Using LC-MS/MS to Determine Salivary Steroid Reference Intervals in a European Older Adult Population

A number of steroids, including glucocorticoids and sex hormones, have been associated with neurodegenerative and cardiovascular conditions common in aging populations. The application of liquid chromatography tandem mass spectrometry (LC-MS/MS) steroid analysis offers an opportunity to conduct simu...

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Main Authors: Sarah Gregory, Scott G. Denham, Patricia Lee, Joanna P. Simpson, Natalie Z. M. Homer
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Metabolites
Subjects:
Online Access:https://www.mdpi.com/2218-1989/13/2/265
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author Sarah Gregory
Scott G. Denham
Patricia Lee
Joanna P. Simpson
Natalie Z. M. Homer
author_facet Sarah Gregory
Scott G. Denham
Patricia Lee
Joanna P. Simpson
Natalie Z. M. Homer
author_sort Sarah Gregory
collection DOAJ
description A number of steroids, including glucocorticoids and sex hormones, have been associated with neurodegenerative and cardiovascular conditions common in aging populations. The application of liquid chromatography tandem mass spectrometry (LC-MS/MS) steroid analysis offers an opportunity to conduct simultaneous multiplex steroid analysis within a given sample. In this paper, we describe the application of an LC-MS/MS steroid analysis method for the assessment of reference ranges of steroids in human saliva samples (200 µL) collected from older adults (age 50 years and above) enrolled in a European cohort investigating the risk for Alzheimer’s dementia. Saliva samples were prepared using supported liquid extraction (SLE) along with a calibration curve and analysed using a Waters I-Class UPLC (Ultra Performance Liquid Chromatography) and a Sciex QTrap 6500+ mass spectrometer. Mass spectrometry parameters of steroids were optimised for each steroid and a method for the chromatographic separation of 19 steroids was developed. Lower limits of quantitation (LLOQs), linearity and other method criteria were assessed. In total, data from 125 participants (500 samples) were analysed and assessed for reference ranges (64 male, 61 female). A total of 19 steroids were detected in saliva within the range of the method. There were clear diurnal patterns in most of the steroid hormones detected. Sex differences were observed for androstenedione (A4), testosterone (T), cortisone (E) and aldosterone (Aldo). In the first sample of the day, dehydroepiandrosterone (DHEA) was significantly higher in healthy volunteers compared to those with Alzheimer’s disease biomarkers. This LC-MS/MS method is suitable for the analysis of 19 steroids in saliva in adults.
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spelling doaj.art-fb0e721495e94a65b8dea6c685f016572023-11-16T22:05:11ZengMDPI AGMetabolites2218-19892023-02-0113226510.3390/metabo13020265Using LC-MS/MS to Determine Salivary Steroid Reference Intervals in a European Older Adult PopulationSarah Gregory0Scott G. Denham1Patricia Lee2Joanna P. Simpson3Natalie Z. M. Homer4Edinburgh Dementia Prevention, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh EH4 2XU, UKMass Spectrometry Core, Edinburgh Clinical Research Facility, Queens Medical Research Institute, University of Edinburgh, Edinburgh EH16 4TJ, UKMass Spectrometry Core, Edinburgh Clinical Research Facility, Queens Medical Research Institute, University of Edinburgh, Edinburgh EH16 4TJ, UKMass Spectrometry Core, Edinburgh Clinical Research Facility, Queens Medical Research Institute, University of Edinburgh, Edinburgh EH16 4TJ, UKMass Spectrometry Core, Edinburgh Clinical Research Facility, Queens Medical Research Institute, University of Edinburgh, Edinburgh EH16 4TJ, UKA number of steroids, including glucocorticoids and sex hormones, have been associated with neurodegenerative and cardiovascular conditions common in aging populations. The application of liquid chromatography tandem mass spectrometry (LC-MS/MS) steroid analysis offers an opportunity to conduct simultaneous multiplex steroid analysis within a given sample. In this paper, we describe the application of an LC-MS/MS steroid analysis method for the assessment of reference ranges of steroids in human saliva samples (200 µL) collected from older adults (age 50 years and above) enrolled in a European cohort investigating the risk for Alzheimer’s dementia. Saliva samples were prepared using supported liquid extraction (SLE) along with a calibration curve and analysed using a Waters I-Class UPLC (Ultra Performance Liquid Chromatography) and a Sciex QTrap 6500+ mass spectrometer. Mass spectrometry parameters of steroids were optimised for each steroid and a method for the chromatographic separation of 19 steroids was developed. Lower limits of quantitation (LLOQs), linearity and other method criteria were assessed. In total, data from 125 participants (500 samples) were analysed and assessed for reference ranges (64 male, 61 female). A total of 19 steroids were detected in saliva within the range of the method. There were clear diurnal patterns in most of the steroid hormones detected. Sex differences were observed for androstenedione (A4), testosterone (T), cortisone (E) and aldosterone (Aldo). In the first sample of the day, dehydroepiandrosterone (DHEA) was significantly higher in healthy volunteers compared to those with Alzheimer’s disease biomarkers. This LC-MS/MS method is suitable for the analysis of 19 steroids in saliva in adults.https://www.mdpi.com/2218-1989/13/2/265LC-MS/MSsalivasteroid hormonesupported liquid extraction
spellingShingle Sarah Gregory
Scott G. Denham
Patricia Lee
Joanna P. Simpson
Natalie Z. M. Homer
Using LC-MS/MS to Determine Salivary Steroid Reference Intervals in a European Older Adult Population
Metabolites
LC-MS/MS
saliva
steroid hormone
supported liquid extraction
title Using LC-MS/MS to Determine Salivary Steroid Reference Intervals in a European Older Adult Population
title_full Using LC-MS/MS to Determine Salivary Steroid Reference Intervals in a European Older Adult Population
title_fullStr Using LC-MS/MS to Determine Salivary Steroid Reference Intervals in a European Older Adult Population
title_full_unstemmed Using LC-MS/MS to Determine Salivary Steroid Reference Intervals in a European Older Adult Population
title_short Using LC-MS/MS to Determine Salivary Steroid Reference Intervals in a European Older Adult Population
title_sort using lc ms ms to determine salivary steroid reference intervals in a european older adult population
topic LC-MS/MS
saliva
steroid hormone
supported liquid extraction
url https://www.mdpi.com/2218-1989/13/2/265
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