Fast and Reliable Method for the Analysis of Methylmalonic Acid from Human Plasma

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Fast and Reliable Method for the Analysis of Methylmalonic Acid from Human Plasma Jon Bardsley 1, James Goldberg 2 1 Thermo Fisher Scientific, Runcorn, UK; 2 Thermo Fisher Scientific, West Palm Beach, Florida, US Application Note 21172 Key Words Methylmalonic acid (MMA), succinic acid (SA), SLAµ WAX, Acclaim Surfactant Plus, LC-MS/MS, SPE, mixed-mode ion-exchange, micro-elution Goal To describe an accurate and precise high-throughput analytical technique for the analysis of methylmalonic acid (MMA) utilizing mixed-mode ionexchange micro-scale solid phase extraction (SPE), followed by liquid chromatography coupled with triple quadrupole mass spectrometry (LC-MS/MS). This technique further separates MMA from the known endogenous interference succinic acid (SA), a compound that has the same molecular weight as MMA and demonstrates a similar fragmentation pattern, which can cause issues with selectivity in mass spectrometry (MS) detection. Deuterated MMA (MMA-d3) was used as an internal standard. Introduction Typical analysis for MMA is performed by gas chromatography-mass spectrometry (GC-MS) with lengthy chromatography and time consuming derivitization steps. By utilizing Thermo Scientific SLAµ WAX solid phase extraction (SPE) plates, a fast, reproducible, and reliable method can be created to accurately measure levels of MMA from plasma samples. High levels of recovery for MMA can be achieved with minimal matrix effects in a high-throughput workflow. SLAμ products provide reproducibility, robustness, and ease-of-use at low elution volumes by utilizing the revolutionary SLA SPE technology. This removes the need for frits delivering a robust, reproducible format, which ensures highly consistent results at low elution volumes. SLAμ products deliver: Lower sample failures due to high reproducibility at low elution volumes Increased sensitivity due to lower elution volumes The ability to process samples that are limited in volume Measuring MMA presents issues to the bioanalyst due to the high endogenous levels; obtaining blank matrices for matched standards can present a problem. Phosphate buffer saline (PBS) is regularly used as a surrogate matrix because of its low cost and availability; however, it is often not a close match for the sample requiring analysis. Treated or stripped plasma can be used as a surrogate matrix, but in order to remove trace levels of any particular compound, the level of processing required can be so high that the surrogate is no longer a close matrix match. Mixed-mode ion-exchange SPE can be employed as a technique to achieve high levels of recovery and low levels of matrix effects. Provided monitoring of matrix to surrogate is carried out on a batch-by-batch basis; samples can be extracted alongside calibration standards prepared in a surrogate matrix with confidence in the accuracy of the data. Improved stability of biomolecules by reduction of adsorption and solvation issues

2 The Thermo Scientific Acclaim Surfactant Plus column, based on novel mixed-mode chromatography technology and advanced surface chemistry, provides both reversedphase and anion-exchange mechanisms. The result of which is a specific elution order of cationic, nonionic, amphoteric, and anionic surfactants and, therefore, a highly selective stationary phase. MMA analysis can also suffer from interference by succinic acid (Figure 2) due to the similarity in structure, molecular weight and fragmentation pattern observed by MS/MS. Excellent liquid chromatographic separation can be achieved in just 3.5 minutes using an Acclaim Surfactant Plus analytical column prior to detection by a Thermo Scientific TSQ Vantage MS/MS. No derivitization steps are used prior to injection onto the chromatographic system, so 96 samples can be processed and ready for analysis within 1 to 2 hours. H 3 C Figure 1. Methylmalonic acid (MMA). H H H Figure 2. Succinic acid (SA). H Experimental Consumables SLAµ WAX plate (P/N 60209-005) Acclaim Surfactant Plus 3 µm, 150 2.1 mm id (P/N 078951) Acclaim Surfactant Plus 5 μm, 3.0 10 mm drop-in guard (P/N 078959) 96-well square well microplate (P/N 60180-P212) Thermo Scientific Webseal mat (P/N 60180-M120) Fisher Scientific LC-MS grade water (P/N 10095164) Fisher Scientific LC-MS grade methanol (P/N 10636545) Fisher Scientific LC-MS grade acetonitrile (P/N 10055454) Fisher Scientific analytical grade formic acid (P/N 10063427) Phosphate buffer saline (PBS) (P/N 10151570) Sample Handling Equipment SPE hardware Thermo Scientific HyperSep 96 vacuum manifold (P/N 60103-351) Vacuum pump, European version (P/N 60104-241) Vacuum pump, North American version (P/N 60104-243) Compounds and Matrix Compounds Methylmalonic acid (MMA) Internal standards d3-methylmalonic acid (MMA-d3) Matrix Human plasma and phosphate buffer solution Calibration and Quality Control (QC) Preparation Working solutions of 5 µl of MMA prepared in methanol were added to 95 µl of PBS to give concentrations in the range of 15 to 1200 ng/ml. QC samples were prepared in PBS and control human plasma with lithium heparin anti-coagulant at 25, 200, and 1000 ng/ml levels. Endogenous Level Investigation Samples Blank plasma was spiked with internal standard to measure endogenous levels of MMA. Sample Pretreatment First, 10 µl of 500 ng/ml methanol stock solution of internal standard (MMA-d3) was added to each PBS or plasma calibration and QC sample. Then, 10 µl of methanol was added to each blank PBS or plasma sample. Finally, 300 µl of 15 mm ammonium acetate (ph 4 with formic acid) was added to each PBS or plasma sample and vortexed.

