Determination of red blood cell fatty acid profiles in clinical research

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Application Note Clinical Research Determination of red blood cell fatty acid profiles in clinical research Chemical ionization gas chromatography tandem mass spectrometry Authors Yvonne Schober 1, Hans Günther Wahl 1,, Harald Renz 1, Wolfgang Andreas Nockher 1, and Carrie J. Adler 1 Institute of Laboratory Medicine and Pathobiochemistry, Phillips-University Marburg, Germany Medizinisches Labor Wahl, Lüdenscheid, Germany Agilent Technologies, Inc. Santa Clara, California Abstract Acknowledged as biomarkers in various human diseases, cellular fatty acid (FA) profiles are commonly analyzed by gas chromatography mass spectrometry (GC/MS), which is time-consuming. Therefore, a high-throughput analysis method is needed in clinical research studies. In this study, fatty acid methyl esters (FAMEs) were formed by derivatization after extraction of FA from red blood cells (RBCs). A gas chromatography tandem mass spectrometry (GC/MS/MS) FA profile method with ammonia-induced chemical ionization (CI) was developed for analysis in human RBCs. There were 70 RBC samples analyzed for FA profiles by GC/MS/MS. This analytical method was compared with classic single GC/MS using electron impact ionization (EI). Analysis by ammonia-induced CI allowed for further investigation of FAME by generating adequate amounts of molecular ions. This analysis determined specific fragments for 45 FA profiles for confident quantification and fragmentation. Typical analysis times using classic GC/MS can be up to 60 minutes, but this GC/MS/MS analytical method had a run time of nine minutes. Intra and inter assay variations were <10 % for all FAs analyzed. By combining ammonia-induced CI and GC/MS/MS analysis, high-throughput, robust and confident analysis of FA profiles in the clinical research laboratory can be achieved.

Introduction To determine fatty acid (FA) profiles in the clinical research laboratory, specific and sensitive analytical methods are needed. Historical separation of FA profiles were performed by gas chromatography (GC) coupled with a flame ionization detector (FID), allowing researchers to analyze individual FAs in different matrices 1. The introduction of mass spectrometry (MS) has since improved this analysis, but classic GC/MS analysis requires a long chromatographic separation to allow for confident identification and quantification. This study developed and verified a specific, fast, and sensitive analytical method for high throughput analysis of FA in biological specimens such as red blood cells (RBCs). To do so, a combination of chemical ionization (CI) and gas chromatography tandem mass spectrometry (GC/MS/MS) for measurement of FA was used. Using these techniques delivers an improved analytical method over historical GC/MS FA analyses. Experimental GC/MS/MS with CI configuration and parameters Parameter Instruments Inlet temperature 50 C Source temperature 50 C Quadrupole temperature Value Agilent 7890A GC (G440A) with split/splitless inlet (G45-67000) Agilent 7000 MS/MS with chemical ionization (CI) source (G7010BA) 150 C Injection volume 1 µl Retention gap Analytical column Carrier gas CI Reagent Column oven program Stop time MS Acquisition mode Agilent 5 m, 0.5 mm uncoated precolumn Agilent J&W CP-Sil 88 for FAME GC Column, 50 m 0.5 mm, 0.0 µm, 7 inch cage (CP7488) Helium at. ml/min Ammonia at 1. ml/min 50 C (hold 1 minute), then 10 C/min to 70 C, then 45 C/min to 175 C, then 5 C/min to 0 C (hold.5 minutes) 9.00 minutes MRM mode GC/MS with EI configuration and parameters Instruments Parameter Inlet temperature 0 C Transfer line temperature 0 C Quadrupole temperature 150 C Analytical column Carrier gas Column oven program Stop time MS Acquisition mode Chemicals and reagents Value Agilent 7890A GC (G440A) with split/splitless inlet (G45-67000) Agilent 5975C MS with electron impact (EI) source (G4A) Agilent J&W CP-Sil 88 for FAME GC Column, 100 m, 0.5 mm, 0.0 µm, 7 inch cage (CP7489) Helium at.0 ml/min 10 C (hold 5 minutes), then 5 C/min to 0 C (hold 5 minutes), then 4 C/min to 40 C (hold 10 minutes) 45.00 minutes SIM mode Isopropanol, methanol, and hexane (GC grade) were purchased from Fisher Scientific (Schwerte, Germany). Water (LC/MS grade) and boron trifluoride (BF ) (14 % in methanol) were purchased from Sigma-Aldrich (Hamburg, Germany). Natriumsulfate (Na SO 4 ) was purchased from Merck (Darmstadt, Germany). A certified 7 fatty acid methyl ester (FAME) mix (TraceCERT) was purchased from Sigma-Aldrich (Hamburg, Germany). Another FAME mix was purchased from NuChekPrep (Elysian, MN, USA), and all other FAMEs, including the internal standard C17:1 (heptade-cenoate), were purchased from Larodan (Malmö, Sweden). Aliquots of EDTA-anticoagulated blood specimens were used from samples submitted for routine laboratory analysis. The study was explained thoroughly to the subjects and informed consent using de-identified laboratory data was obtained, in accordance with the Helsinki II Declaration.

