quantitative analysis of vit d metabolites in human plasma ... quantitation of 25-oh-vit d2 and...

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Clinical Research use only, Not for use in Diagnostics Procedure

Quantitative Analysis of Vit D Metabolites in

Human Plasma using Exactive System

Marta Kozak

Clinical Research Applications Group

Thermo Fisher Scientific San Jose CA

2 Clinical Research use only, Not for use in Diagnostics Procedure

Calibrators and Controls

• Six calibrators at 2, 5 10, 25, 50 and100ng/mL in BSA

• Three QCs at 5ng/mL, 40 ng/mL and 80 ng/mL in BSA

• Cals and QC’s prepared by fortifying bovine serum albumin diluent with 200 ng/mL 25-hydryoxyvitamin D2 and D3 standard mix.

• Precipitating reagent was prepared by adding deuterated D6-25-

hydroxyvitamin D3 to acetonitrile for a final concentration of 75ng/mL.

• Pooled donor serum samples were crashed 2 to 1 with Acetonitrile and spiked with analytes for a final concentration of 20 ng/mL for 25-hydroxyvitamin D2

3 Clinical Research use only, Not for use in Diagnostics Procedure

Presentation Overview

• Goals

• Introduction to Exactive

• Sample preparation and LC/MS method for 25 OH-Vit D

• Calibration curves, LOQ and results on QCs

• Blinded sample results comparison

• Appendix

QQQ: Triple Quadrupole MS/MS system

4 Clinical Research use only, Not for use in Diagnostics Procedure

Goal

• Results comparison between Exactive and QQQ method for

quantitation of 25-OH-Vit D2 and 25-OH-Vit D3 in human plasma

• Exactive@Thermo - Off line sample prep and 2 min gradient

• QQQ@Service lab - Protein precipitation followed by Turboflow and 6min gradient

• Evaluate Exactive system for analysis of 1, 25 di hydroxy Vit D3

5 Clinical Research use only, Not for use in Diagnostics Procedure

Exactive System Introduction

6 Clinical Research use only, Not for use in Diagnostics Procedure

Exactive Benchtop LC-MS

• Resolution100,000 at 1 scan per second 10,000 at 10 scans per second

• Mass accuracySub ppm

•Dynamic range>10,000 within a spectrum

• Scan speedUp to 10 scans per second

• Mass rangem/z 50 - 4000

• Polarity switchingOne positive and one negative scan < 1 second (25K Resolution)

7 Clinical Research use only, Not for use in Diagnostics Procedure

Orbitrap – Principle of Operation

{ })/ln(2/2

),(222

mm RrRrzk

zrU ⋅+−⋅=

z

φ

Hyper-logarithmic potential distribution: “ideal Kingdon trap”

r

12

2

=

R

Rmzωωϕ 2

2

=

R

Rmzr ωω

qm

kz

/=ω

Makarov A. Anal. Chem. 2000, 72, 1156-1162.

� Characteristic frequencies:• Frequency of rotation ωφ• Frequency of radial oscillations ω

r

• Frequency of axial oscillations ωz

8 Clinical Research use only, Not for use in Diagnostics Procedure

Ethinyl-Estradiol at Different Mass Resolutions

Resolution: 10k, 30k, 50k, 100k

279.12 279.14 279.16 279.18 279.20

m/z

0

10

20

30

40

50

60

70

80

90

100

Re

lative A

bundance

Ethinyl-Estradiol, 279.17434

Butyl-Phthalate, 279.15909 (ubiquitous background ion)

Note:Ethinyl Estradiol used just to demonstrate the power of resolution

9 Clinical Research use only, Not for use in Diagnostics Procedure

100 ppb Hormone Sample (500 pg on-column)

100 ppb Hormone sample measured @ different resolution settings

Ethinyl-Estradiol

The isobaric phthalate

background ion

interferes with the

Ethinyl-Estradiol ion.

At resolution of

10,000 the steroid

mass is off because

the isobaric ions are

not resolved.

