an overview of current tools for quantitative lc-ms in the

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1 ©2012 Waters Corporation 1 An Overview of Current Tools for Quantitative LC-MS in the Clinical Laboratory Donald Mason Global Scientific Affairs Manager Waters Corporation [email protected] ©2012 Waters Corporation 2 Disclosure Employment: Waters Corporation Stock Ownership: Waters Corporation During the course of this presentation I will speak about both Waters and non-Waters products. Any representation of any product is designed to be illustrative of a general principle of liquid chromatography or mass spectrometry and does not represent a product endorsement. I encourage you to speak with the respective vendor representatives for additional information about specific products. ©2012 Waters Corporation 3 Acknowledgements Michael Jarvis (AB Sciex) Jeff Zonderman (ThermoFisher Scientific) John Hughes (Agilent Technologies) Tom Rosano (Albany Medical Center) Tom Swift (Albany Medical Center) Scott Freeto (Waters) Kara Lynch (University of California, San Francisco)

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1

©2012 Waters Corporation 1

An Overview of Current Tools for Quantitative LC-MS in the Clinical Laboratory

Donald MasonGlobal Scientific Affairs Manager

Waters [email protected]

©2012 Waters Corporation 2

Disclosure

Employment: Waters Corporation Stock Ownership: Waters Corporation

During the course of this presentation I will speak about both Waters and non-Waters products. Any representation of any product is designed to be illustrative of a general principle of liquid chromatography or mass spectrometry and does not represent a product endorsement. I encourage you to speak with the respective vendor representatives for additional information about specific products.

©2012 Waters Corporation 3

Acknowledgements

Michael Jarvis (AB Sciex) Jeff Zonderman (ThermoFisher Scientific) John Hughes (Agilent Technologies) Tom Rosano (Albany Medical Center) Tom Swift (Albany Medical Center) Scott Freeto (Waters) Kara Lynch (University of California, San Francisco)

2

©2012 Waters Corporation 4

Outline

Sample pretreatmento Single-use SPE, Multi-use SPE, SPE-MS/MS, Immuno-affinity

purification

HPLC vs. UHPLC Ionization

– Differential Mobility Separation

Mass Analyzers– Nominal mass vs. High Res./Exact Mass– Ion ratios and product ion spectra for confirmation

Data reduction software What’s available and what’s needed

– Audience participation: Your input is desired for this ever-growing list…

©2012 Waters Corporation 5

Strategies for sample pretreatment

Dilute-and-shoot Protein precipitation (PPT) Liquid/liquid extraction (LLE) Solid phase extraction (SPE)

– Manual, e.g. vacuum manifold– Integrated, e.g. on-line

o Reusable extraction columnso Single-use extraction cartridges

Supercritical fluid extraction (SFE)– extraction using supercritical carbon dioxide instead of an organic

solvent

6 Proprietary & Confidential

Less steps using an integrated pretreatment approach

3

7 Proprietary & Confidential

Online SPE using reusable cartridge columns

Internal “T”

Rotor

StandardRotor

TurboFlow®column

MS

LOADINGPUMP

matrix proteinselute to waste analyte(s) retained

analytical column

A B

ELUTINGPUMPAS

C D

waste

8 Proprietary & Confidential

Multiplexing Increases Throughput

System diagram above is representative of a Thermo Scientific TranscendTM LX-4 system

1 min 4 min.

Sys

tem

1

3 min .

4 min .

2 min

Sys

tem

2S

yste

m3

Sys

tem

4

MS Data

Acquisition Window

Idle Time Idle Time

Each LC system only requires the MS during

the elution step

9 Proprietary & Confidential

Rapid determination of steroids for newborn screening for congenital adrenal hyperplasia (CAH) by turbulent flow liquid chromatography-tandem mass spectrometry (TFLC-MS/MS)

Jean M. Lacey1; Mark J. Magera1; Joseph M. Di Bussolo2; Silvia Tortorelli1; SiHoun Hahn1; Piero Rinaldo1; Dietrich Matern1

