A flow injection electrospray ionization tandem mass spectrometric method for the simultaneous measurement of trimethylamine and trimethylamine<i>N</i>-oxide in urine
作者:David W. Johnson
DOI:10.1002/jms.1339
日期:2008.4
Key metabolites for the diagnosis of the genetic disorder trimethylaminuria are trimethylamine (TMA) and trimethylamine N-oxide (TMAO). A rapid, automatable flow injection ESI-MS/MS method for their measurement in urine has been developed. The TMA was derivatized with ethyl bromoacetate to form ethyl betaine bromide. The 2 min ESI-MS/MS analysis employed four multiple reaction monitoring (MRM) ion pairs for derivatized TMA (146.1, 118.1), derivatized 2H9-TMA (155.1, 127.1), TMAO (76.1, 58.1) and 2H9-TMAO (85.1, 66.1). In control urine samples (n = 27) referred for suspected metabolic problems TMA was 0.11–1.19 mmol/mol creatinine, TMAO was 13.5–181 mmol/mol creatinine and the TMA/TMAO ratio was 0.0025–0.055. In five patients with diagnosed trimethylaminuria, TMA was 5.3–230 mmol/mol creatinine, TMAO was 0.36–607 mmol/mol creatinine and the TMA/TMAO ratio was 0.20–134. Copyright © 2007 John Wiley & Sons, Ltd.
诊断遗传性疾病三甲胺尿症的关键代谢物是三甲胺(TMA)和三甲胺 N-氧化物(TMAO)。我们开发了一种快速、自动化的流动注射 ESI-MS/MS 方法,用于检测尿液中的这两种代谢物。用溴乙酸乙酯对 TMA 进行衍生,生成溴化甜菜碱乙酯。2 分钟的 ESI-MS/MS 分析采用了四个多反应监测 (MRM) 离子对:衍生化 TMA(146.1,118.1)、衍生化 2H9-TMA(155.1,127.1)、TMAO(76.1,58.1)和 2H9-TMAO(85.1,66.1)。在因疑似代谢问题而转诊的对照尿样(n = 27)中,TMA 为 0.11-1.19 mmol/mol肌酐,TMAO 为 13.5-181 mmol/mol肌酐,TMA/TMAO 比值为 0.0025-0.055。在五名确诊为三甲胺尿症的患者中,TMA为5.3-230毫摩尔/摩尔肌酐,TMAO为0.36-607毫摩尔/摩尔肌酐,TMA/TMAO比值为0.20-134。Copyright © 2007 John Wiley & Sons, Ltd. All Rights Reserved.