Extraction of a Comprehensive Steroid Panel from Human Serum Using ISOLUTE. SLE+ Prior to LC/MS-MS Analysis

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Application Note AN890 Extraction of a Comprehensive Steroid Panel from Human Serum Using ISOLUTE SLE+ Page Extraction of a Comprehensive Steroid Panel from Human Serum Using ISOLUTE SLE+ Prior to LC/MS-MS Analysis Sample Preparation Procedure Format ISOLUTE SLE+ 400 µl Supported Liquid Extraction plate, part number 820-0400-P0. Figure. Structures of DHEAS, Estradiol and Testosterone. Introduction This application note describes the extraction of a panel of steroid hormones from human serum using ISOLUTE SLE+ Supported Liquid Extraction plates prior to LC/MS-MS analysis. The simple sample preparation procedure delivers clean extracts and high, reproducible recoveries (>75%, RSD <0% ) for all analytes in human serum, with linearity >0.99 in the range 5 5000 pg/ml. ISOLUTE SLE+ Supported Liquid Extraction plates offer an efficient alternative to traditional liquid-liquid extraction (LLE) for bioanalytical sample preparation, providing high analyte recoveries, no emulsion formation, and significantly reduced sample preparation. Analytes Cortisol, 8-OH-Corticosterone, 2-Deoxycortisol, Cortisone, Estradiol, 7-OH-Pregnenolone, Aldosterone, -Deoxycortisol, Corticosterone, Estrone, DHEA, 7-OH-Progesterone, DHEAS, Testosterone, Dihydrotestosterone (DHT), Pregnenolone, Androstenedione, -deoxycorticosterone, Progesterone Internal standards DHT-d 3 and Aldosterone-d 4 Sample Pre-treatment Add 25 µl of methanolic ISTD to human serum (total conc. 250 pg/ml). Mix. Sample Loading Apply 300 µl of sample into each well of the ISOLUTE SLE+ plate. Using a Biotage PRESSURE+96 Positive Pressure Manifold, apply 2 5 psi of pressure to load samples onto the sorbent. Wait 5 minutes for the sample to equilibrate on the sorbent. Analyte Extraction Apply ethyl acetate (500 µl) and allow to flow under gravity for 5 minutes. Apply a further aliquot of ethyl acetate (500 µl) and allow to flow for 5 minutes under gravity. Apply pressure (5 0 seconds) to remove any remaining extraction solvent. *this elution procedure should be used when the polar metabolite DHEAS is included in the steroid panel. If DHEAS is not required, and alternative elution solvent system (ethyl acetate: hexane, 75:25, v/v, 2 x 500 µl) should be used. See results section. Post Elution and Reconstitution Dry the extract in a stream of air or nitrogen using a Biotage SPE Dry at 40 C, 20 to 40 L/min, or a TurboVap 96 at 40 C,.5 L/min, for 20 minutes. Reconstitute evaporated samples with 200 µl of 50:50 (v/v) mobile phase A: mobile phase B, and mix thoroughly.

