中国科技论文统计源期刊 中文核心期刊  
美国《化学文摘》《国际药学文摘》
《乌利希期刊指南》
WHO《西太平洋地区医学索引》来源期刊  
日本科学技术振兴机构数据库(JST)
第七届湖北十大名刊提名奖  
医药导报, 2017, 36(5): 532-537
doi: 10.3870/j.issn.1004-0781.2017.05.017
衍生化技术用于生物基质中类固醇类激素分析的研究进展*
Progress of Chemical Derivatization in Analysis of Endogenous Anabolic Steroids in Bio-matrices
胡秋菊1,2,, 杨建云2, 肖炳坤2, 黄荣清2,

摘要:

类固醇类激素在生物体内含量极低,由于其结构中含有羟基、羰基等极性官能团,使其在气相色谱-质谱联用(GC-MS)检测中受到限制;类固醇类激素化学结构中缺少可离子化的官能团,在液相色谱-质谱联用(LC-MS)中检测的灵敏度达不到要求,因此对其进行准确定量具有重要意义。该文具体介绍各类固醇激素分析方法中所采用的衍生化方式以及衍生化条件,并且探讨各种衍生化方法的优缺点。

关键词: 类固醇类激素 ; 衍生化 ; 仪器分析

Abstract:

The content of endogenous anabolic steroids is extremely low in biological matrices.Its chemical structure contains polar functional groups such as hydroxyl and carbonyl, which limits their applicability in GC-MS. The lack of ionized groups in the chemical structure leads to poor sensitivity in LC-MS, which plays a significant role in various physiological activities analysis. It is an effective way to enhance the response of mass spectrometer by modifying the chemical structure of endogenous anabolic steroids through derivatization technology.This review summarizes various derivatization reagents and corresponding derivatization processes of endogenous anabolic steroids analysis in the methods based on different testing instruments and methodologies. The advantage and disadvantage of all kinds of derivatiaztion methods and the prospect of the endogenous anabolic steroids derivatiaztion techniques are also discussed.

Key words: Endogenous anabolic steroids ; Derivatization ; Instrument analysis

类固醇类激素又称甾体激素,是一类四环脂肪烃化合物,具有环戊烷多氢菲母核,在人体的各种生理活动中起着重要的调节作用,是维持生命不可或缺的重要激素[1]。由于类固醇激素在生物体内含量极低,这对其定量测定提出了重大的挑战。目前测定类固醇激素的方法主要有酶联免疫法[2-3]和化学法[4-5]。酶联免疫法一次只能测定一种激素,且存在假阳性、交叉反应等缺点[6-7],因此,化学法在类固醇激素的测定方面具有极大的优势。

气相色谱-质谱联用(GC-MS)和液相色谱-质谱联用(LC-MS)是经典的类固醇激素化学检测方法[8-10],具有很高的选择性和灵敏度。笔者结合GC-MS和LC-MS的分析方法对生物基质中类固醇类化合物分析方法中衍生化技术的最新研究进展进行综述。

1 气相色谱及气相色谱-质谱联用(GC/GC-MS)法

GC-MS法分析类固醇类化合物具有比LC-MS法更高的分离效能,并且容易与质谱仪联用,另外,GC-MS能够明确地对几乎所有的类固醇激素进行定性,对发现新的类固醇激素起着重要的作用[11]。生物样品中类固醇类化合物含量较低,并且结构相似,理化性质接近,但GC-MS凭借其高灵敏度、高准确性以及较高的去干扰能力等优点,目前已经成为同时定量几种类固醇类化合物最好的方法之一。一些类固醇类激素可以直接用GC-MS分析,但是通过衍生化反应,可以提高样品的挥发性、灵敏度和分离度,增加热稳定性,改善峰型[12]

1.1 硅烷化反应试剂

硅烷化试剂是气相色谱样品前处理中最常用的衍生化试剂,许多被认为是不挥发或在200~300 ℃不稳定的羟基化合物经过硅烷化后成功进行色谱分析。硅烷化作用是指将硅烷基取代分子中的活性氢,从而降低了化合物的极性,减少了氢键束缚。因此所形成的硅烷化衍生物更容易挥发,同时,由于化合物所含活性氢的反应位点数目减少,热稳定性也得以加强。

最常用的三甲基硅烷化反应试剂有:N,O-双三甲基硅基三氟乙酰胺(N,O-bis (trimethylsilyl) trifluoroacetamide, BSTFA)、N-甲基-N-三甲基硅基三氟乙酰胺(N-methyl-N-(trimethylsilyl) trifluoroacetamide, MSTFA)、N-叔丁基二甲基硅基-N-甲基-三氟乙酰胺(N-tert-butyldimethylsilyl-N-methyl-trifluoroacetamide,MTBSTFA)。将脱氢表雄酮(dehydroepiandrosterone,DHEA)衍生化为相应的三甲基硅烷化产物。硅烷化试剂一般都对潮气敏感,遇水立即分解,应密封保存以防止其吸潮失效,衍生化反应应在密封的条件下进行。

衍生化反应的效率与化合物的空间结构、溶剂系统、催化剂、反应温度以及反应时间等有关。一般情况下,反应温度60~80 ℃,反应时间30~60 min。对于空间位阻比较大的化合物,通过增加反应温度,延长反应时间,加入适量的催化剂,如:三甲基氯硅烷(trimethylchlorosilane, TMCS)、三甲基碘硅烷(trimethyliodosilane trimethylsilyl-imidazole, TMIS)、三甲基硅咪唑 (trimethylsilyl-imidazole, TMSI),提高衍生化效果[13]。除了硅烷化试剂与催化剂,在衍生化过程中常常还需要加入还原剂,如:二硫赤藓糖醇 (dithioerythreitol,DTE),乙硫醇(ethanethiol),1-丙硫醇(1-propanethiol)和2-巯基乙醇(2-meraptoethanol),还原剂的使用是为了稳定衍生化试剂,起到抗氧化、防止分解的作用[14]

HILL等[15]以BSTFA∶TMCS(99∶1)作为衍生化反应试剂,采用液-液萃取的血浆样品前处理方式,用GC-MS技术同时测定了不同年龄段男女血浆中3β, 17β-雄稀二醇、DHEA、睾酮、孕酮含量的差异。通过对衍生化反应条件的优化,最终确定衍生化试剂BSTFA∶TMCS(99∶1)为50 μL,反应温度为90 ℃,反应时间为45 min。AHMIDA等[16]采用GC-MS方法,以吡啶与等量的BSTFA∶TMCS(99∶1)混合为衍生化反应试剂,采用皂化反应结合液-液萃取的方法,同时测定了血浆中的胆固醇、去氢胆甾醇、7-烯胆烷醇、菜油甾醇和谷甾醇的含量。通过加入混合衍生化试剂200 μL,在70 ℃的条件下反应60 min,获得了良好的线性关系和重复性以及很低的检测限,回收率76%~101%。通过选择离子模式(SIM)定量,显著地提高了信噪比,具有很强的专属性和准确度,实现了高通量分析。刘慧燕[17]采用β-葡萄糖醛酸苷酶水解和固相萃取等尿液前处理方法,用混合衍生化试剂MSTFA∶TMSI∶DTE(1 000∶3∶1)对尿液中多种内源性类固醇进行衍生化,利用GC-MS建立了正常运动员尿液中多种内源性类固醇的分析方法。该方法的最低检出限为0.2~0.5 ng·mL-1,平均提取回收率93.64%~116.74%。

BSTFA能衍生化胺基和羟基,常用于体内药物及代谢物的检测,MTBSTFA常用于药物、类固醇类的检测,MSTFA适合检测空间位阻比较大的化合物。SARAIVA等[18]采用GC-MS法,考察了MTBSTFA∶NH4I、BSTFA∶TMCS、MSTFA∶DTE∶TMIS这3种衍生化试剂对人体血浆中胆固醇前体(菜油甾醇和β-谷甾醇)以及植物甾醇(7-烯胆烷醇和去氢胆甾醇)含量测定的影响。结果表明,以MTBSTFA∶NH4I(25∶25)为衍生化试剂,重复性的变异系数>70%,难以达到含量测定的要求,并且衍生化不充分;以BSTFA∶TMCS(99∶1)作为衍生化试剂时,相同浓度的胆固醇前体和植物甾醇的峰面积小于以MSTFA∶DTE∶TMIS(5 000∶10∶10)作为衍生化试剂时的峰面积,因此,最终选择MSTFA∶DTE∶TMIS(5 000∶10∶10)作为衍生化试剂,最佳的衍生化反应温度为60 ℃,反应时间为60 min。

