Malaysian
Journal of Analytical Sciences Vol 23 No 2 (2019): 336 - 344
DOI:
10.17576/mjas-2019-2302-17
METHOD DEVELOPMENT AND VALIDATION
FOR QUANTIFICATION OF CORTISOL AND CORTISONE USING ULTRA-HIGH PERFORMANCE
LIQUID CHROMATOGRAPHY-TANDEM MASS SPECTROMETRY
(Pembangunan
dan Pengesahan Kaedah untuk Kuantifikasi Kortisol dan Kortison Menggunakan Kromatografi Cecair Berprestasi Ultra Tinggi-Spektrometri
Jisim Gabungan)
Hazirah Abd Azhar1,2, Mohd Salleh Rofiee1,
Mohammad Zulfadhly Jan Jam1, Muhammad Hisyam Jamari1, Roziah Mohd Janor1,3,
Richard Johari James1,2*, Teh Lay Kek1,2, Mohd Zaki
Salleh1,2
1Integrative
Pharmacogenomics Institute (iPROMISE)
2Faculty of
Pharmacy
Universiti Teknologi MARA Puncak Alam
Campus, 42300 Bandar Puncak Alam, Selangor, Malaysia
3Faculty of
Computer & Mathematical Sciences,
Universiti Teknologi MARA Shah Alam
Campus, 40450 Shah Alam, Selangor, Malaysia
*Corresponding
author: richard@uitm.edu.my
Received: 30
May 2018; Accepted: 14 April 2019
Abstract
Cortisol
and its metabolite cortisone have been
used as a biological marker of stress in human psychobiological studies.
Cortisol and cortisone quantitation may help to examine physiological responses
towards stress. A highly sensitive and selective ultra-high performance liquid chromatography tandem mass spectrometry (UHPLC-MS/MS)
method was developed for simultaneous quantitation of cortisol and cortisone in
human serum. These two compounds were chromatographically separated using
Agilent ZORBAX Eclipse Plus C18 Rapid Resolution HD column (2.1 mm ×
50 mm, 1.8 µm) and were eluted with (A) 0.1% formic acid in water and (B) methanol
mobile phase. The sample injection volume was 2 µL and the flow rate was set at
0.3 mL/min. The analytes were determined in positive ionization mode and
quantitated by multiple-reaction monitoring (MRM) mode. The method was linear
from 7.8 to 500 ng/mL for cortisol (r2 = 0.986) and
cortisone (r2 = 0.990). The
precision, accuracy, and recovery of the method for cortisol ranged from
1.98-10.46%, 90.68-91.94%, 90.38-93.88%, and cortisone ranged from 1.01-11.36%,
93.12-94.79% and 90.48-95.90%, respectively. The developed method has met the
quality standards of European Medicines Agency (EMA).
Keywords: cortisol, cortisone, serum, ultra-high
performance liquid chromatography-tandem mass
spectrometry
Abstrak
Kortisol dan metabolitnya
kortison telah digunakan sebagai penanda tekanan biologi untuk mengkaji psikobiologi manusia.
Pengkuantitian kortisol dan kortison boleh membantu untuk menilai tindak balas
fisologi terhadap tekanan. Kaedah kromatografi cecair berprestasi ultra tinggi
-spektrometri jisim gabungan yang sangat sensitif dan selektif telah
dibangunkan untuk pengkuantitian kortisol dan kortison secara serentak di dalam
serum manusia. Kedua-dua sebatian ini telah dipisahkan secara kromatografi
menggunakan turus Agilent ZORBAX Eclipse Plus C18 Resolusi Pantas HD
(2.1 mm × 50 mm, 1.8 μm) dengan campuran fasa bergerak (A) 0.1% asid formik
dalam air dan (B) metanol. Jumlah suntikan sampel adalah 2 μL dan kadar aliran
ditetapkan pada 0.3 mL/min. Analisis ini telah ditentukan dalam mod pengionan
positif dan dikira oleh mod pemantauan pelbagai tindak balas. Kaedah ini adalah
linear dari 7.8 hingga 500 ng/mL untuk kortisol (r2 = 0.986) dan
kortison (r2 = 0.990). Ketepatan, kejituan dan kadar pemulihan untuk
kortisol adalah antara 1.98-10.46%, 90.68-91.94%, 90.38-93.88%, dan kortison
terdiri daripada 1.01-11.36%, 93.12-94.79% dan 90.48-95.90%. Kaedah yang
dibangunkan telah memenuhi piawaian kualiti agensi perubatan eropah (EMA).