Extraction of a Comprehensive Steroid Panel from Human Serum Using ISOLUTE SLE+ Page 2 UHPLC Conditions Instrument Shimadzu Nexera UHPLC Column ACE C8 (00 mm x 2. mm,.7 µm) Mobile Phase A: 0.2 mm Ammonium Fluoride (aq) B: Methanol Table. UHPLC Gradient Time (min) %A %B 0 50 50 3 40 60 8 0 90 9 5 95 9. 5 95 9.5 50 50 Flow Rate 0.4 ml min Column Temperature 40 o C Injection Volume 0 µl Mass Spectrometry Conditions Instrument Shimadzu 8060 Triple Quadrupole MS using ES interface Nebulizing Gas Flow 3 L/min Drying Gas Flow 3 L/min Heating Gas Flow 7 L/min Interface Temperature 400 o C DL Temperature 250 o C Heat Block Temperature 400 o C CID Gas Flow 270 kpa Table 2. MS conditions and retention times for target analytes in positive and negative mode. Analytes MRM Transition Collision Energy Ion Mode DHEAS 367. > 97.05 33 - Cortisol 363.4 > 2.25-24 + 8-OH-Corticosterone 363.3 > 269.2-6 + Cortisone 36.3 > 63.5-22 + 2-Deoxycortisol 347. > 3.2-6 + Estradiol 27. > 45.2 39 - Aldosterone d 4 363. > 90.3 9 - Aldosterone 359. > 89.25 8-7-OH-Pregnenolone 35.3 > 297.2-3 + -Deoxycortisol 347.3 > 09.25-27 + Corticosterone 347.3 > 329.25-6 + Estrone 269.2 > 45.2 37 - -Deoxycorticosterone 33.3 > 09.05-25 + DHEA 289.3 > 253.2-3 + Testosterone 289.3 > 97.05-23 + DHT-d 3 294.4 > 258.25-6 + DHT 29.3 > 255.25-5 + Androstenedione 287.3 > 97.2-2 + Pregnenolone 299.3 > 59.25-20 + 7-OH-Progesterone 33.3 > 97. -22 + Progesterone 35.2 > 97.2-22 +

Extraction of a Comprehensive Steroid Panel from Human Serum Using ISOLUTE SLE+ Page 3 Results If the polar metabolite DHEAS is to be included in the steroid suite, ethyl acetate should be used as the elution solvent. If DHEAS is not required, an alternative elution solvent, ethyl acetate: hexane (75:25, v/v) can be used. Recovery data for both elution solvent systems is shown below. The optimized ISOLUTE SLE+ protocol using ethyl acetate demonstrated analyte recoveries greater than 75% as shown in Figure 2. The optimized ISOLUTE SLE+ protocol using ethyl acetate:hexane (75:25, v/v) demonstrated analyte recoveries greater than 80% (except DHEAS) as shown in Figure 3. RSDs were below 0% for all analytes using both protocols. Removal of phospholipids was demonstrated by monitoring MRM transitions using the common product ion at m/z 84. Figure 3. Shows the serum phospholipid profile comparing lysophospholipids (bottom trace) and larger molecular weight phospholipids (top trace) extracted using the optimized ISOLUTE SLE+ protocols and 00 µl of serum protein precipitated with 400 µl of acetonitrile. Both elution solvents (EtOAc and EtOAc/Hexane(75/25, v/v) eliminated phospholipids compared to a protein precipitated sample. Recoveries Figure 2. Typical analyte % extraction recoveries (n=7) using ethyl acetate (EtOAc) or EtOAc/Hexane (75/25, v/v) as elution solvents. Figure 3. Phospholipid profile comparison between protein precipitated serum and optimized ISOLUTE SLE+ extracts using EtOAc or EtOAc/Hexane (75/25, v/v) as elution solvents.

Extraction of a Comprehensive Steroid Panel from Human Serum Using ISOLUTE SLE+ Page 4 Figure 4. shows representative chromatography obtained from stripped serum spiked at 5 ng/ml. Satisfactory resolution of the various isobars was obtained using the ACE C8 UPLC column. In order to achieve low level detection of analytes in positive and negative ion modes a combination of 0.2 mm NH4F (aq) and MeOH was utilized. Linearity was investigated using stripped serum spiked between 5 5000 pg/ml. Good linearity was observed for all analytes typically delivering r 2 values greater than 0.99. Table 3. details linearity performance and associated LOQ for each analyte using EtOAc and EtOAc/Hexane (75/25, v/v) as elution solvents. Selected calibration curves using EtOAc as elution solvent are shown in Figure 5. Figure 4. Representative chromatography for analytes spiked at 5 ng/ml in stripped serum. Table 3. Analyte calibration curve r 2 and LOQ performance. Analytes r 2 EtOAc LLOQ (pgml) EtOAc r 2 EtOAc/Hexane 75/25 (v/v) LLOQ (pg/ml) EtOAc/ Hexane 75/25 (v/v) DHEAS 0.99 <000 - Cortisol 0.998 < 0 0.998 < 0 8-OH-Corticosterone 0.996 < 00 0.997 < 00 Cortisone 0.992 < 5 0.994 < 5 2-Deoxycortisol 0.997 25 0.998 25 Estradiol 0.996 < 25 0.997 < 25 Aldosterone 0.998 25 0.999 25 7-OH-Pregnenolone 0.999 < 500 0.999 < 500 -Deoxycortisol 0.999 5 0.998 5 Corticosterone 0.997 < 50 0.999 < 50 Estrone 0.997 0 0.999 0 -Deoxycorticosterone 0.998 < 0 0.999 < 0 DHEA 0.994 < 000 0.994 < 000 Testosterone 0.994 < 5 0.998 < 5 DHT 0.994 < 250 0.999 < 250 Androstenedione 0.990 0 0.998 < 0 Pregnenolone 0.99 < 250 0.998 < 250 7-OH-Progesterone 0.994 < 0 0.998 < 0 Progesterone 0.993 < 5 0.999 < 5

