Robust extraction, separation, and quantitation of structural isomer steroids from human plasma by SPE-UHPLC-MS/MS

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TECHNICAL NOTE 21882 Robust extraction, separation, and quantitation of structural isomer steroids human plasma by SPE-UHPLC-MS/MS Authors Jon Bardsley 1, Kean Woodmansey 1, and Stacy Tremintin 2 1 Thermo Fisher Scientific, Runcorn, UK; 2 Thermo Fisher Scientific, Sunnyvale, CA, USA Keywords Steroid hormone, Vanquish Horizon UHPLC, TSQ Quantiva, Accucore Biphenyl column, LC-MS/MS, SPE Application benefits Separation of structural isomers for accurate detection Alternative selectivity to C18 phase with an increase in overall resolution of structural isomers Stable retention time extracted plasma Accurate and precise analytical method across 1000-fold concentration range Goal Achieve separation of 12 steroid hormones including structural isomers. Comparison to more popular C18 phase is assessed, as well as extraction human plasma using polymeric solid phase extraction. Introduction Accurate measurement of steroids in plasma is an important requirement in clinical research laboratories. Triple quadrupole mass spectrometry (MS/MS) is now a standard platform in this area for detection due to speed and sensitivity, however this group of compounds contains many structural isomers that cannot be differentiated by MS/MS alone. This may lead to inaccurate analysis by over estimation of concentration levels. Separation prior to MS/MS detection must be achieved, typically by liquid chromatography (LC). An analytical method utilizing LC-MS/MS combined with solid phase extraction of plasma samples is used to remove many matrix

interferences, separate isomers, and detect 12 steroids, with an assessment of method performance is reported here. Effective liquid chromatography gradient conditions were used to provide excellent retention time precision by combining the Thermo Scientific Vanquish Horizon UHPLC system with a Thermo Scientific Accucore Biphenyl analytical column. These columns feature rugged 2.6 µm solid-core particles that ensure high efficiencies and enable compatibility with both HPLC and UHPLC platforms. Biphenyl bonded phases offer unique selectivity for aromatic and moderately polar analytes providing an increase in resolution of structural isomers, particularly when methanol is used in the mobile phase. Two LC-MS/MS methods to achieve separation of common groups of steroids required for routine analysis are presented. In the first method, excellent separation is achieved using acetonitrile gradient for rapid separation of common steroids of interest. The second method presents quantitative data at low concentration levels (50 pg/ml) plasma extracts using methanol as mobile phase B. This provided extra retention and selectivity to fully resolve structurally similar compounds that proved to be difficult to separate on C18 phases. Experimental Consumables Fisher Scientific Optima UHPLC-MS grade water (P/N 10154604) Fisher Scientific Optima UHPLC-MS grade methanol (P/N A458-1) Fisher Scientific Optima UHPLC-MS grade acetonitrile (P/N A956-1) Fisher Scientific Ammonium fluoride, extra pure (P/N A/4920/53) Thermo Scientific SOLAµ HRP plate (P/N 60209-001) Thermo Scientific Accucore Biphenyl column, 100 2.1 mm, 2.6 µm (P/N 17826-102130) Zinc sulfate (P/N Z/1550/53) Sample preparation Method 1 (ACN) Cortisol Corticosterone Estradiol Trenbolone Nandrolone Testosterone Methyl 17a-Hydroxy Androstenedione Progesterone 25-Hydroxy vitamin D3 Method 2 (MeOH) Hydro Cortisone 21-Deoxycortisol Aldosterone 21-Deoxy 11-Deoxycortisol Corticosterone Testosterone 17a-Hydroxy 11-Deoxy Androstenadione Progesterone Matrix: Pure solutions, human plasma (lithium heparin), and phosphate buffer solution (PBS) Method 1 Compounds were prepared at 100 ng/ml in mobile phase starting conditions. Method 2 PBS was spiked with various concentrations of compounds to produce a calibration curve 50 to 50,000 pg/ml. PBS and human plasma a pooled source including male and female donors were spiked as QC samples at 500 and 5000 pg/ml to assess the analytical method. Blank plasma was also extracted as a baseline concentration as some of the compounds used are endogenous in high concentrations. Four hundred microliters of each sample were mixed 1:1 with zinc sulfate (2%) and centrifuged. The supernatant was added to a SOLAµ HRP plate, preconditioned with methanol, then equilibrated with water. After sample loading the SPE device was washed with 20% methanol. All the compounds eluted with 40 µl of elution solvent (80% acetonitrile, 20% methanol). The extract was diluted to 100 µl with mobile phase A. The samples were loaded into the autosampler set to 10 C ready for injection onto the liquid chromatography system. LC conditions Instrumentation Designed with innovative technology, the Vanquish Horizon UHPLC system delivers a new standard in highend UHPLC. This fully integrated and biocompatible system features high sample capacity for highthroughput workflows, industry-leading pumping 2

