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Endogenous Steroids Analysis in Plasma by LC/MS
Analysis by LC-MS/MS
for Clinical Research
Andre Szczesniewski
Senior Applications Chemist
Agilent Technologies
May 1, 2014 1
For Research Use Only. Not for
use in diagnostic procedures.
• Introduction
• 13 Steroids Panel Analysis
• Sample Preparation & Methodology
• Results
• Conclusion
• Questions
2
Overview
For Research Use Only. Not for
use in diagnostic procedures. May 1, 2014
3
Why Do Clinical Research Laboratories Adopt LC/MS?
High Selectivity
High Sensitivity
Accurate Quantification
No Sample Derivatization
Measure Analytes and their Metabolites Simultaneously
Easier Research Method Development vs. Antibody-based Techniques
For Research Use Only. Not for
use in diagnostic procedures.
May 1, 2014
4
Cholesterol
Pregnenolone Progesterone Deoxycorticosterone Corticosterone
Aldosterone
17α-OH Pregnenolone 17α-OH Progesterone Cortisol
Testosterone
Dihydrotestosterone
Cortisone
Estrone Estradiol Dehydroepiandrosterone
Androstenediol
11-Deoxycortisol
Androstenedione
Estriol
Cholesterol Steroidogenesis Analysis of 13 Steroids for research
2
For Research Use Only. Not for
use in diagnostic procedures.
May 1, 2014
Structures and Molecular Weights Steroidogenesis
5
Cortisone
C21H28O5
M.W. 360.2
Aldosterone
C21H28O5
M.W. 360.2
11-Deoxycortisol
C21H30O4
M.W. 346.2
Corticosterone
C21H30O4
M.W. 346.2
Cortisol
C21H30O5
M.W. 362.46
Androstenedion
e
C19H26O2
M.W. 286.2
DHEA
C19H28O2
M.W. 288.2
17-Hydroxyprogesterone
C21H30O3
M.W. 330.2
Dihydortestosterone
C19H30O2
M.W. 290.2
Progesterone
C21H30O2
M.W. 314.2
Pregnenolone
C21H32O2
M.W. 316.2
17-OH-Pregnenolone
C21H32O3
M.W. 332.2
Testosterone
C19H28O2
M.W. 288.2
5-delta Steroids
0
2
For Research Use Only. Not for
use in diagnostic procedures.
May 1, 2014
May 1, 2014
Research Method Development Objectives
6
Comprehensive, quantitative method for the analysis of major cholesterol steroidal metabolites for use in the clinical research laboratories
Simple and economical sample preparation
Robust and reliable research workflow
Easily modifiable to accommodate and adjust changing research requirements
May 1, 2014
For Research Use Only. Not for
use in diagnostic procedures.
Sample Preparation Liquid-Liquid Extraction
7
500 μL of plasma or serum + 100 μL ISTD at 5ng/ml
Vortex 30 seconds
Add 5 mL MTBE*
Vortex/mix 5 minutes
Transfer MTBE layer (top) to a test tube
then evaporate under N2 at 35 °C
Reconstitute in 100 μL in 30% Methanol
Analyze by LC-MS/MS
* Methyl tert-butyl ether
May 1, 2014
For Research Use Only. Not for
use in diagnostic procedures.
LC Research Method Parameters 1290 UHPLC System
8
Injection volume: 10 mL
Autosampler temp: 5 ºC
Column Temp: 50 ºC
Needle Wash: 50%IPA : 25% MeOH : 25% H2O
Column: Poroshell 120 EC-C18, 2.1x50 mm, 2.7 mm
Pump Flow: 0.4 mL/min
Mobile Phase: A = Water + 5mM NH4FA
B = Methanol + 5mM NH4FA
Gradient: Time %B
0.00 10
0.50 10
8.00 40
9.00 60
9.50 60
9.60 95
10.4 95
10.5 10
Stop time – 10.5 min
Post time – 1.00 min
May 1, 2014
For Research Use Only. Not for
use in diagnostic procedures.