MRM parameters for FAME analysis Table 1. Analyte parameters. Fatty acid Common name RT (min) Precursor ion (m/z) Quantifier ion (m/z) CID (V) Qualifier ion (m/z) C6:0.90 147.8 59.0 1 7 C8:0.90 175.8 159.1 5 57.0 5 C10:0 4.6 0.8 187.1 5 57.0 0 C11:0 4.58 17.8 01. 57.0 5 C1:0 4.79 1.8 15.5 57.0 0 C1:0 4.99 45.8 9. 5 57.0 0 C14:0 5.19 59.8 4. 5 57.0 5 C14:1t 5.9 57.8 41. 191.1 11 C14:1c 5.5 57.8 41. 191.1 11 C15:0 5.8 7.8 57. 5 57.0 5 C15:1 5.54 71.8 55. 9 05.1 11 C16:0 5.57 87.7 71. 5 57.0 5 C16:1t 5.67 85.9 69. 7. 9 C16:1c 5.71 85.9 69. 7. 9 C17:0 5.77 01.8 85. 7 10.0 5 C17:1 5.9 99.8 8. 51. 9 C18:0 5.98 15.8 99. 4 7 9 C18:1n9t 6.06 1.8 97. 4 65. 9 C18:1n9c 6.1 1.8 97. 7 65. 9 C18:n6t 6.1 11.9 95. 6. 9 C18:n6c Linoleic acid 6. 11.9 95. 7 6. 9 C0:0 6.40 4.8 7. 85.0 5 C18:n6 6.49 09.9 9. 61. C0:1n9 6.56 41.8 5. 9. 9 C18:n α-linolenic acid 6.60 09.9 9. 61. C1:0 6.64 57.8 41. 7 57.0 5 C18:4n 6.74 08.0 9 59.0 C0: 6.81 9.9. 91. 5 C:0 6.91 71.9 55. 7 10.0 0 C0:n9 7.00 7.9 1. 89. C0:n6 7.0 7.9 1. 5 89. C:1n9 7.10 69.9 5. 1. 11 C0:n 7.14 7.9 1. 89. C:0 7.1 85.8 69. 6 7 0 C0:4n6 Arachidonic acid 7.1 5.9 19. 87. C: 7.4 67.9 51. 19. 7 C4:0 7.54 99.8 8.4 10.0 9 C0:4n 7.55 6.0 19. 5 87. 9 C0:5n Eicosapentaenoic acid 7.6.9 17. 85. C: 7.6 66.0 48.8 5 17.1 5 C4:1n9 7.79 97.9 81.4 49. 11 C:4n6 7.98 64.0 47. 5 97.1 5 C:5n6 8.0 6.0 45.0 5 C:5n 8.54 6.0 45.0 5 C:6n Docosahexaenoic acid 8.8 59.9 4. 11. CID (V)

