Simultaneous Determination of a Panel of 22 Steroids in Urine and Serum by SPE and LC-MS/MS

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Simultaneous Determination of a Panel of 22 Steroids in Urine and Serum by SPE and LC-MS/MS UCT Part Numbers: CUQAX22Z Clean-Up C8+QAX, 2mg/1mL BETA-GLUC- ml Beta-Glucuronidase Enzyme, liquid form SLAQID21-3UM - Selectra Aqueous C18, x 2.1mm, 3µm SLAQGDC2-3UM - Selectra Aqueous C18, Guard, 1 x 2.mm, 3µm SLGRDHLDR - Guard Cartridge Holder SPHACE1-5 - Select ph Buffer, mm Acetate ph 5. SPHPHO71-5 - Select ph Buffer, mm Phosphate ph 7. May 215 SUMMARY: Anabolic steroids are drugs structurally related to the cyclic steroid ring system and have similar effects to testosterone in the body. Anabolic steroids can be used therapeutically to stimulate muscle growth and appetite, induce male puberty and treat chronic wasting conditions, such as cancer and AIDS [1]. Ergogenic uses of anabolic steroids include bodybuilding, sport doping, and animal fattening. There has been growing interest in clinical, anti-doping and food safety testing labs for fast and effective determination of multiple steroids in complex biological samples. Excreted in urine either as glucuronide or sulfated conjugate, urine samples are deconjugated prior to sample preparation. In this study, serum or hydrolyzed urine samples were extracted using mixed-mode SPE. Both neutral steroids and anionic matrix components were retained on the sorbent bed during sample loading. In the elution step only steroids were eluted from the C8 sorbent with methanol, while the anionic matrix components were retained on the strong anion exchange sorbent (QAX). This resulted in clean extracts for LC-MS/MS analysis. An Aqueous C18 HPLC column was found to offer the best selectivity in separating several pairs of isomers. Matrix matched calibration curves were constructed for steroid quantification. The responses for the 22 steroids in serum and urine were linear with R 2 greater than.99 over the 1-2 ng/ml range. Excellent recoveries and relative standard deviations were obtained. This method has been applied to real urine samples.

PROCEDURE: Sample Pretreatment A. Serum sample To 1 ml serum sample, add 4 ml of mm phosphate buffer, ph 7 and appropriate amounts of the spiking solutions for spiked samples, then vortex for 3 sec. B. Urine sample To 1 ml urine sample, add 1 ml of mm acetate buffer, ph 5 and μl of beta-glucuronidase, vortex for 3 sec and heat at 65 C for 1-2 hours. Allow sample to cool, add 2 ml of mm phosphate buffer, ph 7 buffer and appropriate amounts of the spiking solutions for spiked samples, then vortex for 3 sec. SPE Method: 1. Attach SPE cartridges (UCT part#: CUQAX22Z) to a glass block manifold or positive pressure manifold. 2. Condition the SPE cartridges with 3 ml of methanol (MeOH) followed by 3 ml of mm phosphate buffer, ph 7 buffer. 3. Load the pretreated sample, adjust vacuum or pressure for a slow dropwise sample flow. 4. Wash the sample test tubes with 3 ml of DI water, and apply the rinse to the SPE cartridges. Repeat the wash with 3 ml of 3% MeOH in DI water (Optimized for clean extract and without analyte loss). 5. Dry the SPE cartridges under full vacuum or pressure for 1 min. 6. Insert collection rack with test tubes to the manifold, and elute the retained steroids with 2 x 1.5 ml of MeOH. 7. Evaporate the eluate to dryness at 45 C under a gentle stream of nitrogen, and reconstitute with μl of % MeOH in DI water. 8. Vortex the extract for 3 sec and transfer to 2-μL inserts held in 2-mL vials.

