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MULTI-PREP® GRAVITY SERIES GVSA-1OO METHOD FOR THE ANALYSIS OF HOMOCYSTEINE IN SERUM OR PLASMA USING GC-MS

This method is a preliminary procedure for investigational use only.   Although it has performed well in our laboratory it must be validated by your laboratory before it is used to report patient values. We would appreciate your comments on it's performance and welcome your suggestions for improvements or enhancements.

Revised:January, 2001
PREPARATION OF STANDARDS


EXTERNAL STANDARDS - (Please see Notes and Supplemental Information before proceeding)

Homocysteine, and Homocysteine D4 will gradually oxidize respectively to Homocystine and Homocystine D8 when stored in solution. Standards which are dried down without extraction must be protected from oxidation. This method incorporates the use of Stabilizer "A", a proprietary reducing agent, to maintain Homocysteine in a reduced state.

The working standard stabilizer solution is prepared daily by the addition of 0.1 mL Stabilizer "A" concentrate to 10 mL of Methanol containing 3% Ammonium Hydroxide. Make sure Stabilizer "A" Concentrate and working solution containers are flushed with nitrogen, closed tightly, and refrigerated when not in use.
1 mg/mL stock solutions of Homocysteine and Homocysteine D4 are prepared by dissolution in deionized water.
The working standard solution is prepared by diluting the stock standard solution 1:100 with Methanol:H20 (90:10).
Working standards are pipetted from the working standard solution into 1 mL of working standard stabilizer solution. e.g. a 200 ng standard is prepared by pipetting 20 uL of working standard into 1 mL of working standard stabilizer solution. Wait 30 minutes for reduction before drydown of working standards.

EXTRACTED STANDARDS

When preparing standards for extraction or internal standardization, it is preferable to start with Homocystine and Homocystine D8 which will be reduced respectively to Homocysteine and Homocysteine D4 during the extraction procedure.

The use of these compounds for extraction serve as a check on the overall reduction of serum and plasma target analytes when compared to the reduced external standards.
1 mg/mL stock solutions of Homocystine and Homocystine D8 are prepared in Methanol containing 1% HCl (v/v). Non-extracted working standards or internal standard to be dried down directly, are diluted with Methanol:H20 (90:10) and pipetted into working standard stabilizer solution as above.
Working Standards for extraction or Internal standardization are diluted 1:100 with Methanol:H20 (90:10) solution and added directly to 100 uL of serum.

Values for Total Homocysteine in serum or plasma vary somewhat from lab to lab but 5-15 µ MoL/L is usually considered normal.

(Clinical Chemistry, Vol 39, No 9, 1993, 1764-1779)

SAMPLE COLLECTION:

Blood should be collected and stored on ice. Serum or plasma should be separated within 1 hour of collection and refrigerated (up to 5 days) or frozen until assayed.

SAMPLE PREPARATION:

1. 100 µL of serum or plasma containing 200 ng Homocystine D8 in 20 µL Methanol:H20 (85:15) solution as internal standard.
2. Add 100 µL Stabilizer "A" concentrate and mix gently. Incubate at room temperature for at least 2 min.
3. Add 100 µL 0.5N Sodium Hydroxide, mix and incubate at 400C for 30 min.
4. Add 3 mL of 0.1M Tris Buffer, pH 9.0.
5. Centrifuge 3000 RPM for 3 min.

COLUMN PREPARATION:

Wash each GVSA-100 column sequentially with the following solutions, allowing each wash to drain through the column by gravity flow.
1. 3 mL 0.2M Acetic Acid in Acetone
2. 3 mL 10% HCL
3. 3 mL H2O

SAMPLE EXTRACTION AND PURIFICATION:

1. Pour prepared samples onto the columns and allow them to drain by gravity flow.
2. Wash each column as follows:
a. 2 mL Acetone:H20 (1:1).
b. 5mL H2O

SAMPLE ELUTION

1. Elute with 1.5 mL 0.5M Acetic Acid in Methanol.
2. Dry at 600C under Nitrogen or Argon. Remove from heat as soon as eluates have dried.
Elution Solvent Preparation: Add 2.8 mL of Glacial Acetic Acid to 95 mL of Methanol.

DERIVATIZATION

1. Add 50 µL of n-Butylchloride and 50 µL MTBSTFA to each dried eluate and standard. Mix well.
2. Cap tubes and incubate at 750C for 20 min.

GC/MS ANALYSIS

GC/MS: Hewlett-Packard equipped with Mass Selective Detector

GC Column: H.P. Ultra 2 Capillary Column (or equivalent), 15 m x 0.25 mm, 0.25 µm film
Acquisition Mode: SIM

Temperature Program:
Injector Temp.: 2500C
Detector Temp.: 3000C
Initial: 850C, program at 120C/min. to 1700C
Final: program at 200C/min. to 2850C
Equil. Time: 1.0 min.
Split Ratio: Splitless
He Flow: 1.0 mL/min. @ 2000C
Septum Purge: 2 mL/min.
Purge Off Time: 1.0 min.
Dwell: 30
Solvent Delay: 10.0 min.
Start Acq.:10.0 min.
Stop Run: 13.0 min.
MSD SIM PROGRAM
DrugIons MonitoredRetention Time
Homocysteine 420 11.70 min.
Homocysteine-D442411.69 min.

Note: Retention time and ion spectra will vary somewhat from instrument to instrument.

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