SPE and LC-MS/MS Method for the Determination of 25-Hydroxyvitamin D2 and 25-Hydroxyvitamin D3 from Human Plasma

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SPE and L-MS/MS Method for the Determination of 25-Hydroxyvitamin D2 and 25-Hydroxyvitamin D3 from Human Plasma Joanne Jones, Thermo Fisher Scientific, Runcorn, UK Application Note 20936 Key Words Solid phase extraction, SPE, SOLA HRP, L-MS/MS, Syncronis 18, 25-hydroxyvitamin D2, 25-hydroxyvitamin D3 Abstract A liquid chromatography - tandem mass spectrometry method for 25-hydroxyvitamin D2 and 25-hydroxyvitamin D3 from human plasma has been developed. Sample preparation was fast and efficient using a Thermo Scientific TM SOLA TM hydrophobic reversed phase (HRP) plate. Analysis was carried out using a Thermo Scientific TM Syncronis TM 18 1.7 µm, 50 2.1 mm column to give a fast separation with a cycle time of 2 minutes while maintaining excellent peak shape. The reproducibility of the method was measured at three concentrations for each compound and was less than 4.2% (n=6 at each level). Excellent recoveries of 94.4% (25-hydroxyvitamin D2) and 96.3% (25-hydroxyvitamin D3) were also achieved. The dynamic range was linear between 5 and 1000 ng/ml with r 2 values of 0.9994 and 0.9958 for 25-hydroxyvitamin D2 and 25-hydroxyvitamin D3, respectively. Introduction Vitamin D is widely monitored and used as an indicator of skeletal health in both children and adults. The active form of the hormone controls the concentration of calcium and phosphorous in the bloodstream, with deficiencies resulting in both rickets in children and osteoporosis in adults. Vitamin D occurs in two forms: vitamin D2 (ergocalciferol) is found naturally in plants and is commonly used as a dietary supplement; vitamin D3 (cholecalciferol) occurs naturally in mammals and is formed in the skin by exposure to sunlight. Vitamin D2 and vitamin D3 are hydroxylated in the liver to form 25-hydroxyvitamin D2 (25-OHD2) (Figure 1) and 25-hydroxyvitamin D3 (25-OHD3) (Figure 2), respectively. These two forms of the compounds are then released into the circulation and transported via the vitamin D binding protein. Further hydroxylation then occurs in the kidneys to form the active hormone 1,25 dihydroxyvitamin D (1,25(OH) 2 D). Although it is possible to monitor the active hormone, the limits of detection required to quantify this are challenging as 1,25(OH) 2 D occurs at picogram levels within the body. It has, therefore, been readily accepted that the measurement of 25-OHD2 and 25-OHD3 is the preferred method for assessing a subjects total vitamin D status due to the higher circulating concentrations (nanogram levels) and greater serum half-life. Suggested optimum concentration ranges within the body for 25-OH-D differs between organizations. The Endocrine Society states that a sufficient range is 30 100 ng/ml and a deficient range is 0 20 ng/ml [1]; whereas, the US Food and Nutrition board states that >20 ng/ml is sufficient and 0 11 ng/ml is classified as vitamin D deficient [2]. The dynamic range of this assay, 5 to 1000 ng/ml, allows quantification of 25-OH-D levels within a sample to show the vitamin D status of the subject.