SPE cartridges during the elution step SPE cartridges before and after urine extraction Instrumentation Parameters: HPLC: Thermo Scientific Dionex UltiMate 3 LC System Column: UCT, Selectra, Aqueous C18, x 2.1 mm, 3 µm Guard column: UCT, Selectra, Aqueous C18, 1 x 2. mm, 3 µm Column temperature: 4 C Column flow rate:.3 ml/min Auto-sampler temperature: 1 C Injection volume: 1 µl Gradient program: A% (.1% formic acid in H 2 O) B% (.1% formic acid in MeOH) 2 4 6 9 4 6 12 15 15.1 19 Divert mobile phase to waste from - 3 and 15-19 min to prevent ion source contamination. Instrumentation MS parameters Thermo Scientific TSQ Vantage tandem MS

Polarity ESI + Spray voltage 3 V Vaporizer temperature 49 C Ion transfer capillary temperature 249 C Sheath gas pressure 2 arbitrary units Auxiliary gas pressure 4 arbitrary units Q1 and Q3 peak width (FWHM).4 and.7 Da Collision gas and pressure Ar at 1.5 mtorr Cycle time 1 sec Acquisition method EZ Method (scheduled SRM) Compound RT (min) Precursor ion Product ion 1 CE1 Product ion 2 CE2 S-Lens Cortisone 3.61 361.1 163. 22 91. 55 11 Cortisol 4. 363.1 91. 55 145. 31 92 21-Deoxycortisol 4.85 347.1 175. 17 311.2 5 91 Corticosterone 5.34 347.1 15. 34 128. 69 16 11-Deoxycortisol 5.59 347.1 19. 29 97. 28 19 Fluoxymesterone 6.45 337.1 91. 49 242.1 22 119 Trenbolone 6.71 271.1 165.1 55 199.1 23 17 Boldenone 6.78 287.1 121. 22 135.1 13 73 Androstenedione 7.12 287.1 97.1 21 19. 24 91 Nandrolone 7.6 275.1 19.1 27 91. 43 83 Methandienone 8.15 31.1 121. 26 149.1 14 67 17alpha-hydroxyprogesterone-D8 8.21 339.2.1 21 113.1 27 17 17alpha-hydroxyprogesterone 8.32 331.1 19. 27 97. 26 83 Testosterone-D3 8.73 292.1 97. 22 19. 26 7 Testosterone 8.78 289.1 97.1 21 19. 24 88 16beta-Hydroxystanozolol 9.4 345.1 81. 43 95. 4 112 Epitestosterone 9.42 289.1 19. 26 97. 21 85 5beta-Estran-3alpha-ol-17-one 1.16 277.1 241.2 11 91.1 42 57 17alpha-Methyltestosterone 1.9 33.1 267.2 15 97. 25 96 Methenolone 11.44 33.1 83. 2 187.1 19 95 5alpha-Estran-3alpha-ol-17-one 11.68 277.1 241.2 11 185.1 18 6 Norethandrolone 12.73 33.1 19. 26 77. 62 11 Progesterone-D9 12.77 324.2.1 22 113. 27 93 Progesterone 12.86 315.1 97. 22 19. 24 87 Stanozolol-D3 13.33 332.2 81. 36 95. 4 121 Stanozolol 13.35 329.2 81. 42 95. 38 115

RESULTS: Accuracy and Precision Data of Spiked Serum Samples 5 ng/ml spike ng/ml spike Compound Name Ave Recovery% RSD% (n=5) Ave Recovery% RSD% (n=5) Cortisone 99.6 6.4 19.2 2. Cortisol 12.1 1.6 18.6 1.7 21 Deoxycortisol 11. 2.5 17.3 2. Corticosterone 97.3 2.1 15.9 1.4 11 Deoxycortisol 97.5.9 12. 1.7 Fluoxymesterone 14.6 2.6 16.2.7 Trenbolone 119.7 2.4 17.2 1.7 Boldenone 13.1 2.7 14.4 2.3 Androstenedione 93.5 1.1 99.8 1.9 Nandrolone 97.8 1.8 11.1 1.8 Methandienone.9 2.8 14.4 2.2 17alpha hydroxyprogesterone 91.8 1.8 99.2 2. Testosterone 95.7 1.6. 1.9 16beta Hydroxystanozolol 98.4 1.1 97.7 2.9 Epitestosterone 96. 2.5.3 1.2 5beta Estran 3alpha ol 17 one 94. 5.9 12.7 3.9 17alpha Methyltestosterone 97.1 2.5 11.3 1.2 Methenolone.1 2. 13.6.9 5alpha Estran 3alpha ol 17 one 17.4 4.2.4 3.3 Norethandrolone 98.1 1.7 14.1 1.8 Progesterone 92.4 4.7 13.2 2.4 Stanozolol 95.6 2.3 15.1.9 Overall Mean 99.3 3. 13.4 1.9 Blank human serum was obtained from UTAK Laboratories Inc.

