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Human saliva cortisone and cortisol simultaneous analysis using reverse phase HPLC technique.

AbstractBACKGROUND:
Hyper-hypo tension (like Cushing's syndrome, apparent mineralocorticoid excess syndrome and Addison's disease) diagnostic laboratory requires cortisol (F) analysis. The simultaneous analysis of human saliva F and cortisone (E), the inactive F metabolite, by solid phase extraction and RP-HPLC was studied.
METHODS:
Saliva/standard samples were C18-SPE extracted, dried and resuspended. E and F were analysed by isocratic RP-HPLC (acetonitrile/water 27/73%) and UV detection. In the morning and in the evening Salivette stimulated saliva specimens were collected from healthy volunteers.
RESULTS:
The E and F calibration curve ranges were 11.0-110.0 and 5.5-55.0 nmol/l respectively. The LOD was 0.2 and 0.1 nmol/l for E and F respectively. The intra and inter assay CVs were respectively 2.7-6.6 and 5.6-7.0% for E and 5.8-7.0 and 11.7-13.1% for F. The E and F spiked saliva sample recovery was 99% and 88% respectively. Saliva specimen stability was validated. E and F saliva levels in healthy volunteers were significantly (p<0.001) higher at 8 a.m. compared with 11 p.m. (26.4+/-8.9 vs. 4.3+/-2.9 nmol/l for E; 11.1+/-4.0 vs. 2.5+/-1.5 nmol/l for F, respectively).
CONCLUSIONS:
This method is suitable for periodic analyses in a clinical biochemistry laboratory for endocrinology investigation purposes, simultaneously analysing E and F levels in a saliva specimen.
AuthorsElio F De Palo, Giorgia Antonelli, Arianna Benetazzo, Maddalena Prearo, Rosalba Gatti
JournalClinica chimica acta; international journal of clinical chemistry (Clin Chim Acta) Vol. 405 Issue 1-2 Pg. 60-5 (Jul 2009) ISSN: 1873-3492 [Electronic] Netherlands
PMID19393639 (Publication Type: Journal Article)
Chemical References
  • Cortisone
  • Hydrocortisone
Topics
  • Adult
  • Chromatography, High Pressure Liquid (methods)
  • Cortisone (analysis)
  • Female
  • Humans
  • Hydrocortisone (analysis)
  • Hydrophobic and Hydrophilic Interactions
  • Indicator Dilution Techniques
  • Male
  • Saliva (chemistry)
  • Solid Phase Extraction

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