Rapid UHPLC-MS/MS measurement of pregnanediol 3-glucuronide in spot urine samples for detecting ovulation.

LC–MS/MS dilute and shoot ovulation pregnanediol glucuronide urine

Journal

Biomedical chromatography : BMC
ISSN: 1099-0801
Titre abrégé: Biomed Chromatogr
Pays: England
ID NLM: 8610241

Informations de publication

Date de publication:
16 Aug 2024
Historique:
revised: 23 07 2024
received: 10 06 2024
accepted: 26 07 2024
medline: 16 8 2024
pubmed: 16 8 2024
entrez: 16 8 2024
Statut: aheadofprint

Résumé

Biochemical confirmation of ovulation typically involves measuring serum progesterone levels during the mid-luteal phase. Alternatively, this information could be obtained by monitoring urinary excretion of conjugated metabolites of ovarian steroids such as pregnanediol 3-glucuronide (PDG) using immunoassay techniques that have methodological limitations. The aim of the present study was to develop a mass spectrometry (MS)-based method for the rapid and accurate measurement of urinary PDG levels in spot urine samples. A "dilute and shoot" ultra-high-performance liquid cromatography tandem mass spectrometry (UHPLC-MS/MS) method was developed for measuring PDG urinary concentration with a 6-min analysis time. The method underwent validation in accordance with ISO 17025 documentation for quantitative methods, proving an efficient separation of PDG from other structurally similar glucuro-conjugated steroid metabolites and ensuring a sufficient sensitivity for detecting the target analyte at concentrations as low as 0.01 μg/mL. The validation protocol yielded satisfactory results in terms of accuracy, repeatability, intermediate precision, and combined uncertainty. Additionally, the stability of both the samples and calibration curves was also conducted. The application to real urine samples confirmed the method's capability to measure PDG levels throughout an entire menstrual cycle and detecting ovulation. The rapidity of the analytical platform would therefore enable high throughput analysis, which is advantageous for large cohort clinical studies.

Identifiants

pubmed: 39149929
doi: 10.1002/bmc.5982
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e5982

Informations de copyright

© 2024 The Author(s). Biomedical Chromatography published by John Wiley & Sons Ltd.