Accuracy and Precision Data of Spiked Urine Samples Compound Name 5 ng/ml spike ng/ml spike Ave Recovery% RSD% (n=5) Ave Recovery% RSD% (n=5) Cortisone 95.1 4.7 13.3 3.1 Cortisol 124.1 8.9 98.9 3.7 21 Deoxycortisol 91.8 5.5 12.7 2.7 Corticosterone 93. 1.4.9 2. 11 Deoxycortisol 91.9 3.1 11.6 2.1 Fluoxymesterone 94. 1.9 12.8 1.2 Trenbolone 14.5 1..6 1.9 Boldenone 94.9 2.4 14.7 3.1 Androstenedione* 11. 2.5 11. 1.8 Nandrolone 92.3 2..2 1.4 Methandienone 95.2 3.9.9 4.2 17alpha hydroxyprogesterone*.2 5. 12.7 2. Testosterone 94.1 4.2 98.6 1. 16beta Hydroxystanozolol 92.2 1.7 11. 1.6 Epitestosterone 98.3 3.8 14. 2.1 5beta Estran 3alpha ol 17 one 89.1 4.8 97.3 4.2 17alpha Methyltestosterone 94.9 4.5 12.7 2.7 Methenolone 92.7 3.9.3 3.5 5alpha Estran 3alpha ol 17 one 93.3 4.9.6 3. Norethandrolone 96.6 6.4 15.2 3.1 Progesterone 94.3 5.2 11.2 2. Stanozolol 93.7 3.3 17.1 1.3 Overall Mean 96.2 3.9 11.7 2.4 * Recovery was obtained by comparing the response factor of the spiked sample against that of the matrix matched standard (at the same concentration) due to the unavailability of negative human urine samples.

Detected Steroids in Real Urine Samples (ng/ml) Compound Name Urine sample results (ng/ml) 1 2 3 4 5 6 7 8 9 1 11 12 13 Cortisone ND 15.1 ND ND 33.1 ND 85.1 18.2 13.3 34.3 46.7 56.7 61.7 Cortisol ND 99.4 ND ND 6.3 ND 56.1 53.2 ND 16.2 25.5 15.3 58.4 21 Deoxycortisol ND ND ND ND ND ND ND ND ND ND ND ND ND Corticosterone ND ND ND ND ND ND ND ND ND ND ND ND ND 11 Deoxycortisol ND ND ND ND ND ND ND ND ND ND ND ND ND Fluoxymesterone ND 7.8 ND ND ND 1.8 ND ND ND ND ND ND ND Trenbolone ND ND ND ND ND ND ND ND ND ND ND ND ND Boldenone ND ND ND ND ND ND ND ND ND ND ND ND ND Androstenedione 5.1 ND ND 1.6 ND ND ND ND 28.4 ND ND ND ND Nandrolone ND ND ND ND ND ND ND ND ND ND ND ND ND Methandienone ND ND ND ND ND ND ND ND ND ND ND ND ND 17alpha hydroxyprogesterone 123.7 1.4 1.4 5.1 ND ND ND ND 7.5 ND ND ND ND Testosterone 1.3 ND 1.2 ND ND ND 14.9 35.4 1. 2.9 15.1 ND ND 16beta Hydroxystanozolol ND ND ND ND ND ND ND ND ND ND ND ND ND Epitestosterone 91.5 ND ND ND ND ND 15.7 27.6 ND ND ND ND 7.2 5beta Estran 3alpha ol 17 one ND ND ND ND ND ND ND ND ND ND ND ND ND 17alpha Methyltestosterone ND ND ND ND ND ND ND ND ND ND ND ND ND Methenolone ND ND ND ND ND ND ND ND ND ND ND ND ND 5alpha Estran 3alpha ol 17 one ND ND ND ND ND ND ND ND ND ND ND ND ND Norethandrolone ND ND ND ND ND ND ND ND ND ND ND ND ND Progesterone 32.6 ND ND ND ND ND ND ND 3.5 ND ND ND ND Stanozolol ND ND ND ND ND ND ND ND ND ND ND ND ND ND: not detected, < 1 ng/ml

