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Validation and comparison of a rapid liquid chromatography tandem mass spectrometry method for serum 250HD with the efficiency of separating 3-epi 250HD(3)

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单位: [1]Department of Clinical Laboratory, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China [2]Beijing Hospital National Center for Clinical Laboratories, Ministry of Health, Beijing 100730, China [3]Department of Clinical Laboratory, China–Japan Friendship Hospital, Beijing 100029, China
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关键词: Liquid chromatography Mass spectrometry Vitamin D

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Objectives: To develop a rapid liquid chromatography tandem mass spectrometry (LC-MS/MS) method with ability to separate 3-epi 250HD(3) (EPI-LC-MS/MS) from 250HD(3), and evaluate the effects of 3-epi 250HD(3) on routine LC-MS/MS that cannot separate 3-epi 250HD(3) (NEPI-LC-MS/MS). Design and methods: Performance of the newly built EPI-LC-MS/MS was validated, and 982 samples were analyzed and compared by the two methods. Results: Both methods showed a linearity coefficient correlation exceeding 0.999 in the 6.25-500 nmol/L range for 250HD(2) and 250HD(3). Moreover, they showed a between run coefficient variation (CV) and total CV of < 5% for 250HD(2) and 250HD(3). The results of the accuracy test showed that the bias was below 6.19% in the absence of 3-epi 250HD(3). Comparison of the 250HD results obtained by the two methods for 982 patients (age 1-100 years) revealed excellent clinical agreement (Cohen's kappa = 0.875) and correlation (R2 = 0.973). Among the 982 patients, only 73 patients had 3-epi 250HD(3) (> 6.25 nmol/L); out of these 73 patients, the 3-epi 250HD(3) level in 58 patients was between 6.25 and 12.5 nmol/L. In patients with < 375 nmol/L 250HD (250HD(2) + 250HD(3)), only 8 had 3-epi 250HD(3) levels exceeding 12.5 nmol/L (range: 13.3 - 27.5 nmol/L). Among samples containing 3-epi 250HD(3), only three were separated into different 250HD-deficiency groups using the above methods. Conclusion: A rapid and precise EPI-LC-MS/MS method for measuring 250HD with efficient separation of 3-epi 250HD(3) was developed. Our results showed that 3-epi 250HD(3) had little effect on the routinely used NEPI-LC-MS/MS. (C) 2016 The Canadian Society of Clinical Chemists. Published by Elsevier Inc. All rights reserved.

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出版当年[2015]版:
大类 | 3 区 医学
小类 | 3 区 医学实验技术
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 医学实验技术
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出版当年[2014]版:
Q2 MEDICAL LABORATORY TECHNOLOGY
最新[2023]版:
Q2 MEDICAL LABORATORY TECHNOLOGY

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2014版] 出版当年五年平均[2010-2014] 出版前一年[2013版] 出版后一年[2015版]

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第一作者单位: [1]Department of Clinical Laboratory, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China
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通讯机构: [1]Department of Clinical Laboratory, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China [*1]Department of Clinical Laboratory,Peking Union Medical College Hospital, Chinese Academy of Medical Sciences. No. 1 Shuaifu yuan, Dongcheng District, Beijing 100730, PR China.
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