Extraction of a Comprehensive Steroid Panel from Human Serum Using ISOLUTE SLE+ Page 5 Figure 5. Calibration curves for Estradiol (a), Testosterone (b), 7-OH-Progesterone (c) and Androstenedione (d). Additional Information»» Ammonium fluoride increased sensitivity in both positive and negative ion modes. For increased sensitivity: Increase matrix loading volumes to 350 µl Decrease reconstitution solvent volume below 200 µl Increase injection volumes above 0 µl. Steroids can exhibit non-specific binding to plastic collection plates. Different plastics exhibit different binding characteristics. Addition of 2 μl of ethylene glycol to the collection plate prior to evaporation can mitigate this issue. Note: No ethylene glycol was used in generation of the data shown in this application note, utilizing collection plate p/n 2-5203. Ordering Information Part Number Description Quantity 820-0400-P0 ISOLUTE SLE+ 400 µl Supported Liquid Extraction Plate 20-5203 Collection plate, 2 ml square 50 PPM-96 Biotage PRESSURE+ 96 Positive Pressure Manifold SD-9600-DHS-EU Biotage SPE Dry 96 Sample Evaporator 220/240 V SD-9600-DHS-NA Biotage SPE Dry 96 Sample Evaporator 00/20 V EUROPE Main Office: +46 8 565900 Toll Free: +800 8 56570 Fax: +46 8 59922 NORTH & LATIN AMERICA Main Office: + 704 654 4900 Toll Free: + 800 446 4752 Fax: + 704 654 497 JAPAN Tel: +8 3 5627 323 Fax: +8 3 5627 32 jp_order@biotage.com CHINA Tel: +86 2 686280 Fax: +86 2 6862829 cn_order@biotage.com KOREA Tel: + 82 3 706 8500 Fax:+ 82 3 706 850 korea_info@biotage.com Order Tel: +46 8 56570 Order Fax: +46 8 565705 order@biotage.com Support Tel: +46 8 56 59 Support Fax: + 46 8 56 57 Order Tel: + 704 654 4900 Order Fax: + 434 296 827 ordermailbox@biotage.com Support Tel: + 800 446 4752 Outside US: + 704 654 4900 jp--pointsupport@biotage.com cn--pointsupport@biotage.com kr--pointsupport@biotage.com eu--pointsupport@biotage.com us--pointsupport@biotage.com Distributors in other regions are listed on www.biotage.com Part Number: AN890 208 Biotage. All rights reserved. No material may be reproduced or published without the written permission of Biotage. Information in this document is subject to change without notice and does not represent any commitment from Biotage. E&OE. A list of all trademarks owned by Biotage AB is available at www.biotage.com/legal. Other product and company names mentioned herein may be trademarks or registered trademarks and/or service marks of their respective owners, and are used only for explanation Biotage and 208 to the owners benefit, without intent to infringe. This application note is intended for research use only, not for diagnostic use.