Extraction of Methylmalonic Acid from Serum Using ISOLUTE. SAX Prior to LC-MS/MS Analysis

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Application Note AN89.V.1 Extraction of Methylmalonic Acid from Serum Using ISOLUTE SAX Page 1 Extraction of Methylmalonic Acid from Serum Using ISOLUTE SAX Prior to LC-MS/MS Analysis Sample Preparation Procedure Format: ISOLUTE SAX 25 mg fixed well plate, part number 500-0025-P01 Sample Pre-treatment To serum (100 µl), add 10 µl of internal standard (10 ng/µl). Allow to stand for ~1 hour to allow binding to occur. Add HPLC grade water (190 µl) and vortex. Figure 1. Structures of methylmalonic acid (MMA) and succinic acid (SA). Introduction Methylmalonic acid (MMA) in serum is measured to help diagnose a number of disorders, primarily Vitamin B12 deficiency. This application note describes a simple, effective protocol for the extraction of methylmalonic acid (MMA) from serum using ISOLUTE SAX strong anion exchange solid phase extraction plates, demonstrating high, reproducible analyte recoveries with low protein and phospholipid content in the extracts. The well known isobaric interference, succinic acid, is chromatographically separated to allow accurate quantitation of the MMA. ISOLUTE SAX is a silica-based strong anion exchange sorbent used to extract acidic analytes, such as MMA, from aqueous samples. Very clean extracts are possible due to the purely anion exchange retention mechanism available using this silica based sorbent. This minimizes the co-extraction of endogenous interferences through hydrophobic (or non-polar) retention. Analytes MMA and MMA- 13 C as internal standard. Conditioning Condition each well with methanol (500 µl). Equilibration Equilibrate each well with HPLC grade water (500 µl). Sample Loading Load 300 µl of pre-treated sample. Wash 1 Elute interferences with HPLC grade water (500 µl). Wash 2 Elute interferences with methanol (500 µl). Analyte Elution Elute analytes with 2% formic acid in acetonitrile (600 µl) into a collection plate. Post Extraction Dry the extract in a stream of air or nitrogen using a SPE Dry (0 C at 0 L/min) or TurboVap (0 C at 1.0 bar). Reconstitution Add 100 µl of 0.% formic acid (aq), seal with a plate mat and vortex for 30 seconds.

Extraction of Methylmalonic Acid from Serum Using ISOLUTE SAX Page 2 UPLC Conditions Instrument Waters ACQUITY I Class UPLC equipped with a flow through needle (15 µl) Column Gemini 3 µm C18 (100 x 3 mm id) Mobile Phase A: 0.% formic acid (aq) B: 0.% formic acid in methanol Flow Rate 0.6 ml/min MS Conditions Instrument Waters XEVO TQS triple quadrupole mass spectrometer equipped with an electrospray interface for mass analysis. Desolvation Temperature: 500 C Ion Source Temperature: 150 C Negative ions were acquired in the multiple reaction monitoring (MRM) mode: Table 1. Gradient Conditions - numerical. Table 2. MRM Conditions. Step %A %B Curve Compound MRM Transition Cone Voltage (V) Collision Energy (ev) 0 100 0 1 1 100 0 6 2.5 98 2 6 3 100 0 11 Curve 6: Linear Gradient Curve 11: Conditions in line initiated immediately once time reached. i.e. 0% B resumed at 3 minutes. MMA 116.9 > 72.9 30 9 MMA- 13 C 121.0 > 76.0 30 9 Results Chromatography Good separation was achieved between MMA and the isobaric interference succinic acid. Figure 3. shows a chromatogram of serum spiked with 10 ng/ml MMA and the baseline raised to 10:1 signal:noise, indicating an approximate lower limit of quantitation. Figure 2. Gradient Conditions - graphical Injection Volume 10 µl Sample Temperature 20 C Figure 3. Chromatogram of 13 C MMA (top) at 100 ng/ml and MMA (bottom) at 10 ng/ml (~0.085 μmol/l) with x10 signal:noise indicator for the latter. Column Temperature 50 C

