Predicted influence of sample hematocrit on injected mass of internal standard in mass spectrometry assays utilizing simple protein precipitation for sample preparation
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Allison M. Cushman-Vokoun
Abstract
Background: The injected mass of internal standard is often monitored in mass spectrometry assays to flag aberrant specimen processing. When simple protein precipitation is used for sample preparation, the protein volume (solids fraction) of the specimen is in principle a variable affecting the final concentration of the internal standard in the liquid phase. We examined the predicted extent of this variation for an example of protein precipitation for sample preparation used in a mass spectrometry assay for immunosuppressants in whole blood.
Methods: Liquid and solid mass fractions of samples with hematocrit ranging from 15% to 60% were measured after protein precipitation of samples using a whole blood/precipitating reagent ratio of 1:4. Relative supernatant volumes as a function of hematocrit were determined.
Results: Liquid volume variation was consistent with a predicted variation in the internal standard concentration of only approximately ±1% across this hematocrit range. Data were in close agreement with calculations based simply on protein density and concentration.
Conclusions: Hematocrit affects the injected mass of internal standard in assays that utilize protein precipitation for sample preparation, due to predictable variation in solids and liquid fractions. The effect is small, however, compared to the typical variation observed for injected mass of internal standard.
Clin Chem Lab Med 2007;45:215–9.
References
1. Napoli KL. Organic solvents compromise performance of internal standard (ascomycin) in proficiency testing of mass spectrometry-based assays for tacrolimus. Clin Chem2006;52:765–6.10.1373/clinchem.2005.061341Search in Google Scholar
2. Volosov A, Napoli KL, Soldin SJ. Simultaneous simple and fast quantification of three major immunosuppres-sants by liquid chromatography-tandem mass-spectrometry. Clin Biochem2001;34:285–90.10.1016/S0009-9120(01)00235-1Search in Google Scholar
3. Diem K, Lentner C, editors. Documenta Geigy scientific tables, 7th ed. Basle, Switzerland: JR Geigy SA, 1970.Search in Google Scholar
4. Weast RC, editor. CRC handbook of chemistry and physics, 56th ed. Cleveland, OH: CRC Press, 1975.Search in Google Scholar
5. Burtis CA, Ashwood ER, editors. Tietz textbook of clinical chemistry, 2nd ed. Philadelphia: WB Saunders, 1994.Search in Google Scholar
6. Creighton TE. Proteins: structure and molecular properties, 2nd ed. New York: WH Freeman & Co., 1993.Search in Google Scholar
7. Katz ED, Lochmuller CH, Scott RPW. Methanol-water association and its effects on solute retention in liquid chromatography. Anal Chem1989;61:349–55.10.1021/ac00179a013Search in Google Scholar
8. Holt DW, Armstrong VW, Griesmacher A, Morris RG, Napoli KL, Shaw LM. International Federation of Clinical Chemistry/International Association of Therapeutic Drug Monitoring and Clinical Toxicology working group on immunosuppressive drug monitoring. Ther Drug Monit2002;24:59–67.10.1097/00007691-200202000-00011Search in Google Scholar PubMed
9. Reichel C, von Falkenhausen M, Brockmeier D, Dengler HJ. Characterization of cyclosporine A uptake in human erythrocytes. Eur J Clin Pharmacol1994;46:417–9.10.1007/BF00191903Search in Google Scholar PubMed
10. Gonschior AK, Christians U, Winkler M, Schiebel HM, Linck A, Sewing KF. Simplified high-performance liquid chromatography-mass spectrometry assay for measurement of tacrolimus and its metabolites and cross-validation with microparticle enzyme immunoassay. Ther Drug Monit1995;17:504–10.10.1097/00007691-199510000-00011Search in Google Scholar PubMed
11. Poquette MA, Lensmeyer GL, Doran TC. Effective use of liquid chromatography-mass spectrometry (LC/MS) in the routine clinical laboratory for monitoring sirolimus, tacrolimus, and cyclosporine. Ther Drug Monit2005;27:144–50.10.1097/01.ftd.0000148451.35811.74Search in Google Scholar PubMed
12. Kellogg MD, Behaderovic J, Bhalala O, Rifai N. Rapid and simple tandem mass spectrometry method for determination of serum cotinine concentration. Clin Chem2004;50:2157–9.10.1373/clinchem.2004.039594Search in Google Scholar PubMed
13. Cawood ML, Field HP, Ford CG, Gillingwater S, Kicman A, Cowan D, et al. Testosterone measurement by isotope-dilution liquid chromatography-tandem mass spectrometry: validation of a method for routine clinical practice. Clin Chem2005;51:1472–9.10.1373/clinchem.2004.044503Search in Google Scholar PubMed
©2007 by Walter de Gruyter Berlin New York
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