Références

Alladio, E., Amante, E., Bozzolino, C., Segnati, F., Salomone, A., Vincenti, M., & Desharnais, B. (2020). Effective validation of chromatographic analytical methods: The illustrative case of androgenic steroids. Talanta, 215, 120867. https://doi.org/10.1016/j.talanta.2020.120867
Badoud, F., Boccard, J., Schweizer, C., Pralong, F., Saugy, M., & Baume, N. (2013). Profiling of steroid metabolites after transdermal and oral administration of testosterone by ultra‐high pressure liquid chromatography coupled to quadrupole time‐of‐flight mass spectrometry. The Journal of Steroid Biochemistry and Molecular Biology, 138, 222–235. https://doi.org/10.1016/j.jsbmb.2013.05.018
Badoud, F., Grata, E., Boccard, J., Guillarme, D., Veuthey, J. L., Rudaz, S., & Saugy, M. (2011). Quantification of glucuronidated and sulfated steroids in human urine by ultra‐high pressure liquid chromatography quadrupole time‐of‐flight mass spectrometry. Analytical and Bioanalytical Chemistry, 400, 503–516. https://doi.org/10.1007/s00216-011-4779-8
Barrett, S. A., & Brown, J. B. (1970). An evaluation of the method of Cox for the rapid analysis of pregnanediol in urine by gas‐liquid chromatography. Journal of Endocrinology, 47, 471–480. https://doi.org/10.1677/joe.0.0470471
Boccard, J., Badoud, F., Grata, E., Ouertani, S., Hanafi, M., Mazerolles, G., Lantéri, P., Veuthey, J. L., Saugy, M., & Rudaz, S. (2011). A steroidomic approach for biomarkers discovery in doping control. Forensic Science International, 213, 85–94. https://doi.org/10.1016/j.forsciint.2011.07.023
Bowers, L. D., & Sanaullah. (1996). Direct measurement of steroid sulfate and glucuronide conjugates with high‐performance liquid chromatography‐mass spectrometry. Journal of Chromatography B, Biomedical Applications, 687, 61–68. https://doi.org/10.1016/S0378-4347(96)00232-0
Brooker, L., Cawley, A., Kazlauskas, R., Goebel, C., & George, A. (2012). Carbon isotope ratio analysis of endogenous glucocorticoid urinary metabolites after cortisone acetate and adrenosterone administration for doping control. Drug Testing and Analysis, 4, 951–961. https://doi.org/10.1002/dta.1403
Chen, J., Hou, H., Chen, H., Luo, Y., He, Y., Wang, H., Deng, H., Zhang, L., Zhang, Y., Liu, H., Liu, Y., Wang, A., & Hu, Q. (2020). Quantitation of serum pregnanediol‐3‐glucuronide level in different endocrine statuses by LC‐MS/MS. Journal of Pharmaceutical and Biomedical Analysis, 184, 113171. https://doi.org/10.1016/j.jpba.2020.113171
Collins, W. P., Collins, P. O., Kilpatrick, M. J., Manning, P. A., Pike, J. M., & Tyler, J. P. (1979). The concentrations of urinary oestrone‐3‐glucuronide, LH and pregnanediol‐3alpha‐glucuronide as indices of ovarian function. Acta Endocrinologica, 90, 336–348.
Cox, R. I. (1963). Gas chromatography in the analysis of urinary pregnanediol. Journal of Chromatography, 12, 242–245. https://doi.org/10.1016/S0021-9673(01)83676-1
De Wilde, L., Roels, K., Van Renterghem, P., Van Eenoo, P., & Deventer, K. (2020). Steroid profiling in urine of intact glucuronidated and sulfated steroids using liquid chromatography‐mass spectrometry. Journal of Chromatography a, 1624, 461231. https://doi.org/10.1016/j.chroma.2020.461231
Deventer, K., Pozo, O. J., Verstraete, A. G., & Van Eenoo, P. (2014). Dilute‐and‐shoot‐liquid chromatography‐mass spectrometry for urine analysis in doping control and analytical toxicology. TrAC ‐ Trends in Analytical Chemistry, 55, 1–13. https://doi.org/10.1016/j.trac.2013.10.012
Ellison, P., Lipson, S., O'Rourke, M., Benley, G., Harrigan, A., Panter‐Brick, C., & Vitzthum, V. (1993). Population variation in ovarian function. Lancet, 342, 433–434. https://doi.org/10.1016/0140-6736(93)92845-K
Esquivel, A., Alechaga, É., Monfort, N., & Ventura, R. (2018). Sulfate metabolites improve retrospectivity after oral testosterone administration. Drug Testing and Analysis, 1–11.
Esquivel, A., Alechaga, É., Monfort, N., Yang, S., Xing, Y., Moutian, W., & Ventura, R. (2019). Evaluation of sulfate metabolites as markers of intramuscular testosterone administration in Caucasian and Asian populations. Drug Testing and Analysis, 11, 1218–1230. https://doi.org/10.1002/dta.2598
Goletiani, N. V., Keith, D. R., & Gorsky, S. J. (2007). Progesterone: Review of safety for clinical studies. Experimental and Clinical Psychopharmacology, 15, 427–444. https://doi.org/10.1037/1064-1297.15.5.427
Hama, N., Kanemitsu, H., Tanikawa, M., Shibaya, M., Sakamoto, K., Oyama, Y., Acosta, T. J., Ishikawa, O., Pengyan, W., & Okuda, K. (2009). Development of an enzyme immunoassay for urinary pregnanediol‐3‐glucuronide in a female giant panda (Ailuropoda melanoleuca). The Journal of Veterinary Medical Sciences, 71, 879–884. https://doi.org/10.1292/jvms.71.879
Handelsman, D. J., Nimmagadda, R., Desai, R., Handelsman, T. D., Whittle, B., Skorupskaite, K., & Anderson, R. A. (2021). Direct measurement of pregnanediol 3‐glucuronide (PDG) in dried urine spots by liquid chromatography‐mass spectrometry to detect ovulation. Journal of Steroid Biochemistry and Molecular Biology, 211, 105900. https://doi.org/10.1016/j.jsbmb.2021.105900