Sample Preparation SPE plate type Condition SLAμ WAX Apply 200 μl of methanol Equilibrate Apply 200 μl 15 mm ammonium acetate (ph 4 with formic acid) Load Load the entire pretreated sample Wash 1 Apply 500 μl of 15 mm ammonium acetate (ph 4 with formic acid) Wash 2 Elution Apply 200 μl of methanol 2 50 μl of 5% ammonia solution in water During development it was found that the extracts could either be directly injected onto the chromatographic system or blown down under nitrogen at 50 C and reconstituted in 50 µl of the starting mobile phase conditions for a more concentrated extract. Separation Conditions Instrumentation Thermo Scientific Dionex UltiMate 3000 RSLC system Column Guard column Mobile phase A Mobile phase B Acclaim Surfactant Plus 3 µm, 150 2.1 mm Thermo Scientific Hypersil GLD 5 µm, 10 4 mm drop-in guard 15 mm ammonium acetate ph 4 (with formic acid) Acetonitrile Gradient See Table 1 Flow rate Column 30 C temperature Injection details 15 µl Injection wash solvent 1 Injection wash solvent 2 0.450 ml/min Mobile phase A Table 1. LC gradient conditions. 30:30:30:10 methanol/ipa/water/acetone Time (min) A B 0.0 80 20 3.5 30 70 3.6 5 95 4.0 5 95 4.1 80 20 5.5 80 20 3 MS Conditions Instrumentation Ionization source Polarity Scan time Thermo Scientific TSQ Quantiva triple quadrupole mass spectrometer Heated electrospray ionization (HESI) Negative 0.02 s Q1 (FWHM) 0.75 Q3 (FWHM) 0.75 Compound See Table 2 transition details Table 2. Compound transition details. Compound Methylmalonic acid D3-Methylmalonic acid Succinic acid Succinic acid (confirmatory ion) Precursor (m/z) 117.0 120.1 117.1 117.1 Products (m/z) 73.1 76.1 73.1 99.1 Collision energy (V) 11 11 11 12 S-lens (V) 35 35 35 45 Data Processing Thermo Scientific LCQUAN quantitative software was used for data processing.