Chromatogram of a ng/ml Solvent Standard RT:. - 16.3 SM: 7G 3.61 1.13 1.12 2.2 2.91 2.66 3.98 Cortisone 5.15 6.32 Cortisol 4.72 5.67 6.68 5.33 4. 6.41 7.61 6.45 4.34 5.68 8.21 9.15 6.71 4.31 5.34 7.65 9.41 6.76 4.85 5.89 4.6 5.65 21 Deoxycortisol; Corticosterone; 11 Deoxycortisol Fluoxymesterone Trenbolone Boldenone 8.5 7.1 7.6 4.82 6.14 8.66 9.6 2 4 6 8 1 12 14 16 8.79 9.41 Androstenedione Nandrolone NL: 3.95E6 361. [9.999-91.1, 162.999-163.1] MS Solv_ NL: 1.29E6 363. [9.999-91.1, 144.999-145.1] MS Solv_ NL: 1.8E6 347. [14.999-15.1, 127.999-128.1] MS Solv_ NL: 1.35E6 337. [9.999-91.1, 242.99-242.11] MS Solv_ NL: 5.4E6 271. [165.99-165.11, 199.99-199.11] MS Solv_ NL: 4.74E6 287. [12.999-121.1, 135.99-135.11] MS Solv_ NL: 1.1E7 287. [97.99-97.11, 18.999-19.1] MS Solv_ NL: 3.91E6 275. [9.999-91.1, 19.99-19.11] MS Solv_ RT:. - 16.3 SM: 7G Methandienone 5.72 6.78 17α hydroxyprogesterone 8.14 8.32 9.41 1.9 6.2 9.52 1.73 8.78 Testosterone; Epitestosterone 16β Hydroxystanozolol 9.4 7.11 11.4 9.42 6.58 7.64 5β Estran 3alpha ol 17 one; 5α Estran 3alpha ol 17 one 1.14 17α Methyltestosterone; Methenolone; Norethandrolone 1.96 11.69 8.19 13.11 1.89 12.75 9.37 Progesterone 1.3 11.85 Stanozolol 13.73 12.85 12.43 13.42 14.96 14.82 2 4 6 8 1 12 14 16 NL: 5.54E6 31. [12.999-121.1, 149.99-149.11] MS Solv_ NL: 3.86E6 331. [96.999-97.1, 18.999-19.1] MS Solv_ NL: 1.85E7 289. [96.999-97.1, 18.999-19.1] MS Solv_ NL: 6.24E6 345. [8.999-81.1, 94.999-95.1] MS Solv_ NL: 4.91E5 277. [91.99-91.11, 185.99-185.11, 241.199-241.21, 241.199-241.21] MS Solv_ NL: 5.61E6 33. [96.999-97.1, 267.199-267.21] MS Solv_ NL: 1.33E7 315. [96.999-97.1, 18.999-19.1] MS Solv_ NL: 1.13E7 329.2 [8.999-81.1, 94.999-95.1] MS Solv_

Chromatogram of a Serum Sample Spiked with ng/ml Steroids RT:. - 15.19 SM: 7G 3.62 NL: 3.7E6 361. [9.999-91.1, 162.999-163.1] MS urine_spk_5 RT:. - 15.19 SM: 7G 8.18 NL: 4.E6 31. [12.999-121.1, 149.99-149.11] MS urine_spk_5 1.8 5.16 3.99 NL: 1.5E6 363. [9.999-91.1, 144.999-145.1] MS urine_spk_5 6.93 9.3 8.34 NL: 4.3E6 331. [96.999-97.1, 18.999-19.1] MS urine_spk_5 2.17 5.32 5.59 4.85 NL: 4.47E6 347. [14.999-15.1, 127.999-128.1] MS urine_spk_5 9.82 8.81 NL: 1.E7 289. [96.999-97.1, 18.999-19.1] MS urine_spk_5 6. 6.47 NL: 1.8E6 337. [9.999-91.1, 242.99-242.11] MS urine_spk_5 9.39 NL: 5.23E6 345. [8.999-81.1, 94.999-95.1] MS urine_spk_5 6.74 7.76 NL: 4.3E6 271. [165.99-165.11, 199.99-199.11] MS urine_spk_5 8.14 1.97 11.7 1.14 NL: 5.87E5 277. [91.99-91.11, 185.99-185.11, 241.199-241.21, 241.199-241.21] MS urine_spk_5 5.44 8.35 6.79 NL: 3.6E6 Base Peak m/z= 12.-121. F: + c ESI SRM ms2 287. [97.99-97.11, 18.999-19.1, 12.999-121.1, 135.99-135.11] MS urine_spk_5 9.9 1.94 12.86 12.77 NL: 4.66E6 33. [96.999-97.1, 267.199-267.21] MS urine_spk_5 5.61 7.11 NL: 1.32E7 Base Peak m/z= 96.6-97.6 F: + c ESI SRM ms2 287. [97.99-97.11, 18.999-19.1, 12.999-121.1, 135.99-135.11] MS urine_spk_5 12.87 NL: 1.1E7 315. [96.999-97.1, 18.999-19.1] MS urine_spk_5 5.66 7.64 NL: 3.12E6 275. [9.999-91.1, 19.99-19.11] MS urine_spk_5 11.88 14.6 13.4 NL: 9.14E6 329.2 [8.999-81.1, 94.999-95.1] MS urine_spk_5 6.51 9.14 2 4 6 8 1 12 14 12.39 2 4 6 8 1 12 14

