High speed UHPLC-MS/MS determination of multiple steroids in human serum using the Nexera MX system for multiplex analysis

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PO-CON695E High speed UHPLC-MS/MS determination of multiple steroids in human serum using the Nexera MX system for multiplex analysis MSACL 6 EU Neil Loftus, Stephane Moreau, Mikaël Levi 3, Anja Grüning Shimadzu MSO, Manchester, UK, Shimadzu Europa, Duisburg, Germany, 3 Shimadzu France, Noisiel, France

Introduction Steroid hormones play a crucial role in controlling metabolism, inflammation and immune functions. Changes in steroid profiling reflect disease status and help research into a number of disorders, including congenital adrenal hyperplasia (CAH), Cushing s disease and polycystic ovarian disease. To overcome many limitations of immunoassays, high performance liquid chromatography-tandem mass spectrometry (HPLC-MS/MS) has the potential to find its place in the clinical laboratory medicine for quantification of steroid hormones to profile steroids in a disease process. To enhance steroid profiling a highly sensitive analysis method for simultaneous determination of multiple steroids by UHPLC-MS/MS was developed to support clinical research. To deliver a higher sample throughput the method used an autosampler capable of overlapping sample injections. The Shimadzu Nexera MX multiplex LCMS system has a Dual Stream Technology (MX-DST) using two separate analysis systems to perform overlapping sample injections. This design supports either an injection cycle of two batches of samples at the same time or to inject one batch of samples using the two separate streams of the Nexera MX system. This study also considers the influence on the results when using the two separate streams for one batch compared to a conventional approach of one analysis stream for one batch. Materials and Methods Sample A synthetic surrogate serum (SigMatrix) was spiked with the steroids panel to prepare calibration and quality control samples. After addition of the respective internal standards the samples (55 µl) were diluted : with ultrapure water and extracted using an Isoelute SLE+ cartridge (Biotage). The steroid panel was eluted from the Isolute SLE+ cartridge using 5mL dichloromethane. The Analytical conditions Steroids were detected by LC-MS/MS using a Nexera MX and LCMS-85/LCMS-86 systems (Shimadzu Corporation, Japan). The Nexera MX Dual Stream Technology uses two independent analysis systems dichloromethane was evapoarated to dryness and reconstituted in 5 µl of water/methanol (: v/v) and transferred to a vial with glass insert stored at 5 ºC prior to analysis. For this study calibration and QC samples containing final concentrations equal to the extracted samples were prepared. (streams) to perform overlapping sample injections delivering increased sample throughput with a single MS/MS detector (Figure ). Analytical conditions are reported in Table.

Stream Pump A Pump B Column / Total cycle time Total cycle time Pump C Pump D Column LC-MS/MS LCMS-85 LCMS-86 Stream Pump A Pump B Pump C Pump D Figure : Schematic view of overlap injection function in Nexera MX system 3

Table : LC-MS/MS acquisition method designed to accelerate sample throughput for steroid analysis. Mass Spectrometry (MS/MS) MS system : LCMS-85/86 (Shimadzu, Japan) Ionization : HESI (positive/negative) Nebulizing Gas Flow : 3. L/min (N ) Drying Gas Flow :. L/min (N ) Heating Gas Flow :. L/min (Air) Desolvation line : 5 C Block Temperature : 5 C Interface Temperature : 4 C Dual Stream LC LC System : Nexera MX (Shimadzu, Japan) Analytical Column : Restek Raptor Biphenyl.7 µm, 5 x 3 mm (x) Mobile Phase A/C : Water + additive Mobile Phase B/D : Methanol + additive Injection volume : 3 µl Column Temperature : 3 C Dual Stream Gradient (the streams are automatically changed in a running sequence to maximize throughput) Stream : Time (min) Flow (ml/min) B.Conc %.. 73.5 73 3.8 97.8 : Time (min) Flow (ml/min) D.Conc %. 97.8...8.8..4..5 cut-off :.5min Results The original method for simultaneous determination of multiple steroids (Table ) by UHPLC-MS/MS was successfully used with the Shimadzu Nexera MX multiplex LCMS system. Results for calibration curves and QC samples obtained from a batch using both streams where comparable to those obtained from a single stream. Exemplary calibration curves are shown in Figure. QC results for 7ß-Estradiol and Androstenedione are shown in Table 3. A chromatogram overlay of multiple injections using the two streams for exemplary chromatograms are shown in Figure 3. 4

Table : LOQ and calibration ranges Steroid Internal Standard LOQ (pg/ml) Linear Range Aldosterone D7-Aldosterone.-5 ng/ml Estradiol D5-Estradiol.-5 ng/ml Testosterone 3 C3-Testosterone.-5 ng/ml 5a-Dihydrotestosterone D3-5a-Dihydrotestosterone 5.5-5 ng/ml -Deoxycortisol D5--Deoxycortisol.-5 ng/ml -Deoxycorticosterone D5--Deoxycortisol.-7.5 ng/ml Corticosterone D5--Deoxycortisol.-7.5 ng/ml Cortisol D4-Cortisol.-5 ng/ml Cortisone D4-Cortisol 5.5-5 ng/ml 7-Hydroxyprogesterone 3 C3-7-Hydroxyprogesterone.-7.5 ng/ml Androstenedione 3 C3-Androstenedione.-5 ng/ml Progesterone D9-Progesterone.5.5-7.5 ng/ml Estrone D5-Estrone.5.5-5 ng/ml DHEA D5-DHEA.-5 ng/ml DHEA sulfate D5-DHEA sulfate.-5 ng/ml Calibration Curves Calculated conc (pg/ml) 6 5 4 5 5 -DEOXYCORTICOSTERONE 5 5 Calculated conc (pg/ml) 6 5 4 3 TESTOSTERONE 3 3 3 Stream Both Streams 3 4 5 6 Nominal concentration (pg/ml) Stream Both Streams 3 4 5 6 Nominal concentration (pg/ml) Figure : Overlay of three calibration curves for -deoxycorticosterone and testosterone obtained from single stream and and from both streams. 5

Table 3 : results for QC samples 7β-Estradiol Androstenedione Stream Both Streams Stream Both Streams 5pg/mL 47.7 95.43 5. 47.65 95.3 4.9 5.5 3 3.3 5pg/mL 55.6. 5.37 53.6 7.3. 54.4 8.8 3.83 pg/ml 97.97 97.97 4. 96.4 96.58.48.4.9 pg/ml 3.8 7.6 3.9 3..6.53.9 6.3 4.54 Representative chromatograms. (Signal intensity x,,) TESTOSTERONE 9. 8. (Signal intensity x,) ESTRONE.5 7. 6.. 5. 4. 3..5........3.4.5.6..8 min.4.5.6..8.9....3 min Figure 3 : Overlay of 6 mass chromatograms of Testosterone and Estrone (pg/ml) using automatic switching between both streams to maximize productivity without compromising data 6

Conclusion Transferring a highly optimized LC-MS/MS method for steroids from a conventional single stream system to a dual stream multiplex LC/LC-MS/MS platform significantly accelerated sample cycle times without affecting data quality. This approach has several advantages as it increases sample throughput using the same LC platform and footprint, maximizes data acquisition times on the MS and is simple to use as the software is designed for dual stream analysis. Nexera MX with LCMS-86 triple quadrupole mass spectrometer First Edition: October, 6