Ismail, A., Walker, P. L., Cawood, M. L., & Barth, J. H. (2002). Interference in immunoassay is an underestimated problem. Annals of Clinical Biochemistry, 39, 366–373. https://doi.org/10.1258/000456302760042128
ISO. International Organization for Standardization. (2017). ISO/IEC 17025:2017. General requirements for the competence of testing and calibration laboratories; section 7.2.2 – Validation of methods. ISO). Available at:. https://www.iso.org/obp/ui/fr/#iso:std:iso-iec:17025:ed-3:v1:en Last accessed: November 2022
Kulle, A., Krone, N., Holterhus, P. M., Schuler, G., Greaves, R., Juul, A., De, R. Y., Hartmann, M., Saba, A., & Hiort, O. (2017). Steroid hormone analysis in diagnosis and treatment of DSD: Position paper of Eu COST action BM 1303 ‘DSDnet’. European Journal of Endocrinology, 176, P1–P9. https://doi.org/10.1530/EJE-16-0953
Lawrence, B., Labarta, E., Fatemi, H., & Bosch, E. (2018). Premature progesterone elevation: Targets and rescue strategies. Fertility and Sterility, 109, 577–582. https://doi.org/10.1016/j.fertnstert.2018.02.128
Leiva, R., McNamara‐Kilian, M., Niezgoda, H., Ecochard, R., & Bouchard, T. (2019). Pilot observational prospective cohort study on the use of a novel home‐based urinary pregnanediol 3‐glucuronide (PDG) test to confirm ovulation when used as adjunct to fertility awareness methods (FAMs) stage 1. British Medical Journal, 9(5), e028496.
Mareck, U., Geyer, H., Opfermann, G., Thevis, M., & Schänzer, W. (2008). Factors influencing the steroid profile in doping control. Journal of Mass Spectrometry, 43, 877–891. https://doi.org/10.1002/jms.1457
Metcalf, M. G. (1976). Are 24‐hour urine collections necessary for the measurement of steroid excretion rates? The New Zealand Medical Journal, 84, 150–153.
Michely, J. A., Meyer, M. R., & Maurer, H. H. (2017). Dried urine spots — A novel sampling technique for comprehensive LC‐MS(n) drug screening. Analytica Chimica Acta, 982, 112–121. https://doi.org/10.1016/j.aca.2017.05.033
Mithileshwari, C., Srivastava, T., Kumar, V., Kumar, A., & Umapathy, G. (2016). Non‐invasive assessment of fecal progestagens and pregnancy detection in Himalayan musk deer (Moschus chrysogaster). Theriogenology, 85, 216–223. https://doi.org/10.1016/j.theriogenology.2015.09.009
Moneti, G., Agati, G., Giovannini, M. G., Pazzagli, M., Salerno, R., Messeri, G., & Serio, M. (1985). Pregnanediol‐3 alpha‐glucuronide measured in diluted urine by mass spectrometry with fast atom bombardment/negative‐ion ionization. Clinical Chemistry, 31, 46–49. https://doi.org/10.1093/clinchem/31.1.46
Otero‐Fernàndez, M., Cocho, J., Tabernero, M. J., Bermejo, A. M., Bermejo‐Barrera, P., & Moreda‐Pineiro, A. (2013). Direct tandem mass spectrometry for the simultaneous assay of opioids, cocaine and metabolites in dried urine spots. Analytica Chimica Acta, 784, 25–32. https://doi.org/10.1016/j.aca.2013.04.061
Pozo, O. J., Van Eenoo, P., Van Thuyne, W., Deventer, K., & Delbeke, F. T. (2008). Direct quantification of steroid glucuronides in human urine by liquid chromatography‐electrospray tandem mass spectrometry. Journal of Chromatography a, 1183, 108–118. https://doi.org/10.1016/j.chroma.2008.01.045
Roos, J., Johnson, S., Weddell, S., Godehardt, E., Schiffner, J., Freundl, G., & Gnoth, C. (2015). Monitoring the menstrual cycle: Comparison of urinary and serum reproductive hormones referenced to true ovulation. The European Journal of Contraception & Reproductive Health Care, 20, 438–450. https://doi.org/10.3109/13625187.2015.1048331
Schulze, J. J., Thörn, J. O., Garle, M., Ekstrom, L., & Rane, A. (2011). Androgen sulfation in healthy UDP‐glucuronosyl transferase 2B17 enzyme‐deficient men. The Journal of Clinical Endocrinology and Metabolism, 96, 3440–3447. https://doi.org/10.1210/jc.2011-0521
Solarino G., Alladio E., & Vincenti M. (2024). Methods validation App. https://methodsvalidation.streamlit.app/. (Last accessed: July 2024).
Stanczyk, F. Z., Miyakawa, I., & Goebelsmann, U. (1980). Direct radioimmunoassay of urinary estrogen and pregnanediol glucuronides during the menstrual cycle. American Journal of Obstetrics and Gynecology, 137, 443–450. https://doi.org/10.1016/0002-9378(80)91125-4
Strahm, E., Kohler, I., Rudaz, S., Martel, S., Carrupt, P. A., Veuthey, J. L., Saugy, M., & Saudan, C. (2008). Isolation and quantification by high‐performance liquid chromatography‐ion‐trap mass spectrometry of androgen sulfoconjugates in human urine. Journal of Chromatography a, 1196–1197, 153–160. https://doi.org/10.1016/j.chroma.2008.04.066
Van Renterghem, P., Van Eenoo, P., Geyer, H., Schänzer, W., & Delbeke, F. T. (2010). Reference ranges for urinary concentrations and ratios of endogenous steroids, which can be used as markers for steroid misuse, in a Caucasian population of athletes. Steroids, 75, 154–163. https://doi.org/10.1016/j.steroids.2009.11.008
Wasalathanthri, S., Tennekoon, K. H., & Sufi, S. (2003). Feasibility of using paper impregnated with urine instead of liquid urine for assessing ovarian activity. The Ceylon Medical Journal, 48, 4–6. https://doi.org/10.4038/cmj.v48i1.3384
WHO. World Health Organization. (1992). Recent advances in medically assisted conception. Report of a WHO scientific group. World Health Organization Technical Report Series, 820, 1–111.

