Abstract |
Clinically used anticoagulant warfarin is usually available as a racemic mixture of S- and R- warfarin that are both metabolized mainly by cytochrome P450 isoenzymes. Determination of warfarin enantiomers and their enantiomeric 7-hydroxywarfarin (7-OH-warfarin) metabolites in the human plasma sample allows probing of cytochrome P450 isoenzyme activities and detection of ingestion of warfarin-containing products for the investigation of unexplained bleeding. The present study aims to develop a sensitive and specific liquid chromatography-tandem mass spectrometry (LC-MS/MS) method for simultaneous detection of S- warfarin, R- warfarin, S-7-OH-warfarin and R-7-OH-warfarin in human plasma. Plasma samples were extracted with mixed-mode cation-exchange (MCX) cartridge with recoveries of greater than 87.0% for all four analytes. The selectivity of 7-OH-warfarin from other monohydroxylated warfarin metabolites such as 4'-, 6-, 8- and 10-hydroxywarfarins using a Chirobiotic V chiral column and multiple reaction monitoring (MRM) was addressed. The developed LC-MS/MS method is simple, specific and has been fully validated with satisfactory accuracy and adequate reproducibility with limit of quantification (LOQ) of 5 ng/ml for all four analytes. The method was successfully applied to analyze the steady state plasma concentrations of the four analytes in 30 patients.
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Authors | Zhong Zuo, Siu Kwan Wo, Cindy M Y Lo, Limin Zhou, Gregory Cheng, Joyce H S You |
Journal | Journal of pharmaceutical and biomedical analysis
(J Pharm Biomed Anal)
Vol. 52
Issue 2
Pg. 305-10
(Jun 05 2010)
ISSN: 1873-264X [Electronic] England |
PMID | 20133101
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | Copyright (c) 2010 Elsevier B.V. All rights reserved. |
Chemical References |
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Topics |
- Anticoagulants
(blood, metabolism)
- Calibration
- Chromatography, Liquid
(instrumentation, methods)
- Drug Stability
- Freezing
- Humans
- Molecular Structure
- Reference Standards
- Reproducibility of Results
- Sensitivity and Specificity
- Solid Phase Extraction
- Stereoisomerism
- Tandem Mass Spectrometry
(instrumentation, methods)
- Temperature
- Time Factors
- Warfarin
(analogs & derivatives, blood, metabolism)
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