17 18 19Time (min)

0

50

100

0

50

100

Rela

tive A

bu

nd

ance

16.68 17.81 18.07 18.9417.5919.04

RP = 10,000Phthalate

Estradiol

17 18 19Time (min)

0

50

100

0

50

100

Rela

tive A

bu

nd

ance

18.03 19.3217.22 18.1716.40 18.76

17.73 RP = 100,000Phthalate

Estradiol

Note:Ethnyl Estradiol used just to demonstrate the power of resolution

10 Clinical Research use only, Not for use in Diagnostics Procedure

Exactive method – Sample preparation

Vortex

100 µL plasma + 200 µL IS 50 ng/mL [2H6]-25OH-D3

Centrifuge 10 min

@ 13200 RPM

Supernatant

50 µL inject

Sample preparation

Note: Stock IS in ACN; Standards, QC and samples were processed using identical procedure

10 µL std + 990 uL of

50% Ethanol

Serial dilutions down

to 100 ng/mL

100 µg/mL 25-OH-D3

and 25-OH-D2 mix in Ethanol

Calibration standards

1 to 200 ng/mL

Standards preparation

11 Clinical Research use only, Not for use in Diagnostics Procedure

Data acceptance criteria

15200Cal Standard 7

15100Cal Standard 6

1550Cal Standard 5

1520Cal Standard 4

1510Cal Standard 3

152Cal Standard 2

201Cal Standard 1

15200QC 3

1550QC 2

205 for Vit-D2 and 20 for Vit-D3*QC 1*

Required Precision [%]Concentration [ng/mL]Samples

* QC1 spiked with 5 ng/mL of Vit-D3 and Vit-D2. Only total concentration was analyzed for QC1 sample.

Current generally acceptable LC/MS precision

12 Clinical Research use only, Not for use in Diagnostics Procedure

25OH-Vit D2 and D3 – Exactive mass spectrum

D2

D2 - H2O

D2 - (2 x H2O)

D3 - H2O

D3 – (2 x H2O)

13 Clinical Research use only, Not for use in Diagnostics Procedure

Exactive – 3 Selected M/Z

Analyte Monitored m/z

25-OH-D3 401.3411 (M+H)

383.3306 (M - H2O + H)

365.3200 (M - 2 x H2O) + H)

25-OH-D2 413.3411 (M+H)

395.3305 (M - H2O + H)

377.3199 (M - 2 x H2O) + H

[2H6] 25-OH-D3

(Internal Standard)

407.3787 (M+H)

389.3679 (M - H2O + H)

371.3576 (M - 2 x H2O) + H

m/z with minimum interference

14 Clinical Research use only, Not for use in Diagnostics Procedure

• LC method

• Thermo Hypersil aQGold 50 x 2.1 mm, 5um (1, 25 Vit D3)

• Thermo Hypersil aQGold 50 x 2.1 mm, 5µm (25 OH Vit D)• Mobile phase A: water containing 0.1% formic acid • Mobile phase B: methanol containing 0.1% formic acid

• Column Temp: 50 Deg C

• Exactive MS method

• HESI source

• Full scan MS acquisition @ 50,000 Resolution

• External mass calibration

• Extract Ion Chromatogram for molecule of interest (m/z)@ better than 5ppm mass accuracy

