High-Throughput Liquid Chromatography-Tandem Mass Spectrometric Analysis ofSirolimus in Whole Blood

Verfasser / Beitragende:
[Pierre E. Wallemacq, Roger Vanbinst, Stéphanie Asta, Donald P. Cooper]
Ort, Verlag, Jahr:
2003
Enthalten in:
Clinical Chemistry and Laboratory Medicine, 41/7(2003-07-21), 921-925
Format:
Artikel (online)
ID: 378879219
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024 7 0 |a 10.1515/CCLM.2003.140  |2 doi 
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245 0 0 |a High-Throughput Liquid Chromatography-Tandem Mass Spectrometric Analysis ofSirolimus in Whole Blood  |h [Elektronische Daten]  |c [Pierre E. Wallemacq, Roger Vanbinst, Stéphanie Asta, Donald P. Cooper] 
520 3 |a Sirolimus appears as a new potent immunosuppressive agent taking advantage of therapeutic drug monitoring to optimize its use in organ transplantation. In the absence of any available commercial immunoassay it was mandatory to develop chromatographic assays. Some methods have already been proposed to quantify sirolimus in whole blood, based either on HPLC-UV, liquid chromatography-mass spectrometry (LC-MS) or liquid chromatography-tandem mass spectrometry (LC-MS/MS). We have developed a new faster and simpler LC-MS/MS method to quantify sirolimus in blood using ascomycin as an internal standard and multiple reaction monitoring (MRM) acquisition mode. This method displays a limit of detection of 0.3 μg/l, and the intra-assay reproducibility ranges from 4.1-7.9%. The pre-analytical preparation steps are quite similar to those required for semi-automated immunoassays. Ascomycin and sirolimus present retention times of 0.89 and 0.93 min, respectively, and the turnaround time for a result (2.5 min) is also similar to that observed using a clinical analyzer. The comparison performed between HPLC-UV and LC-MS/MS displays good correlation (r = 0.949). The LC-MS/MS method described above has been used routinely for more than 2000 patient blood specimens and may present several advantages over existing methods, e.g., specificity with sufficient sensitivity, rapidity, and small blood sampling (10 μl), making it particularly adapted for routine clinical use. 
540 |a Copyright © 2003 by Walter de Gruyter GmbH & Co. KG 
690 7 |a Medical equipment & techniques  |2 nationallicence 
690 7 |a Medical diagnosis  |2 nationallicence 
690 7 |a Diseases & disorders  |2 nationallicence 
700 1 |a Wallemacq  |D Pierre E.  |4 aut 
700 1 |a Vanbinst  |D Roger  |4 aut 
700 1 |a Asta  |D Stéphanie  |4 aut 
700 1 |a Cooper  |D Donald P.  |4 aut 
773 0 |t Clinical Chemistry and Laboratory Medicine  |d Walter de Gruyter  |g 41/7(2003-07-21), 921-925  |x 1434-6621  |q 41:7<921  |1 2003  |2 41  |o cclm 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Asta  |D Stéphanie  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Cooper  |D Donald P.  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Clinical Chemistry and Laboratory Medicine  |d Walter de Gruyter  |g 41/7(2003-07-21), 921-925  |x 1434-6621  |q 41:7<921  |1 2003  |2 41  |o cclm 
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