1.2 酰基化反应试剂

酰基化反应试剂主要是酰基取代活泼氢,将含有活泼氢的化合物(如-OH、-SH、-NH)转化为酯、硫酯或酰胺,从而提高其挥发性。主要用于醇、酚、硫醇、胺、酰胺、磺酰胺等化合物的衍生。常用的酰基化试剂有:乙酸酐、三氟乙酸酐、五氟丙酸酐、三氟乙酸酐、1-(三氟乙酰基)咪唑等。乙酸酐是一种应用最广泛的酰化反应试剂,除了具有反应速度快、选择性高、不需要纯化等特点,比其他衍生化试剂更廉价,常用于体内药物筛选[19]

以三氟乙酸酐为衍生化试剂,有时得到的衍生化产物不唯一,使用三氟乙酸酐衍生化一些相对分子质量小的物质生成相对分子质量适中的衍生化产物,宜于GC-MS检测,但衍生化一些相对分子质量较大的四氢大麻酚酸(THC-COOH)时,衍生物的相对分子质量过大,小型的质谱检测器在此质量范围灵敏度已经降低[20]。过量的衍生化试剂和副产物易损坏色谱柱,所以必须在GC分析前吹干,再用溶剂复溶。TSAKALOF等[21]用固相萃取的方法对样品进行前处理,以三氟乙酸酐为衍生化试剂,采用GC-MS/MS测定了血浆中的雌二醇和甲氧雌二醇的含量,最佳的衍生化条件为在70 ℃反应30 min,反应溶剂为甲苯。雌二醇、甲氧雌二醇的检测限分别为18.4,5.5 pg·mL-1,在0.1~10.0 ng·mL-1的范围内线性关系良好(R>0.99),回收率在90.2%~106.6%之间,RSD<15%。

使用含氟的酰基化反应试剂可以引入电负性很强的氟,因此,用负化学源(NCI)会得到较高的灵敏度。王建华等[22]采用GC-MS负化学源选择离子模式,以七氟丁酸酐为衍生化试剂,用β-葡糖苷酸酶-芳基硫酸苷酶水解法和固相萃取技术对尿样进行前处理,建立了牛尿中残留的雌二醇含量测定方法。以同位素-β-雌二醇为内标,补偿了雌二醇在前处理中的损失,提高了回收率。考察不同的衍生化反应时间(10,15,20,25 min)对衍生化效率的影响,结果表明只需10 min就能达到平台,衍生化效率随时间变化较小,效率较高,定量限为0.25 ng·mL-1。陈君等[23]用七氟丁酸酐(heptafluorobutyric anhydride,HFBA)作为衍生化试剂,建立了一种高灵敏度和高选择性的血清样品中DHEA的GC-MS/MS分析方法。通过对固相萃取条件、衍生化反应条件、质谱测定条件的优化,考察了不同浓度甲醇对样品洗脱能力的比较,HFBA加入量(10,20,30 μL)和反应时间(15,30,45,60 min)对衍生化反应的影响,以及对CI-MS、EI-SIS和EI-MS/MS模式进行了比较,最终确定用100%甲醇作为洗脱液,加入HFBA20 μL,在45 ℃下反应30 min,采用EI-MS/MS质谱检测模式。

2 反相高效液相色谱法及液相色谱-质谱联用法(LC-MS/LC-MS/MS)

研究证明LC-MS/LC-MS/MS与放射酶联免疫法、GC-MS、GC-MS/MS比较,有着更高的选择性、灵敏度、高通量和更简单的样品前处理过程[24-25]。但是,其潜在的结构特性导致离子化效率很低,从而降低了灵敏度,在质谱中,电离效率与类固醇激素结构中所含的羟基、双键、羰基有着密切的关系[26]。大部分类固醇类激素与质子亲合力较低,导致其在电喷雾离子化(ESI)下响应信号很低。含有酚羟基的类固醇类激素(如雌二醇、雌三醇、雌酮)在ESI模式下能够被离子化,具有很高的灵敏度[27],但是大部分类固醇类激素缺少这种特性。大气压光电电离和气压化学电离离子化方式的出现为在ESI下离子化效率低的类固醇类激素的测定带来了福音[28-29]。除了离子化技术不断的提高,化学衍生化技术在提高类固醇类激素的灵敏度方面也愈成熟[30-31]。目前最常用的衍生化方法包括酰化、肟化和腙化。其中,酰化衍生化适用于雌激素和雄激素,肟化和腙化衍生化仅限于雄激素。

2.1 酰化反应

酰化反应是在类固醇类化合物分子中引入酰基,将酚羟基或醇羟基的氢原子被酰基所取代,继而发生加成-消除反应的过程。常用的酰化反应试剂为丹酰氯[32-35]。丹酰氯能够与羟基或氨基上的氢发生快速、高效的反应,衍生化产物具有很高的质子亲合力,能够显著提高类固醇类激素在LC-MS/LC-MS/MS中的灵敏度,但是衍生化产物没有特异性的碎片离子,降低了分析的特异性[35]。以苯磺酰氯为衍生化试剂,将雌二醇衍生化,提高其离子化效率[32]

HIGASHI等[36]运用对硝基苯甲酰氯为衍生化试剂,建立了一种可靠、高效、灵敏的LC-ECAPCI-MS方法来测定前列腺组织中的雄烯二醇。台轶等[37]以丹酰氯作为衍生化试剂,建立了高效、灵敏的柱前衍生化液相色谱-串联质谱法测定血浆中的雌二醇。采用ESI离子源、多反应离子监测(MRM)、正离子扫描,进行测定。衍生产物的叔氮原子使离子化效率提高,增强了质谱的响应,母离子m/z 506.3以及含氮的丹酰氯片段离子m/z 171.2的质谱响应非常高,满足灵敏度要求。雌二醇在50~10 000 pg·mL-1浓度范围内线性关系良好,方法回收率为94.0%~107.2%。刘笑芬等[38]采用ESI离子源、多反应离子监测(MRM)、正离子扫描模式,以丹酰氯为柱前衍生化试剂,建立了LC-MS/MS的方法同时测定血浆中孕二烯酮、依托孕烯和炔雌醇的浓度,该方法采用液液萃取的方法降低了基质效应并除去了多余的衍生化试剂。通过衍生化反应,炔雌醇的灵敏度从0.1 ng·mL-1提高10 pg·mL-1,并且可与孕二烯酮、依托孕烯同时在正离子扫描方式下进行测定,同时,孕二烯酮、依托孕烯的灵敏度达到100 pg·mL-1,该方法能够满足多种复方避孕药的药动学研究。

STICKNEY等[39]以醋酸酐为衍生化试剂,以水∶乙腈∶甲酸(40∶60∶0.1)为流动相,以d3-5-雄稀二醇为内标,采用LC-MS/MS建立了血浆中的5-雄稀二醇含量测定的方法,在0.20~200 ng·mL-1的范围内有良好的线性关系,定量限为0.20 ng·mL-1

2.2 肟化反应

KESKI-RAHKONEN等[40]采用LC-MS/MS,将血浆样品经过液-液萃取等前处理后,以盐酸羟胺衍生化试剂,建立了简单、灵敏、快速的方法测定人体血浆中7种类固醇类代谢产物。最终确定的衍生化反应条件为60 ℃下反应30 min,通过衍生化,显著增加了灵敏度,提高了选择性,这7种类固醇类代谢产物的回收率为79%~114%。

KUSHNIR等[41]以甲醇-0.22 mol·L-1甲酸(70∶30)为流动相,运用LC-MS/MS考察了未被衍生化的甲睾酮在气压化学电离、大气压光电电离、ESI模式下的离子化效率,结果发现在这3种离子化方式下,绝对信号强度没有差异,但是在大气压光电电离模式下,加氢峰的信噪比是最高的,但是灵敏度仍然难以满足临床测定睾酮含量的要求。以羟胺为衍生化试剂,在60 ℃的温度下反应5 min,与睾酮上的羰基反应生产肟,在ESI(+)模式下灵敏度得到很大的提高定量限为0.034 5 nmol·L-1,检测限为0.017 3 nmol·L-1,平均回收率为98%。

3 展望

类固醇类激素是高效能的生物化学物质,在体内参与调节多种生理活动,类固醇激素的失调会引发各种疾病,生物样品中类固醇类激素的分析为诊断这些疾病提供了有力的工具[4,21]。类固醇类激素的分析检测方法已成为国际分析化学领域的前沿和热点课题。

衍生化技术在类固醇激素类分析中扮演着愈来愈重要的作用,结合GC、GC-MS、GC-MS/MS、HPLC、HPLC-MS、LC-MS/MS等现代分析技术,通过各种衍生化反应,不断地提高类固醇激素检测的灵敏度、特异性、重复性、准确度,使其不断地朝着自动化、高通量分析的方向发展。目前,对衍生化试剂种类的选择,衍生化反应温度、反应时间的确定,催化剂种类及量的考察、反应溶剂的选择还缺乏系统的研究;副产物的控制以及衍生化试剂对色谱柱的损害也是亟待解决的问题。此外,研究可以同时衍生化类固醇激素中的活泼氢以及羰基的衍生化试剂将是以后工作的重中之重。

The authors have declared that no competing interests exist.

