ANALYSIS OF SERUM TESTOSTERONE AND ANDROSTENEDIONE FOR CLINICAL RESEARCH USING EITHER MANUAL OR AUTOMATED EXTRACTION Dominic Foley1, Brian Keevil2, Lisa Calton1 1 Waters Corporation, Stamford Avenue, Wilmslow, UK. 2 University Hospital of South Manchester, Wythenshawe, UK. INTRODUCTION RESULTS Linearity Chromatography Following CLSI-EP6-A, the method was shown to have a linear fit over the range of 0.05—15ng/mL (n=5). Calibration lines using serum spiked with testosterone and androstenedione were linear with coefficient of determinations > 0.994 (n=10). The signal:noise ratios for the lowest calibrator (0.05ng/mL) from the testosterone and androstenedione spiked serum were >15:1. Androstenedione 100 287.2 > 96.9 % Here we evaluate a UPLC/MS/MS method used to measure serum testosterone and androstenedione enabling investigation of metabolic dysfunction for clinical research purposes. An analytically selective method was developed using a mixed-mode Solid Phase Extraction (SPE) sorbent in 96-well plate format. Either manual or automated extraction was employed, providing flexibility in sample preparation options depending on the laboratory environment. 0 1.20 1.40 1.60 1.80 2.00 2.20 2.40 2.60 2.80 Testosterone 100 289.2 > 96.9 Analytical Bias % METHODS Epitestosterone Materials Total precision was determined by extracting and quantifying three replicates of tri-level QC material on two occasions per day over five consecutive days (n=30). Repeatability was determined by analyzing three replicates at each QC level. 0 0 Sample supernatant was transferred to a Waters® Oasis® MAX µElution plate, washed with 0.1% ammonia in 20% methanol and eluted with methanol. standard, Automation was performed using the Offline Automated Sample Prep Station (OASPS)*. 2.00 2.20 Protein Precipitation 1.20 1.40 1.60 100 % All samples were pre-treated with internal ammonia, zinc sulphate, methanol and water. 1.80 2.40 2.60 Testosterone 100 Time 2.80 0 Interf erence 1.80 2.00 2.20 2.40 2.60 Oasis HLB 1.20 1.40 289.2 > 109.0 Interf erence 1.60 1.80 2.00 2.20 2.40 2.60 Testosterone Oasis MAX 1.20 1.40 2.80 Figure 3. A simple Linear Regression of the reported mean values of the CDC HoSt samples against the reference values 2.80 289.2 > 109.0 No Interf erence 1.60 1.80 2.00 2.20 2.40 2.60 2.80 Ion Suppression The normalized matrix factors (using analyte:internal standard response ratio) were 0.99 and 1.03 for androstenedione and testosterone, respectively. The analysis time per sample was approximately 4.0 minutes injection to injection. Total precision and repeatability was evaluated at low (0.15ng/mL), mid (1.0ng/mL) and high (10ng/mL) QC concentrations. Both manual and automated total precision repeatability were ≤ 5.7% for both analytes. Precision *OASPS is under development Testosterone Cone Collision (V) (eV) Total QC Precision QC Repeatability 38 25 (28) Testosterone – C3 292.2 > 99.9 38 25 Compound Low Mid High Low Mid High Androstenedione 287.2 > 96.9 (109) 38 25 (28) Testosterone 4.1% 3.0% 4.0% 3.2% 2.8% 4.0% Androstenedione –13C3 290.2 > 99.9 38 25 Androstenedione 4.0% 2.8% 4.6% 3.5% 2.8% 4.6% Table 1. MRM parameters used for the analysis of testosterone and androstenedione and their Internal standards. Qualifier ion parameters are shown in parentheses. Comparison with samples previously analyzed by an independent LC/MS/MS method (n= 35) was described by the Deming equation y = 1.07x + 0.01 for testosterone and y= 0.96x + 0.02 for androstenedione. Manual vs Automated Bias A comparison of samples extracted using manual and automated extraction protocols (n=35) was described by the Deming equation y = 1.03x + 0.00 for testosterone and y= 0.98x + 0.04 for androstenedione. No constant or proportional bias was observed, indicating equivalency of the manual and automated methods. CONCLUSION and 289.2 > 96.9 (109) 13 The mean method bias was determined to be 3.3%. Figure 2. Comparison of protein precipitation, Oasis HLB and Oasis MAX SPE for the extraction of testosterone MRM Transition (m/z) Time Using a Waters ACQUITY UPLC® I-Class System, samples were injected onto a 2.1x50mm Waters ACQUITY UPLC HSS C18 SB column using a water/methanol/ammonium acetate gradient and analyzed with a Waters Xevo® TQD Detector, using MRM parameters in Table 1. Compound r2 = 0.9992 289.2 > 109.0 Qualifier Testosterone 100 1.60 The additional selectivity of the Oasis MAX SPE removes a an interference from the 289.2 > 109 trace for testosterone. 0 Methods 1.40 Extraction Selectivity Analytical method bias for testosterone was determined using Hormone Standardization (HoSt) samples obtained from the CDC (Atlanta, GA) (n=40). A comparison was performed using anonymized testosterone and androstenedione samples previously analyzed using an independent LC/MS/MS method (n=35). 1.20 Figure 1. Separation of androstenedione, testosterone and its epimer, epitestosterone % Certified testosterone and androstenedione reference material purchased from Cerilliant (Round Rock, TX) was used to prepare calibrators (0.05—15 ng/mL) and QC material in MSG4000 pooled human serum obtained from Golden West Biologicals (Temecula, CA). % Comparison with HoSt samples (n=40) was described by a Co-efficient of Determination (r2) of 0.9992. Table 2. Total precision and repeatability for the automated extraction of testosterone and androstenedione We have successfully quantified testosterone and androstenedione using an anion exchange SPE and UPLC/MS/MS for clinical research purposes. The method demonstrates excellent linearity, precision and accuracy with minimal matrix effects. The method has been fully automated using the OASPS. FOR CLINICAL RESEARCH USE ONLY. NOT FOR USE IN DIAGNOSTIC PROCEDURES. ©2014 Waters Corporation
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