Objective To investigate the feasibility of analyzing acylcarnitine in dry filter-paper blood spots by liquid chromatography-tandem mass spectrometry(LC-MS/MS) which could be applied to detect inborn errors of metabol...Objective To investigate the feasibility of analyzing acylcarnitine in dry filter-paper blood spots by liquid chromatography-tandem mass spectrometry(LC-MS/MS) which could be applied to detect inborn errors of metabolism in neonates.Methods We obtained filter-paper blood from 26 dead infants from a neonatal intensive care unit(NICU) between October 1,2008 and September 30,2009.Acylcarnitine and amino acid profiles were obtained with LC-MS/MS.Four infants underwent routine autopsy.The postmortem blood specimens were compared with newborn blood specimens,and with specimens obtained from older infants with metabolic disorders.Results Of all the 26 patients,5(19.2%) were diagnosed as having different kinds of diseases:3 with methylmalonic acidemia(the concentration of C3,and the ratio of C3/C16,C3/C2 increased),1 with maple syrup urine disease(the concentration of leucine and isoleucine increased),and 1 with isovaleric aci-demia(the concentration of C5 increased).Conclusions Postmortem metabolic test can explain infant deaths and provide estimates of deaths attributable to inborn errors of metabolism in NICU.LC-MS/MS is suitable for analysis of postmortem specimens and can be considered for routine application in NICU autopsy.展开更多
Objective To develop a liquid chromatography-tandem mass spectrometry(LC-MS/MS) screening method for 45 poisonous alkaloids in blood. Methods Identification was based on the compound's retention time and two precu...Objective To develop a liquid chromatography-tandem mass spectrometry(LC-MS/MS) screening method for 45 poisonous alkaloids in blood. Methods Identification was based on the compound's retention time and two precursor-to-production transitions. The method involved a liquid-liquid extraction(LLE) followed by LC-MS/MS with multiple-reaction monitoring(MRM). When 1 m L of blood was extracted with diethyl ether at p H=9.2 with SKF525 Aas the internal standard, the target compounds were analyzed with LC-MS/MS in the positive ionization mode. Results The target alkaloids had good linearity(r>0.995 1), both the intra-day precision and inter-day precision being less than 14.77%. The limits of detection ranged from 0.05 to 25 ng/m L in blood. Conclusion The method is selective and sensitive in detecting poisonous alkaloids with a total running time of 12 minutes; therefore it was successfully applied to some actual cases of suspected alkaloids poisoning.展开更多
目的探讨串联质谱(tandem mass spectrometry,MS/MS)联合气相质谱(gas phase mass spectrometry,GC-MS)在新生儿重症监护病房(neonatal intensive care unit,NICU)遗传代谢病(inherited metabolic disorders,IMD)筛查诊断中的应用价值...目的探讨串联质谱(tandem mass spectrometry,MS/MS)联合气相质谱(gas phase mass spectrometry,GC-MS)在新生儿重症监护病房(neonatal intensive care unit,NICU)遗传代谢病(inherited metabolic disorders,IMD)筛查诊断中的应用价值。方法选取2020年1月至2021年12月解放军总医院第七医学中心NICU收治的3682例新生儿(其中足月儿1794例,早产儿1888例)为观察对象,采集干血斑行MS/MS遗传代谢病筛查。初次筛查阳性者重新采样复查并行尿液GC-MS检测。根据患儿代谢谱结合临床表现进行生化诊断。统计学方法采用χ^(2)检验。结果3682例NICU患儿中初筛阳性率为5.65%(208/3682),复筛阳性率为1.33%(49/3682),共生化诊断IMD患儿14例,总检出率为0.38%(14/3682),其中足月儿检出率高于早产儿[0.67%(12/1794)与0.11%(2/1888),χ^(2)=7.697,P=0.006]。14例IMD中,有机酸代谢异常11例,包括甲基丙二酸血症8例(57.1%)、戊二酸血症2例(14.3%)、3-甲基戊二烯酸尿症1例(7.1%);氨基酸代谢异常3例,包括尿素循环障碍2例(14.3%)、高苯丙氨酸血症1例(7.1%)。MS/MS初筛假阳性率为5.29%(194/3668),阳性预测值为6.73%(14/208)。召回复查后,二次MS/MS复测,假阳性率为0.95%(35/3668),阳性预测值为28.57%(14/49)。在各类MS/MS指标异常中,丙酰肉碱及其比值增高、戊二酰肉碱增高的阳性预测值高于氨基酸类代谢异常。结论NICU人群IMD发病率较高,且存在早产、感染等多种非遗传因素,干扰MS/MS代谢筛查结果。及时进行MS/MS复查及尿GC-MS分析可以提高诊断效率,明确生化诊断。展开更多