参考文献

[1] SHI L, MASER-GLUTH C, REMER T.Daily urinary free cortisol and cortisone excretion is associated with urine volume in healthy children[J]. Steroids, 2008, 73(10): 1446-1450.
ABSTRACT In experimental studies, a high fluid intake and a corresponding high urine volume have been shown to increase renal excretion rates of urinary free cortisol (UFF) and cortisone (UFE) in adults. We aimed to examine whether 24-h UFF and UFE excretion rates are also affected by urine volume in children. In 24-h urine samples of 100 pre-pubertal and 100 pubertal healthy children UFF, UFE, tetrahydrocortisol (THF), 5alpha-tetrahydrocortisol (5alpha-THF), and tetrahydrocortisone (THE) were quantified by RIA. The sum of THF, 5alpha-THF, and THE, the 3 primarily glucuronidated tetrahydrometabolites (GC3), reflects daily cortisol secretion. Associations of urine volume with outcome variables UFF, UFE, and GC3 were examined in both developmental groups using multiple regression models adjusted for sex, body weight and height. Significant positive associations were observed between 24-h urine volume and UFF and UFE in both groups with the highest explained variation for UFE [partial R(2)=0.11 in pre-pubertal group (P<0.005); partial R(2)=0.15 in pubertal group (P<0.0001)]. However, for outcome GC3, urine volume was not significant in either of the groups. Urinary 24-h excretion rates of UFF and UFE but not of the marker of glucocorticoid secretion are affected by daily urine volume in healthy free-living children. For a specific assessment of associations of UFF and UFE with (patho)physiologically relevant factors, urine volume should be considered as a confounder.
DOI:10.1016/j.steroids.2008.08.002      PMID:18762206      URL    
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[2] HSING A W, STANCZYK F Z, BELANGER A, et al.Reproducibility of serum sex steroid assays in men by RIA and mass spectrometry[J]. Cancer Epidemiol Biomarkers Prev, 2007,16(5): 1004-1008.
There is an increasing trend to apply gas chromatography combined with mass spectrometry (GC-MS) or liquid chromatography tandem mass spectrometry (LC-MS/MS) assay methods to large-scale epidemiologic studies for the measurement of serum sex steroids. These methods are generally considered the gold standard for sex steroid measurements because of their accuracy, sensitivity, turnaround time, and ability to assess a more complete panel of steroid metabolites in the same run. In this report, we evaluated the precision, including within-batch (intra) and between-batch (inter) reproducibility, of steroid hormone measurements determined by GC-MS and LC-MS/MS assays and RIA and compared measurements among these methods. Specifically, 282 overnight fasting serum samples from 20 male volunteers were analyzed for 12 steroid metabolites by GC-MS or LC-MS/MS in one lab over a 4-month period. Six of the analytes were also measured by RIA in another lab. Unconjugated hormones, including testosterone, dihydrotestosterone, dehydroepiandrosterone, androstenedione, androst-5-ene-3beta,17beta-diol, estrone, and estradiol, were measured by GC-MS, whereas conjugated hormones, including DHEA sulfate, androsterone glucuronide, 5alpha-androstane-3alpha,17beta-diol 3-glucuronide, 5alpha-androstane-3alpha,17beta-diol 17-glucuronide, and estrone sulfate, were measured by LC-MS/MS. A subset of these hormones, including testosterone, dihydrotestosterone, androstenedione, 5alpha-androstane-3alpha,17beta-diol 17-glucuronide, estrone, and estradiol, were also measured by RIA following extraction and chromatography. We used the coefficient of variation (CV) and the intraclass correlation coefficient (ICC) to assess within- and between-batch assay variations. For the 12 analytes measured by GC-MS or LC-MS/MS, CVs and ICCs for within- and between-batch measurements were similar, with CVs ranging from 6.1% to 21.4% and ICCs ranging from 87.6% to 99.2%. The six analytes measured by RIA had good CVs and ICCs, with CVs <10% and ICCs >70% (range, 71.7-99.7%). For the six metabolites that were measured by both methods, the CVs were similar, whereas the ICCs were generally higher with the GC-MS method. The absolute values for each analyte measured by RIA and GC-MS differed, with RIAs usually yielding markedly higher levels than GC-MS, although the Pearson and Spearman correlation coefficients for these six analytes were near one and all were significant (P < 0.001). Our results show that RIA, GC-MS, and LC-MS/MS assays for androgens and estrogens in the two labs included in the study have good reproducibility, as measured by small CVs (<15%) and high ICCs (>80%), with the exception of estradiol (71.7%) when measured by RIA. Despite substantial differences in absolute measurements of sex steroid hormones by RIA and MS methods, correlations between the two assays for the six sex steroids measured in the two labs were high (>0.9). However, it is important for future large epidemiologic studies to incorporate MS with high reproducibility and specificity to measure a more complete profile of androgen and estrogen metabolites to clarify the role of sex steroids in prostate cancer.
DOI:10.1158/1055-9965.EPI-06-0792      PMID:17507629      URL    
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[3] CARTER G D, CARTER R, JONES J, et al.How accurate are assays for 25-hydroxyvitamin D-data from the international vitamin D external quality assessment[J].Clin Chem,2004,50(1):2195-2197.
Elsevier’s Scopus, the largest abstract and citation database of peer-reviewed literature. Search and access research from the science, technology, medicine, social sciences and arts and humanities fields.
DOI:10.1373/clinchem.2004.040683      PMID:15375018      URL    
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[4] GITON F, FIET J, CORNU J N, et al.Serum sex steroids measured in middle-aged European and African Caribbean men by gas chromatography mass spectrometry[J]. Eur J Endocrinol, 2011, 165(5): 917-924.
Differences in circulating steroid hormone levels have been hypothesized to explain ethnic differences in steroid-related diseases. The aim of this study was to determine the serum levels of a wide panel of steroid hormones, both androgens and estrogens, in healthy middle-aged African-Caribbean and European men.Serum steroid hormone levels were determined in men participating in a systematic public health study funded by the French National Health Insurance system. Blood was collected in the morning from 304 healthy African-Caribbean and European men aged between 40 and 69 years. Serum steroids were measured by mass spectrometry-gas chromatography, except for DHEAS and sex hormone-binding globulin, which were determined by RIA. Data were analyzed in 10-year age intervals by analysis of covariance, with adjustment for age, body mass index, waist-to-hip ratio, tobacco and alcohol consumption, and season of sampling.Compared with Europeans, African-Caribbean men presented significantly higher serum levels of measured bioavailable testosterone, 4-androstenedione (4-dione), and estrone (E1) regardless of the age group, of 5-androstenediol (5-diol) in those aged 40-49 and 50-59 years, and of testosterone (TT) and dihydrotestosterone in those aged 40-49 years. In contrast, European men aged 40-69 years showed significantly higher serum levels of DHEA and DHEAS.Significant differences in serum steroid hormone levels were observed in middle-aged African-Caribbean and European men. Whether such differences could contribute to ethnic differences in disease risk in adult men remains to be investigated. Some steroids, such as bioavailable TT, 4-dione, 5-diol, and E1, deserve particular attention.
DOI:10.1530/EJE-11-0551      PMID:21951700      URL    
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[5] WANG Y, GAY G D, BOTELHO J C, et al.Total testosterone quantitative measurement in serum by LC-MS/MS[J].Clin Chim Acta, 2014, 436(25): 263-267.