Auteurs

Laura Leoni (L)

Clinical Biochemistry Laboratory, Department of Medical Sciences, University of Turin, Turin, Italy.

Federica Rosmini (F)

Endocrinology, Diabetes and Metabolism, Department of Medicine, University of Verona, Verona, Italy.

Francesca Ledda (F)

Endocrinology, Diabetes and Metabolism, Department of Medical Sciences, University of Turin, Turin, Italy.

Mirko Parasiliti-Caprino (M)

Endocrinology, Diabetes and Metabolism, Department of Medical Sciences, University of Turin, Turin, Italy.

Fabio Settanni (F)

Clinical Biochemistry Laboratory, City of Health and Science University Hospital, Turin, Italy.

Antonello Nonnato (A)

Clinical Biochemistry Laboratory, City of Health and Science University Hospital, Turin, Italy.

Ezio Ghigo (E)

Endocrinology, Diabetes and Metabolism, Department of Medical Sciences, University of Turin, Turin, Italy.

Paolo Moghetti (P)

Endocrinology, Diabetes and Metabolism, Department of Medicine, University of Verona, Verona, Italy.

Giulio Mengozzi (G)

Clinical Biochemistry Laboratory, Department of Medical Sciences, University of Turin, Turin, Italy.
Clinical Biochemistry Laboratory, City of Health and Science University Hospital, Turin, Italy.

Federico Ponzetto (F)

Endocrinology, Diabetes and Metabolism, Department of Medical Sciences, University of Turin, Turin, Italy.

Classifications MeSH