Extraction of Methylmalonic Acid from Serum Using ISOLUTE SAX Page 3 Recovery Serum free of MMA was spiked at 250 ng/ml (~2.11 μmol/l). High reproducible recoveries >90% and corresponding RSDs of <10% were demonstrated. Typical recovery data is shown in Figure. Table 3. Calculated MMA concentrations. Chromsystems Calibration Level Set Value (ng/ml) Calculated Value (ng/ml) Calibrator 1 13.7 12. Calibrator 2 28. 27.0 Calibrator 3 51.3 52.8 Additional Notes Processing Guidelines»» 96-well SPE plates were processed using a Biotage PRESSURE+96 Positive Pressure Manifold at a pressure of 1 2 psi Figure. Chart demonstrating typical MMA recovery using the optimized ISOLUTE SAX method. Solvent Composition and Preparation Instructions»» All solvents were HPLC grade.»» 2% formic acid in acetonitrile: Add 200 μl concentrated formic acid to 9.8 ml of HPLC grade acetonitrile. Mix.»» 0.% formic acid (aq): Add 200 μl concentrated formic acid to 9.8 ml of HPLC grade water. Mix.»» 0.% formic acid in methanol: Add 200 μl concentrated formic acid to 9.8 ml of HPLC grade methanol. Mix. Ordering Information Calibration Curves Good linearity was observed over the range 10 2000 ng/ml ( ~0.085 - ~16.99 μmol/l). Figure 5. shows the coefficient of determination r 2 for the optimized method. In addition, commercial calibration samples from plasma matrix were extracted and their concentration values were evaluated against the in-house calibration line. Good agreement was reached and concentrations are summarized in Table 3. Part Number Description Quantity 500-0025-P01 ISOLUTE SAX 25 mg 1 Fixed Well Plate 121-5203 Collection plate, 2 ml, square 50 PPM-96 Biotage PRESSURE+ 96 Positive 1 Pressure Manifold SD-9600-DHS-EU Biotage SPE Dry Sample 1 Concentrator System 220/20 V SD-9600-DHS-NA Biotage SPE Dry Sample 1 Concentrator System 100/120 V C10326 TurboVap 96, Evaporator 220/20V 1 C103263 TurboVap 96, Evaporator 100/120V 1 Figure 5. Calibration line of spiked serum extracted with the optimized protocol.

Extraction of Methylmalonic Acid from Serum Using ISOLUTE SAX Page Appendix Biotage Extrahera TM Settings The method described in this application note was automated on the Biotage Extrahera, using ISOLUTE SAX 25 mg SPE plates. Total time taken to process a full 96-well plate was 3 minutes. Method performance was comparable. This appendix contains the software settings required to configure Extrahera to run this method. An importable electronic copy of this method for Extrahera can be downloaded from www.biotage.com Biotage Extrahera TM Data Analyte Methylmalonic Acid Recovery (n=8) at 100 ng/ml 92.% %RSD 2.5 Linearity (r 2 ) 0.999* LLOQ <10 ng/ ml *Note: Linearity experiments on Extrahera were run using 3PLUS1 Multilevel Plasma Calibrator Set Methylmalonic acid (Chromsystems Instruments and Chemicals GmbH). Manual processing using these standards gave linearity (r 2 ) of 0.999. Data (manual processing) in the application note was generated using in house spiked MMA free serum from Golden West Biologicals, Inc. Method Name: MMA ISOLUTE SAX Sample Plate/Rack: 2 ml x 96 well 200 µl Extraction Media: ISOLUTE SAX 96 Well Plate Settings Sample Tab Sample Type: Aqueous Sample Starting Sample Volume (µl): 150 Method Comment:

Extraction of Methylmalonic Acid from Serum Using ISOLUTE SAX Page 5 Screenshot Settings Pre-treatment Activated No. of steps 1 Pause after last step No Dispose tips after last step No Solvent 1 Water 2 3 Volume (µl) 300 Wait Time (min) 0 1 2 3 Conditioning Activated No. of steps 1 Pressure (Bar) 1.0 Dispose tips after this step No Solvent 1 Methanol 2 3 Volume (µl) 500 Position D Positive pressure time (s) 0 Repeat 1 Pause after this step No 1 2 3 Advanced Settings

Extraction of Methylmalonic Acid from Serum Using ISOLUTE SAX Page 6 Equilibration Not Activated No. of steps 1 Pressure (Bar) 1.0 Dispose tips after this step No Solvent 1 Water 2 3 Volume (µl) 500 Position D Positive Pressure time (s) 0 Repeat 1 Pause after this step No Advanced Settings 1 2 3 Load Pressure (Bar) 1.0 Pause after each load No Volume (µl) 300 Collect in position D Positive pressure time (s) 80 Premix Yes Number of times 2 Advanced Settings