Abstract Reliable measurement of total testosterone is essential for the diagnosis, treatment and prevention of a number of hormone-related diseases affecting adults and children. A mass spectrometric method for testosterone determination in human serum was carefully developed and thoroughly validated. Total testosterone from 100 L serum is released from proteins with acidic buffer and isolated by two serial liquid-liquid extraction steps. The first extraction step isolates the lipid fractions from an acidic buffer solution using ethyl acetate and hexane. The organic phase is dried down and reconstituted in a basic buffer solution. The second extraction step removes the phospholipids and other components by hexane extraction. Liquid chromatography-isotopic dilution tandem mass spectrometry is used to quantify the total testosterone. The sample preparation is automatically conducted in a liquid-handling system with 96-deepwell plates. The method limit of detection is 9.71 pmol/L (0.280 ng/dL) and the method average percent bias is not significantly different from reference methods. The performance of this method has proven to be consistent with the method precision over a 2-year period ranging from 3.7 to 4.8% for quality control pools at the concentrations 0.527, 7.90 and 30.7 nmol/L (15.2, 228, and 886 ng/dL), respectively. This method provides consistently high accuracy and excellent precision for testosterone determination in human serum across all clinical relevant concentrations. Published by Elsevier B.V.
DOI:10.1016/j.cca.2014.06.009      PMID:24960363      URL    
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[6] NIESSEN W.Current practice of gas chromatography-masss spectrometry[M]. New York: Marcel Dekker, Inc, 2001:309-326.
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[7] CEGLAREK U, WERNER M, KORTZ R, et al.Preclinical challenges in steroid analysis of human samples[J].J Steroid Biochem Mol Biol, 2010, 121(3/5):505 512.
ABSTRACT Preclinical challenges in the analysis of steroid hormones are primarily determined by biological factors involved in the physiology and pathophysiology of hormone secretion. Major biologically influencing factors like age, sex, pubertal stage, pregnancy, phase of the menstruation, and diurnal rhythm have to be considered in the definition of reference ranges for steroids and their clinical interpretation. Hitherto, in clinical routine laboratories steroids were mainly determined by direct immunoassays applied on automated platforms, which are simple, rapid and cheap if a high number of samples are measured. However, technical factors like cross-reactivity of related steroid metabolites or limited analytical ranges have to be taken in account and may impair accuracy and precision of these direct methods. The actual development of mass spectrometry based analytical platforms for the determination of single steroid or steroid patterns seems to be an alternative analytical approach combining multi-parametric analysis, high sensitivity and specificity as well simple sample pre-treatment, robustness and low running costs for steroid analysis. This short review will give an overview about biological influencing factors and technical disturbing factors of routinely used immunoassay for the analysis of steroids. The application of LC-MS/MS as an alternative routine high-throughput platform for steroid analysis and its perspective role in the standardization and harmonisation of steroid measurements in clinical routine application will be discussed.
DOI:10.1016/j.jsbmb.2010.03.039      PMID:20302937      URL    
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[8] KURT D, WOODIN K D, PENNELL P B.Quantification of neurosteroids during pregnancy using selective ion monitoring mass spectrometry[J]. Steroids, 2015, 95(1): 24-31.
ABSTRACT Analytical techniques used to quantify neurosteroids in biological samples are often compromised by non-specificity and limited dynamic range which can result in erroneous results. A relatively rapid and inexpensive gas chromatography-mass spectrometry (GC-MS) was developed to simultaneously measure nine neurosteroids, including allopregnanolone, estradiol, and progesterone, as well as 25-hydroxy-vitamin D3 in plasma samples collected from adult women subjects during and after pregnancy. Sample preparation involved solid-phase extraction and derivatization, followed by automated injection on a GC equipped with a mass selective detector (MSD) operated in single ion monitoring (SIM) mode to yield a run time of less than 11 minutes. Method detection limits for all neurosteroids ranged from 30 to 200 pg/mL (parts per trillion), with coefficients of variation that ranged from 3 to 5% based on intra-assay comparisons run in triplicate. Although concentrations of estradiol measured by chemiluminescent immunoassay (CIA) were consistent with values determined by GC-MS values, CIA yielded considerable higher values of progesterone, suggesting antibody cross reactions resulting from low specificity. Mean neurosteroid levels and representative time-course data demonstrate the ability of the method to quantify changes in multiple neurosteroids during pregnancy, including rapid declines in neurosteroid levels associated with delivery. This simplified GC-MS method holds particular promise for research and clinical laboratories that require simultaneous quantification of multiple neurosteroids, but lack the resources and expertise to support advanced liquid chromatography-tandem mass spectrometry facilities. Copyright 2014. Published by Elsevier Inc.
DOI:10.1016/j.steroids.2014.12.007      PMID:25541057      URL    
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[9] WANG Q, BOTTALICO L, MESAROS C, et al.Analysis of estrogens and androgens in postmenopausal serum and plasma by liquid chromatography mass spectrometry[J]. Steroids, 2015, 99(1): 76-83.
Liquid chromatography-selected reaction monitoring/mass spectrometry-based methodology has evolved to the point where accurate analyses of trace levels of estrogens and androgens in postmenopausal serum and plasma can be accomplished with high precision and accuracy. A suite of derivatization procedures has been developed, which together with modern mass spectrometry instrumentation provide investigators with robust and sensitive methodology. Pre-ionized derivatives are proving to be useful as they are not subject to suppression of the electrospray signal. Postmenopausal women with elevated plasma or serum estrogens are thought to be at increased risk for breast and endometrial cancer. Therefore, significant advances in risk assessment should be possible now that reliable methodology is available. It is also possible to conduct analyses of multiple estrogens in plasma or serum. Laboratories that are currently employing liquid chromatography/mass spectrometry methodology can now readily implement this strategy. This will help conserve important plasma and serum samples available in Biobanks, as it will be possible to conduct high sensitivity analyses using low initial sample volumes. Reported levels of both conjugated and non-conjugated estrogen metabolites are close to the limits of sensitivity of many assays to date, urging caution in the interpretation of these low values. The analysis of serum androgen precursors in postmenopausal women has not been conducted routinely in the past using liquid chromatography/mass spectrometry methodology. Integration of serum androgen levels into the panel of metabolites analyzed could provide additional information for assessing cancer risk and should be included in the future.
DOI:10.1016/j.steroids.2014.08.012      PMID:25150018      URL    
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[10] MCWHINNEY B C, BRISCOE S E, UNGERER J P, et al.Measurement of cortisol, cortisone, prednisolone, dexamethasone and 11-deoxycortisol with ultra high performance liquid chromatography tandem mass spectrometry: application for plasma, plasma ultrafiltrate, urine and saliva in a routine laboratory[J]. J Chromatogr B Analyt Technol Biomed Life Sci, 2010, 878(28): 2863-2869.
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[11] KRONE N, HUGHES B A, LAVERY G, et al.Gas chromatography/mass spectrometry (GC/MS) remains a pre-eminent discovery tool in clinical chemistry investigations even in the era of fast liquid chromatography tandem mass spectrometry (LC/MS/MS)[J]. Steroid Biochem Mol Bio, 2010, 121(2): 496-504.
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[12] CABAN M, CZERWICKA M, UKASZECICA P, et al.A new silylation reagent dimethyl(3,3,3-trifluoropropyl)silyldiethylamine for the analysis of estrogenic compounds by gas chromatography-mass spectrometry[J]. J Chromatogr A, 2013,1301(2): 215-224.