2 The extraction of 25-hydroxyvitamin D2 and 25-hydroxyvitamin D3 from human plasma is demonstrated in this application. A typical approach for sample extraction from a biological matrix is solid phase extraction (SPE). The extraction detailed here is carried out using SOLA HRP, a revolutionary SPE device. This first-in-class SPE product introduces next generation, innovative technological advancements, giving unparalleled performance characteristics compared to conventional SPE, phospholipid, and protein precipitation products. These include: Higher levels of reproducibility Higher levels of extract cleanliness Reduced sample and solvent requirements Increased sensitivity SOLA products provide significant advantages for the analyst when processing compounds in complex matrices, particularly in high-throughput bioanalytical and clinical research laboratories where reduced failure rate, higher analysis speed, and lower sample/solvent requirements are critical. Increased performance from SOLA products gives higher confidence in analytical results and lowers cost without compromising ease of use or requiring complex method development. The separation of 25-hydroxyvitamin D2 and D3 is carried out using a Syncronis 18 HPL column. One of the key goals for the chromatographer is to achieve a consistent, reproducible separation. The selection of a highly reproducible HPL column is essential if this goal is to be attained. The Syncronis column range has been engineered to provide exceptional reproducibility due to its highly pure, high surface area silica, dense bonding, and double endcapping, all controlled and characterized through the use of rigorous testing. H 2 OH OH H H H 2 H 2 HO Figure 1: 25-hydroxyvitamin D2 (25-OHD2) HO Figure 2: 25-hydroxyvitamin D3 (25-OHD3) Experimental Details onsumables Fisher Scientific L/MS grade water W/011217 Fisher Scientific L/MS grade methanol M/4062/17 Fisher Scientific L/MS grade acetonitrile A/0638/17 Fisher Scientific Analytical grade formic acid F/1900/PB08 Thermo Scientific National Mass Spec ertified 2 ml clear vial MSERT4000-34W with blue bonded PTFE/silicone cap Sample Handling Equipment Thermo Scientific 96 well plate vacuum manifold 60103-351 Thermo Scientific UltraVap 60180-P900

Sample Pretreatment The extraction of vitamin D from plasma was carried out using a SOLA HRP plate, which retained the compound by hydrophobic reversed phase interactions. As 25-OHD2 and 25-OHD3 are transported around the body by the vitamin D binding protein, it is necessary during sample pretreatment to disrupt the protein binding prior to extraction to ensure maximum compound recovery. Typically, this is carried out using 100% acetonitrile. However, as the sample is retained on the sorbent by a hydrophobic mechanism, it is important not to load in conditions that contain too much organic solvent as this will result in compound breakthrough. Therefore, acetonitrile was added to the sample prior to loading to disrupt the protein binding (ensuring that the final ratio did not exceed 1:1). A standard spiking solution of 25-hydroxyvitamin D2 and 25-hydroxyvitamin D3 was prepared in methanol. A working internal standard solution (D 6-25-hydroxyvitamin D3) was prepared in methanol. To 200 µl of blank human plasma, 180 µl of acetonitrile was added. For standards and quality control (Q) samples, 10 µl of standard spiking solution was added. For standards and Qs, 10 µl of working internal standard solution was added. For blanks, 10 µl of methanol only was added. All samples were vortexed for 30 seconds and then centrifuged for 5 minutes at 5000 rpm. 3 Sample Preparation During method development, it was observed that up to 50% methanol could be applied to the SPE plate without causing the compounds to be eluted. Therefore, the wash solution used to remove matrix interferences was 40% methanol. To elute the compounds of interest, 100% methanol was applied to ensure maximum recovery. ompound(s): 25-hydroxyvitamin D2, 25-hydroxyvitamin D3, D6-25-hydroxyvitamin D3 (IS) Matrix: Human plasma Plate type: Thermo Scientific SOLA HRP 10 mg/2 ml 60309-001 onditioning: Application: Wash: Elution: Dry down: Reconstitute: 0.5 ml methanol, then 0.5 ml water 200 µl of sample supernatant 200 µl water / methanol (60:40 v/v) 2 200 µl methanol Under nitrogen without heat In 100 µl water/ acetonitrile (30:70 v/v), mix well Separation onditions A Syncronis 18 HPL column was used for the analysis. The Syncronis product range is based on a high surface area silica, which results in extra retention of analytes in comparison to chromatography columns with a lower surface area. This was significant within the vitamin D application, as additional retention was required to shift the peaks of interest away from isobaric interferences to increase sensitivity. Recommended instrumentation: Thermo Scientific Dionex UltiMate 3000 HPL system olumn: Syncronis 18, 1.7 µm, 50 x 2.1 mm 97102-052130 Mobile phase A: Mobile phase B: Gradient: Flow rate (ml/min): 0.8 olumn temperature ( ): 40 Injection (µl): 50 Injection wash solvent 1: Injection wash solvent 2: Water + 0.1% formic acid Acetonitrile + 0.1% formic acid 70 100% B in 2 minutes Water / acetonitrile (80:20 v/v) IPA / acetonitrile / acetone (45:45:10 v/v/v)