Extraction of Methylmalonic Acid from Serum Using ISOLUTE SAX Page 7 Wash No. of steps 2 Pressure (Bar) 1.0 Plate dry after last wash Activated Yes Plate dry time (s) 300 Dispose tips after last step Solvent 1 Water 2 Methanol 3 Volume (µl) 500 500 Position D D Positive pressure time (s) 60 60 Repeat 1 1 Pause after this step No No No 1 2 3 Advanced Settings Elution Activated No. of steps 1 Pressure (Bar) 1.0 Plate dry after last elution Yes Plate dry time (s) 30 Dispose tips after each step No Solvent 1 2% Formic in MeCN 2 3 Volume (µl) 600 Position A Positive pressure time (s) 80 Repeat 1 Pause after this step No 1 2 3 Advanced Settings

Extraction of Methylmalonic Acid from Serum Using ISOLUTE SAX Page 8 Solvent Properties Solvent Description 1 Water 2 Methanol 3 2% Formic in MeCN 5 6 7 8 9 10 Solvent 1 2 3 5 6 7 8 9 10 Reservoir Type Refillable Non Refillable Capacity N/A N/A N/A Aspiration flow rate (ml/min) 10 10 10 Dispense flow rate (ml/min) 20 20 20 Lower air gap flow rate (ml/min) 20 20 20 Lower air gap volume (µl) 5 5 5 Upper air gap flow rate (ml/min) 20 120 120 Upper air gap volume (µl) 100 100 100 Upper air gap dispense pause 300 300 300 Conditioning? Yes Yes Yes Conditioning number of times 2 3 3 Conditioning flow rate (ml/min) 20 20 20 Chlorinated No No No Serial dispense No No No

Extraction of Methylmalonic Acid from Serum Using ISOLUTE SAX Page 9 Sample Screen Sample name Sample description Aqueous sample Aqueous sample Aspiration flow rate (ml/min) 10 Dispense flow rate (ml/min) 20 Lower air gap flow rate (ml/min) 20 Lower air gap volume (µl) 5 Upper air gap flow rate (ml/min) 120 Upper air gap volume (µl) 100 Upper air gap dispense pause 300 Extraction Media Screen Name Manufacturer Part number ISOLUTE SAX Biotage 500-0025-P01 Sorbent load (mg) 25 Capacity volume (µl) 1000 Format 96 Comment Solvent dispensation height (mm) -125.0 Sample dispensation height (mm) -135.0 Aspiration height (mm) -135.0 Sample Plate/Rack Screen Name 2 ml Sample x 96 well 200 µl Capacity volume (µl) 1800 Format 96 Aspiration height (mm) -161.0 Pre-treatment dispensation height (mm) -153.0

Extraction of Methylmalonic Acid from Serum Using ISOLUTE SAX Page 10 Pipette tip Screen Name Manufacturer 1000 µl Biotage Tip Biotage Part number 111 Capacity (µl) 1000 Length (mm) 95 Additional Information In this automated method, 150 µl of pre-spiked (IS) serum sample is mixed with 300 µl of water during the pre-treatment step. This gives a total volume of 50 µl, from which 300 µl is loaded. EUROPE Main Office: +6 18 565900 Toll Free: +800 18 565710 Fax: +6 18 591922 Order Tel: +6 18 565710 Order Fax: +6 18 565705 order@biotage.com Support Tel: +6 18 56 59 11 Support Fax: + 6 18 56 57 11 eu-1-pointsupport@biotage.com NORTH & LATIN AMERICA Main Office: +1 70 65 900 Toll Free: +1 800 6 752 Fax: +1 70 65 917 Order Tel: +1 70 65 900 Order Fax: +1 3 296 8217 ordermailbox@biotage.com Support Tel: +1 800 6 752 Outside US: +1 70 65 900 us-1-pointsupport@biotage.com JAPAN Tel: +81 3 5627 3123 Fax: +81 3 5627 3121 jp_order@biotage.com jp-1-pointsupport@biotage.com CHINA Tel: +86 21 2898 6655 Fax: +86 21 2898 6153 cn_order@biotage.com cn-1-pointsupport@biotage.com To locate a distributor, please visit our website www.biotage.com Part Number: AN89.V.1 2015 Biotage. All rights reserved. No material may be reproduced or published without the written permission of Biotage. Information in this document is subject to change without notice and does not represent any commitment from Biotage. E&OE. A list of all trademarks owned by Biotage AB is available at www.biotage.com/legal. Other product and company names mentioned herein may be trademarks or registered trademarks and/or service marks of their respective owners, and are used only for explanation and to the owners benefit, without intent to infringe.