<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1657-9550</journal-id>
<journal-title><![CDATA[Biosalud]]></journal-title>
<abbrev-journal-title><![CDATA[Biosalud]]></abbrev-journal-title>
<issn>1657-9550</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Caldas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1657-95502010000100002</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[EFFECT OF ACETONITRILE CONCENTRATION ON ACYLCARNITINES MEASUREMENT BY TANDEM MASS SPECTROMETRY]]></article-title>
<article-title xml:lang="es"><![CDATA[EFECTO DE LAS CONCENTRACIONES DE ACETONITRILO EN LA DETERMINACIÓN DE ACILCARNITINAS MEDIANTE ESPECTROMETRÍA DE MASAS EN TÁNDEM]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Osorio]]></surname>
<given-names><![CDATA[José Henry]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
</contrib-group>
<aff id="A01">
<institution><![CDATA[,Universidad de Caldas Laboratorio de Investigación en Bioquímica Clínica y Patología Molecular Departamento de Ciencias Básicas de la Salud]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2010</year>
</pub-date>
<volume>9</volume>
<numero>1</numero>
<fpage>9</fpage>
<lpage>16</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S1657-95502010000100002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S1657-95502010000100002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S1657-95502010000100002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Background: the several steps for acylcarnitine analysis by tandem mass spectrometry such as extraction, derivatisation, injection and others, can be influenced by some technical factors improving or impairing the levels of detection. Objective: the present study evaluated the effect of different concentrations of the acetonitrile used during blood acylcarnitines measurement on the sensitivity obtained during the analysis. Methodology: prior to acylcarnitine analysis by tandem mass spectrometry, samples were re-dissolved in different acetonitrile in water dilutions [50, 60, 70, 80, 90, and 100% (v/v)] and each single blood specimen was processed five times for each dilution. Results: it was observed that by increasing the concentration of acetonitrile the intensity of acylcarnitine peaks significantly increased. However at the highest concentrations of acetonitrile, this reacted with the polystyrene material of the microtitre plates, and resulted in peaks appearing in acylcarnitine profiles, specifically at m/z 302. Conclusion: a mixture of 70% v/v acetonitrile/water is recommended to use as optimum solvent to dissolve the extracts prior to blood acylcarnitine analysis by tandem mass spectrometry.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Antecedentes: las diferentes etapas que conforman el análisis de acilcarnitinas por espectrometría de masas en tándem, tales como extracción, derivatización, inyección y otras, pueden ser influenciadas por algunos factores técnicos incrementando o disminuyendo los niveles de detección. Objetivo: el presente estudio evaluó el efecto de la concentración del acetonitrilo utilizado durante la determinación de acilcarnitinas en sangre, sobre la sensibilidad obtenida durante el análisis. Metodología: antes del análisis de acilcarnitinas por espectrometría de masas en tándem, las muestras fueron disueltas en diferentes disoluciones de acetonitrilo en agua [50, 60, 70, 80, 90, and 100% (v/v)] y cada espécimen de sangre fue procesado 5 veces para cada dilución. Resultados: se observó que a medida que se incrementan los niveles de acetonitrilo, la intensidad de los picos de acilcarnitinas se incrementan significativamente. Sin embargo, a las concentraciones más altas de acetonitrilo, éste reacciona con el poliestireno de las bandejas, apareciendo picos en el perfil de acilcarnitinas, específicamente a m/z 302. Conclusión: una mezcla al 70% v/v acetonitrilo/agua, se recomienda para usar como solvente óptimo, para la disolución de los extractos antes del análisis de acilcarnitinas en sangre mediante espectrometría de masas en tándem.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[MS/MS]]></kwd>
<kwd lng="en"><![CDATA[tandem mass spectrometry]]></kwd>
<kwd lng="es"><![CDATA[carnitina]]></kwd>
<kwd lng="es"><![CDATA[acilcarnitinas]]></kwd>
<kwd lng="es"><![CDATA[espectrometría de masas en tándem]]></kwd>
</kwd-group>
</article-meta>
