首页|UPLC-MS/MS法及均相酶免疫法测定人全血西罗莫司浓度

UPLC-MS/MS法及均相酶免疫法测定人全血西罗莫司浓度

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目的 建立高效液相色谱-串联质谱(UPLC-MS/MS)法监测人全血西罗莫司浓度,并将检测结果与均相酶免疫法进行比较.方法 100 μL全血样品加入10μL西罗莫司-D3内标、100μL0.1mol·L-1ZnSO4溶液、300 μL甲醇,涡旋离心后,上清液5μL进样.以0.1%甲酸-甲醇为有机相,0.1%甲酸-水(含10mmol·L-1乙酸铵)为水相,流速0.5mL·min-1,FastCore SuperC18(2.1 mm×100mm,2.6μm)色谱柱进行梯度洗脱分离.在多反应监测(MRM)模式下采用电喷雾离子源(ESI)正离子化方式检测,西罗莫司、内标的定量离子对分别为m/z 931.6>864.6,m/z934.6>864.6.进行方法学考察(包括特异性、定量下限、标准曲线、准确度、精密度、残留效应、基质效应、稳定性和回收率).测定94例器官移植患者的西罗莫司浓度,与均相酶免疫法结果进行比较.结果 西罗莫司标准曲线浓度范围为2.5~50ng·mL-1.西罗莫司的日内、日间准确度相对误差(RE)在-5.3%~7.5%,变异系数(CV)小于11.8%.低、中、高不同浓度的质控回收率和基质效应一致,经内标校正后回收率为100.22%~108.56%,经内标归一化后基质效应为95.45%~96.48%,CV小于7.0%.全血样本室温放置3 d,4 ℃放置3d,-20 ℃放置20d,反复冻融3次,处理后样本自动进样器放置20 h,室温放置24 h结果稳定.Passing-Bablok回归分析及Bland-Altman结果表明均相酶免疫法与UPLC-MS/MS两种西罗莫司测量方法存在比例偏差.结论 本研究建立了一种简单、高效的UPLC-MS/MS方法检测人全血西罗莫司浓度,均相酶免疫法与UPLC-MS/MS法检测人全血西罗莫司存在比例偏差.UPLC-MS/MS方法更加准确,是免疫抑制剂治疗药物监测检测金标准.
Determination of sirolimus concentration in human whole blood by UPLC-MS/MS and homogeneous enzyme immunoassay
Objective To quantify sirolimus concentration in human whole blood by UPLC-MS/MS and to evaluate the agreement with the homogeneous enzyme immunoassay.Methods Human whole blood(100 μL)was spiked with 10 μL sirolimus-D3(the internal standard,IS),100 μL 0.1 mol·L-1 ZnSO4 and 300 μL methanol.After the vortex and centrifugation(14 000 r·min-1),5 μL supernatant was injected.Water(containing 10 mmol·L-1 ammonium acetate and 0.1%formic acid,solvent A)and methanol(containing 0.1%formic acid,solvent B)were used as the eluent,with the gradient elution at 0.5 mL·min-1 in FastCore Super C18 column(2.1 mm×100 mm,2.6 μm).The multiple reaction monitoring(MRM)with electrospray ionization(ESI)in the positive-ion mode was used.m/z 931.6>864.6 and m/z 934.6>864.6 were used for sirolimus and the IS quantitation.Method validation,including selectivity,LLOQ,calibration curve,accuracy,precision,remaining-effect,matrix effect,stability and recovery was evaluated.Passing-Bablok regression analysis and Bland-Altman plot were used to assess the agreement between UPLC-MS/MS and homogeneous enzyme immunoassay.Results The calibration ranged 2.5~50 ng·mL-1for sirolimus.The relative error of intra-and inter-day accuracy of sirolimus ranges from-5.32%to 7.46%,and the coefficient of variation was less than 11.8%.The IS normalized recovery and matrix effect were 100.22%~108.56%and 95.45%~96.48%with coefficient of variation less than 7.0%.Sirolimus was stable in the test conditions.Comparison between UPLC-MS/MS with homogeneous enzyme immunoassay showed a deviation in proportion.Conclusion UPLC-MS/MS method for the determination of sirolimus in human whole blood is rapid,easy and reliable.A proportion deviation in the two methods is observed.

sirolimusUPLC-MS/MSmethod developmentmethod validation

杨华、王兰、宋微微、杨晓娟、冀召帅、艾超

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清华大学附属北京清华长庚医院药学部,清华大学临床医学院,北京 102218

西罗莫司 UPLC-MS/MS方法 方法学开发 方法学验证

2024

中南药学
湖南省药学会

中南药学

CSTPCD
影响因子:0.736
ISSN:1672-2981
年,卷(期):2024.22(8)