目的:建立高效液相色谱串联质谱法(High-Performance Liquid Chromatography Tandem Mass Spectrometry,HPLC MS/MS)检测精神病患者血清中的多种抗精神病类药物(Antipsychotic drugs,AD)的浓度。方法:以氯氮平(LDP)、去甲氯氮平(QJLDP)...目的:建立高效液相色谱串联质谱法(High-Performance Liquid Chromatography Tandem Mass Spectrometry,HPLC MS/MS)检测精神病患者血清中的多种抗精神病类药物(Antipsychotic drugs,AD)的浓度。方法:以氯氮平(LDP)、去甲氯氮平(QJLDP)、利培酮(LPT)、帕潘立酮(PPLT)、齐拉西酮(QLXT)稳定同位素为内标,样品处理后进行HPLC MS/MS上清液分析。结果:各药物携带污染率为-0.17%~2.04%;在各自质量浓度水平表现出现良好的内线性,相关系数均>0.9900;测得批内、批间准确度和精密度,回收率及基质效应均符合性能验证要求。结论:HPLC MS/MS体系在前处理操作上更加简便,且检测速度更快,具有更高的灵敏度和准确性。这种方法不仅提高了临床检测的效率,同时也为精神病患者的个体化治疗提供了有力的支持。展开更多
文摘Objective To investigate the feasibility of analyzing acylcarnitine in dry filter-paper blood spots by liquid chromatography-tandem mass spectrometry(LC-MS/MS) which could be applied to detect inborn errors of metabolism in neonates.Methods We obtained filter-paper blood from 26 dead infants from a neonatal intensive care unit(NICU) between October 1,2008 and September 30,2009.Acylcarnitine and amino acid profiles were obtained with LC-MS/MS.Four infants underwent routine autopsy.The postmortem blood specimens were compared with newborn blood specimens,and with specimens obtained from older infants with metabolic disorders.Results Of all the 26 patients,5(19.2%) were diagnosed as having different kinds of diseases:3 with methylmalonic acidemia(the concentration of C3,and the ratio of C3/C16,C3/C2 increased),1 with maple syrup urine disease(the concentration of leucine and isoleucine increased),and 1 with isovaleric aci-demia(the concentration of C5 increased).Conclusions Postmortem metabolic test can explain infant deaths and provide estimates of deaths attributable to inborn errors of metabolism in NICU.LC-MS/MS is suitable for analysis of postmortem specimens and can be considered for routine application in NICU autopsy.
文摘Objective To develop a liquid chromatography-tandem mass spectrometry(LC-MS/MS) screening method for 45 poisonous alkaloids in blood. Methods Identification was based on the compound's retention time and two precursor-to-production transitions. The method involved a liquid-liquid extraction(LLE) followed by LC-MS/MS with multiple-reaction monitoring(MRM). When 1 m L of blood was extracted with diethyl ether at p H=9.2 with SKF525 Aas the internal standard, the target compounds were analyzed with LC-MS/MS in the positive ionization mode. Results The target alkaloids had good linearity(r>0.995 1), both the intra-day precision and inter-day precision being less than 14.77%. The limits of detection ranged from 0.05 to 25 ng/m L in blood. Conclusion The method is selective and sensitive in detecting poisonous alkaloids with a total running time of 12 minutes; therefore it was successfully applied to some actual cases of suspected alkaloids poisoning.
文摘目的探讨串联质谱(tandem mass spectrometry,MS/MS)联合气相质谱(gas phase mass spectrometry,GC-MS)在新生儿重症监护病房(neonatal intensive care unit,NICU)遗传代谢病(inherited metabolic disorders,IMD)筛查诊断中的应用价值。方法选取2020年1月至2021年12月解放军总医院第七医学中心NICU收治的3682例新生儿(其中足月儿1794例,早产儿1888例)为观察对象,采集干血斑行MS/MS遗传代谢病筛查。初次筛查阳性者重新采样复查并行尿液GC-MS检测。根据患儿代谢谱结合临床表现进行生化诊断。统计学方法采用χ^(2)检验。结果3682例NICU患儿中初筛阳性率为5.65%(208/3682),复筛阳性率为1.33%(49/3682),共生化诊断IMD患儿14例,总检出率为0.38%(14/3682),其中足月儿检出率高于早产儿[0.67%(12/1794)与0.11%(2/1888),χ^(2)=7.697,P=0.006]。14例IMD中,有机酸代谢异常11例,包括甲基丙二酸血症8例(57.1%)、戊二酸血症2例(14.3%)、3-甲基戊二烯酸尿症1例(7.1%);氨基酸代谢异常3例,包括尿素循环障碍2例(14.3%)、高苯丙氨酸血症1例(7.1%)。MS/MS初筛假阳性率为5.29%(194/3668),阳性预测值为6.73%(14/208)。召回复查后,二次MS/MS复测,假阳性率为0.95%(35/3668),阳性预测值为28.57%(14/49)。在各类MS/MS指标异常中,丙酰肉碱及其比值增高、戊二酰肉碱增高的阳性预测值高于氨基酸类代谢异常。结论NICU人群IMD发病率较高,且存在早产、感染等多种非遗传因素,干扰MS/MS代谢筛查结果。及时进行MS/MS复查及尿GC-MS分析可以提高诊断效率,明确生化诊断。
文摘目的:建立高效液相色谱串联质谱法(High-Performance Liquid Chromatography Tandem Mass Spectrometry,HPLC MS/MS)检测精神病患者血清中的多种抗精神病类药物(Antipsychotic drugs,AD)的浓度。方法:以氯氮平(LDP)、去甲氯氮平(QJLDP)、利培酮(LPT)、帕潘立酮(PPLT)、齐拉西酮(QLXT)稳定同位素为内标,样品处理后进行HPLC MS/MS上清液分析。结果:各药物携带污染率为-0.17%~2.04%;在各自质量浓度水平表现出现良好的内线性,相关系数均>0.9900;测得批内、批间准确度和精密度,回收率及基质效应均符合性能验证要求。结论:HPLC MS/MS体系在前处理操作上更加简便,且检测速度更快,具有更高的灵敏度和准确性。这种方法不仅提高了临床检测的效率,同时也为精神病患者的个体化治疗提供了有力的支持。