4 MS onditions Instrumentation: Ionization conditions: Polarity: Thermo Scientific TM TSQ Vantage TM triple stage quadrupole mass spectrometer API Discharge current: 4.0 Positive Vaporizer temp ( ): 400 Sheath gas pressure (Arb): 25 Aux gas pressure (Arb): 10 apillary temp ( ): 275 ollision pressure (mtorr): 1.5 Scan time (s): 0.02 Q1 (FWHM): 0.7 Q3 (FWHM): 0.7 Transition details: Refer to Table 1 ompound 25-hydroxyvitamin D2 25-hydroxyvitamin D3 D 6-25-hydroxyvitamin D3 (IS) Parent (m/z) 395.4 383.3 389.3 Products (m/z) 209.2 269.2 211.2 365.4 371.4 ollision energy 27 19 23 11 12 S-lens 102 102 91 91 77 Table 1: ompound transition details Data Processing Software: Thermo Scientific LQUAN version 2.6 Results Extracted 25-hydroxyvitamin D2 standards from human plasma gave a linear calibration curve over the dynamic range of 5 to 1000 ng/ml with an r 2 coefficient of 0.9994 (Figure 3 and Table 2). The chromatography of the LOQ at 5 ng/ml is shown in Figure 4. Q samples were run in replicates of six at concentrations of 15, 250, and 600 ng/ml. Precision at each of the Q levels was less than 4% RSD (Table 3). Overspikes were analyzed at concentrations of 15, 250, and 600 ng/ml and used to calculate recovery. The overall percentage recovery level of 25-hydroxyvitamin D2 of 94.4% was calculated using the average recovery at the three Q levels (Table 4). Extracted 25-hydroxyvitamin D3 standards from human plasma gave a linear calibration curve over the dynamic range of 5 to 1000 ng/ml with an r 2 coefficient of 0.9958 (Figure 5 and Table 2). The chromatography of the limit of quantitation of 5 ng/ml is shown in Figure 6. Q samples were run in replicates of six at concentrations of 15, 250, and 600 ng/ml. The precision at each of the Q levels was less than 4.2% RSD (Table 5). Overspikes were analyzed at concentrations of 15, 250, and 600 ng/ml and used to calculate recovery. The overall percentage recovery level of 25-hydroxyvitamin D3 of 96.3% was calculated using the average recovery of the three Q levels (Table 6).

100 5 90 3.0 80 70 Area Ratio 2.0 Relative Abundance 60 50 40 1.0 30 20 10 0 200 400 600 800 1000 ng/ml Figure 3: 25-hydroxyvitamin D2 linearity over the dynamic range 5 1000 ng/ml 0 0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 Time (min) Figure 4: Representative chromatogram of 25-hydroxyvitamin D2 SRM, extracted from human plasma at 5 ng/ml 3.0 2.5 100 90 80 70 Area Ratio 2.0 1.5 Relative Abundance 60 50 40 1.0 30 20 0.5 10 0 200 400 600 800 1000 ng/ml Figure 5: 25-hydroxyvitamin D3 linearity over the dynamic range 5 1000 ng/ml 0 0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 Time (min) Figure 6: Representative chromatogram of 25-hydroxyvitamin D3 SRM, extracted from human plasma at 5 ng/ml