performance, amazingly high S/N and linearity, two-mode thermostatting, and active preheating. Vanquish Horizon UHPLC system consisting of the following: System Base Vanquish Horizon (P/N VH-S01-A) Binary Pump H (P/N VH-P10-A) Split Sampler HT (P/N VH-A10-A) Column Compartment H (P/N VH-C10-A) Active Pre-heater (P/N 6732.0110) MS Connection Kit Vanquish (P/N 6720.0405) Separation conditions Method 1 Mobile phase A: Mobile phase B: Gradient: Water Acetonitrile 40 to 45% mobile phase B over 2.5 minutes 45 to 100% mobile phase B over 2.5 minutes 2 minute equilibration time Flow rate: 0.6 ml/min Column temperature: 30 C, still air, active pre-heating Injection volume: 1 µl Injection wash solvent: 1:1 mix of mobile phase A and B Method 2 - Extended method for separation of closely related isobaric compounds plasma extract Mobile phase A: 0.2 mm ammonium fluoride in water Mobile phase B: 0.2 mm ammonium fluoride in methanol Gradient: 5 to 100% mobile phase B over 12 minutes, 3 minute equilibration time Flow rate: 0.6 ml/min Column temperature: 40 C, still air, active pre-heating Injection volume: 20 µl Injection wash solvent: 1:1 mix of mobile phase A and B MS conditions Instrumentation Detection was performed with the Thermo Scientific TSQ Quantiva triple quadrupole mass spectrometer, which uses active ion management to exceed even the most stringent analytical requirements with superb sensitivity, speed, and dynamic range. MS settings (Method 2 settings shown only) Table 1. MS source parameters MS Source Parameters Source Polarity Spray voltage (V) 3500 Vaporizer temperature ( C) 400 Sheath gas pressure (psi) 50 Aux gas pressure (Arb) 15 Ion transfer tube temperature ( C) Setting Thermo Scientific Ion Max source with HESI-II probe Positive ionization 350 CID gas pressure (mtorr) 1.5 Data processing The Thermo Scientific Chromeleon 7.2.8 Chromatography Data System was used for data acquisition and analysis. 3

Table 2. Compound transition details Compound Polarity Precursor (m/z) Product (m/z) Collision Energy (V) RF Lens (V) Androstenedione Positive 287.2 97.1 22 91 Testosterone Positive 289.3 109.1 26 83 Testosterone-d3 Positive 292.2 97.1 24 79 Progesterone Positive 315.2 97.1 23 87 d9-progesterone Positive 324.4 100.2 25 83 11-Deoxy Positive 331.2 97.1 24 79 17a-Hydroxy Positive 331.2 313.2 15 80 21-Deoxy Positive 345.1 163.2 26 89 11-Deoxycortisol Positive 347.2 97.1 26 77 21-Deoxycortisol Positive 347.2 311.2 16 85 Corticosterone Positive 347.2 329.2 16 78 Cortisone Positive 361.2 163.2 23 90 Aldosterone Positive 361.2 343.2 17 94 Hydro Positive 363.2 121.1 29 86 Results and discussion Separation of 11 steroids was achieved with an acetonitrile gradient within 4.2 minutes. Direct comparison to an equivalent biphenyl chemistry was conducted with an Accucore Biphenyl column showing greater resolution of closely eluting trenbolone, nandrolone, and (peaks 4-6, Figure 1). 1.5e5 1.2e5 8.0e4 6.0e4 4.0e4 2.0e4 trenbolone estradiol cortisol methyl nandolone 17-hydroxy androstenedione Accucore Biphenyl 25-hydroxy vitamin D3-1.1e4 1.1e5 8.8e4 7.5e4 6.3e4 5.0e4 3.8e4 2.5e4 1.3e4 cortisol estradiol trenbolone methyl nandolone 17-hydroxy -6.1e3 0.01 0.50 1.00 1.50 2.00 2.50 3.00 3.50 4.00 4.50 5.00 Min androstenedione Competitor R 25-hydroxy vitamin D3 Figure 1. Separation of common steroids of interest with an acetonitrile gradient 4