9
Ion Mode: Jetstream, Positive
ESI conditions
Drying Gas Temperature: 250 ºC
Drying Gas Flow: 11 L/min
Nebulizer Pressure: 35 psi
Sheath Gas Temperature: 350 ºC
Sheath Gas Flow: 11 L/min
Capillary: 3000 V
Nozzle Voltage: 0 V
EMV: 300 V
Resolution: MS1 - Unit, MS2 – Unit
Dwell Time 20 ms
Cell Acceleration 3 V
• The selection of the spray chamber conditions for a multi-component method always involves
a trade-off between the optimum settings of the individual compounds.
MS Research Method Parameters 6460 QQQ System
May 1, 2014
For Research Use Only. Not for
use in diagnostic procedures.
10
MS/MS Research Method Parameters MRM Transition Parameters for Analytes
Compound Name Precursor Ion Product Ion Quant-Qual
Frag (V) CE (V) Quant-Qual
11-Doxycortisol 347.2 109.1 - 97.1 95 28 - 28
17a-Hydroxypregnenolone 315.2 297.1 - 255.1 93 2 - 7
17a-Hydroxyprogesterone 331.2 109.1 - 97.1 100 27 - 27
Aldosterone 361.2 343.2 - 315.2 100 15 - 16
Androstenedione 287.2 109.1 - 97.1 100 25 - 17
Corticosterone 347.2 329.2 - 121.1 110 12 - 24
Cortisol 363.2 121.1 - 91.1 105 24 - 60
Cortisone 361.2 163.1 - 121.1 120 20 - 32
DHEA 289.2 271.2 - 231.2 95 2 - 20
Dihydrotestosterone 291.2 255.2 - 91.1 120 12 - 52
Pregnenolone 317.2 299.2 - 159.1 102 4 - 16
Progesterone 315.2 109.1 - 97.1 100 25 - 20
Testosterone 289.2 109.1 - 97.1 100 25 - 25
May 1, 2014
For Research Use Only. Not for
use in diagnostic procedures.
11
Compound Name Precursor Ion Product Ion Frag (V) CE (V) 11-Doxycortisol-D5 352.2 100.1 95 28
17a-Hydroxypregnenolone-13C2-D2 319.2 301.1 93 2
17a-Hydroxyprogesterone-D8 339.2 100.1 100 27
Aldosterone-D8 369.2 351.2 100 15
Androstenedione-3C13 290.2 100.1 100 17
Corticosterone-D8 355.2 337.2 110 12
Cortisol-D4 367.2 121.1 105 24
Cortisone-D7 369.2 169.1 120 20
DHEA-D5 294.2 258.2 95 2
Dihydrotestosterone-D3 294.2 258.2 120 12
Pregnenolone-13C2-D2 321.2 303.2 102 4
Progesterone-D9 324.2 100.1 100 20
Testosterone-D3 292.2 97.1 100 25
Research Method Parameters MRM Transition Parameters for Internal Standards
May 1, 2014
For Research Use Only. Not for
use in diagnostic procedures.
Chromatography 13 Steroid Panel for Research
12
Co
rtis
ol
Ald
oste
ron
e
Co
rtis
on
e
Co
rtic
oste
ron
e
11-D
eo
xyco
rtis
ol
17a-
Hyd
roxyp
rog
este
ron
e
Pre
gn
en
olo
ne
17-H
yd
roxyp
reg
nen
olo
ne
Pro
geste
ron
e
Dih
yd
rote
sto
ste
ron
e
DH
EA
Testo
ste
ron
e
An
dro
ste
ned
ion
e
5-delta Steroids
May 1, 2014
For Research Use Only. Not for
use in diagnostic procedures.
Chromatography Isobaric Pairs Need for Baseline Separation
13
Ald
oste
ron
e
Co
rtis
on
e
Co
rtic
oste
ron
e
11
-Deo
xyco
rtis
ol
Testo
ste
ron
e
DH
EA
For Research Use Only. Not for
use in diagnostic procedures.