</front><body><![CDATA[  <font face="verdana" size="2">          <p align="center"><font size="4"><b>EFFECT OF ACETONITRILE CONCENTRATION ON ACYLCARNITINES MEASUREMENT BY TANDEM MASS SPECTROMETRY</b></font></p>          <p align="center"><font size="3"><b>EFECTO DE LAS CONCENTRACIONES DE ACETONITRILO EN LA DETERMINACI&Oacute;N DE ACILCARNITINAS MEDIANTE ESPECTROMETR&Iacute;A DE MASAS EN T&Aacute;NDEM</b></font></p>              <p><b>Jos&eacute; Henry Osorio<sup>1</sup></b></p>          <p><i>1 Departamento de Ciencias B&aacute;sicas de la Salud, Laboratorio de Investigaci&oacute;n en Bioqu&iacute;mica Cl&iacute;nica y Patolog&iacute;a Molecular, Universidad de Caldas. E-mail: <a href="mailto:jose.osorio_o@ucaldas.edu.co">jose.osorio_o@ucaldas.edu.co</a>.</i></p>     <p>Recibido: mayo 6 del 2010 - Aceptado: junio 10 del 2010</p> <hr size="1" />                <p><b>ABSTRACT</b></p>          <p><b>Background:</b> the several steps for acylcarnitine analysis by tandem mass spectrometry such as extraction, derivatisation, injection and others, can be influenced by some technical factors improving or impairing the levels of detection.    <br>   <b>Objective:</b> the present study evaluated the effect of different concentrations of the acetonitrile used during blood acylcarnitines measurement on the sensitivity obtained during the analysis.    <br>   <b>Methodology:</b> prior to acylcarnitine analysis by tandem mass spectrometry, samples were re-dissolved in different acetonitrile in water dilutions &#91;50, 60, 70, 80, 90, and 100% (v/v)&#93; and each single blood specimen was processed five times for each dilution.    ]]></body>
<body><![CDATA[<br>   <b>Results:</b> it was observed that by increasing the concentration of acetonitrile the intensity of acylcarnitine peaks significantly increased. However at the highest concentrations of acetonitrile, this reacted with the polystyrene material of the microtitre plates, and resulted in peaks appearing in acylcarnitine profiles, specifically at m/z 302.     <br>   <b>Conclusion:</b> a mixture of 70% v/v acetonitrile/water is recommended to use as optimum solvent to dissolve the extracts prior to blood acylcarnitine analysis by tandem mass spectrometry.</p>          <p><i>KEY WORDS</i>: MS/MS, tandem mass spectrometry.</p>  <hr size="1" />           <p><b>RESUMEN</b></p>          <p><b>Antecedentes:</b> las diferentes etapas que conforman el an&aacute;lisis de acilcarnitinas por espectrometr&iacute;a de masas en t&aacute;ndem, tales como   extracci&oacute;n, derivatizaci&oacute;n, inyecci&oacute;n y otras, pueden ser influenciadas por algunos factores t&eacute;cnicos incrementando o disminuyendo los niveles de detecci&oacute;n.    <br>   <b>Objetivo:</b> el presente estudio evalu&oacute; el efecto de la concentraci&oacute;n del acetonitrilo utilizado durante la determinaci&oacute;n de acilcarnitinas en sangre, sobre la sensibilidad obtenida durante el an&aacute;lisis.    <br>   <b>Metodolog&iacute;a:</b> antes del an&aacute;lisis de acilcarnitinas por espectrometr&iacute;a de masas en t&aacute;ndem, las muestras fueron disueltas en diferentes disoluciones de acetonitrilo en agua &#91;50, 60, 70, 80, 90, and 100% (v/v)&#93; y cada esp&eacute;cimen de sangre fue procesado 5 veces para cada diluci&oacute;n.    <br>   <b>Resultados:</b> se observ&oacute; que a medida que se incrementan los niveles de acetonitrilo, la intensidad de los picos de acilcarnitinas se incrementan significativamente. Sin embargo, a las concentraciones m&aacute;s altas de acetonitrilo, &eacute;ste reacciona con el poliestireno de las bandejas, apareciendo picos en el perfil de acilcarnitinas, espec&iacute;ficamente a m/z 302.    <br>   <b>Conclusi&oacute;n:</b> una mezcla al 70% v/v acetonitrilo/agua, se recomienda para usar como solvente &oacute;ptimo, para la disoluci&oacute;n de los extractos antes del an&aacute;lisis de acilcarnitinas en sangre mediante espectrometr&iacute;a de masas en t&aacute;ndem.</p>     <p><i>PALABRAS CLAVE</i>: carnitina, acilcarnitinas, espectrometr&iacute;a de masas en t&aacute;ndem.</p> <hr size="1" />                     ]]></body>
<body><![CDATA[<p><b>INTRODUCTION</b> </p>     <p>Mass spectrometry (MS) is basically a   sophisticated method for weighing molecules   (<a href="#1">1</a>). The essential requirement to obtain a mass   spectrum is to produce ions in a gas phase,   accelerate them to a specific velocity using   electric fields, project them into a suitable mass   analyser that separates the entities by masses,   and finally to detect each charged entity of   particular masses sequentially in time as   mass spectrometers require charged, gaseous   molecules for analysis, and biomolecules are   large and polar, they are not easily transferred   into the gas phase and ionised (<a href="#2">2</a>).