• Confirm the identity using mass accuracy and RT

• Quantitate using peak area in the chromatogram

Exactive – LC/MS Method

Note: Details in appendix

15 Clinical Research use only, Not for use in Diagnostics Procedure

Linearity and Accuracy – 25OH-Vit D3

% Difference

200 ng/mL

100 ng/mL

50 ng/mL

20 ng/mL

10 ng/mL

2 ng/mL

1 ng/mL

Standard

7.67.913.0

-1.7-2.32.9

-7.9-2.4-7.5

7.84.9-0.02

-6.5-9.6-10.5

0.81.52.2

Precision just below set criteria

Validation_3Validation_2Validation_1

Note: Calibration curve using neat standards

Vit D3 - Validation1

Y = 0.00576964+0.0027313*X R^2 = 0.9918 W: 1/X^2

0 20 40 60 80 100 120 140 160 180 200 220

ng/mL

0.00

0.05

0.10

0.15

0.20

0.25

0.30

0.35

0.40

0.45

0.50

0.55

0.60

0.65

Are

a R

atio

Vit D3 - Validation 2

Y = 0.0056991+0.00298291*X R^2 = 0.9954 W: 1/X^2

0 20 40 60 80 100 120 140 160 180 200 220

ng/mL

0.00

0.05

0.10

0.15

0.20

0.25

0.30

0.35

0.40

0.45

0.50

0.55

0.60

0.65

0.70

Are

a R

atio

Vit D3 - Validation 3

Y = 0.00571591+0.00317597*X R^2 = 0.9946 W: 1/X^2

0 20 40 60 80 100 120 140 160 180 200 220

0.00

0.05

0.10

0.15

0.20

0.25

0.30

0.35

0.40

0.45

0.50

0.55

0.60

0.65

0.70

0.75

Are

a R

atio

16 Clinical Research use only, Not for use in Diagnostics Procedure

% Difference

200 ng/mL

100 ng/mL

50 ng/mL

20 ng/mL

10 ng/mL

2 ng/mL

1 ng/mL

Standard

2.18.29.7

0.3-5.30.8

-1.4-5.9-8.6

2.02.17.5

-2.9-4.4-4.3

-0.79.7-10.6

0.6-4.45.4

Validation_3Validation_2Validation_1

Vit D2 – Validation 1

Y = 0.00432057+0.0119399*X R^2 = 0.9919 W: 1/X^2

0 20 40 60 80 100 120 140 160 180 200 220

ng/mL

0.0

0.2

0.4

0.6

0.8

1.0

1.2

1.4

1.6

1.8

2.0

2.2

2.4

2.6

2.8

Are

a R

atio

Vit D2 – Validation 2

Y = 0.0010089+0.0121633*X R^2 = 0.9943 W: 1/X^2

0 20 40 60 80 100 120 140 160 180 200 220

ng/mL

0.0

0.2

0.4

0.6

0.8

1.0

1.2

1.4

1.6

1.8

2.0

2.2

2.4

2.6

2.8

Are

a R

atio

Vit D2 – Validation 3

Y = -0.000622327+0.0121577*X R^2 = 0.9996 W: 1/X^2

0 20 40 60 80 100 120 140 160 180 200 220

0.0

0.2

0.4

0.6

0.8

1.0

1.2

1.4

1.6

1.8

2.0

2.2

2.4

2.6

Are

a R

atio

Note: Calibration curve using neat standards

Linearity and Accuracy – 25OH-Vit D2

17 Clinical Research use only, Not for use in Diagnostics Procedure

Lower points in calibration curve – Good ppecificity

1ng_std - m/z= 365.32-365.32 SM: 5 RT: 0.75 - 1.50 NL: 4.36E4F: {0,0} + p APCI Full ms [ 350.00-420.00]

0.8 0.9 1.0 1.1 1.2 1.3 1.4

Time (min)

0

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

Re

lati

ve

In

ten

sit

y

RT: 1.12

1.20

1.470.970.77 0.87

Note:Extracted Ion Chromatogram (XIC)@accuracy of 5 ppm

2ng_std - m/z= 365.32-365.32 SM: 5 RT: 0.76 - 1.51 NL: 5.39E4F: {0,0} + p APCI Full ms [ 350.00-420.00]

0.8 0.9 1.0 1.1 1.2 1.3 1.4 1.5

Time (min)

0

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

Re

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In

ten

sit

y

RT: 1.13

1.321.441.250.78 0.960.880.83

10ng_std - m/z= 365.32-365.32 SM: 5 RT: 0.76 - 1.51 NL: 1.49E5F: {0,0} + p APCI Full ms [ 350.00-420.00]

0.8 0.9 1.0 1.1 1.2 1.3 1.4 1.5

Time (min)

0

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

Re

lati

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In

ten

sit

y

RT: 1.13

1.25 1.411.310.81 1.480.980.89 1.03

1ng_std - m/z= 395.33-395.33 SM: 5 RT: 0.79 - 1.54 NL: 7.47E4F: {0,0} + p APCI Full ms [ 350.00-420.00]

0.8 0.9 1.0 1.1 1.2 1.3 1.4 1.5

Time (min)

0

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

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100

Re

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y

RT: 1.16

1.29

1.000.86 0.92

2ng_std - m/z= 395.33-395.33 SM: 5 RT: 0.78 - 1.53 NL: 1.37E5F: {0,0} + p APCI Full ms [ 350.00-420.00]

0.8 0.9 1.0 1.1 1.2 1.3 1.4 1.5

Time (min)

0

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

Re

lativ

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sit

y

RT: 1.16

1.411.31 1.351.050.91 0.990.83

10ng_std - m/z= 395.33-395.33 SM: 5 RT: 0.80 - 1.55 NL: 5.80E5F: {0,0} + p APCI Full ms [ 350.00-420.00]

0.8 0.9 1.0 1.1 1.2 1.3 1.4 1.5

Time (min)