Limit Of Detection Example: Testosterone at 5 pg/mL 50 femtograms injected on Column
14
Blank Injection
LOD at 5 pg/mL
or
50 fg on column
S/N=5.6
For Research Use Only. Not for
use in diagnostic procedures.
Androstenedione Calibration: 10pg/mL-100 ng/mL Regular Scale vs. Log Scale
1 2 3 4 5
Linearity of 5 Orders of Magnitude
15
For Research Use Only. Not for use
in diagnostic procedures.
16
Aldosterone
Cortisol Testosterone
Calibration Curves Representative Steroids
17-Hydroxypregnenolone
For Research Use Only. Not for
use in diagnostic procedures.
Results Summary of Analytical Performance
17
Compound R2 Level Conc.
Compound R2 Level Conc.
(pg/mL) (pg/mL)
Aldosterone 0.998
LOD 5
DHEA 0.995
LOD 250
LLOQ 10 LLOQ 500
ULOQ 500000 ULOQ 100000
Cortisone 0.998
LOD 5
17α-Hydroxyprogesterone 0.996
LOD 10
LLOQ 10 LLOQ 25
ULOQ 1000000 ULOQ 100000
Cortisol 0.999
LOD 1
17-Hydroxypregnenolone 0.995
LOD 250
LLOQ 5 LLOQ 500
ULOQ 1000000 ULOQ 250000
Corticosterone 0.996 LOD 5
Dihydrotestosterone 0.997 LOD 5
LLOQ 10 LLOQ 10
ULOQ 100000 ULOQ 500000
11-Deoxycortisol 0.995
LOD 2.5
Progesterone 0.995
LOD 25
LLOQ 5 LLOQ 50
ULOQ 500000 ULOQ 500000
Androstenedione 0.999
LOD 2.5
Pregnenolone 0.999
LOD 1000
LLOQ 5 LLOQ 2500
ULOQ 1000000 ULOQ 500000
Testosterone 0.996
LOD 5
LLOQ 10
ULOQ 500000
For Research Use Only. Not for
use in diagnostic procedures.
Conclusions
18
• Comprehensive analytical research method for steroids profile and a
highly sensitive and robust research method for low-level quantitation
of 13 steroids panel has been developed
• Sample preparation consisted of a straight forward LLE
• Steroid Panel LLOQs were in the low pg/ml range while 5-Δ steroids
were in high pg/mL. Dynamic range of up to 5 orders of magnitude
with R2 ≥ 0.995
• Number of steroids and analysis time can be reduced according to
research needs.
For Research Use Only. Not for
use in diagnostic procedures.
Questions
19
Thank You!
Acknowledgements
Kevin McCann Agilent Technologies
Applications Specialist
For Research Use Only. Not for
use in diagnostic procedures.
Vitamin D Metabolite Analysis in Serum by LC/MS
Rory M Doyle
Manager-Clinical/Forensic AE AFO
Agilent Technologies, Inc
Wilmington, DE
For Research Use Only. Not for
use in diagnostic procedures.
Agenda
• Researching Vitamin D metabolites
• LCMSMS reserach methods for the accurate analysis of
Vitamin D metabolites and isoforms
• How automated, online sample clean-up can be used to reduce offline sample preparation
• Technological advances enabling the analysis of low-level Vitamin D metabolites
• Quantitative data analysis
For Research Use Only. Not for
use in diagnostic procedures.
Rapid Analysis of Vitamin D Metabolites for Research
• 25-OH, epimers, 1,25-(OH)2, and more
• Chromatic separation of isoforms for each metabolite
• Internal standard corrected quantification
• Multi-point calibration curve covering a wide dynamic range
• Secondary qualifier ion for each analyte
Dietary Intake
7-Dehydrocholesterol
Skin Liver
Kidney
Vitamin D
25-OH Vitamin D
Gut
1,25-(OH)2 Vitamin D
For Research Use Only. Not for
use in diagnostic procedures.