ABSTRACT In this study we applied DIMETRIS (dimethyl(3,3,3-trifluoropropyl)silyldiethylamine), a new silylating reagent, to derivative natural estrogens such as estrone (E1), 17尾-estradiol (E2) and estriol (E3), as well as the synthetic 17伪-ethinylestradiol (EE2) and the non-steroid diethylstilbestrol (DES). Its derivatizing properties were compared with those of the commonly used mixture of BSTFA (N,O-bis(trimethylsilyl)trifluoroacetamide)+1% trimethylchlorosilane (TMCS) and with MTBSTFA (N-tert-butyldimethylsilyl-N-methyltrifluoroacetamide). The use of DIMETRIS for the silylation all of them is reported for the first time. The nucleophilic properties of DIMETRIS were found to be superior to those of MTBSTFA, but slightly inferior to those of BSTFA. It was used to derivatize steroid (E1, E2, E3 and EE2) and non-steroid (DES) estrogens at 30 C prior to GC/MS analysis. These DMTFPS-derivatives exhibited good separation (low retention times despite the high molecular masses) and ionization properties in GC/MS analyses (the highest relative response factors for DMTFPS-derivatives among those tested). However, DIMETRIS and MTBSTFA (which produce mono-O-silyl derivatives of EE2) should not be used for the simultaneous analysis of EE2 and E1. Only a mixture of BSTFA+1% TMCS in pyridine, which generates the fully derivatized EE2 product (stable in GC injector), permits the determination of these two estrogenic compounds during one GC-MS run. On the other hand, because DIMETRIS requires a lower derivatization temperature than BSTFA, it could be very useful for the derivatization of thermally unstable estrogenic compounds. In the next step of this study, the SPE-GC-MS method based on DIMETRIS derivatization for the analysis of DES, E2 and E3 in aqueous samples was evaluated and validated. The MQL values: 1.4, 1.6 and 1.5ngL(-1) for DES, E2 and E3, respectively, proved its suitability to determine target compounds in environmental samples. Finally, the proposed method was successfully applied to the analysis of selected estrogenic compounds in real seawater and wastewater samples in Poland.
DOI:10.1016/j.chroma.2013.05.073      PMID:23806354      URL    
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[13] 王光辉. 气相色谱与质谱:实用指南[M]. 2版.北京:科学出版社, 2013: 265-266.
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[14] 方锴, 潘学军, 黄斌. 类固醇类激素GC-MS分析中酮基衍生化技术研究进展[J]. 分析化学, 2010, 28(5): 743-751.
类固醇类激素以其独特的生理生化效应而备受关注,气相色谱-质谱联用技术已经成为类固醇类激素分析检测的重要手段.由于类固醇类激素含有羟基、酮基等极性官能团,GC-MS分析时检测灵敏度不高,色谱分离峰形差,需通过衍生化技术将其转化成极性较低、易挥发、热稳定性高的化合物,以改善色谱分离峰形、提高检测灵敏度,使之适用于GC-MS痕量分析.目前,类固醇类激素羟基等含有活性氢原子官能团的衍生化技术发展较为成熟,但酮基衍生化仍缺乏系统研究.本文对类固醇类激素酮基衍生化技术研究进展进行了综述,主要介绍了烯醇化-硅烷化、肟化-硅烷化等酮基衍生化技术的反应原理、应用现状,并对目前存在的问题及进一步的研究方向进行了讨论和展望,为类固醇类激素酮基衍生化技术的研究提供参考.
DOI:10.3724/SP.J.1096.2010.00743      URL    
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[15] HILL M, HAVLIKOVA H, VRBIKOVA J, et al.The identification and simultaneous quantification of 7-hydroxylated metabolites of pregnenolone, dehydroepiandrosterone, 3,17-androstenediol, and testosterone in human serum using gas chromatography mass spectrometry[J]. J Steroid Biochem Mol Biol, 2005, 96(2): 187-200.
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[16] AHMIDA H S, BERTUCCI P, FRANZO L, et al.Simultaneous determination of plasmatic phytosterols and cholesterol precursors using gas chromatography-mass spectrometry (GC-MS) with selective ion monitoring(SIM)[J]. J Chromatogr B, 2006, 842(1): 43-47.
Phytosterols (P-sitosterol, cholestanol and campesterol) and cholesterol precursors (desmosterol and lathosterol), have been suggested as important biochemical markers of intestinal cholesterol absorption and liver biosynthesis, respectively, and as useful clinical parameters in the study of hypercholesterolemia, β-sitosterolemia, atherosclerosis and cardiovascular disease, including pharmacological response to hypolipidemic agents. We developed an optimised analytical method for the simultaneous analysis of cholestanol, desmosterol, lathosterol, campesterol and β-sitosterol in plasma using capillary gas chromatography coupled to mass spectrometry (GC-MS) with multiple selected ion monitoring (SIM). This method is based on the alkaline hydrolysis of sterol esters, extraction of free sterols and derivatization. The recovery of all sterols was in the range 76-101%. Within-day relative standard deviations (R.S.Ds.) and the between-day R.S.Ds. of cholestanol, desmosterol, lathosterol, campesterol and P-sitosterol were less than 8%, and their plasma levels in 161 normal subjects were (mean±S.D.) 4.73±2.57, 2.37 ±1.04, 6.23±3.14, 3.67 ± 1.95 and 5.92 ± 3.62 μmol/l, respectively.
DOI:10.1016/j.jchromb.2006.05.024      PMID:16807145      URL    
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[17] 刘慧燕. 固相萃取-气质联用仪检测尿液中多种内源性类固醇[J].食品安全质量检测学报,2015,6(1): 310-314.
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[18] SARAIVA D, SEMEDO R, CASTILHO M C, et al.Selection of the derivatization reagent-the case of human blood cholesterol its precursors and phytosterols GC-MS analyses[J]. J Chromatogr B Analyt Technol Biomed Life Sci, 2011, 879(32): 3806-3811.
Phytosterols (PS; β-sitosterol and campesterol) and cholesterol precursors (CP; desmosterol and lathosterol) have been suggested as important biochemical markers of cholesterol intestinal absorption and liver biosynthesis, respectively. Given that these compounds appear in human blood in low amounts, sensitive and accurate methodology is required, such as gas chromatography–mass spectrometry (GC–MS) the most frequently used. One of the most critical factors of the GC analytical determination is the step of derivatization. Thus, the main objective of the present study was compare and select the better (one out of three) silylation mixtures as follows: N-methyl-N-(tert-butyldimethylsilyl)trifluoroacetamide/ammonium iodide (MTBSTFA:NH 4 I), N-O-bis-(trimethylsilyl) trifluoroacetamide/trimethylchlorosilane (BSTFA:TMCS), and N-methyl-N-(trimethylsilyl)-trifluoroacetamide/1,4-dithioerythritol/trimethyliodosilane (MSTFA:DTE:TMIS). The results of this study are discussed and accompanied by a brief review on the importance and principles of derivatization process, specifically in silylation reactions in GC–MS sterols analyses. Furthermore, a scrutiny of some published results is presented, along with additional information about mass spectral data of these potentially useful compounds. Interestingly, the results of the study showed that from the three validated methodologies, the selected one, based on the best relation specificity/sensibility, is MSTFA:DTE:TMIS. With this silylation procedure for simultaneous determination of PS and CP in human serum by GC–MS in selected ion monitoring (SIM) mode, good linearity ( r 2 02≥020.931), precision (repeatability ranging from 0.92 to 3.91 CV and intermediate precision ranging from 5.12 to 6.33) and recoveries (≥93.6%) were obtained. Thus, it proved to be a helpful methodology in the quantification of predominant serum cholesterol origin in each patient.
DOI:10.1016/j.jchromb.2011.10.021      PMID:22088355      URL    
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[19] 滕宝祺, 李欣昕, 冯芳.衍生化技术在酚类化合物分析中的研究进展[J]. 北方药学, 2012, 9(5): 32-34.
结合不同仪器分析方法对酚类化合物分析方法中衍生化技术的最新应用进展进行综述.具体介绍了酚类化合物分析方法中所采用的衍生化方式和条件,并对各种衍生化方法的特点进行了论述.
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[20] 汪正范, 杨树民, 吴侔天, . 色谱联用技术[M].北京:化学工业出版社, 2001: 90.
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[21] TSAKALOF A K, GKAGTZIS D C, KOUKOULIS G N, et al.Development of GC-MS/MS method with programmable temperature vaporization large volume injection for monitoring of 17-estradiol and 2-methoxyestradiol in plasma[J]. Anal Chim Acta, 2012, 709(1): 73-80.
Under optimized GC–MS/MS conditions in product ion mode, the Limit of Detection (LOD) of the analyzed steroids ranged from 18.4pgmL 611 for 17-BE to 5.5pgmL 611 for 2-MEOE (S/N=3). The instrument response was linear in the investigated concentration range from 0.1 to 10ngmL 611 with R 2 >0.99 for 17-BE and 2-MEOE. The intra-batch accuracy obtained for quality control samples at the concentration levels of 0.1, 1, 3, 7ngmL 611 ranged from 94.9% to 109.9% for 17-BE and from 99.9% to 104.5% for 2-MEOE.