1. Mayo Clinic, Rochester, MN; 2. Cohesive Technologies, Franklin, MA54th ASMS Conference on Mass Spectrometry

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©2012 Waters Corporation 10

Gripper Places Cartridge In Right Clamp— Specified in sample list

HPD Applies Conditioning And Equilibration Solvents To Cartridge

On-line SPE using single-use extraction cartridges

©2012 Waters Corporation 11

Sample Manager Draws Sample During Conditioning And Equilibration Steps

Loop Brought In Line With Loading Solvent From HPD

Sample Pushed Through Cartridge, Analyte Trapped And Stream Diverted To Waste

Sample Extraction Mode: Sample Loading

©2012 Waters Corporation 12

HPD Supplies Wash Solvents Across The Cartridges

Up To 23 SPE Solvents Can Be Used— Mix ratios of 2 solvents can

be used in steps of 10% for method development

Sample Extraction Mode:Sample Wash

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©2012 Waters Corporation 13

Gripper Moves Cartridge To Left Clamp For Elution Step

Elution Time Is Defined In The Inlet Editor— Selectivity of extraction

HDP Supplies Clamp Flush Solvent To Left Clamp Tubing— Numerous wash steps can be

applied to minimize carryover

Sample Extraction Mode: Sample Elution

©2012 Waters Corporation 14

Sirolimus 1ng/mL

Improved Sensitivity: Online SPE vs Protein Crash

1 ng/mL tacrolimus from protein precipitated whole blood

©2012 Waters Corporation 15

Improved Sample Clean-up: Removal Of Phospholipids

Whole Blood without SPE

Whole Blood with Online SPE

6

©2012 Waters Corporation 16

SPE/MS/MS

©2012 Waters Corporation 17

Immuno-affinity purification

Should I Be Embarrassed That My Mass Spec Assay Uses an Antibody?– NACBBlog, 06 March 2012 by Fred

Strathmann– Short answer is “no”– Reduction in final sample complexity– Immunoassays possess sensitivity,

but lack specificity. MS detection overcomes this

Applied primarily to low abundance analytes, e.g. 1,25(OH)2-vitamin D and peptides/proteins, e.g. SISCAPA®

Clinical Chemistry 57:9;1279–1285 (2011)

©2012 Waters Corporation 18

ChromatographyHPLC vs. UHPLC

7

©2012 Waters Corporation 19

Particle Technology

Images are on the same scale (Bar = 10 μm)

5 μm Analytical Particles

(can fit 12 across hair)

< 2 μm UHPLC Particles

(can fit 33 across hair)

60 μm Human Hair (very fine hair)

©2012 Waters Corporation 20

Particle Size andMechanical Separating Power*

Columns contain the same packing material chemistry, are the same length with the same mobile phase. One column has particles which are a third the size.

Smaller particle sizes provide for better separation with the same run time.

* This is also called “Efficiency”

©2012 Waters Corporation 21

Analytical Challenges -Sensitivity and Throughput

10 µm – 250 mm

Rs (2,3) = 1.54

5 µm – 150 mmRs (2,3) = 2.69

3.0 µm – 100 mmRs (2,3) = 2.29

1.7 µm – 50 mmRs (2,3) = 2.25

AU

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1.10 min.

4.50

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35.00 min.

Set to same scale

1970’s

1980’s

1990’s

2012

8

©2012 Waters Corporation 22

AU

-0.002

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UHPLC Column on HPLC System:What are the benefits?FIRST -----

XTerra® MS C18

2.1 x 50 mm, 2.5 µmF = 0.5 mL/minPSIMAX = 3,950

T(4) = 1.30N (4) = 4,100

Rs (2,3) = 1.10

1

2

3

4

Fully optimized HPLC instrument:Band spreading contribution reduced as much as possible, but still relatively high.

HPLC column on HPLC instrument

©2012 Waters Corporation 23

AU

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UHPLC Column on HPLC System:What are the benefits?Does not look any better!!

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ACQUITY UPLC® BEH C18

2.1 x 50 mm, 1.7 µmF = 0.3 mL/minPSIMAX = 4,200

T (4) = 1.63N (4) = 5,400

Rs (2,3) = 0.97

XTerra® MS C18

2.1 x 50 mm, 2.5 µmF = 0.5 mL/minPSIMAX = 3,950

T(4) = 1.30N (4) = 4,100

Rs (2,3) = 1.101

2

3

4

1

2

3

4

Fully optimized HPLC instrument:Minimal benefits realized with UHPLC column

A) Flow rate too slow (pressure)B) Still more instrument band spreading than UHPLC instrument

UHPLC column on HPLC instrumentHPLC column on HPLC instrument

©2012 Waters Corporation 24

AU

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UHPLC Column on UHPLC System:What are the benefits?Does not look any better!!