C H 2
H
C H 3
CH 3
CH 3
C H 3
O H O H
A Few Metabolites of Vitamin D
O H
O H
Vitamin D325-OH Vitamin D3
3-epi-25-OH Vitamin D3
1,25-(OH)2 Vitamin D3
25-OH Vitamin D2
3-epi-25-OH Vitamin D2
1,25-(OH)2 Vitamin D2
For Research Use Only. Not for
use in diagnostic procedures.
Protein Precipitation for 25-OH Metabolite Research Analysis
Sample
Methanol
precipitate centrifuge analyze
For Research Use Only. Not for
use in diagnostic procedures.
Cleaner Samples with Online Sample Cleanup
Column A
Column B
Mass Spec
Pump 1
ALS
Pump 2
Waste
1
6
5 4
3
2
Column A
Column B
Mass Spec
Pump 1
ALS
Pump 2
Waste
1
6
5 4
3
2
Position 1 (Port 1 > 2) Position 2 (Port 1 > 6)
For Research Use Only. Not for
use in diagnostic procedures.
Poroshell 120 Columns for HPLC and UHPLC
Poroshell 120 Columns have:
• 80-90% efficiency of sub-2µm columns
• ~40-50% lower pressure
• 2x efficiency of 3.5µm (totally porous)
• A 2µm frit to reduce clogging
• A 600 bar pressure limit for HPLC or UHPLC
• The superficially porous particle is 2.7um with a
solid core (1.7um) and porous outer layer with a
0.5um diffusion path
Poroshell 120 is a high efficiency, high resolution column choice for
enhancing productivity in LC and LC/MS
1.7µm
0.5µm
0.5µm
For Research Use Only. Not for
use in diagnostic procedures.
Chromatographic 2D Separation of Metabolites
x104
0
1
2
3
4
5
6
Acquisition Time (min)
0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6
Co
un
ts 1 25-OH Vitamin D2
2 25-OH Vitamin D3 1
2
For Research Use Only. Not for
use in diagnostic procedures.
Accurate 1D Quantification of 25-OH Vitamin D for Research
25-OH Vitamin D2
Concentration (ng/ml)
0 10 20 30 40 50 60 70 80 90 100
X10-1
0
1
2
3
4
y = 0.0049 * x + 0.0025
R^2 = 0.999Type:Linear, Origin:Ignore, Weight:1/x
Re
lative
Re
sp
on
se
25-OH Vitamin D3
Concentration (ng/ml)
0 10 20 30 40 50 60 70 80 90 100
0.0
0.2
0.4
0.6
0.8
1.0
y = 0.010 * x + 0.0038
R^2 = 0.999Type:Linear, Origin:Ignore, Weight:1/x
Re
lative
Re
sp
on
se
Acquisition Time (min)
2 2.5 3
x102
0.6
0.8
1.0
Co
un
ts
D2 LOQ
1.25 ng/ml
Acquisition Time (min)
2 2.5 3
x102
0.5
1.0
1.5
2.0
Co
un
ts
D3 LOQ
1.25 ng/ml
For Research Use Only. Not for use
in diagnostic procedures.
Chromatographic 1D Separation of 3-Epi-25-Hydroxy-Vitamin D using a PFP column
For Research Use Only. Not for
use in diagnostic procedures.
Analytical Range for Vitamin D Metabolites in Research
y = 0.0024x + 0.0006 R² = 0.9993
0
0.1
0.2
0.3
0 20 40 60 80 100 120
Rela
tive
Re
sp
on
se
Concentration (ng/ml)
Analytical Range for
1,25-(OH)2 Vitamin D
(low pg/ml)
For Research Use Only. Not for
use in diagnostic procedures.
Quantification of 1,25-(OH)2 Vitamin D for Research Dealing with a Difficult Analysis
Accurate and reliable quantification for research of low level analytes
such as 1,25-(OH)2 Vitamin D can be challenging, costly and time-
consuming.
Through the implementation of novel and cutting-edge technologies,
Agilent makes these research analyses a reality.
For Research Use Only. Not for
use in diagnostic procedures.
