Key words

1 Introduction

Clinically relevant amino acids are measured in physiological fluids to diagnose inborn errors of metabolism. It is common that full amino acid profile of >30 amino acids is performed in the initial diagnosis of amino acid disorders. Once an amino acid disorder is diagnosed and confirmed, the follow-up is generally done by measuring only relevant amino acid(s). Commonly, measured amino acids are phenylalanine , tyrosine , glycine , cystine , and phosphoethanolamine (PEA). Phenylalanine and tyrosine are measured for the diagnosis and follow-up of patients with phenylketonuria (PKU ), the disease if untreated can cause mental retardation [1, 2]. Cystine is measured in the diagnosis and follow-up of cystinuria, a kidney stone-forming disorder [2, 3]. The increase of glycine concentration in plasma and cerebrospinal fluid (CSF) is the indicator of non-ketotic hyperglycinemia (NKH), a seizure disorder [4]. Urinary phosphoethanolamine (PEA) is widely used in the diagnosis of hypophosphatasia, a metabolic disorder that affects bones [5, 6].

The gold standard method for amino acid analysis has been ion exchange chromatography with ninhydrin post-column derivatization . However, this method is cumbersome and time consuming. In recent years, the reverse phase HPLC -mass spectrometry methods combined with pre-column derivatization have been used for the quantitation of amino acids [710]. Butylation is the most commonly used method for derivatization of amino acids. However, some amino acids including phosphoethanolamine and taurine are refractory to butylation due to lack of α-carboxylic acid group. These amino acids can be dansyl-derivatized at α-amino group using dansyl chloride. Here, we describe a double derivatization method. Butanol and dansyl chloride were selected to derivatize carboxylic and amino groups respectively. The analysis was performed using TOF-MS scan.

2 Materials

2.1 Samples

  1. 1.

    Plasma /Serum: Separated from 2 mL of blood in a mint green (heparin) or plain no-gel tube.

  2. 2.

    Urine: 3 mL random urine.

  3. 3.

    CSF: 1 mL CSF, non-traumatic tap.

2.2 Solvents and Reagents

  1. 1.

    Mobile phase A (2 mM ammonium formate, 0.1 % formic acid in HPLC water).

  2. 2.

    Mobile phase B: Acetonitrile.

  3. 3.

    Dansyl chloride (Sigma).

  4. 4.

    3 N HCl in butanol (Regisil).

  5. 5.

    Sodium bicarbonate (Sigma).

  6. 6.

    1 mg/mL of dansyl chloride in acetone.

2.3 Internal Standards and Standards

  1. 1.

    Stock internal standard mixture (NSK-A from Cambridge Isotope Laboratories): Dissolve in 1 mL H2O. It provides concentration of 500 μM for l-Alanine (2,3,3,3-D4), l-Phenylalanine (ring-13C6), l-Leucine (5,5,5-D3), l-Valine (D8). l-Arginine (4,4,5,5,-D4), l-Citrulline (5,5-D2), l-Tyrosine (ring-13C6), l-Ornithine (5,5-D2), l-Methionine (methyl-D3), DL-Glutamate (2,4,4-D3), l-Aspartate (2,3,3-D3), and 2500 μM for l-Glycine (2-13C, 15N).

  2. 2.

    Working internal standard mixture: Dilute stock internal standards mixture 100 times in methanol.

  3. 3.

    1 mM Cystine -D4 internal standard (Cambridge Isotope Laboratories): Prepare in 0.1 N HCl.

  4. 4.

    Stock amino acid standards in 0.1 N HCl (#1700-0180, Pickering Laboratories).

  5. 5.

    Prepare calibrators at concentrations given in Table 1 using lithium diluent (Pickering Laboratories).

    Table 1 Preparation of calibrators
  6. 6.

    Quality controls: Mix 6.5 mL of amino acid standards (500 μM, Sigma) and 500 μL of 10 mM in 0.1 N HCl phosphoethanolamine (Sigma). This provides concentrations of 464 μM for Phe, Tyr, Gly and Cys, and 357 μM for PEA (QC 3). Dilute QC3 to make QC 1 and QC 2 (Table 2) (see Note 1 ).

    Table 2 Preparation of quality controls

2.4 Analytical Equipment and Supplies

  1. 1.

    Triple TOF™5600 (AB Sciex).

  2. 2.

    Acuity UPLC (Waters).

  3. 3.

    Analytical Column: Kinetex C18, 100 × 3 mm, 2.6 μm (Phenomenex).

3 Methods

3.1 Stepwise Procedure

  1. 1.

    Pipette 50 μL calibrators, sample or control to 1.5 mL microcentrifuge tubes.

  2. 2.

    Pipette 450 μL of working internal standard mixture and 20 μL cystine -D4 internal standard.

  3. 3.

    Vortex tubes for 1 min and let stand for 5 min.

  4. 4.

    Centrifuge the tubes for 10 min at 12,000 × g.

  5. 5.

    Transfer 200 μL of supernatant to two separate disposable glass tubes (Tubes A and B).

  6. 6.

    Evaporate to dryness under a stream of nitrogen at 45 °C (see Note 2 ).

  7. 7.

    Add 100 μL of 3 N HCl in butanol to one disposable tube for butylation (Tube A).

  8. 8.

    Add 50 μL of 0.1 M NaHCO3 (Tube B).

  9. 9.

    Add 50 μL dansyl chloride solution (Tube B).

  10. 10.

    Incubate both tubes A and B in dry block for 20 min at 60 °C.

  11. 11.

    Evaporate to dryness under a stream of nitrogen at 45 °C (see Note 3 ).

  12. 12.

    Reconstitute the residues in 500 μL mobile phase A, and vortex.

  13. 13.

    Combine the contents of tubes A and B, and vortex the mixture.

  14. 14.

    Transfer the mixture to autosampler vials, and inject 10 μL.

3.2 Instrument Operating Conditions

See Tables 3 and 4 for HPLC and mass spectrometer conditions.

Table 3 HPLC gradient and parameters
Table 4 TOF-MS parameters

3.3 Data Analysis

  1. 1.

    TOF-MS is used in positive ion electrospray ionization mode. Data are collected using Analyst TF 1.6 software and quantified using MultiQuant software version 3.0 (AB Sciex).

  2. 2.

    Standard curves are generated based on linear regression of the analyte/IS peak area ratio (y) versus analyte concentration (x) using the quantifying ions listed in Table 5 (see Notes 4 and 5 ).

    Table 5 Compound specific parameters
  3. 3.

    Typical TOF-MS ion-extraction chromatograms are shown in Fig. 1.

    Fig. 1
    figure 1

    TOF-MS ion chromatograms for various amino acids. Cystine , glycine , tyrosine , and phenylalanine were measured using butylation . Phosphoethanolamine was measured using dansylation

  4. 4.

    Typical calibration curve has a correlation (r2) > 0.99.

  5. 5.

    Quality control samples are evaluated with each run. The acceptable results are within +/− 20 % of target values.

4 Notes

  1. 1.

    Calibrators and quality controls are prepared separately.

  2. 2.

    Drying time is ~5 min. May vary with nitrogen flow rate and type of equipment.

  3. 3.

    Drying time is ~15 min. May vary with nitrogen flow rate and type of equipment.

  4. 4.

    Accuracy of the method was evaluated by comparing the method with ninhydrin HPLC amino acid analyzer. The results were within +/− 10 %.

  5. 5.

    Internal standard for PEA was Asp-D3 since labeled PEA was not available.