ACQUITY UPLC® BEH C18

2.1 x 50 mm, 1.7 µmF = 0.3 mL/minPSIMAX = 4,200

T (4) = 1.63N (4) = 5,400

Rs (2,3) = 0.97

Reset AU Scale

UHPLC column on HPLC instrument

1 23

4

HPLCNon-Optimal Linear Velocity

Higher Band Spreading

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©2012 Waters Corporation 25

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UHPLC Column on UHPLC System:What are the benefits?The results look much better!!

ACQUITY UPLC® BEH C18

2.1 x 50 mm, 1.7 µmF = 0.3 mL/minPSIMAX = 4,200

T (4) = 1.63N (4) = 5,400

Rs (2,3) = 0.97

Reset AU Scale

1 23

4

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0.00

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ACQUITY UPLC® BEH C18

2.1 x 50 mm, 1.7 µmF = 0.6 mL/minPSIMAX = 8,400

T (4) = 1.02N (4) = 10,100Rs (2,3) = 2.25

~2 x Plate Count~2 x Rs~2 x Pressure~8 x Sensitivity

UHPLC column on UHPLC instrument

UHPLCOptimal Linear VelocityLow Band Spreading

1

2 3

4

HPLCNon-Optimal Linear Velocity

Higher Band Spreading

UHPLC column on HPLC instrument

©2012 Waters Corporation 26

Differential Mobility Separation

27

Ion Mobility Technology

ions in transport gas

to mass spectrometer

Differential ion mobility device

10

28

Ion Mobility Technology

©2012 Waters Corporation 29

Quantitation using tandem quadrupole and hi-res instruments

©2012 Waters Corporation 30

Tacrolimus: Product Ion Spectrum

Mass spectrum from MS1

Product ion spectrum from MS2

Specificity is achieved by: 1) chromatography, 2) pre-cursor ion selection (0.7 – 1.0 amu), and 3) product ion selection (0.7 – 1.5 amu).

11

©2012 Waters Corporation 31

Tacrolimus:Single column method, SIR vs MRM

SIR m/z 821

MRM m/z 821>768

3µg / L 30µg / L

©2012 Waters Corporation 32Meikle et al. J Clin Endo Metab 88(8):3521-24, 2003

2 Cases – Pseudo-Cushing Syndrome by HPLC-UV

Case 1 Case 2

UFC(HPLC)

166135463

12681156180

UFC (LC-MS/MS)*

10 9

UFC(RIA)

35 n/a

Fserum 0.9 1.1Fsaliva < 0.4 –

1.1< 0.4– 3.2

*Using qualifier ion transition

*

©2012 Waters Corporation 33

Ion ratios and product ion confirmation

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©2012 Waters Corporation 34

Acquire Qualitative & Quantification Data at the Same Time

Acquire qualitative (spectral) data & quantitative (MRM) data in a single injection

MS spectral data at the same time as MRM data– Detect compounds not defined as MRMs– Valuable aid to method development– See all of the back ground interferences while developing your

targeted MRM method– Tentatively identify compounds during routine quantitative analysis

Use MRM data to trigger the acquisition of product ion spectra– spectral data provides useful extra information about a suspect MRM

quantification result

©2012 Waters Corporation 35

©2012 Waters Corporation 36

CyclobenzaprineFW = 275.2

MRMs• Retention Time• Ion Ratio(s)(tracked and flaggedautomatically)

MS2 Scan

Product Ion SpectraForward Match ScoresReverse Match Scores

Peak @ 8.04 min

Spectrum of Peak @ 8.04 min

Multiple identification criteria improves confidence in results…

13

©2012 Waters Corporation 37

Now I understand –its so easy !

Carbon has a mass of 12 Hydrogen has a mass of 1 Oxygen has a mass of 16 Nitrogen has a mass of 14

Exact mass12.00001.007815.994914.0031

If such compounds can be mass measured with sufficient accuracy it is possible to determine elemental composition

A nominal mass instrument cannot distinguish these…requires “Hi-Res”

CO = 27.9949N2 = 28.0062C2H4 = 28.0312

The Basics of Exact Mass

©2012 Waters Corporation 38

ToF basics: What is ‘Time-of-Flight’ analysis?