Agilent Jet Stream
• Thermal confinement of
ESI plume
• Efficient desolvation to
create gas phase ions
• Creates an ion rich zone
Hexabore Capillary
• 6 capillary inlets
• Samples ~10 times
more ion rich gas from
the source
• Captures the majority of
the gas from the source
region
Dual Ion Funnel
• Removes the gas but
captures the ions
• Removes neutral noise
• Extends turbo pump life
Capture up to 10 x more ions
MS Inlet
Microflow LC/MS Nebulizer
Heated Sheath Gas
Thermal Gradient Focusing Region
Heat Sink with Active Cooling
iFunnel Technology Revolutionizes Ion Sampling
For Research Use Only. Not for
use in diagnostic procedures.
Liquid-Liquid Extraction for 1,25-(OH)2 Metabolite Analysis
Sample
Hexane
extract transfer
organic analyze evaporate reconstitute
For Research Use Only. Not for
use in diagnostic procedures.
Analysis of 1,25-(OH)2 Vitamin D
x103
0.2
0.6
1.0
1.4
Acquisition Time (min)
7 8 9 10 11 12
Co
un
ts
1,25-OH Vitamin D3
Other Metabolites
• LOQ of 5 pg/mL
• Chromatographic separation from isobaric metabolites
• Possible to quantitate other metabolites for research
For Research Use Only. Not for
use in diagnostic procedures.
Immuno-cleanup of 1,25-Dihydroxy-Vitamin D3/D2
1-25DiOH Vit D3 1-25DiOH Vit D2
For Research Use Only. Not for
use in diagnostic procedures.
Accurate Quantitation of 1,25-(OH)2 Vitamin D for Research
Concentration (pg/ml)
0 50 100 150 200 250 300 350 400 450 500
0
0.2
0.4
0.6
0.8
1.0
1.2
1.4 y = 0.0025 * x + 0.053
R^2 = 0.998
Re
lative
Re
sp
on
se
Acquisition Time (min)
8.6 8.8 9.0 9.2 9.4 9.6 9.8 10 10.2 10.4
x102
0.5
1.0
1.5
2.0
2.5
3.0
3.5
Counts
1,25-OH Vitamin D3
10 pg/mL
For Research Use Only. Not for
use in diagnostic procedures.
MassHunter Quantitative Analysis for Research Batch at a Glance and Reporting
For Research Use Only. Not for
use in diagnostic procedures.
Conclusions
• Agilent offers robust solutions to enable the reliable quantification of abundant and low-level Vitamin D metabolites for research
• Proven technology reduces your workload by minimizing hands-on sample preparation
• Agilent’s MassHunter software is optimized for
researchers' data review and reporting workflow
For Research Use Only. Not for
use in diagnostic procedures.
Multiply LC/MS Productivity
The New Agilent StreamSelect
LC/MS System
Maria VanDamme
StreamSelect Product Manager
Agilent Technologies, Inc.
For Research Use Only. Not for
use in diagnostic procedures.
Multiply LC/MS Productivity Agilent StreamSelect LC/MS System
• Dual-stream capacity increases throughput up to two-fold
• More samples on fewer instruments through efficient MS utilization
• Excellent analytical performance for accurate & reproducible quantitation for research
• Simple implementation with intuitive automation software
• Fully integrated solution allows intelligent error handling
41
For Research Use Only. Not for
use in diagnostic procedures.
Traditional LC/MS Analyses in Series for Researchers
0.0 2.5 25.0 5.0 7.5 10.0 12.5 15.0 17.5 20.0 22.5
injection 1 injection 2 injection 3 injection 4 injection 5
A significant portion of the chromatographic run contains no peaks of interest
5 analyses in 25 minutes
42
For Research Use Only. Not for
use in diagnostic procedures.
Offset
Agilent StreamSelect LC/MS Solution Analyses in Parallel for Researchers
44
Str
eam
1
Str
eam
2
Mass S
pectr
om
ete
r V
iew
Idle
0.0 2.5 25.0 5.0 7.5 10.0 12.5 15.0 17.5 20.0 22.5
Nearly 10 analyses in the same 25 minutes!