0

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

Re

lati

ve In

ten

sit

y

RT: 1.17

1.370.990.86

D3 -1ng/mL D3 -10ng/mLD3 -2ng/mL

D2 -1ng/mLD2 -10ng/mL

D2 -2ng/mLLOQ

LOQ

%RSD>20%

18 Clinical Research use only, Not for use in Diagnostics Procedure

QC Results - 25OH-Vit D3 inter and intra assay

2.25.86.5%RSD

%Rec

Mean

5

4

3

2

1

Replicate

QC1 (22 ng/mL)

19.323.121.5

20.021.620.7

NDNDND

20.422.622.1

19.920.919.0

20.119.921.3

20.321.519.6

Val 3Val 2Val 1

%Rec

%RSD

Mean

5

4

3

2

1

Replicate

QC2 (50 ng/mL)

49.452.751.9

47.354.749.6

49.153.953.5

47.754.955.8

Val 3Val 2Val 1

98.9105104

6.34.76.4

54.949.753.1

48.250.247.4

%Rsc

%RSD

Mean

5

4

3

2

1

Replicate

QC3 (200 ng/mL)

205215212

207213220

204212200

201212218

Val 3Val 2Val 1

102108106

1.52.33.8

209224215

204215209

Excellent accuracy, precision and recovery

19 Clinical Research use only, Not for use in Diagnostics Procedure

%Rec

SD

Mean

5

4

3

2

1

Replicate

QC1 (5 ng/mL)

4.44.94.9

4.44.64.8

0.280.400.37

87.493.096.9

4.44.85.3

3.95.14.2

4.74.14.8

4.34.45.0

Val 3Val 2Val1

%Rec

%RSD

Mean

5

4

3

2

1

Replicate

QC2 (50 ng/mL)

49.348.450.4

48.054.052.2

49.145.054.2

51.648.947.3

Val 3Val 2Val 1

98.696.8101

3.07.36.0

48.148.551.1

49.745.647.3

%Rec

%RSD

Mean

5

4

3

2

1

Replicate

QC3 (200 ng/mL)

202193188

190187191

199188177

184186191

Val 3Val 2Val 1

10196.793.9

8.95.03.4

209209191

230197189

Excellent accuracy, precision and recovery

QC Results - 25OH-Vit D2 inter and intra assay

20 Clinical Research use only, Not for use in Diagnostics Procedure

Blinded Sample Results Comparison

21 Clinical Research use only, Not for use in Diagnostics Procedure

Blinded sample - Results comparison

• Seven blinded samples from service lab analyzed

• Comparison with service labs 6 min TurboFlowTM QQQ method

• 5 replicate analysis on Exactive to asses precision

22 Clinical Research use only, Not for use in Diagnostics Procedure

Blinded samples – Results summary

Good agreement betweenExactive and service lab QQQ results

Note: External service lab used Access QQQ

Vitamin D2Vitamin D3

2.4

2.0

2.3

<1.9

7.2

2.1

<1.9

Clinical Lab (ng/mL)

0.6

-1.2

-12.4

3.5

13.7

2.3

-15.4

% Diff

ND<134.034.2G

ND<125.825.5F

ND<136.332.3E

ND<120.419.7D

67.44.316.614.6C

ND<134.834.0B

ND<133.539.6A

% DiffExactive(ng/mL)

Clinical Lab (ng/mL)

Exactive(ng/mL)

Sample#

Vitamin D2Vitamin D3

2.4

2.0

2.3

<1.9

7.2

2.1

<1.9

Clinical Lab (ng/mL)

0.6

-1.2

-12.4

3.5

13.7

2.3

-15.4

% Diff

ND<134.034.2G

ND<125.825.5F

ND<136.332.3E

ND<120.419.7D

67.44.316.614.6C

ND<134.834.0B

ND<133.539.6A

% DiffExactive(ng/mL)

Clinical Lab (ng/mL)

Exactive(ng/mL)

Sample#

Service lab

ng/mL

Service lab

ng/mL

23 Clinical Research use only, Not for use in Diagnostics Procedure

Chromatograms - Blinded sample A

c:\xcalibur\...\rawfiles\sample_a5 7/13/2009 4:47:50 PM

RT: 0.00 - 2.02 SM: 5B

0.0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 1.9 2.0

Time (min)