Chromatogram of a Urine Sample Spiked with ng/ml Steroids RT:. - 15.19 SM: 7G 3.62 NL: 3.7E6 361. [9.999-91.1, 162.999-163.1] MS urine_spk_5 RT:. - 15.19 SM: 7G 8.18 NL: 4.E6 31. [12.999-121.1, 149.99-149.11] MS urine_spk_5 1.8 5.16 3.99 NL: 1.5E6 363. [9.999-91.1, 144.999-145.1] MS urine_spk_5 6.93 9.3 8.34 NL: 4.3E6 331. [96.999-97.1, 18.999-19.1] MS urine_spk_5 2.17 5.32 5.59 4.85 NL: 4.47E6 347. [14.999-15.1, 127.999-128.1] MS urine_spk_5 9.82 8.81 NL: 1.E7 289. [96.999-97.1, 18.999-19.1] MS urine_spk_5 6. 6.47 NL: 1.8E6 337. [9.999-91.1, 242.99-242.11] MS urine_spk_5 9.39 NL: 5.23E6 345. [8.999-81.1, 94.999-95.1] MS urine_spk_5 6.74 7.76 NL: 4.3E6 271. [165.99-165.11, 199.99-199.11] MS urine_spk_5 8.14 1.97 11.7 1.14 NL: 5.87E5 277. [91.99-91.11, 185.99-185.11, 241.199-241.21, 241.199-241.21] MS urine_spk_5 5.44 8.35 6.79 NL: 3.6E6 Base Peak m/z= 12.-121. F: + c ESI SRM ms2 287. [97.99-97.11, 18.999-19.1, 12.999-121.1, 135.99-135.11] MS urine_spk_5 9.9 1.94 12.86 12.77 NL: 4.66E6 33. [96.999-97.1, 267.199-267.21] MS urine_spk_5 5.61 7.11 NL: 1.32E7 Base Peak m/z= 96.6-97.6 F: + c ESI SRM ms2 287. [97.99-97.11, 18.999-19.1, 12.999-121.1, 135.99-135.11] MS urine_spk_5 12.87 NL: 1.1E7 315. [96.999-97.1, 18.999-19.1] MS urine_spk_5 5.66 7.64 NL: 3.12E6 275. [9.999-91.1, 19.99-19.11] MS urine_spk_5 11.88 14.6 13.4 NL: 9.14E6 329.2 [8.999-81.1, 94.999-95.1] MS urine_spk_5 6.51 9.14 2 4 6 8 1 12 14 12.39 2 4 6 8 1 12 14

Matrix Matched Calibration Curves Testosterone Y =.771953+.12182*X R^2 =.9982 W: 1/X 3. Serum 2.5 Area Ratio 2. 1.5 1..5. 1 2 2 ng/ml 3.5 Testosterone Y =.414352+.12655*X R^2 =.9984 W: 1/X 3. Urine 2.5 Area Ratio 2. 1.5 1..5. 2 4 6 8 12 14 16 18 2 22 24 26 ng/ml REFERENCES: [1] http://en.wikipedia.org/wiki/anabolic_steroid 515-2-1 UCT, LLC 2731 Bartram Road Bristol, PA 197 8.385.3153 215.781.9255 www.unitedchem.com Email: methods@unitedchem.com UCT, LLC 215 All rights reserved