ToF detectors– ToF analysers are VERY accurate clocks– Time taken to travel a specified path i.e. from A to B (flight tube) – The Time-of-Flight of a given ion depends directly upon on its mass-

to-charge ratio.– If the charge-state of an ion is known then the mass can be

determined from the time taken to complete the flight tube.

A

B

©2012 Waters Corporation 39

Benzoylecgonine (Precursor Ion)

Elemental Composition C16H19NO4

Carbon 16 x 12.00000 = 192.00000Hydrogen 19 x 1.007825 = 19.148675Nitrogen 1 x 14.003074 = 14.003074Oxygen 4 x 15.994915 = 63.97966

Exact mass [M+H]+ = m/z 290.1392

Both instruments areaccurately calibrated formass but resolution issignificantly different

14

Hair CocaineUPLC-TOF/MS

Sample Preparation20 mg washed hair, analyte specific deuterated IS pulverization with metal balls 4 min 1 hr extract at 60 oC in 1 mL methanol, microfilterdried and reconstituted in 100 µL starting mobile phaseInstrumentationUPLC: Waters Acquity UPLC HSS C18 150 x 2.1 mm, 1.8 μ, 50oC, 400 μL/min, 13-95% gradient 5.0mM NH4 formate pH3.0/acetonitrile 0.1% formate, 5 μL, 15 min run time Mass Spec: Waters Xevo G2 QTof, ESI+, cone 20V, source 120oC, capillary 1.5kV, cone N2 10 L/hr, desolvation 500oC, desolvation N2 800 L/hr, argon CE, high resolution 50-1000 m/z, lock mass mode (leucin enkephlin 20 μL/min, capillary 2 kV, CE 6eV), NaFormate cal.Ion PreparationMS Function 1 for precursor data with low collision energy 6 eVMSE Function 2 for fragment ion data with MSEcollision energy ramp (10-40 eV) QuantitationPrecursor ion analysis by isotope dilution technique

Calibration Curves 10 ng/mL = 500 pg/mg hair

42 Proprietary & Confidential

Orbitrap – Principle of Operation

z

φHyper-logarithmic potential distribution:

“ideal Kingdon trap”

r

Makarov A. Anal. Chem. 2000, 72, 1156-1162.

Characteristic frequencies:• Frequency of rotation ωφ

• Frequency of radial oscillations ωr

• Frequency of axial oscillations ωz

15

43 Proprietary & Confidential

Benefit of resolution for co-eluting compound

Resolution 100,000Mass accuracy Bisoprolol 3 ppm

Resolution 10,000Mass accuracy Bisoprolol 9 ppm

Bisoprolol 12C

Quinine 13C

Quinine + BisoprololQuinine + Bisoprolol

Sample with both drugs - confirmation compromised @10,000

Quinine 12C

©2012 Waters Corporation 44

High Resolution/Exact MassTandem Quadrupole

Sample pretreatment protocols Chromatographic retention time Molecular formula constraints of

exact mass measurement “Ion ratio” calculation

Where does the specificity come from?

Sample pretreatment protocols Chromatographic retention time Precursor ion selection Specific molecular fragments Product ion selection Ion ratio calculation

©2012 Waters Corporation 45

IGF-1 Quantitation using Hi-Res Mass Spectrometry

**

*

*Quantifier ion*Qualifier ions

Extracted mass chromatogram @ 20 ppm

Averaged mass spectrum [M+7H]7+

Anal Chem. 2011, 83, 9005—9010

16

©2012 Waters Corporation 46

Things to look for in data reduction software.

Analyte confirmatory ion ratios (at least one ratio, > 1 desirable)

Concentrations above maximum reporting level (MRL) Signal-to-noise ratio Analyte or Internal Standard RT or RRT Analyte concentration below LOD or LOQ Standard Deviation of QCs too high r2 of calibration too low Internal Standard area Peak Quality (width, skewness, kurtosis)

©2012 Waters Corporation 47

What’s NeededWhat’s Available

Efficient sample pretreatment strategies

Integrated sample clean up / concentration

Reliable chromatography systems and columns

Sensitive, precise and reliable mass spectrometers

Data reduction software with limited “off the shelf” LIS integration

Some calibrators, controls, internal standards and pre-packaged reagents

©2012 Waters Corporation 48

Thank You – Questions?