0

50

100

0

50

100

0

50

100

Re

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Ab

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0

50

100

0

50

100

RT: 1.14AA: 2580930

RT: 0.09AA: 10925

RT: 0.37AA: 21678 0.93 1.01 1.991.44 1.491.38 1.57 1.680.78 1.83 1.870.21 0.49 0.720.650.61

RT: 1.14MA: 2040088

1.350.93 1.300.90 1.05 1.911.45 1.540.140.08 1.780.64 0.72 1.720.23 0.36 0.50

RT: 1.15MA: 2178738

1.33 1.370.94 1.950.89 1.480.410.14 1.671.590.35 1.75 1.790.820.22 0.630.45 0.58 0.690.03

RT: 1.15MA: 2205493

0.91 1.361.291.03 1.951.911.51 1.681.63 1.730.05 0.490.20 0.760.27 0.330.09 0.43 0.680.59

RT: 1.14MA: 1964455

0.90 1.05 1.33 1.900.86 1.49 1.821.65 1.690.08 0.14 0.19 0.35 0.55 0.770.59 1.600.48

NL: 5.21E5

m/z= 365.3182-365.3218 F: FTMS {0,0} + p APCI Full ms [350.00-420.00] MS ICIS Sample_A1

NL: 4.45E5

m/z= 365.3182-365.3218 F: FTMS {0,0} + p APCI Full ms [350.00-420.00] MS sample_a2

NL: 4.57E5

m/z= 365.3182-365.3218 F: FTMS {0,0} + p APCI Full ms [350.00-420.00] MS sample_a3

NL: 4.72E5

m/z= 365.3182-365.3218 F: FTMS {0,0} + p APCI Full ms [350.00-420.00] MS sample_a4

NL: 4.33E5

m/z= 365.3182-365.3218 F: FTMS {0,0} + p APCI Full ms [350.00-420.00] MS sample_a5

Exactive39.6 ng/mL

c:\xcalibur\...\rawfiles\sample_a_003 7/14/2009 3:31:06 PM

RT: 0.00 - 2.00 SM: 5B

0.0 0.2 0.4 0.6 0.8 1.0 1.2 1.4 1.6 1.8 2.0

Time (min)

0

20

40

60

80

100R

ela

tiv

e A

bu

nd

an

ce

0

20

40

60

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RT: 0.84MA: 1076719

0.961.050.74

1.19 1.28 1.46 1.741.67 1.860.09 0.24 0.47 0.540.37

RT: 0.84MA: 1093612

0.970.751.07

1.13 1.18 1.45 1.75 1.801.640.17 1.930.11 0.26 0.54 0.630.38

RT: 0.84MA: 844399

0.970.74 1.071.14 1.19 1.46 1.570.21 1.841.770.39 1.960.11 0.47 0.55

NL: 3.87E5

TIC F: + c APCI SRM ms2 383.280 [257.103-257.153, 365.075-365.125] MS Sample_A_001

NL: 3.70E5

TIC F: + c APCI SRM ms2 383.280 [257.103-257.153, 365.075-365.125] MS sample_a_002

NL: 2.84E5

TIC F: + c APCI SRM ms2 383.280 [257.103-257.153, 365.075-365.125] MS sample_a_003

Access33.5 ng/mL

Vitamin D3

Note: 5 injections on Exactive and 3 injections on Access

24 Clinical Research use only, Not for use in Diagnostics Procedure

Chromatograms - Blinded sample A

Vitamin D2

c:\xcalibur\...\rawfiles\sample_a5 7/13/2009 4:47:50 PM

RT: 0.00 - 2.02 SM: 5B

0.0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 1.9 2.0

Time (min)

0

50

100

0

50

100

0

50

100

Re

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0

50

100

0

50

1001.25

0.90

1.46 1.52 1.671.421.82 1.89

0.03 0.34 0.670.230.15

1.19

1.151.98

1.94

1.631.46 1.841.760.12 0.680.33 0.430.26 0.56

1.17

0.901.290.87

1.48 1.52 1.671.42 1.76 1.890.550.08 0.710.64 0.760.320.28 0.49

1.98

0.930.88 1.161.94

1.131.551.52 1.63 1.891.760.590.13 0.19 0.750.30 0.490.43

1.97

1.920.87

1.63 1.831.570.52 0.71 0.740.24 0.590.280.180.13

NL: 5.32E3

m/z= 395.3285-395.3325 F: FTMS {0,0} + p APCI Full ms [350.00-420.00] MS Sample_A1

