Semi-automated serum steroid profiling with tandem mass spectrometry

Objectives: Highly selective and sensitive multi-analyte methods for the analysis of steroids are attractive for the diagnosis of endocrine diseases. Commercially available kits are increasingly used for this purpose. These methods involve laborious solid phase extraction, and the respective panels...

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Main Authors: Sophie Rakete, Tom Schubert, Michael Vogeser
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:Journal of Mass Spectrometry and Advances in the Clinical Lab
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2667145X22000487
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author Sophie Rakete
Tom Schubert
Michael Vogeser
author_facet Sophie Rakete
Tom Schubert
Michael Vogeser
author_sort Sophie Rakete
collection DOAJ
description Objectives: Highly selective and sensitive multi-analyte methods for the analysis of steroids are attractive for the diagnosis of endocrine diseases. Commercially available kits are increasingly used for this purpose. These methods involve laborious solid phase extraction, and the respective panels of target analytes are incomplete. We wanted to investigate whether an improvement of kit solutions is possible by introducing automated on-line solid phase extraction (SPE) and combining originally separate analyte panels. Methods: Sample preparation was performed using automated on-line SPE on a high-pressure stable extraction column. Chromatographic separation, including isobaric compounds, was achieved using a 0.25 mM ammonium fluoride-methanol gradient on a small particle size biphenyl column. Standard compounds and internal standard mixtures of two panels of a commercially available kit were combined to achieve an optimized and straightforward detection of 15 endogenous steroids. Validation was performed according to the European Medicines Agency (EMA) guidelines with slight modifications. Results: Validation was successfully performed for all steroids over a clinically relevant calibration range. Deviations of intra- and inter-assay accuracy and precision results passed the criteria and no relevant matrix effects were detected due to highly effective sample preparation. External quality assessment samples showed the applicability as a routine diagnostic method, which was affirmed by the analyses of anonymized clinical samples. Conclusions: It was found possible to complement a commercially available kit for quantitative serum steroid profiling based on isotope dilution LC-MS/MS by implementing automated on-line SPE, thereby improving the practicality and robustness of the measurement procedure.
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spelling doaj.art-722922828525490cbd2bb45704c98c122023-02-02T04:50:51ZengElsevierJournal of Mass Spectrometry and Advances in the Clinical Lab2667-145X2023-01-01274048Semi-automated serum steroid profiling with tandem mass spectrometrySophie Rakete0Tom Schubert1Michael Vogeser2Institute of Laboratory Medicine, University Hospital, LMU Munich, GermanyInstitute of Laboratory Medicine, University Hospital, LMU Munich, GermanyCorresponding author at: Institute of Laboratory Medicine, University Hospital, LMU Munich, Marchioninistrasse 15, 81377 Munich, Germany.; Institute of Laboratory Medicine, University Hospital, LMU Munich, GermanyObjectives: Highly selective and sensitive multi-analyte methods for the analysis of steroids are attractive for the diagnosis of endocrine diseases. Commercially available kits are increasingly used for this purpose. These methods involve laborious solid phase extraction, and the respective panels of target analytes are incomplete. We wanted to investigate whether an improvement of kit solutions is possible by introducing automated on-line solid phase extraction (SPE) and combining originally separate analyte panels. Methods: Sample preparation was performed using automated on-line SPE on a high-pressure stable extraction column. Chromatographic separation, including isobaric compounds, was achieved using a 0.25 mM ammonium fluoride-methanol gradient on a small particle size biphenyl column. Standard compounds and internal standard mixtures of two panels of a commercially available kit were combined to achieve an optimized and straightforward detection of 15 endogenous steroids. Validation was performed according to the European Medicines Agency (EMA) guidelines with slight modifications. Results: Validation was successfully performed for all steroids over a clinically relevant calibration range. Deviations of intra- and inter-assay accuracy and precision results passed the criteria and no relevant matrix effects were detected due to highly effective sample preparation. External quality assessment samples showed the applicability as a routine diagnostic method, which was affirmed by the analyses of anonymized clinical samples. Conclusions: It was found possible to complement a commercially available kit for quantitative serum steroid profiling based on isotope dilution LC-MS/MS by implementing automated on-line SPE, thereby improving the practicality and robustness of the measurement procedure.http://www.sciencedirect.com/science/article/pii/S2667145X22000487Serum steroid profilingOn-line solid phase extraction (SPE)Stable-isotope dilution liquid chromatography-tandem mass spectrometry (SID LC-MS/MS)Robustness
spellingShingle Sophie Rakete
Tom Schubert
Michael Vogeser
Semi-automated serum steroid profiling with tandem mass spectrometry
Journal of Mass Spectrometry and Advances in the Clinical Lab
Serum steroid profiling
On-line solid phase extraction (SPE)
Stable-isotope dilution liquid chromatography-tandem mass spectrometry (SID LC-MS/MS)
Robustness
title Semi-automated serum steroid profiling with tandem mass spectrometry
title_full Semi-automated serum steroid profiling with tandem mass spectrometry
title_fullStr Semi-automated serum steroid profiling with tandem mass spectrometry
title_full_unstemmed Semi-automated serum steroid profiling with tandem mass spectrometry
title_short Semi-automated serum steroid profiling with tandem mass spectrometry
title_sort semi automated serum steroid profiling with tandem mass spectrometry
topic Serum steroid profiling
On-line solid phase extraction (SPE)
Stable-isotope dilution liquid chromatography-tandem mass spectrometry (SID LC-MS/MS)
Robustness
url http://www.sciencedirect.com/science/article/pii/S2667145X22000487
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