Separation of this closely related set of compounds was achieved with a 12-minute gradient demonstrated in Figure 2. 2.5e7 2.2e7 2.0e7 1.8e7 1.6e7 1.4e7 1.2e7 1.0e7 8.0e6 6.0e6 4.0e6 2.0e6 hydro 21-deoxy 11-deoxycortcosterone androstenedione -1.5e6 6.78 7.50 8.00 8.50 9.00 9.50 10.00 10.50 11.00 11.50 11.99 Figure 2. Example chromatogram showing separation of the components Increased resolution was observed between two of three groups of isomers, along with some changes in elution orders. Figure 3 shows the separation of structural isomers,, and on biphenyl (left) and C18 (right) phases, all with molar mass 346.467 g/mol. Resolution 2.0e6 between each peak is greater on the biphenyl chemistry with the greatest increase between and 1.9 on the C18 to 7.93 on the biphenyl. Figures 4 and 5 show two other critical pairs of isomers and the change in resolution between the two phases. 1.4e5 Biphenyl C18 Rs 1-2 7.43 Rs 1-3 1.90 Rs 2-3 1.67 Rs 3-2 1.36 2.2e6 1.5e6 1.0e6 5.0e4 5.0e5-2.0e5-2.0e4 Figure 3. Separation of structural isomers,, and on biphenyl (left) and C18 (right), all with m/z 347.2 5

Biphenyl C18 Rs 1-2 4.97 Rs 1-2 3.32 1.0e7 5.0e5 7.5e6 11-deoxy 3.8e5 11-deoxy 5.0e6 2.5e5 2.5e6 1.3e5-1.0e6-5.0e4 Figure 4. Separation of structural isomers 17a-hydroxy and 11-deoxy on biphenyl (left) and C18 (right), both with m/z 331.2 4.0e6 1.6e5 Biphenyl C18 Rs 1-2 3.35 Rs 2-1 3.89 3.0e6 2.0e6 1.0e6 5.0e4-5.0e5-2.0e4 Figure 5. Separation of structural isomers and on biphenyl (left) and C18 (right), both with m/z 361.2 6

Table 3 shows superior peak widths and increased peak capacity of the biphenyl column compared to a C18 column run on the same gradient. The elution order across the compound range also differs between biphenyl and C18 phase. This is highlighted in Figure 6 and can be a useful tool for difficult separations of structurally similar compounds, such as this steroid panel. Table 3. Average peak widths and peak capacity comparison (refer to Figure 6) Biphenyl C18 Average peak width 0.058 0.066 Gradient time 9.5 9.5 Peak capacity 165 146 5.5e5 5.0e5 4.0e5 3.0e5 2.0e5 hydro 21-deoxy androstenadione 11-deoxy -5.0e4 6.2e5 5.0e5 4.0e5 3.0e5 21-deoxy hydro 11-deoxy androstenadione 2.0e5-2.9e4 4.72 6.00 7.00 8.00 9.00 10.00 11.00 12.17 Figure 6. Example chromatogram showing difference in elution orders between biphenyl (top) and C18 (bottom) chemistries Table 4 shows retention time stability of the QC samples combining PBS and plasma extracts combined. Each compound demonstrated less than 0.099% relative standard deviation (RSD). Stable retention times both extracted PBS and plasma is critical for confidence Table 4. Retention time (RT) stability over 25 injections including extracted and non-extracted samples Compound RT %RSD Hydro 7.65 0.099% 25 Cortisone 7.96 0.034% 25 21-Deoxycortisol 8.18 0.079% 25 Aldosterone 8.32 0.080% 25 21-Deoxy 8.67 0.082% 25 11-Deoxycortisol 8.94 0.095% 25 Corticosterone 9.11 0.053% 25 Testosterone 9.56 0.042% 25 17α-Hydroxy 9.65 0.064% 25 11-Deoxy 10.17 0.034% 25 Androstenadione 10.17 0.034% 25 Progesterone 10.96 0.054% 25 N in the analytical results, particularly when measuring structural isomers where co-elution can cause inaccurate measurements. Excellent accuracy and precision values were observed QC samples (n=6) as shown in Table 5. Both accuracy and precision displayed single digit values showing the method s ability to record accurate concentration information over the calibration range of 50 50,000 pg/ml. In addition, the coefficient of determination values are displayed showing excellent correlation over the three orders of magnitude range.