Sample preparation For FA extraction from blood erythrocytes, 0.5 ml of whole blood and 10 ml of 0.9 % saline were mixed and centrifuged at,500 g for five minutes. After the supernatant was discarded, this washing procedure was repeated once more. Afterwards, the cells were hemolyzed by adding 1 ml of distilled water, and stored for at least 0 minutes at refrigerator temperature. The FA extract was then mixed with 5 ml internal standard (IS) solution, and centrifuged at,500 g for five minutes. The IS solution contained 0. mg/ml of FAC17:1 in hexane/isopropanol (:) and ml Na SO 4 solution (6.7 %). The hexane phase was then transferred to a clean glass tube and evaporated to dryness with nitrogen. To resolve the FA, 1 ml BF in methanol (14 %) was added and incubated for 10 minutes at 100 C for esterification. Then, 1 ml water and ml hexane were added to the samples after cooling to room temperature, and centrifuged (,500 g for five minutes). The hexane phase was transferred to a clean vial, and evaporated with nitrogen. The final FAME sample was in 50 ml hexane, and could be stored at 5 C. The samples were diluted 1:0 with hexane before analysis. Data analysis Agilent MassHunter software was used for data acquisition (Waldbronn, Germany). To properly identify and quantify the FAME, two fragment ions were used, one for quantification, and one for confirmation. A mixture of 45 FAMEs (Table 1) was used in the calibration standard. Individual FA concentrations were calculated as relative percentage with the evaluated FA set at 100 % or as absolute values. MassHunter Quantitative Software 5.0 and MassHunter Qualitative Software 5.0 were used for data analysis. The ratio of the peak area of analyte to the internal standard area were used to calculate calibration curves. Method parameters To determine the linearity and accuracy of the GC/MS/MS analytical method, a dilution series of a 45 FAME standard mix in both hexane and pooled human erythrocytes was used. Method accuracy was also evaluated using the 45 FAME standard mix at three different concentration ranges. To evaluate intra-assay precision, 10 independent sample work-ups of aliquots of one human blood pool were analyzed. The inter assay precision was determined in the same way, but with sample work-ups on different days. The concentration was determined using a calibration standard prepared on the day of analysis. Relative standard deviation (RSD) was calculated for precision. Ten replicates of a human blood sample were evaluated for analytical sensitivity determination. Limits of detection (LOD) and lower limits of quantification (LLOQ) were calculated based on the signal to noise (S/N) ratio for selected analytes. The S/N ratios were calculated with MassHunter Qualitative software. Results and discussion GC/MS analysis To compare the two ionization methods, EI and CI, for the FAME analysis, docosahexaenoic acid methyl ester spectra (DHA, C:6n) are shown. In Figure 1A, the GC/MS spectrum using EI shows numerous low mass fragments. Some of the fragments, such as m/z = 67, m/z = 79, and m/z = 99 are characteristic of LC PUFAs, however they are not compound specific. Typically, when using EI fragmentation, the molecular ion of the FAME is not detectable. Conversely, when using CI, the dominating peak of the GC/MS spectrum is the molecular ion ([M+H] + ), m/z = 4. (Figure 1B). The other dominate peak is the ammonia adduct ([M+NH 4 ] + ), m/z = 60, since ammonia was used as reactant gas for CI. Both fragments are considered compound specific, as the loss of ammonia ([M+NH 4 ] + & [M+H] + ) in MS/MS mode can be used as a quantification transition. Counts Counts 10 4 6 A 5 4 1 m/z 79 m/z 67 m/z 99 0 50 75 100 15 150 175 00 5 50 75 00 5 50 75 400 10 4.0 B.5.0.5.0 0.5 Mass-to-charge (m/z) 0 80 105 10 155 180 05 0 55 80 05 0 55 80 Mass-to-charge (m/z) [M+H] + m/z 4 [M+NH 4 ] + m/z 60 Figure 1. GC/MS spectra of DHA methyl ester, comparison of ionization methods. A) EI spectrum B) CI spectrum. 4