Kata
kunci: kortisol, kortison,
serum, kromatografi cecair berprestasi ultra tinggi -
spektrometri jisim gabungan
References
1.
Knutson,
U., Dahlgren, J., Marcus, C., Rosberg, S., Bronnegard, M., Stierna, P. and
Albertsson-Wikland, K. (1997). Circadian cortisol rhythms in healthy boys and
girls: Relationship with age, growth,
body composition, and pubertal development. Journal of Clinical
Endocrinology and Metabolism, 82(2): 536.
2.
Aube,
B. L. L., Curbow, B. A., Ostello, R. W. and
Fitzgerald, S. T. (2002). A pilot study
examining the relationship between stress and serum cortisol concentrations in
women with asthma. Respiratory Medicine, 96: 823 – 828.
3.
Lee,
S., Lim, H. S., Shin, H. J., Kim, S. A., Park, J., Kim, H.C., Kim, H., Kim, H.
J., Kim, Y.T., Lee, K. R. and Kim, Y. J. (2014). Simultaneous determination of
cortisol and cortisone from human serum by liquid chromatography-tandem mass
spectrometry. Journal of Analytical Methods in Chemistry, 2014: 787483.
4.
De
Palo, E. F., Antonelli, G., Benetazzo, A., Prearo, M. and Gatti, R. (2009).
Human saliva cortisone and cortisol simultaneous analysis using reverse phase
HPLC technique. Clinica Chimica Acta,
405: 60 – 65.
5.
Ray,
J. A., Kushnir, M. M., Rockwood, A. L. and Meikle, A. W. (2011). Analysis of
cortisol, cortisone and dexamethasone in human serum using liquid chromatography-tandem mass spectrometry and
assessment of cortisol: Cortisone ratios in patients with impaired kidney
function. Clinica Chimica Acta,
412: 1221 – 1228.
6.
Lee,
S., Kwon, S., Shin, H. J., Lim, H. S., Singh, R. J., Lee, K. R. and Kim. Y. J. (2010).
Simultaneous quantitative analysis of salivary cortisol and cortisone in Korean
adults using LC-MS/MS. BMB Reports, 43(7): 506 – 511.
7.
Zhai,
X., Chen, F., Zhu, C. and Lu. Y. (2015). A simple LC-MS/MS method
for the determination of cortisol, cortisone and tetrahydro-metabolites in
human urine: Assay development, validation and application in depression
patients. Journal of Pharmaceutical and Biomedical Analysis,
107: 450 – 455.
8.
Levine,
A., Zagoory-Sharon, O., Feldman, R., Lewis, J. G., and Weller. A. (2007).
Measuring cortisol in human psychobiological studies. Physiology and
Behavior, 90(1): 43 – 53.
9.
Milam,
J., Slaughter, R., Verma, G. and McConnell. R. (2014). Hair cortisol, perceived
stress and dispositional optimism: a pilot study among adolescents. Journal
of Traumatic Stress Disorders & Treatment, 3(3): 1 – 13.
10.
Herane
Vives, A., De Angel, V., Papadopoulos, A., Strawbridge, R., Wise, T., Young, A.
H., Arnone, D. and Cleare. A. J. (2015). The relationship between cortisol,
stress and psychiatric illness: New insights using hair analysis. Journal of
Psychiatric Research, 70: 38 – 49.
11.
Pani,
S. C., Al Askar, A. M., Al Mohrij, S. I.
and Al Ohali, T. A. (2011). Evaluation of stress in final-year Saudi dental
students using salivary cortisol as a biomarker. Journal of Dental Education,
75(3): 377 – 384.
12.
Lundberg, U. (2005). Stress hormones in health and
illness: The roles of work and gender. Psychoneuroendocrinology, 30(10):
1017 – 1021.
13.
Institute
for Public Health (2015). National
Health and Morbidity Survey 2015 (NHMS 2015): Non-Communicable Diseases,
Vol. II. San Diego, California.
14.