NL: 2.14E4

m/z= 395.3285-395.3325 F: FTMS {0,0} + p APCI Full ms [350.00-420.00] MS sample_a2

NL: 3.29E4

m/z= 395.3285-395.3325 F: FTMS {0,0} + p APCI Full ms [350.00-420.00] MS sample_a3

NL: 3.53E4

m/z= 395.3285-395.3325 F: FTMS {0,0} + p APCI Full ms [350.00-420.00] MS sample_a4

NL: 1.74E4

m/z= 395.3285-395.3325 F: FTMS {0,0} + p APCI Full ms [350.00-420.00] MS sample_a5

C:\Xcalibur\...\Rawfiles\Sample_A_001 7/14/2009 3:25:28 PM

RT: 0.00 - 2.00 SM: 5B

0.0 0.2 0.4 0.6 0.8 1.0 1.2 1.4 1.6 1.8 2.0

Time (min)

0

20

40

60

80

100

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20

40

60

80

100

Re

lati

ve

Ab

un

da

nc

e

0.79

0.84

0.951.00

1.18

1.451.24 1.620.03 1.67 1.84 1.940.460.25 0.620.30

0.81

0.76

0.85

0.94

1.011.06

1.15

1.461.26 1.650.20 1.800.570.02 0.39 1.96

0.79

0.84

0.93

1.011.03

1.15

1.25 1.46 1.59 1.66 1.890.07 0.660.560.26 0.420.15

NL: 8.68E4

TIC F: + c APCI SRM ms2 395.290 [269.093-269.143, 377.175-377.225] MS Sample_A_001

NL: 8.68E4

TIC F: + c APCI SRM ms2 395.290 [269.093-269.143, 377.175-377.225] MS sample_a_002

NL: 7.09E4

TIC F: + c APCI SRM ms2 395.290 [269.093-269.143, 377.175-377.225] MS sample_a_003

Exactive<LOQ

Access<LOQ

Note: 5 injections on Exactive and 3 injections on Access

See appendix for other 6 samples

25 Clinical Research use only, Not for use in Diagnostics Procedure

Appendix

25 OH Vit D Analysis

26 Clinical Research use only, Not for use in Diagnostics Procedure

Reagents

• 25-OH-D3 was purchased from Cerilliant, 25-OH-D2 was purchased

from Sigma. Both compounds were stored in -20 deg.C.

• [2H6]-25-OH-D3 (Internal Standard) was purchased from Medical

Isotopes and it was stored in -70 deg.C.

27 Clinical Research use only, Not for use in Diagnostics Procedure

Method validation

Endogenous quantity in

blank plasma measured using IS alone

25-OH-D3 = 16.5 ng/mL25-OH-D2 = 0.8 ng/mL

Total quantity in

QC sample minus =

Intra assay variability - 5 replicates of each QC sampleInter assay variability - 5 replicates of each QC sample in 3

different batches

Confirm method accuracy

Actual spiked

amount in QC sample

28 Clinical Research use only, Not for use in Diagnostics Procedure

25-OH-Vit D - Ionization source parameters

Exactive Mass Spectrometer

Ionization APCI, positive, Ion Max™ source,

Discharge current 5.0

Vaporizer temperature (deg C) 390

Sheath gas 15

Ion Sweep Gas Pressure: 0.0

Aux gas 5

Capillary temperature (deg C) 275

29 Clinical Research use only, Not for use in Diagnostics Procedure

25-OH-Vit D - Exactive Method

Polarity: Positive

Microscans: 1Resolution: Ultra High (100 000)Target: BalancedMax Inject time: 250 Scan range: 350-420

Divert valve: switch events 4

1-0.95 min – to waste0.95-1.4 – to detector1.4-1.9 – to waste1.9-2.0 – to detector

30 Clinical Research use only, Not for use in Diagnostics Procedure

25-OH-Vit D - LC method

• LC Conditions• Surveyor autosampler and pump

• Mobile Phase• A: water containing 0.1% formic acid

• B: methanol containing 0.1% formic acid

• Column• 50 x 2.1 mm id packed with 3 µm,

C18-aQ stationary phase

• Injection volume: 50 µL

• Flow rate: 700 µL/min

• GradientTime (min) % A %B

0 20 80

0.1 20 80

0.2 5 95

1.4 5 95

1.5 20 80

2.0 20 80

31 Clinical Research use only, Not for use in Diagnostics Procedure

25-OH-Vit D - Autosampler method

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