No idle time, MS is used efficiently
For Research Use Only. Not for
use in diagnostic procedures.
QQQ
StreamSelect Research Workflow
1
1 2
LC 1
2
1 2
LC 2 SSV
Calibrators and QC samples
Run on both streams
Unknowns
Run on either LC1 or LC2
Autosampler
46
For Research Use Only. Not for
use in diagnostic procedures.
S1 S2
Dramatically Increase Throughput for Researchers
Standard LC/MS StreamSelect LC/MS
12 1
2
3 9
8
7 6
4
10
5
11
8 hours to complete the batch 4.5 hours to complete the batch
48
For Research Use Only. Not for
use in diagnostic procedures.
Quantitative and Retention Time Reproducibility
50
R2 >0.999
Results Experimental
Combined calibration curves for
25-OH Vitamin D3 across both
LC systems
Retention time reproducibility of
25-OH Vitamin D3 for research over 500 injections across both LCs
Application Note 5991-2900EN
RSD <10%
For Research Use Only. Not for
use in diagnostic procedures.
Batch Submission Simple 3-Step Process
The simulation shows what a researcher would do to submit a batch
51
For Research Use Only. Not for
use in diagnostic procedures.
StreamSelect Profile Development
Choose Example Data File
Define Peak Elution Time
Create Sample Plate Templates
53
For Research Use Only. Not for
use in diagnostic procedures.
Intelligent Operation Constant Communication
Cals and QC
Unknowns
QQQ
1
1 2
LC 1
2
1 2
LC 2 SSV
• Direct, bi-directional
communication between the
LCs and the MS eliminates
sample loss.
54
For Research Use Only. Not for
use in diagnostic procedures.
Intelligent Operation Constant Communication
Cals and QC
Unknowns
?
QQQ
1
1 2
LC 1
2
1 2
LC 2 SSV
• Direct, bi-directional
communication between the
LCs and the MS eliminates
sample loss.
• In this example, the LC running
Stream 1 fails during the
analysis of Sample 29. What
happens to Sample 29?
55
For Research Use Only. Not for
use in diagnostic procedures.
Intelligent Operation Constant Communication
Cals and QC
Unknowns
QQQ
1
1 2
LC 1
2
1 2
LC 2 SSV
• Direct, bi-directional
communication between the
LCs and the MS eliminates
sample loss.
• In this example, the LC running
Stream 1 fails during the
analysis of Sample 29. What
happens to Sample 29?
• Sample 29 and all further
samples are seamlessly re-
assigned for analysis on
Stream 2, assuring continued
productivity without any loss of
data.
56
For Research Use Only. Not for
use in diagnostic procedures.
Intelligent Operation Stream Equivalency
0 1000 2000 30000
1000
2000
3000
Stream crossoverFailure on stream 1
Stream 1
Str
ea
m 2
Slope=1.001Intercept=0.008
r2=0.9998
0 1000 2000 30000
1000
2000
3000
Stream crossoverFailure on stream 2
Stream 1S
trea
m 2
Slope=0.989Intercept=0.02
r2=0.99981
Simulated Leak on Stream 1,
samples diverted to Stream 2,
-> equivalent results
Simulated Overpressure on Stream 2,
samples diverted to Stream 1
-> equivalent results
58
For Research Use Only. Not for
use in diagnostic procedures.
Conclusions
• Agilent’s StreamSelect LC/MS Solution is an efficient way
for researchers to increase productivity without sacrificing
quantitative performance
• Intuitive StreamSelect Software is part of a fully integrated
system that provides a simple and robust solution to your
research laboratory’s needs
• Straightforward implementation based on existing methods
and efficient system utilization lower overall costs
60
For Research Use Only. Not for
use in diagnostic procedures.
Questions?
Maria VanDamme
Product Manager StreamSelect LC/MS System
Kevin McCann
Application Specialist StreamSelect LC/MS System
61
For Research Use Only. Not for
use in diagnostic procedures.