DOI:10.1016/j.aca.2011.09.043      PMID:22122934      URL    
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[22] 王建华, 庞国芳, 丁宁, . 气相色谱-负化学电离质谱法检测牛尿中雌二醇的残留量[J]. 化学分析计量, 2007, 16(3): 17-20.
建立了牛尿中残留的雌二醇气相色谱-负化学电离质谱检测方法。尿样中加入乙酸缓冲溶液,酶水解过夜后,用甲醇-四丁基甲醚作为洗脱液,经固相萃取柱净化,五氟苯甲酰氯衍生化后,用气相色谱-质谱负化学源选择离子模式测定,同位素-β-雌二醇内标法定量。方法的回收率为76%~104%,定量限为0.25ng/mL,测定结果的相对标准偏差为2.9%~5.7%。
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[23] 陈君, 梁琼麟, 罗国安, .气相色谱与串联质谱联用检测血清中脱氢表雄酮[J]. 分析化学, 2008, 36(2): 172-176.
在晚期前列腺癌雄激素全阻断治疗最终导致前列腺癌雄激素非依赖性的转变过程中,肾上腺分泌脱氢表雄酮(DHEA)被认为是重要的诱因.本研究主要利用睾丸摘除(去势)大鼠模型,对血清中DHEA浓度进行测定.采用了气相色谱与串联质谱联用(GC-MS/MS)技术,建立了高灵敏度的测定大鼠血清中脱氢表雄酮(DHEA)的方法.样品经过甲醇沉蛋白,而后固相萃取提取血清中微量的DHEA,通过七氟丁酸酐(HFBA)衍生,采用GC-MS/MS测定.对固相萃取条件、衍生化条件以及质谱测定条件进行优化.DHEA在0.1~100 μg/L范围内线性良好,相关系数r为0.9996;在2~50 μg/L浓度范围内,加标回收率在99%~106%之间;相对标准偏差小于5%.本方法灵敏度高,选择性好,可满足临床对于血清样品中DHEA的测定要求.对去势大鼠血清中DHEA测定结果表明,去势后DHEA明显上升.
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[24] STANCZYK F Z, CLARKE N J.Advantages and challenges of mass spectrometry assays for steroid hormones[J]. Steroid Biochem Mol Biol, 2010, 121(3/5):491-495.
Although steroid hormones have been measured, primarily in urine, by gas chromatography–mass spectrometry (GC–MS) assays for many years, in the past decade both clinical and research laboratories have dramatically increased usage of liquid chromatography–tandem mass spectrometry (LC–MS/MS) assays for measuring circulating levels of steroid hormones. Because of their high validity and throughput, mass spectrometry (MS) assays have replaced conventional radioimmunoassays (RIAs) and direct immunoassays for steroid hormones in larger reference laboratories, and they are touted to become the “gold standard” for steroid hormone quantitation. These advances in MS assays present several major challenges, which include the affordability of smaller laboratories to purchase MS instruments and pay for related operating costs; improving assay sensitivity, especially for measuring low estradiol levels in postmenopausal women and women treated with aromatase inhibitors; developing assays for quantitating profiles of steroid hormone metabolites in serum and tissues; standardizing steroid MS assays; and obtaining reliable reference intervals. The present review discusses the advantages of MS assays over conventional RIAs and direct immunoassays in steroid hormone measurements, and points out some of the important challenges facing the rapid increase in usage of MS assays.
DOI:10.1016/j.jsbmb.2010.05.001      PMID:20470886      URL    
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[25] BERTIN J, DURY A Y, KE Y, et al.Accurate and sensitive liquid chromatography/tandem mass spectrometry simultaneous assay of seven steroids in monkey brain[J]. Steroids, 2015, 98(1): 37-48.
ABSTRACT Following its secretion mainly by the adrenal glands, dehydroepiandrosterone (DHEA) acts primarily in the cells/tissues which express the enzymes catalyzing its intracellular conversion into sex steroids by the mechanisms of intracrinology. Although reliable assays of endogenous serum steroids are now available using mass spectrometry (MS)-based technology, sample preparation from tissue matrices remains a challenge. This is especially the case with high lipid-containing tissues such as the brain. With the combination of a UPLC system with a sensitive tandem MS, it is now possible to measure endogenous unconjugated steroids in monkey brain tissue. A Shimadzu UPLC LC-30AD system coupled to a tandem MS AB Sciex Qtrap 6500 system was used. The lower limits of quantifications are achieved at 250 pg/mL for DHEA, 200 pg/mL for 5-androstenediol (5-diol), 12 pg/mL for androstenedione (4-dione), 50 pg/mL for testosterone (Testo), 10 pg/mL for dihydrotestosterone (DHT), 4 pg/mL for estrone (E1) and 1 pg/mL for estradiol (E2). The linearity and accuracy of quality controls (QCs) and endogenous quality controls (EndoQCs) are according to the guidelines of the regulatory agencies for all seven compounds. We describe a highly sensitive, specific and robust LC-MS/MS method for the simultaneous measurement of seven unconjugated steroids in monkey brain tissue. The single and small amount of sample required using a relatively simple preparation method should be useful for steroid assays in various peripheral tissues and thus help analysis of the role of locally-made sex steroids in the regulation of specific physiological functions. Copyright 漏 2015. Published by Elsevier Inc.
DOI:10.1016/j.steroids.2015.02.013      PMID:25697058      URL    
[本文引用:1]
[26] SHIBATA Y, ASRA I, HONMA S.Methodological approach to the intracrine study and estimation of DHEA and DHEA-S using liquid chromatography tandem mass spectrometry (LC-MS/MS)[J]. J Steroid Biochem Mol Biol, 2015, 145(2): 193-199.
ABSTRACT A reliable and sensitive method for analyzing steroids using liquid chromatography tandem mass spectrometry (LC-MS/MS) is required for research concerning dehydroepiandrosterone (DHEA), which plays a central role in steroid hormone biosynthesis and metabolism. Furthermore, after the first proposal of the concept of intracrine DHEA, stable isotope tracer analysis, which is useful for structural recognition as well as determination of steroids, has been required to evaluate physiological action and hormone biosynthesis/metabolism in target organs. We describe sample processing and analysis methods for simultaneous quantification of multiple hormones, including DHEA, in serum, saliva and tissue using LC-MS/MS. A derivatization technique compatible with each functional group for measuring 3尾-hydroxy-5-enes, such as DHEA and 5伪/5尾-steroids, with high sensitivity and specificity is also described. Finally, we describe a newly developed method for intracrine research using stable isotope-labeled (13)C-steroid substrates with tracer analysis of their metabolites by LC-MS/MS.
DOI:10.1016/j.jsbmb.2014.04.002      PMID:24794825      URL    
[本文引用:1]
[27] GUO T, GU J, SOLDIN O P, et al.Soldin, Rapid measurement of estrogens and their metabolites in human serum by liquid chromatography-tandem mass spectrometry without derivatization[J], Clin Biochem,2008, 41(9): 736-741.
OBJECTIVES: The steroids estradiol (E2), estrone (E1), and estriol (E3) are the major estrogens. E1/E2 and their metabolite 16-hydroxyestrone (16-OHE1, known to be carcinogenic) could be involved in the development of many cancers including human breast cancer. The aim of the current study was to develop a rapid and simple high performance liquid chromatography-tandem mass spectrometry (HPLC-MS/MS) assay to simultaneously measure E1, E2, E3 and 16-OHE1 in human serum without the need for solid phase extraction or derivatization. METHODS: An API-5000 triple-quadrupole mass spectrometer coupled with electrospray ionization (ESI) source and Shimadzu HPLC system was used employing isotope dilution with deuterium-labeled internal standard (IS) for each analyte. Quantitation by multiple reaction monitoring (MRM) analysis was performed in negative ion mode. RESULTS: The limits of detection were 1.0 pg/mL for E1 and 16-OHE1 and 2.0 pg/mL for E2 and E3. Within-day CVs were <6.5% for all analytes tested and between-day CVs ranged from 4.5% to 9.5%. Recovery ranged from 88% to 108%. CONCLUSION: This method allows for the simultaneous measurement of four estrogens in human serum within 8 min. It can be routinely employed in a clinical environment and is attractive because of its simplicity in sample processing, micro sample requirement, and high throughput.
DOI:10.1016/j.clinbiochem.2008.02.009      PMID:18358240      Magsci     URL    
[本文引用:1]
[28] HARWOOD D T, HANDELSMAN D J.Development and validation of a sensitive liquid chromatography-tandem mass spectrometry assay to simultaneously measure androgens and estrogens in serum without derivatization[J]. Clin Chim Acta ,2009, 409(1/2): 78-84.
Elsevier’s Scopus, the largest abstract and citation database of peer-reviewed literature. Search and access research from the science, technology, medicine, social sciences and arts and humanities fields.
DOI:10.1016/j.cca.2009.09.003      PMID:19747904      URL    
[本文引用:1]
[29] CHEN Y, YAZDANPANAH M, WANG X Y, et al.Direct measurement of serum free testosterone by ultrafiltration followed by liquid chromatography tandem mass spectrometry[J]. Clin Biochem, 2010, 43(4/5): 490-496.