Since only analytes with adequate proton affinity were ionized, the CI ionization mode reduced the chemical background level compared to the EI ionization mode. A method using CI and GC/MS/MS in MRM mode was optimized for FA analysis with an analysis time less than nine minutes. Table 1 shows the analyte-specific parameters. To achieve proper identification and quantification, precursor ions, retention times, and quantitative and qualitative fragment ions were determined. Figure shows that no significant background peaks were observed. Figure A shows a GC/MS/MS chromatogram of a FAME standard. Figures B and C show two sections of overlapping peaks enlarged. Figure B shows three slightly overlapping analyte signals, while Figure C shows an example of two completely overlapping analyte ions. No interfering peaks were found that would hamper the quantification of the analytes. Counts 10 4 8 7 6 5 4 1 0 A 4.0 4.4 4.8 5. 5.6 6.0 6.4 6.8 7. 7.6 8.0 8.4 8.8 Acquisition time (min) B Quantification transitions C Quantification transitions C0:1 C18:n 10 4 10 5 10 4 m/z 4 & 5 m/z 10 & 9 C1:0 m/z 58 & 41 10 5 C0:4n6 m/z 6 & 19 10 4 C:0 m/z 86 & 69 0.5 0.5 0.5 6.6 6.56 6.60 6.64 Acquisition time (min) 7. 7. 7. Acquisition time (min) Figure. A) GC/MS/MS chromatogram of 45 FAME B) Enlargement of the chromatogram at 6.5 6.7 minutes and correspondent quantification transitions. C) Enlargement of the chromatogram at 7.1 7. minutes and correspondent quantification transitions. 5

Method verification To assess the linearity of the GC/MS/MS method, a dilution series of a FAME standard mix ranging from 5 ng/ml to 0 mg/ml in hexane was analyzed. All analytes had a coefficient of determination (R ) better than 0.995. A dilution series of 45 FAMEs in matrix was also measured. All analytes had R better than 0.99, and no matrix interferences were observed. The accuracy, LOD, and LLOQ were also evaluated with the FAME standard at three different concentrations. The accuracy was within 90 110 % for all analytes, and the LOD and LLOQ were in the low ng/ml range (Table ). RSD was calculated for precision using 10 FAs in a 10-fold measurement of a human RBC pool. Intra assay RSD and inter assay RSD were lower than 10 % for the 10 selected FAs (Table ). Table. Method parameters for 10 selected FAs. Intra- and inter day precision data are shown as % of total FA. Fatty acid Intra-day Interday LOD LOQ Mean RSD Mean RSD ng/ml ng/ml C16:0 5. ± 1.4 5. 5.7 ±.1 8.0 6. ± 1.5 0.8 ±.1 C18:0 15.9 ± 0.7 4.7 15.0 ± 0.8 5.4 4.9 ± 1. 16. ±.0 C18:1cis 18. ± 0.8 4.5 19.5 ± 5. 4. ± 0.5 1.6 ± 1.6 C18:cis 10.7 ± 0..6 11.8 ± 0..4 4.6 ± 0.4 15. ± 1. C0:n6 1.5 ± 0.1 5. 1.6 ± 0.1 6.5 0.9 ± 0.1.7 ± 0.8 C0:4n6 17. ± 0.9 5.1 15.8 ± 1.6 10.0 0.9 ± 0.1.1 ± 0.4 C0:5n 0.4 ± 0.1 7.1 0.5 ± 0.1 8.7 1.9 ± 0. 5.9 ± 0.8 C:4n6.5 ± 0. 8.5.7 ± 0. 9.0 1. ± 0.1 4. ± 0.8 C:5n. ± 0. 9.1.0 ± 0. 8.6 1.6 ± 0. 5. ± 0.9 C:6n 4.1 ± 0. 6. 4.1 ± 0. 7.8. ± 0. 7. ± 1.1 6

Conclusions This study developed an analytical GC/MS/MS method for the determination of FA profiles in biological matrices through derivatization to FAME. There were 45 FA profiles quantitated in nine minutes with good analytical sensitivity and selectivity. Other parameters were researched, including sample preparation procedure, stability of the method, and GC and MS/MS conditions. This method was found to be robust and have a short analysis time. It has broad applicability for FA analyses. References 1. Boecking, C.; et al. Development and validation of a combined method for the biomonitoring of omega-/-6 fatty acids and conjugated linoleic acids in different matrices from human and nutritional sources, Clin. Chem. Lab. Med. 010, 48, 1757 176.. Dodds, E. D.; et al. Gas chromatographic quantification of fatty acid methyl esters: flame ionization detection vs. electron impact mass spectrometry, Lipids 005, 40, 419 48. 7

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