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《睾酮和双氢睾酮液相色谱串联质谱分析法的验证:干扰及与现有方法的比较》勘误 [《类固醇》第73卷,第13期,2008年12月12日,第1345 - 1352页]

Corrigendum to "Validation of a testosterone and dihydrotestosterone liquid chromatography tandem mass spectrometry assay: interference and comparison with established methods" [Steroids Volume 73, Issue 13, 12 December 2008, Pages 1345-1352].

作者信息

Wang Christina, Shiraishi Steve, Leung Andrew, Baravarian Sima, Hull Laura, Goh Victor, Lee Paul W N, Swerdloff Ronald S

机构信息

General Clinical Research Center, Harbor-UCLA Medical Center and Los Angeles Biomedical Research Institute, 1000 Carson Street, Torrance, CA90509, USA; Division of Endocrinology, Department of Medicine, Harbor-UCLA Medical Center and Los Angeles Biomedical Research Institute, 1000 Carson Street, Torrance, CA90509, USA.

General Clinical Research Center, Harbor-UCLA Medical Center and Los Angeles Biomedical Research Institute, 1000 Carson Street, Torrance, CA90509, USA.

出版信息

Steroids. 2018 Jul;135:108. doi: 10.1016/j.steroids.2018.05.006.

Abstract

Testosterone (T) and its metabolite dihydrotestosterone (DHT) are androgens with different biologic profiles. T and DHT measurements are required for assessment of patients with ambiguous genitalia, hirsutism, during 5 alpha reductase treatment of prostate disorders, and new androgen formulations. Our laboratory has developed and validated a method to simultaneously measure serum T and DHT with liquid chromatography tandem mass spectrometry (LC-MS/MS) for use in a clinical chemistry laboratory. Analysis of sera from blood collected in tubes containing clot activator gave results of T that were four fold higher than blood collected in plain tubes. Changing the ion pair selected for monitoring eliminated this interference by clot activators. Blood collected in fluoride coated tubes gave serum T and DHT levels that were 20 and 15 percent lower respectively than levels measured in blood collected in plain tubes (no additives). Addition of T enanthate to blood collected in plain tubes caused a dose related increase serum T levels due to the action of non-specific esterases in the red cells. This esterase activity could be avoided by using fluoride tubes for blood collection. Serum DHT levels were consistently lower when measured by LC-MS/MS versus radioimmunoassay. The differences were concentration dependent and the variance for the difference was large when serum DHT concentration was low. Celite chromatograph prior to radioimmunoassay reduced the differences between the two methods, thus confirming that higher levels of DHT obtained by immunoassays were probably due to interfering substances which were partially removed by Celite chromatography.

摘要

睾酮(T)及其代谢产物双氢睾酮(DHT)是具有不同生物学特性的雄激素。对于生殖器模糊、多毛症患者,在前列腺疾病的5α还原酶治疗期间以及新型雄激素制剂的评估中,需要测定T和DHT。我们实验室已开发并验证了一种用液相色谱串联质谱法(LC-MS/MS)同时测定血清T和DHT的方法,用于临床化学实验室。对含有凝血激活剂的试管中采集的血液血清分析得出的T结果比在普通试管中采集的血液高四倍。改变用于监测的离子对消除了凝血激活剂的这种干扰。在涂有氟化物的试管中采集的血液,其血清T和DHT水平分别比在普通试管(无添加剂)中采集的血液所测水平低20%和15%。向普通试管中采集的血液中添加庚酸睾酮会因红细胞中非特异性酯酶的作用导致血清T水平呈剂量相关增加。使用氟化物试管采集血液可避免这种酯酶活性。与放射免疫分析相比,用LC-MS/MS测定时血清DHT水平始终较低。差异取决于浓度,当血清DHT浓度较低时差异的方差较大。放射免疫分析前的硅藻土色谱法减少了两种方法之间的差异,从而证实免疫分析获得的较高DHT水平可能是由于干扰物质所致,这些干扰物质可通过硅藻土色谱法部分去除。

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