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High sensitive determination of oxysterols in human plasma using gas chromatography-mass spectrometry (GC-MS) Saori Nakagawa and Susumu Yamato Oxysterols, cholesterol oxidation products, have been important markers for various diseases. For example, it is suggested that 24S-hydroxycholesterol, 27-hydroxycholesterol and 7-ketocholesterol can be used as a marker of Alzheimer's disease, cerebrotendinous xanthomatosis and diabetes mellitus, respectively. Therefore, it is necessary to determine the concentration levels of individual oxysterols in plasma. In this report, we have described a pretreatment procedure of human plasma for the simultaneous determination of oxysterols using gas chromatography-mass spectrometry (GC-MS). Pretreatments were carried out as follows; extraction from lipoprotein, saponification by hydrolyzing oxysterols esters, extraction with n-hexane, solid-phase extraction to remove the large levels of cholesterol in plasma, elution of oxysterols from their solid-phase, and their derivatization by trimethylsilyl reagent. Twelve oxysterols were simultaneously determined using this pretreatment procedure and a GC-MS analysis. The procedure is a simple and useful one for application to human plasma. Oxysterol, Plasma, GC-MS, Solid phase extraction, Biomarker

GC QP2010 ( Shimadzu ) MS GCMS-QP2010 plus ( Shimadzu ) Column DB-5MS ( 30 m 0.25 mm, 0.25 m thickness ) Column oven 180 for 1 min 20/min 250 5 /min 300 for 15 min Carrier gas Helium Flow rate 0.96 ml/min Injection temperature 250 Ion source temperature 250 Sample injection mode splitless Injection volume 5 L m/z Oxysterols Quantities ion Certificate ion 7 -hydroxycholesterol 456 233 7 - hydroxycholesterol 456 233 4 - hydroxycholesterol 456 366 22S- hydroxycholesterol 173 531, 546 22R- hydroxycholesterol 173 531, 456 20 - hydroxycholesterol 201 465 24S- hydroxycholesterol 413 145 25- hydroxycholesterol 131 271, 327, 456 27- hydroxycholesterol 456 417 7-ketocholesterol 472 367, 382 cholesterol-5, 6 -epoxide 474 384, 459 cholesterol-5, 6 - epoxide 474 366, 384 27- hydroxycholesterol -26, 26, 26,27, 27-d5 (I.S.) 461 422 I.S., internal standard

Liner regression equation Correlation coefficient 7 -hydroxycholesterol y 4.74 10-2 x 0.999 88.0 + 2.0 7 - hydroxycholesterol y 2.87 10-2 x 0.992 99.4 + 6.5 4 - hydroxycholesterol y 3.83 10-3 x 0.995 85.1 + 3.6 22S- hydroxycholesterol y 5.98 10-2 x 0.995 87.0 + 4.9 22R- hydroxycholesterol y 5.16 10-2 x 0.999 85.4 + 7.0 20 - hydroxycholesterol y 1.35 10-2 x 0.993 93.5 + 6.0 24S- hydroxycholesterol y 3.61 10-3 x 0.998 103.3 + 6.3 25- hydroxycholesterol y 2.78 10-2 x 0.997 87.2 + 4.5 27- hydroxycholesterol y 2.39 10-3 x 0.999 94.4 + 2.7 7-ketocholesterol y 4.61 10-3 x 0.996 110.0 + 17.6 Cholesterol-5, 6 -epoxide y 4.20 10-4 x 0.997 96.0 + 12.8 Cholesterol-5, 6 - epoxide y 3.33 10-4 x 0.999 105.2 + 12.8 Recovery represents the mean standard deviation (n=4). Sjövall Björkhem I, Reihnér E Björkhem I, Lütjohann D, Diczfalusy U, Ståhle L

Bäckström Böttiger Ziedén Kucinskienê Kücük ö Björkhem