</p>     <p>The three main sub-systems in the mass   spectrometer device are: the ion source in   which the ionisation of the organic molecules   takes place; the mass analyser which separates   the ions according to their mass/charge   (m/z) values; and the detector where relative   intensities (abundance) of the separated ions   are determined. Very low pressures, i.e. high   vacuum, in the region of 10-5 torr are used.   This permits the ions to travel from the ion   source to the detector virtually unimpeded   with the minimal interaction with other gas   phase molecules which might otherwise scatter   or fragment the ions and cause a reduction   in sensitivity. During the ionisation step   considerable amounts of energy are imparted to   the initially formed molecular ions. The excess   of energy causes some of the molecular ions to   fragment. The mass spectrometer also measures   the masses of all of the charged products of this   fragmentation (the so-called fragment ions). A   mass spectrum is a snapshot of the abundances   of the molecular and fragment ions plotted   against their masses. Such a mass spectrum   acts as a characteristic molecular fingerprint for   individual substances (<a href="#3">3</a>).</p>     <p>Electrospray ionisation (ESI) can also be named   as soft ionisation technique. The essential   principle in this method is that some form of   atomisation, or nebulisation, produces a spray   of charged liquid droplets. The species to be   investigated are solvated on a charged droplet.   As the solvent evaporates in the high vacuum   region, the droplet size decreases and the charge   eventually resides on the entity under study.   Liquid containing the analyte (large, highly   polar biomolecules) is pumped at low microliterper-   minute flow rates (0.1-10 &micro;l/min) through   a capillary. Depending on the analytes a high   positive or negative voltage (2-5 kV) is applied   to the capillary. These droplets move through   the atmosphere towards the entrance to the mass   spectrometer and generate a cloud of charged   analyte molecules (ions) (<a href="#4">4</a>), to be analysed.</p>     <p>When tandem mass spectrometry is used, the   ions formed can be induced to fragment further   by the addition of more internal energy after   they leave the source, then a particular peak   can be selected for further investigation. The   ions comprising this peak are made to undergo   further fragmentation, usually by the method   known as collisionally induced dissociation   (CID) The ions are allowed to interact, and   collide with atoms or molecules of an inert   gas (helium, neon, argon, or nitrogen). Energy   transferred to the ions under investigation can   be distributed in a variety of ways (<a href="#5">5</a>).</p>     <p>Some of the transferred energy will remain as   translational (involved in direction changes,   scattering etc.) whilst some will be distributed   into vibrational modes of the chemical bonds of   the ion It is the latter energy that, if sufficient,   can cause further degradation, the products of   which can be analysed in another mass analyser.   If the gas pressure is too high, all ions will be   scattered by collision and none will get through   the cell, hence successful CID depends on having   a high enough gas pressure so that multiple   collisions produce sufficient fragment ions for   the following analyser to detect (<a href="#6">6</a>).</p>     <p>Carnitine and acylcarnitines contain a quaternary   ammonium functional group, making them   preformed positive ions (cations) that are polar   and non-volatile. Ions produced in the source   are selected by MS1 for transmission to the   collision cell. The fragments produced after CID   are transmitted to MS2 where they are again   selected for transmission to the detector. Ions   transmitted by MS1 to the collision cell are called   precursor ions (commonly referred as "parent"   ions), and the fragments produced from CID   are product ions (known as "daughter" ions).   During the derivatisation process butyl esters   of acylcarnitines are formed. These butyl esters   are well suited for analysis by MS/MS since they   already carry a positive charge and accordingly   no additives are needed in the mobile phase.   Both butyl esters derivatives and underivatised   carnitine and acylcarnitines share a common   product ion upon CID, which is singly charged   with a mass of 85 Da, corresponding to +CH<sub>2</sub>-CH=CH-COOH. This fragment results from the   loss of elements of both (CH<sub>3</sub>)<sub>3</sub>N and C<sub>4</sub>H<sub>8</sub> and   the side chain acyl group as RCOOH (<a href="#7">7</a>).