ABSTRACT Currently there is no reliable method suitable for routine measurement of serum free testosterone (FT). To develop such a method involving liquid chromatography tandem mass spectrometry (LC-IDMS/MS) that directly detects and quantifies the FT present in serum. Ultrafiltrate testosterone obtained from 0.5 mL of serum was partially purified by liquid/liquid extraction and quantified using an Agilent 1200 Series HPLC system coupled to an API 5000 mass spectrometer equipped with an atmospheric pressure chemical ionization ion source. Using split samples serum free testosterone was compared between direct ultrafiltration (UF) coupled LC-MS/MS, analogue FT immunoassay, free testosterone calculated from mass action equations (cFT) and with equilibrium dialysis (ED) coupled LC-MS/MS. Total imprecision determined over twenty runs was <6% at 67 pmol/L and 158 pmol/L FT. The dynamic response was linear up to at least 2500 pmol/L while physical LLOQ (18 % CV) equaled 16 pmol/L. The UF method agreed poorly with analogue immunoassay (correlation coefficient 0.667; bias -81%), somewhat better against cFT when total testosterone was determined by immunoassay (correlation coefficient 0.816, bias 21% ) and still better yet against cFT when total testosterone was determined by LC-MS/MS (correlation coefficient 0.8996, bias 10%). Agreement was closest with ED method (correlation coefficient 0.9779, bias 2.4%). We present a relatively simple UF coupled LC-MS/MS definitive method that measures serum free testosterone. The method is relatively fast, reliable and is suitable for the routine clinical laboratory practice.
DOI:10.1016/j.clinbiochem.2009.12.005      PMID:20026023      URL    
[本文引用:1]
[30] LIEN G W, CHEN C Y, WANG G S.Comparison of electrospray ionization, atmospheric pressure chemical ionization and atmospheric pressure photoionization for determining estrogenic chemicals in water by liquid chromatography tandem mass spectrometry with chemical derivatizations[J]. J Chromatogr A, 2009, 1216(6):956-966.
[本文引用:1]
[31] KUSHNIR M M, ROCKWOOD A L, ROBERTS W L, et al.Performance characteristics of a novel tandem mass spectrometry assay for serum testosterone[J]. Clin Chem, 2006, 52(1): 120-128.
Commercial immunoassays for testosterone (Te) may give inaccurate results for samples from women and children, leading to misdiagnosis and inappropriate treatment. We developed a sensitive and specific tandem mass spectrometric assay for measurement of Te at the concentrations encountered in women and children.Te was extracted with methyl tert-butyl ether from 100 microL of serum or plasma, derivatized to form an oxime, and reextracted by solid-phase extraction. Instrumental analysis was performed on an API 4000 HPLC tandem mass spectrometer in the multiple-reaction monitoring (MRM) mode. The MRM transitions (m/z) were 304-->124 and 304-->112 for Te and 307-->124 and 307-->112 for d3-Te.Within- and between-run CVs were <12% and 7.9%, respectively. The limit of quantification was 0.0346 nmol/L (1 ng/dL). Reference intervals for sex hormone-binding globulin and total, free, and bioavailable Te were established for children of Tanner stages 1 through 5 and adult males and females.The sensitivity and specificity of the method are adequate for analysis of Te in samples from women and children. The method requires small sample volumes, has adequate precision, and is not subject to interferences.
DOI:10.1373/clinchem.2005.052167      PMID:16299050      URL    
[本文引用:1]
[32] XU L, SPINK D C.Analys is of steroidal estrogens as pyridine-3-sulfonyl derivatives by liquid chromatography electrospray tandem mass spectrometry[J]. Anal Biochem, 2008, 375(1): 105-114.
Sulfonyl chlorides substituted with functional groups having high proton affinity can serve as derivatization reagents to enhance the sensitivity for steroidal estrogens in liquid chromatography electrospray ionization tandem mass spectrometry (LC-ESI-MS/MS). The most commonly used reagent for derivatization of estrogens for LC-ESI-MS/MS is dansyl chloride. In this study, we compared dansyl chloride, 1,2-dimethylimidazole-4-sulfonyl (DMIS) chloride, pyridine-3-sulfonyl (PS) chloride, and 4-(1H-pyrazol-1-yl)benzenesulfonyl (PBS) chloride for derivatization of 17beta-estradiol (E2) prior to LC-ESI-MS/MS. The product ion spectra of the dansyl and DMIS derivatives were dominated by ions representing derivatization reagent moieties. In contrast, the product ion spectrum of the PS derivative of E2 and, to a lesser extent, the PBS derivative, showed analyte-specific fragment ions. Derivatization with PS chloride was therefore chosen for further investigation. The product ion spectrum of the PS derivative of E2 showed intense ions at m/z 272, assigned to the radical E2 cation, and at m/z 350, attributed to the loss of SO(2) from the [M+H](+) ion. Third-stage mass spectrometry of the PS derivative of E2 with isolation and collisional activation of the m/z 272 ion resulted in steroid C and D ring cleavages analogous to those observed in electron ionization mass spectrometry. The product ion spectra of the PS derivatives of estrone, 17alpha-ethinylestradiol, equilin, and equilenin showed similar estrogen-specific ions. Using derivatization with PS chloride, we developed an LC-ESI-MS/MS method with multiple reaction monitoring of primary and confirmatory precursor-to-product ion transitions for the determination of E2 in serum.
DOI:10.1016/j.ab.2007.11.028      PMID:2675187      URL    
[本文引用:2]
[33] NGUYEN H P, LI L, GATSON J W, et al.Simultaneous quantification of four native estrogen hormones at trace levels in human cerebrospinal fluid using liquid chromatography tandem mass spectrometry[J]. J Pharm Biomed Anal, 2011, 54(4): 830-837.
Estrogens are known to exhibit neuroprotective effects on the brain. Their importance in this regard and in others has been emphasized in many recent studies, which increases the need to develop reliable analytical methods for the measurement of estrogen hormones. A heart-cutting two-dimensional liquid chromatography separation method coupled with electrospray ionization-tandem mass spectrometry (ESI-MS/MS) has been developed for simultaneous measurement of four estrogens, including estriol (E3), estrone (E1), 17β-estradiol (17β-E2), and 17α-estradiol (17α-E2), in human cerebrospinal fluid (CSF). The method was based on liquid-liquid extraction and derivatization of estrogens with dansyl chloride to enhance the sensitivity of ESI-based detection in conjunction with tandem mass spectrometry. Dansylated estriol and estrone were separated in the first dimension by an amide-C18 column, while dansylated 17β- and 17α-estradiol were resolved on the second dimension by two C18 columns (175 mm total length) connected in series. This is the first report of a method for simultaneous quantification of all four endogenous estrogen compounds in their dansylated form. The detection limits for E1, 17α-E2, 17β-E2, and E3 were 19, 35, 26, and 61pg/mL, respectively. Due to matrix effects, validation and calibration was carried out in charcoal-stripped CSF. The precision and accuracy were more than 86% for the two E2 compounds and 79% for E1 and E3 while the extraction recovery ranged from 91% to 104%. The method was applied to measure estrogens obtained in a clinical setting, from the CSF of ischemic trauma patients. While 17β-estradiol was present at a significant level in the CSF of some samples, other estrogens were present at lower levels or were undetectable.
DOI:10.1016/j.jpba.2010.11.014      PMID:21145681      URL    
[本文引用:0]
[34] LI W, LI Y H, LI A C, et al.Simultaneous determination of norethindrone and ethinyl estradiol in human plasma by high performance liquid chromatography with tandem mass spectrometry-experiences on developing a highly selective method using derivatization reagent for enhancing sensitivity[J]. J Chromatogra B Analyt Technol Biomed Life Sci, 2005, 825(2): 223-232.
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[35] KUSHNIR M M, ROCKWOOD A L, BERGQUIST J, et al.High-sensitivity tandem mass spectrometry assay for serum estrone and estradiol[J]. Am J Clin Pathol, 2008, 129(4): 530-539.