Armitage,
C. J., Panagioti, M., Rahim, W. A., Rowe,
R., O’Connor, R. C. (2015). Completed suicides and self-harm in Malaysia: A
systematic review. General Hospital Psychiatry, 37(2): 153 – 165.
15.
Singh,
R., Goyal, M., Tiwari, S., Ghildiyal, A., Nattu, S. M. and Das, S. (2012).
Effect of examination stress on mood, performance and cortisol levels in
medical students. Indian Journal of Physiology and Pharmacology, 56(1):
48 – 55.
16.
Owen,
L. J., Adaway, J. E., Davies, S., Neale, S., El-Farhan, N., Ducroq, D., Evans,
C., Rees, D. A., Mackenzie, F. and Keevil, B. G. (2013). Development of a rapid
assay for the analysis of serum cortisol and its implementation into a routine
service laboratory. Annals of Clinical Biochemistry, 50(4): 345 –352.
17.
Turpeinen,
U. and Hämäläinen, E. (2013). Determination of cortisol in serum, saliva and
urine. Best Practice and Research: Clinical Endocrinology and Metabolism,
27(6): 795 – 801.
18.
Monaghan,
P. J., Keevil, B. G. and Trainer, P. J. (2013). The use of mass spectrometry to
improve the diagnosis and the management of the HPA axis. Reviews in
Endocrine & Metabolic Disorder, 14(2): 143 – 157.
19.
Lopes
Alves, A. N., Mendonca, B. B. and Valassi, H.
P. L. (2015). Analytical performance of LC-MS/MS method for simultaneous
determination of five steroids in serum. Mass Spectrometry &
Purification Techniques, 1(2): 1 – 5.
20.
Huang,
W., Kalhorn, T. F., Baillie, M., Shen, D. D. and Thummel, K. E. (2007).
Determination of free and total cortisol in plasma and urine by liquid chromatography-tandem
mass spectrometry. Therapeutic Drug Monitoring, 29 (2): 215 – 224.
21.
Kushnir,
M. M., Rockwood, A. L., Roberts, W. L., Yue, B., Bergquist, J. and Meikle, A.
W. (2011). Liquid chromatography-tandem mass
spectrometry for analysis of steroids in clinical laboratories. Clinical
Biochemistry, 44(1): 77 – 88.
22.
Cao, Z., West, C., Norton-Wenzel, C. and Rej, R. (2009). Effects
of resin or charcoal treatment on fetal bovine serum and bovine calf serum. Endocrine
Research, 34(4): 101 – 108.
23.
Ifelebuegu, A. O. (2012). Removal of steroid hormones by
activated carbon adsorption—kinetic and thermodynamic studies. Journal of
Environmental Protection, 3(6): 469 – 475.
24.
Cooper, N., Khosravan, R., Erdmann, C., Fiene, J. and Lee, J.
W. (2006). Quantification of uric acid, xanthine and hypoxanthine in human
serum by HPLC for pharmacodynamic studies. Journal of Chromatography B:
Analytical Technologies in the Biomedical and Life Sciences, 837: 1 – 10.
25.
Ke, Y., Bertin, J., Gonthier, R., Simard, J. N. and Labrie,
F. (2014). A sensitive, simple and robust LC-MS/MS method for the simultaneous
quantification of seven androgen- and estrogen-related steroids in postmenopausal
serum. Journal of Steroid Biochemistry and Molecular Biology, 144: 523 –
534.
26.
Sánchez-Guijo, A., Oji, V., Hartmann, M. F., Traupe, H. and
Wudy, S. A. (2015). Simultaneous quantification of cholesterol sulfate,
androgen sulfates, and progestagen sulfates in human serum by LC-MS/MS. Journal
of Lipid Research, 56(9): 1843 – 1851.
27.
European
Medicines Agency (2011). Guideline on bioanalytical method validation. Access from http://www.ema.europa.eu/docs/en_GB/document_library/Scientific_guideline/2011/08/WC500109686.pdf
28.
Tai,
S. S.-C. and Welch, M. J. (2004). Development and evaluation of a candidate
reference method for the determination of total cortisol in human serum using
isotope dilution liquid chromatography/mass spectrometry and liquid
chromatography/tandem mass spectrometry. Analytical Chemistry, 76 (4):
1008 – 1014.