4 Results and Discussion Due to the high levels of MMA present in control human plasma normally used in preparation of calibration and quality control samples, a surrogate matrix of phosphate buffer solution was used. Human plasma was used to spike additional QC samples in order to confirm that accuracy, precision, and matrix effects are still in acceptable limits when compared to PBS samples. Excellent levels of accuracy and precision were observed for MMA using the SLAµ WAX SPE plate. High levels of recovery were also seen, as well as low levels of matrix effects, on both PBS and plasma samples giving a high degree of confidence in the analytical results. Chromatography Excellent separation of MMA and SA was achieved using the Acclaim Surfactant Plus analytical column as shown in Figure 3. 100 2.37 90 80 70 1.71 Relative Abundance 60 50 40 30 20 10 0 0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 5.0 5.5 6.0 Time (min) Figure 3. Separation of succinic acid (SA) at 1.71 min RT and methylmalonic acid (MMA) at 2.37 min RT. Linearity Extracted MMA standards from PBS gave a linear calibration curve over the dynamic range of 15 to 1200 ng/ml with an R 2 of 0.9953 (Figure 4 and Table 3). A linear 1/x 2 weighting was applied to the calibration curve. 6.0 5.0 4.0 Area Ratio 3.0 2.0 1.0 0.0 0 200 400 600 800 1000 1200 ng/ml Figure 4. MMA linearity over a dynamic range of 15 to 1200 ng/ml.

Table 3. Accuracy data for calibration standards of MMA from PBS over a range of 15 to 1200 ng/ml, n=2. 5 Nominal Concentration (ng/ml) Average Calculated Concentration (ng/ml) % Bias from nominal S1 15 14.8-1.31% S2 25 25.0 0.00% S3 50 49.8-0.46% S4 100 111 10.9% S5 200 201 0.510% S6 400 386-3.55% S7 600 593-1.18% S8 800 798-0.29% S9 1000 980-1.98% S10 1200 1170-2.65% R 2 value - 0.9951 - Accuracy and Precision QC samples were run in replicates of six at concentrations of 25, 200, and 1000 ng/ml. The precision and accuracy of the QC extracted from PBS is presented in Table 4. The mean endogenous levels of MMA in human plasma is shown in Table 5. The precision and accuracy of the QC extracted from plasma is presented in Table 6. Table 4. Accuracy data for QC samples of MMA from PBS, n=6. Nominal Concentration (ng/ml) Average Calculated Concentration (ng/ml) % Bias from nominal % RSD Low QC 25 24.3-2.66% 9.18% Mid QC 200 178-11.0% 4.54% High QC 1000 897-10.3% 3.44% Table 5. Mean endogenous levels of MMA in human plasma, n=6. Blank Plasma with Internal Standard Mean Measured Endogenous Levels from Plasma (ng/ml) % RSD N=6 12.2 12 Table 6. Accuracy data for QC samples of MMA from plasma, n=6. Nominal Concentration (ng/ml) Measured MMA Concentration from Blank Plasma (ng/ml) Adjusted Nominal (ng/ml) Calculated Concentration % Bias from Adjusted Nominal Low QC 25 12.2 37.2 39.2 5.20% 3.7 Mid QC 200 12.2 212 233 9.8% 4.9 High QC 1000 12.2 1012 1014 0.153% 2.0 Recovery and Matrix Effects Recovery and matrix effects from both matrices are presented in Table 7. Table 7. Recovery and matrix effects data for QC samples of MMA from PBS and plasma, n=6. Recovery i from PBS Samples Matrix Effects ii Recovery i from Plasma Samples Matrix Effects ii Low QC 91-8 81-10 Mid QC 92-4 105-12 High QC 96-10 81-22 Average Response of Sample i Recovery = 100 Average Response of verspike Average Response of verspike ii Absolute % Matrix Suppression = 100 100 Average Response of Solution Standard % RSD

Conclusion The use of SLAµ WAX mixed-mode ion-exchange SPE allows for fast, reliable extraction of MMA from human plasma. The cleanliness of the final extraction allows the use of a surrogate matrix in preparation of calibration standards enabling analysis of normal and abnormal levels of MMA. Excellent levels of accuracy and precision were observed on all compounds using the SLAµ WAX SPE plate. High levels of recovery as well as low levels of matrix effects were also seen on both PBS and plasma samples, giving a high degree of confidence in the analytical results. Useful Links AppsLab Library The eworkflow and the Chromeleon Backup (cmbx) file can be downloaded at AppsLab Library: https://appslab.thermoscientific.com/ Application Note 21172 Known interference from succinic acid can easily be avoided via chromatographic separation within 3 minutes by using an Acclaim Surfactant Plus analytical column. For Research Use nly. To find a local representative, visit: www.thermoscientific.com/sola-spe 2015 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. AN21172-EN 1115S