Automated mass spectrometric analysis of urinary and plasma serotonin |
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Authors: | Wilhelmina H A de Jong Marianne H L I Wilkens Elisabeth G E de Vries Ido P Kema |
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Institution: | (1) Department of Laboratory Medicine, University Medical Center, Groningen, University of Groningen, P.O. Box 30001, 9700 RB Groningen, The Netherlands;(2) Department of Medical Oncology, University Medical Center, Groningen, University of Groningen, 9700 RB Groningen, The Netherlands; |
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Abstract: | Serotonin emerges as crucial neurotransmitter and hormone in a growing number of different physiologic processes. Besides
extensive serotonin production previously noted in patients with metastatic carcinoid tumors, serotonin now is implicated
in liver cell regeneration and bone formation. The aim was to develop a rapid, sensitive, and highly selective automated on-line
solid-phase extraction method coupled to high-performance liquid chromatography–tandem mass spectrometry (XLC-MS/MS) to quantify
low serotonin concentrations in matrices such as platelet-poor plasma and urine. Fifty microliters plasma or 2.5 μL urine
equivalent were pre-purified by automated on-line solid-phase extraction, using weak cation exchange. Chromatography of serotonin
and its deuterated internal standard was performed with hydrophilic interaction chromatography. Mass spectrometric detection
was operated in multiple reaction monitoring mode using a quadrupole tandem mass spectrometer with positive electrospray ionization.
Serotonin concentrations were determined in platelet-poor plasma of metastatic carcinoid patients (n = 23) and healthy controls (n = 22). Urinary reference intervals were set by analyzing 24-h urine collections of 120 healthy subjects. Total run-time was
6 min. Intra- and inter-assay analytical variation were <10%. Linearity in the 0–7300 μmol/L calibration range was excellent
(R2 > 0.99). Quantification limits were 30 and 0.9 nmol/L in urine and plasma, respectively. Platelet-poor serotonin concentrations
in metastatic carcinoid patients were significantly higher than in controls. The urinary reference interval was 10–78 μmol/mol
creatinine. Serotonin analysis with sensitive and specific XLC-MS/MS overcomes limitations of conventional HPLC. This enables
accurate quantification of serotonin for both routine diagnostic procedures and research in serotonin-related disorders. |
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