Table 5. Accuracy and precision values for each compound showing coefficient of determination of each calibration curve and mean values of the low and high QC levels Compound Coefficient of Determination Precision Nominal at Low PBS QC (n=6) Accuracy Nominal at Low PBS QC (n=6) Precision Nominal at High PBS QC (n=6) Accuracy Nominal at High PBS QC (n=6) Hydro 0.99276 4.21% 102.3% 7.55% 98.3% Cortisone 0.99487 5.83% 100.6% 2.96% 99.5% 21-Deoxycortisol 0.99820 5.89% 100.3% 5.89% 105.5% Aldosterone 0.99851 4.62% 102.5% 4.72% 104.5% 21-Deoxy 0.99704 2.74% 95.0% 6.07% 105.9% 11-Deoxycortisol 0.99516 1.30% 107.2% 3.66% 103.0% Corticosterone 0.99170 4.08% 102.4% 2.49% 105.2% Testosterone 0.99711 5.77% 97.9% 3.00% 104.9% 17α-Hydroxy 0.98220 4.38% 96.5% 4.69% 95.8% 11-Deoxy 0.99929 2.73% 98.2% 3.10% 105.5% Androstenadione 0.99697 4.74% 98.8% 3.92% 100.0% Plasma QCs were also prepared by standard addition and extracted alongside unspiked plasma for comparison (Table 6). By comparing the spiked to unspiked plasma, the accuracy of the method for extraction of the endogenous compounds can be measured. Good accuracy values were observed across the compound set. Table 6. Extracted plasma and extracted spiked plasma at 500 pg/ml Compound Extracted Plasma Levels (pg/ml) Spiked Plasma Extracts (pg/ml) Difference between Spiked and Unspiked Plasma (pg/ml) Accuracy Nominal (%) Hydro 412 880 469 94% Cortisone ND 470 470 94% 21-Deoxycortisol 83 501 418 84% Aldosterone ND 529 529 106% 21-Deoxy ND 498 498 100% 11-Deoxycortisol 240 825 585 117% Corticosterone 40* 559 519 104% Testosterone 6* 520 515 103% 17α-Hydroxy 80 501 421 84% 11-Deoxy 5* 490 486 97% Androstenedione 5* 516 511 102% *Extrapolated ND Not detected 8

Conclusions The Thermo Scientific Accucore Biphenyl column offers alternative selectivity to a C18 column for clinical research. This high-resolution column separates isomers and steroids utilizing superior combination of hydrophobic, aromatic, and polar selectivity. The analytical method described herein demonstrates: Separation of structural isomers for accurate detection Alternative selectivity to C18 phase with an increase in overall resolution of structural isomers Stable retention time extracted plasma Accurate and precise analytical method across 1000-fold concentration range For Research Use Only. Not for use in diagnostic procedures. Find out more at thermofisher.com/biphenyl thermofisher.com/appslab 2018 Thermo Fisher Scientific Inc. All rights reserved. All trademarks are the property of Thermo Fisher Scientific and its subsidiaries unless otherwise specified. This information is presented as an example of the capabilities of Thermo Fisher Scientific products. It is not intended to encourage use of these products in any manners that might infringe the intellectual property rights of others. Specifications, terms and pricing are subject to change. Not all products are available in all countries. Please consult your local sales representatives for details. TN21882-EN 1218S