6 Analyte Specified oncentration alculated oncentration %Diff S1 25-hydroxyvitamin D2 5 5.15 3 S1 25-hydroxyvitamin D2 5 4.88-2 S2 25-hydroxyvitamin D2 10 9.81-2 S3 25-hydroxyvitamin D2 25 25.2 1 S4 25-hydroxyvitamin D2 50 50.7 1 S5 25-hydroxyvitamin D2 100 101 1 S6 25-hydroxyvitamin D2 500 482-4 S7 25-hydroxyvitamin D2 750 743-1 S8 25-hydroxyvitamin D2 1000 1023 2 S1 25-hydroxyvitamin D3 5 4.96-1 S1 25-hydroxyvitamin D3 5 5.56 11 S2 25-hydroxyvitamin D3 25 22.8-9 S3 25-hydroxyvitamin D3 50 53.1 6 S4 25-hydroxyvitamin D3 100 98.6-1 S5 25-hydroxyvitamin D3 500 441-12 S6 25-hydroxyvitamin D3 750 734-2 S7 25-hydroxyvitamin D3 1000 996 0 S7 25-hydroxyvitamin D3 1000 1078 8 Table 2: Accuracy data for extracted standards over the linear range 5 1000 ng/ml oncentration Average Response (n=6) Precision (%V) QL 15 25,105 3.7 QM 250 402,130 2.6 QH 600 1,131,285 3.4 Table 3: Average precision data for six replicate Qs for 25-hydroxyvitamin D2 Response Average QL area response 25,105 Average overspike area response 26,774 Average QM area response 402,130 Average overspike area response 439,544 Average QH area response 1,131,285 Average overspike area response 1,156,632 Table 4: Recovery data for 25-hydroxyvitamin D2 % Recovery at each level 93.8 91.5 97.8 % Recovery 94.4 oncentration Average Response (n=6) Precision (%V) QL 15 77,549 3.4 QM 250 387,542 2.7 QH 600 938,040 4.2 Table 5: Average precision data for six replicate Qs for 25-hydroxyvitamin D3

Response Average QL area response 77,549 Average overspike area response 85,371 Average QM area response 387,542 Average overspike area response 400,888 Average QH area response 938,040 Average overspike area response 925,778 Table 6: Recovery data for 25-hydroxyvitamin D3 % Recovery at each level 90.8 96.7 101.3 % Recovery 96.3 Application Note 20936 onclusion The use of SOLA HRP SPE and a Syncronis 18 UHPL column allows for simple extraction and rapid quantification of 25-hydroxyvitamin D2 and 25-hydroxyvitamin D3 from human plasma. A limit of quantitation of 5 ng/ml for both compounds in plasma was achieved. Extraction recovery was >94% and >96% for 25-hydroxyvitamin D2 and 25-hydroxyvitamin D3, respectively. The method showed good precision with %RSD (n=6) <4.2% for both compounds. References [1] Holick, M.F.; Binkley, N..; Bischoff-Ferrari, H.A.; Gordon,.M.; Hanley, D.A.; Heaney, R.P.; Murad, M.H.; Weaver,.M. Endocrine Society. Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. J. lin. Endocrinol. Metab. 2011, 96(7), 1911-30. [2] Institute of Medicine, Food and Nutrition Board. Dietary Reference Intakes for alcium and Vitamin D. Washington, D: National Academy Press, 2010. thermoscientific.com/chromatography 2014 Thermo Fisher Scientific Inc. All rights reserved. All trademarks are the property of Thermo Fisher Scientific and its subsidiaries. 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 representative for details. USA and anada +1 800 332 3331 Australia 1300 735 292 (free call domestic) hina 800 810 5118 (free call domestic) 400 650 5118 France +33 (0)1 60 92 48 34 Germany +49 (0) 2423 9431 20 or 21 India +91 22 6742 9494 +91 27 1766 2352 Japan 0120 753 670 (free call domestic) 0120 753 671 fax United Kingdom +44 (0) 1928 534 110 New Zealand 0800 933 966 (free call domestic) Singapore +65 6289 1190 All Other Enquiries +44 (0) 1928 534 050 Technical Support For advice and support, please visit our website: www.thermoscientific.com/chromexpert AN20936_E 02/14S