</p>     <p>The measurement of acylcarnitines using MS/MS has been reported in whole blood (<a href="#8">8</a>), plasma   (<a href="#9">9</a>), urine (<a href="#10">10</a>), amniotic fluid (<a href="#11">11</a>), and bile   (<a href="#12">12</a>). There are several technical factors during   samples manipulation which can influence the   concentrations obtained, as the obtained chart   shows the acylcarnitines peaks, related to an   internal standard. During initial experiments it   appeared that the choice of solvent for samples   injection to the equipment had some effect on the   intensities of acylcarnitine measured, showing   that acetonitrile was overall a better solvent than   methanol, as judged by measuring the mass   spectrometry peak intensities (<a href="#13">13</a>).</p>     <p>The objective of the present study was to   evaluate the effect of the concentration of   acetonitrile on acylcarnitine measurement by   tandem mass spectrometry.</p>        <p><b>MATERIAL AND METHODS</b></p>     ]]></body>
<body><![CDATA[<p>All the chemicals used were of analytical   grade. Unlabelled acylcarnitine, and deuterated   carnitine and acylcarnitines (&#91;d<sub>3</sub>&#93;C<sub>2</sub>cn, &#91;d<sub>9</sub>&#93;C<sub>2</sub>cn, &#91;d<sub>3</sub>&#93;C<sub>3</sub>cn, &#91;d<sub>3</sub>&#93;C<sub>8</sub>cn, &#91;d<sub>9</sub>&#93;C<sub>8</sub>cn, &#91;d<sub>3</sub><sub>3</sub>&#93;C<sub>16</sub>cn, &#91;d<sub>3</sub>&#93;C<sub>16</sub>cn) were obtained from Cambridge isotopes   laboratories (Andover, MA, USA). Butanolic   HCL was prepared by passing HCL gas through   anhydrous n-butanol (Sigma-aldrich Company,   Ltd., Poole, UK) for 30 min. The concentration   of the acid was determined by back tritiation   and adjusted, methanol was obtained from BDH   Merck (Merck Eurolab, VWR International, Ltd.,   Poole UK) and acetonitrile was purchased from   Sigma-aldrich Company, Ltd. (Poole, UK).</p>     <p><i>Blood specimens and card preparation</i>. Blood   samples used in this study were from healthy   volunteers. Blood was collected into tube   containing EDTA (23.5 &micro;mol/tube). Aliquots of   20 &micro;l were spotted on specimen collection filter   paper cards (No. 903, 1.88 mm thick; Schleicher   and Schuell, Dassel, Germany), dried overnight at   room temperature, vacuum sealed and kept in   the freezer (-80 &deg;C) until analysis.</p>     <p><i>Extraction of blood acylcarnitines using microtitre   plates</i> (<a href="#14">14</a>). Blood spots were punched from the   card, (6.35 mm diameter corresponding to 12   &micro;l of whole blood, as described and placed into   microtitre plates (96 samples each plate). 100 &micro;l of   the internal standard (containing the following   labeled acylcarnitines in 100 &micro;l methanol: &#91;d<sub>3</sub>&#93; cn, 360 pmol; &#91;d<sub>3</sub>&#93;C<sub>2</sub>cn, 120 pmol; &#91;d<sub>3</sub>&#93;C<sub>3</sub>cn, 24   pmol; &#91;d<sub>9</sub>&#93;C<sub>8</sub>cn, 12 pmol; &#91;d<sub>9</sub>&#93;C<sub>16</sub>cn, 24 pmol) were   added, plus 500 &micro;l of methanol to each sample.   The plates were placed on an orbital shaker   (setting 750 rpm) for 30 min and then sonicated   for 15 min (sonic bath, 175SR). The plates were   returned to the shaker for a further 2 hours and   sonicated again for another 30 min. The filter   discs from the card punch were removed and   the resulting eluate was evaporated under air   at 45 &deg;C until dry.</p>     <p><i>Derivatization process and injection of samples to the   tandem mass spectrometer</i>. 50 &micro;l of 1 M Butanolic   HCl was added to each sample and incubated   at 60 &deg;C for 15 min. Samples were immediately   returned to the fume cupboard and evaporated   under air at 45 &deg;C until dry. To inject samples to   the tandem mass spectrometer for acylcarnitine   analysis, samples were re-dissolved in 100 &micro;l of   the following acetonitrile in water dilutions: 50,   60, 70, 80, 90, and 100% (v/v) (Sigma-Aldrich   Company, Ltd., Poole, UK). Each single blood   specimen was processed five times.</p>     <p><i>Tandem mass spectrometry analysis</i> (<a href="#15">15</a>). The   MS/MS blood analysis for acylcarnitines was   performed using the following scan function:   parents of m/z 85, scan range 200-500 (m/z),   collision energy 25 eV, cone voltage 30 V, scan   time 2.0 sec, interscan time 0.1 sec, collision gas   Argon, collision gas pressure 1.6-2 x 10<sup>-3</sup> mBar.   