品制备。简单地说,血浆样品在预先制作的塑料盒板内的纸基板上斑点,斑点干燥1小时。然后使用PS-MS/MS直接分析样品1.2分钟。所有实验均在采用自动化技术的Thermo Scientific Altis三重四极杆质谱仪上进行。结果瑞德西韦和GS-441524的标度范围分别为20 ~ 5000和100 ~ 25000 ng/mL。两种抗病毒药物的线性关系良好(平均R2 = 0.99 ~ 1.00)。两种分析物在四个QC水平上验证运行的日间和日内精密度(%CV)均小于11.2%,准确度(%偏差)在±15%以内。评估了血浆校准稳定性,并在第7天开始观察到4°C和室温样品的降解。等离子体校正剂在−20°C时稳定。验证过程中未发现干扰、基质效应或结转现象。结论sps -MS/MS是一种快速定量瑞德西韦和GS-441524的有效方法,可用于临床PK/PD、治疗药物监测(TDM)和毒性评估,特别是在当前COVID-19大流行和未来病毒爆发期间。
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引用次数: 5
Simple, high-throughput measurement of gut-derived short-chain fatty acids in clinically relevant biofluids using gas chromatography-mass spectrometry 使用气相色谱-质谱法对临床相关生物体液中肠道衍生短链脂肪酸进行简单、高通量的测量
IF 2.2 4区 医学 Q2 MEDICAL LABORATORY TECHNOLOGY Pub Date : 2022-08-01 DOI: 10.1016/j.jmsacl.2022.07.002
Joshua T Bain , Maarten W Taal , Nicholas M Selby , James C Reynolds , Liam M Heaney

Introduction

The quantitative measurement of circulating gut bacteria-derived metabolites has increased in recent years due to their associations with health and disease. While much of the previous attention has been placed on metabolites considered as deleterious to health, a shift to the investigation of short-chain fatty acids (SCFAs) as potential health promotors has been observed.

Objectives

To develop a simple, high-throughput and quantitative assay to measure gut-derived SCFAs in clinically relevant biofluids using gas chromatography-mass spectrometry (GC–MS).

Methods

A short (7.5 min) GC–MS assay was optimized for measurement of seven straight- and branched-chain SCFAs and their deuterated isotopes using a wax-based column for analysis without prior derivatization. The assay was validated using routine criteria to assess precision, accuracy, matrix effects, recovery, and extraction reproducibility. Assay applicability was tested in cohorts of healthy individuals and kidney disease patients.

Results

The assay was demonstrated to be precise, accurate and reproducible with acceptable levels of matrix effect and analyte recovery. Lower limits of detection and quantitation were in the low ng/mL range. An investigation into different blood collection tube chemistries demonstrated that lithium heparin plasma and serum clotting activator tubes are recommended for use in future cross-study comparisons. Kidney disease patient analyses demonstrated variable differences across SCFAs when comparing hemodialysis to earlier stages of chronic kidney disease, demonstrating the suitability of the assay for translation to clinical analyses.

Conclusion

The assay has been validated and identified as reliable for use in larger-scale studies for the analysis of SCFAs in human plasma and serum.

近年来,由于循环肠道细菌衍生代谢物与健康和疾病的相关性,其定量测量有所增加。虽然以前的大部分注意力都放在被认为对健康有害的代谢物上,但已经观察到短链脂肪酸(SCFAs)作为潜在的健康促进剂的研究转变。目的建立一种简单、高通量、定量的气相色谱-质谱(GC-MS)检测临床相关生物体液中肠源性SCFAs的方法。方法采用蜡基色谱柱对7种直链和支链SCFAs及其氘化同位素进行短(7.5 min)气相色谱-质谱分析,无需事先衍生化。使用常规标准对该方法进行验证,以评估精密度、准确度、基质效应、回收率和提取重现性。在健康个体和肾脏疾病患者的队列中测试了该方法的适用性。结果该方法精密度高,准确度高,重现性好,基质效应良好,分析物回收率高。检测和定量下限均在低ng/mL范围内。一项对不同采血管化学成分的调查表明,锂肝素血浆和血清凝血激活剂管被推荐用于未来的交叉研究比较。肾脏疾病患者分析表明,当比较血液透析与早期慢性肾脏疾病时,scfa之间存在可变差异,证明了该检测方法转化为临床分析的适用性。结论:该方法已被验证并确定为可靠的,可用于分析人血浆和血清中SCFAs的大规模研究。
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引用次数: 0
期刊
Journal of Mass Spectrometry and Advances in the Clinical Lab
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