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Quantitation of isocitrate dehydrogenase (IDH)-induced D and L enantiomers of 2-hydroxyglutaric acid in biological fluids by a fully validated liquid tandem mass spectrometry method, suitable for clinical applications.

Abstract
A recent update of the hallmarks of cancer includes metabolism with deregulating cellular energetics. Activating mutations in isocitrate dehydrogenase (IDH) metabolic enzymes leading to the abnormal accumulation of 2-hydroxyglutaric acid (2-HGA) have been described in hematologic malignancies and solid tumours. The diagnostic value of 2-HGA levels in blood to identify IDH mutations and its prognostic significance have been reported. We developed a liquid chromatography tandem mass spectrometry method allowing a rapid, accurate and precise simultaneous quantification of both L and D enantiomers of 2-HGA in blood samples from acute myeloid leukaemia (AML) patients, suitable for clinical applications. The method was also develop for preclinical applications from cellular and tissues samples. Deuterated (R,S)-2-hydroxyglutaric acid, disodium salt was used as internal standard and added to samples before a solid phase extraction on Phenomenex STRATA™-XL-A (200mg-3mL) 33μm cartridges. A derivatization step with (+)- o,o'-diacetyl-l-tartaric anhydride permitted to separate the two resulting diastereoisomers without chiral stationary phase, on a C18 column combined to a Xevo TQ-MS Waters mass spectrometer with an electrospray ionization (ESI) source. This method allows standard curves to be linear over the range 0.34-135.04μM with r(2) values>0.999 and low matrix effects (<11.7%). This method, which was validated according to current EMA guidelines, is accurate between-run (<3.1%) and within-run (<7.9%) and precise between-run (<5.3CV%) and within-run (<6.2CV%), and is suitable for clinical and preclinical applications.
AuthorsVianney Poinsignon, Lionel Mercier, Koïchi Nakabayashi, Muriel D David, Alexandre Lalli, Virginie Penard-Lacronique, Cyril Quivoron, Véronique Saada, Stéphane De Botton, Sophie Broutin, Angelo Paci
JournalJournal of chromatography. B, Analytical technologies in the biomedical and life sciences (J Chromatogr B Analyt Technol Biomed Life Sci) Vol. 1022 Pg. 290-297 (Jun 01 2016) ISSN: 1873-376X [Electronic] Netherlands
PMID27131892 (Publication Type: Journal Article)
CopyrightCopyright © 2016 Elsevier B.V. All rights reserved.
Chemical References
  • Biomarkers, Tumor
  • Glutarates
  • alpha-hydroxyglutarate
  • Isocitrate Dehydrogenase
Topics
  • Biomarkers, Tumor (blood, chemistry, metabolism)
  • Cell Line, Tumor
  • Chromatography, Liquid (methods)
  • Glutarates (blood, chemistry, metabolism)
  • Humans
  • Isocitrate Dehydrogenase (metabolism)
  • Leukemia, Myeloid, Acute (metabolism)
  • Linear Models
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Stereoisomerism
  • Tandem Mass Spectrometry (methods)

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