All analyses were performed using a Quattro   II, triple quadrupole tandem mass spectrometer   (Micromass, Manchester, UK) equipped with   an ion spray source (ESI) and a micromass   MassLynx data system. The samples were   introduced into the mass spectrometer source   using a Jasco AS980 autosampler and a Jasco   PU980 HPLC pump. For this kind of works   the use of selected reaction monitoring for   each analyte could provide better quantitiation   data, however, analysis for acylcarnitines using   parents of m/z 85 is the routine method when   analyzing samples from patients, then we   adopted this scan function.</p>     <p><i>Statistical analysis</i>. Statistical comparisons were   performed using one-way ANOVA (SigmaStat   version 3.1 statistical software), followed   by Dunnett's test. P&lt;0.05 was considered   significant. According to article 11 on its literal   a from resolution number 8430 promulgated   by the Colombian health ministry for scientific,   technical and administrative rules for research   in health, the present study is considered   without risk. The study was approved by the   correspondent ethical committee.</p>        <p><b>RESULTS</b></p>     <p>Results showed that by increasing the   concentration of acetonitrile the intensity of   acylcarnitine peaks significantly increased; this   was observed at acetonitrile concentration of   90% and above, then solutions of 90, 92.5, 95,   97.5, and 100% were prepared and the procedure   repeated five times (<a href="#fig1">Figure 1</a>).</p>       <p align="center"><img src="img/revistas/biosa/v9n1/v9n1a02fig1.gif"><a name="fig1"></a></p>     <p>It was also observed that at higher concentrations   of acetonitrile, this reacted with the polystyrene   material of the microtitre plates. The use of   microtiter plate made from polypropylene was   also investigated. However this resulted in peaks   appearing in acylcarnitine profiles, specifically   at m/z 302. At the time of this investigation,   deep-well microtitre plates were only available   from two manufacturers and both gave similar   results.</p>        ]]></body>
<body><![CDATA[<p><b>DISCUSSION</b></p>     <p>The butylester derivatives and underivatized   carnitine and acylcarnitines share a common   product ion, which is singly charged with a   mass of 85 Da, and thus allows the use of MS/   MS for the analysis of these compounds (<a href="#16">16</a>),   however the methods used for measuring   acylcarnitines can be influenced by several   factors when samples are obtained or even   during the laboratory procedure when samples   are analyzed. Recent studies shown that the   temperature used during the procedure can affect   the carnitine/acylcarnitine ratio (<a href="#17">17</a>), but there is   no any report in the scientific literature related to   the use of different concentrations of acetonitrile   prior to injection of samples. It was found that   the intensity of acylcarnitine peaks significantly   increased at acetonitrile concentration of 90%   and above, but this resulted in peaks appearing   in acylcarnitine profiles, specifically at m/z   302, this can result in a misinterpretation of the blood acylcarnitine profile as the same ion   with an m/z of 302 appears as isovaleryl-/valerylcarnitine parent ion, which is increased in   patients suffering of isovaleric acidemia (OMIM   243500) an autosomal recessive disorder of   leucine catabolism caused by reduced activity   of isovaleryl-CoA dehydrogenase (<a href="#18">18</a>). This   enzyme catalyzes the conversion of isovalery-CoA to 3-methylcrotonyl-CoA, and a deficiency   of this enzyme results in toxic accumulation of   isovaleric acid and derivative organic acids.   Patients with this condition may have severe   overwhelming illness as neonates or, in the   chronic intermittent form, exhibit episodic   vomiting, ketosis, dehydration, and altered   mental status as young children, often associated   with the "sweaty feet" odor of isovaleric acid.   The main isovaleric metabolites, excreted by   these patients are principally isovalerylglycine   and isovalerylcamitine (<a href="#19">19</a>). Then, in order to   avoid potential contamination of the ion source   and the transfer line as a result of the adverse   reaction between acetonitrile and polystyrene at   higher concentrations of acetonitrile, a mixture   of 70% v/v acetonitrile/water is recommended   to use as optimum solvent to dissolve the   extracts prior to analysis by MS/MS.</p>       <p align="center"><img src="img/revistas/biosa/v9n1/v9n1a02fig2.gif"><a name="fig2"></a></p>  <hr>       <p><b>REFERENCES</b></p>     <!-- ref --><p><a name="1">1</a>. Rose ME, Johnstone RAW. 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