High-sensitivity measurement of serum estrogens is important in adult and pediatric endocrinology and oncology. We developed a high-sensitivity liquid chromatography-tandem mass spectrometry (LC-MS/MS) assay for simultaneous measurement of estrone (E1) and estradiol (E2). Aliquots of 200 muL of serum were spiked with internal standard, extracted, derivatized with dansyl chloride, and analyzed by LC-MS/MS using 2-dimensional chromatographic separation. Total imprecision for the method was less than 11%; the limit of quantitation was 1 pg/mL. Reference intervals were established with samples from more than 900 healthy postmenopausal women, men, girls, and boys. Concentrations of estrogens in children reached adult levels by Tanner stage 3. In men and postmenopausal women, the median concentrations of total estrogens (E1 + E2) were 39 and 22 pg/mL, and the median E2/E1 ratios were 0.98 and 0.55, respectively. The method requires a small sample volume and has adequate sensitivity and specificity for analyzing estrogens in samples from postmenopausal women, men, and children.
DOI:10.1309/LC03BHQ5XJPJYEKG      PMID:18343779      URL    
[本文引用:2]
[36] HIGASHI T, TAKAYAMA A, KYUTOKU M, et al.Liquid chromatography mass spectrometric assay of androstenediol in prostatic tissue: influence of androgen deprivation therapy on its level[J]. Steroids, 2006, 71(11/12): 1007-1013.
Androstenediol (Adiol, androst-5-ene-3β,17β-diol) is suspected of being an endogenous proliferation agent of prostate cancer (PCa) even after androgen deprivation therapy (ADT). A liquid chromatography-electron capture atmospheric pressure chemical ionization-mass spectrometric (LC-ECAPCI-MS) method for the determination of Adiol in prostatic tissue was developed and validated for evaluating the influence of ADT on the prostatic Adiol level. After derivatization of Adiol with 4-nitrobenzoyl chloride, the detection response of the derivative was increased 150 times more than that of intact Adiol. The LC-MS method was specific and reliable for the measurement of a trace amount of Adiol in 30 mg of tissue. The clinical study using the developed method showed that the prostatic Adiol level was not changed by ADT. That is, the prostatic Adiol levels of PCa patients with ADT (n = 12), benign prostate hypertrophy patients without ADT (n = 8) and bladder cancer patients (without prostatic disease) (n=6) were 0.83±0.28, 0.62±0.31 and 0.71±0.28 ng g
DOI:10.1016/j.steroids.2006.08.003      PMID:16978674      URL    
[本文引用:1]
[37] 台轶, 周臻, 罗华菲,. 大鼠血浆中雌二醇的柱前衍生化 LC-MS/MS 法测定及其药动学应用[J]. 中国医药工业杂志, 2014, 45(8): 750-753.
建立了柱前衍生化液相色谱-串联质谱法测定血浆中的雌二醇.以雌 二醇-d3为内标,采用C18色谱柱,血浆样品经液-液萃取、柱前衍生化处理后,采用ESI离子源,多反应离子监测(MRM),正离子扫描,进行测定.结 果表明,雌二醇在50~10 000 pg/ml浓度范围内线性关系良好,方法回收率为94.0%~107.2%,RSD<10.0%.同时测定了雌性大鼠体内雌二醇基础值和给予雌二醇透皮贴 剂后的血药浓度.结果显示本法灵敏度高、重现性好,适用于药动学研究.
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[本文引用:1]
[38] 刘笑芬, 丁存刚, 葛庆华, . 柱前衍生、 LC-MS/MS同时测定血浆中的孕二烯酮、依托孕烯和炔雌醇[J]. 药学学报, 2010,45(1): 87-92.
建立LC-MS/MS同时测定血浆中孕二烯酮、依托孕烯和炔雌醇的方法。血浆样品经液-液萃取、柱前衍生处理后,采用ESI离子源,多反应离子监测(MRM),正离子扫描进行测定。以炔诺孕酮为内标,采用C18(100mm×2.1mm,5μm)柱,梯度流动相,梯度流速测定血浆中孕二烯酮、依托孕烯和炔雌醇。结果表明,孕二烯酮、依托孕烯分别在0.1~20ng·mL-1、炔雌醇在0.01~2ng·mL-1时线性关系良好,精密度小于10.0%、方法回收率在93.6%~110.9%。对复方孕二烯酮和复方依托孕烯透皮给药制剂进行了家兔的药动学研究。本方法灵敏度高(孕二烯酮、依托孕烯达到100pg·mL-1,炔雌醇达到10pg·mL-1)、重现性好,适合药动学研究。
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[本文引用:1]
[39] STICKNEY D R, GROOTHUIS J R, AHLEM C, et al.Preliminary clinical findings on NEUMUNE as a potential treatment for acute radiation syndrome[J]. J Radiol Prot, 2010, 30(4): 687-698.
5-(5-AED) has been advanced as a possible countermeasure for treating the haematological component of acute (). It has been used in animal models to stimulate both innate and adaptive immunity and treat and radiation-induced . We here report on the safety, tolerability and haematologic activity of 5-AED in four double-blinded, randomized, placebo-controlled studies on healthy adults including elderly subjects. A 5-AED injectable suspension formulation (NEUMUNE) or placebo was administered intramuscularly as either a single injection, or once daily for five consecutive days at doses of 50, 100, 200 or 400 mg. Subjects (n = 129) were randomized to receive NEUMUNE (n = 95) or the placebo (n = 34). NEUMUNE was generally well-tolerated; the most frequent adverse events were local (n = 104, 81%) that were transient, dose-volume dependent, mild to moderate in severity, and that resolved over the course of the study. Blood chemistries revealed a transient increase (up to 28%) in phosphokinase and levels consistent with intramuscular injection and . The blood concentration profile of 5-AED is consistent with a depot formulation that increases in disproportionate increments following each dose. NEUMUNE significantly increased circulating neutrophils (p < 0.001) and platelets (p < 0.001) in the peripheral blood of adult and elderly subjects. A dose-response relationship was identified. Findings suggest that parenteral administration of 5-AED in aqueous suspension may be a safe and effective means to stimulate and alleviate and thrombocytopenia associated with .
DOI:10.1088/0952-4746/30/4/004      PMID:21149931      URL    
[本文引用:1]
[40] KESKI-RAHKONEN P, HUHTINEN K, POUTANEN M, et al.Fast and sensitive liquid chromatography mass spectrometry assay for seven androgenic and progestagenic steroids in human serum[J]. J Steroid Biochem Mol Biol, 2011, 127(3/5): 396-404.
A fast and sensitive LC–MS/MS method for the quantitative analysis of seven steroid hormones in 15002μl of human serum was developed and validated. The following compounds were included: 17α-hydroxypregnenolone, 17α-hydroxyprogesterone, androstenedione, dehydroepiandrosterone, testosterone, pregnenolone, and progesterone. Individual stable isotope-labeled analogues were used as internal standards. Sample preparation was performed by liquid–liquid extraction, followed by oxime derivatization to improve the ionization efficiency of the analytes. In contrast to the common derivatization-based methods, the reaction was incorporated into the sample preparation process and the only additional step due to the derivatization was a short heating of the autosampler vials before the sample injection. Chromatographic separation was achieved on a reversed-phase column using a methanol–water gradient. For the analyte detection, a triple quadrupole instrument with electrospray ionization was used. Total run time was 7.002min and the lower limits of quantification were in the range of 0.03–0.3402nM (0.01–0.1002ng/ml), depending on the analyte. The method was validated using human serum samples from both sexes and applied for the serum steroid profiling of endometriosis patients.
DOI:10.1016/j.jsbmb.2011.06.006      PMID:21684334      URL    
[本文引用:1]
[41] KUSHNIR M M, ROCKWOOD A L, ROBERTS W L, et al.Performance characteristics of a novel tandem mass spectrometry assay for serum testosterone[J].Clin Chem, 2006, 52(1): 120-128.
Commercial immunoassays for testosterone (Te) may give inaccurate results for samples from women and children, leading to misdiagnosis and inappropriate treatment. We developed a sensitive and specific tandem mass spectrometric assay for measurement of Te at the concentrations encountered in women and children.Te was extracted with methyl tert-butyl ether from 100 microL of serum or plasma, derivatized to form an oxime, and reextracted by solid-phase extraction. Instrumental analysis was performed on an API 4000 HPLC tandem mass spectrometer in the multiple-reaction monitoring (MRM) mode. The MRM transitions (m/z) were 304-->124 and 304-->112 for Te and 307-->124 and 307-->112 for d3-Te.Within- and between-run CVs were <12% and 7.9%, respectively. The limit of quantification was 0.0346 nmol/L (1 ng/dL). Reference intervals for sex hormone-binding globulin and total, free, and bioavailable Te were established for children of Tanner stages 1 through 5 and adult males and females.The sensitivity and specificity of the method are adequate for analysis of Te in samples from women and children. The method requires small sample volumes, has adequate precision, and is not subject to interferences.
DOI:10.1373/clinchem.2005.052167      PMID:16299050      URL    
[本文引用:1]
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关键词(key words)
类固醇类激素
衍生化
仪器分析

Endogenous anabolic stero...
Derivatization
Instrument analysis

作者
胡秋菊
杨建云
肖炳坤
黄荣清

HU Qiuju
YANG Jianyun
XIAO Bingkun
HUANG Rongqing