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.
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Authors | Vianney Poinsignon, Lionel Mercier, Koïchi Nakabayashi, Muriel D David, Alexandre Lalli, Virginie Penard-Lacronique, Cyril Quivoron, Véronique Saada, Stéphane De Botton, Sophie Broutin, Angelo Paci |
Journal | Journal 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 |
PMID | 27131892
(Publication Type: Journal Article)
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Copyright | Copyright © 2016 Elsevier B.V. All rights reserved. |
Chemical References |
- Biomarkers, Tumor
- Glutarates
- alpha-hydroxyglutarate
- Isocitrate Dehydrogenase
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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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