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Quantification of total and free concentrations of R- and S-warfarin in human plasma by ultrafiltration and LC-MS/MS

  • Berit Packert JensenEmail author
  • Paul Ken Leong Chin
  • Evan James Begg
Original Paper

Abstract

A sensitive LC-MS/MS assay for quantification of total and free concentrations of R- and S-warfarin in plasma was required to support clinical studies on warfarin enantiomers. Several ultrafiltration devices were evaluated for separation of free warfarin from plasma proteins. The highest precision and lowest non-specific binding was obtained for Centrifree ultrafiltration devices. R- and S-warfarin were extracted from plasma (total) and ultrafiltrate (free) by liquid–liquid extraction with methyl tert-butyl ether using d6-warfarin as internal standard. Mean extraction recovery was 68 ± 4%. The enantiomers were separated on a Chirobiotic V column with isocratic elution using 40% methanol and 0.03% acetic acid in water. Negative mode electrospray ionisation was used for MS/MS detection, monitoring the ion transition m/z 307/161. Calibration curves (quadratic, weighted 1/x) were fitted over the range of 20–2,000 ng/ml (r 2 ≥ 0.995) in plasma and 0.5–20 ng/ml (r 2 ≥ 0.998) in ultrafiltrate. The lower limit of quantification for R- and S-warfarin was 0.5 ng/ml in ultrafiltrate. Intra- and interday precision (% RSD) and bias were within 10% in all cases, and matrix effects were negligible. The assay was applied successfully to analysis of samples from clinical studies.

Figure

LC-MS/MS chromatogram of free R- and S-warfarin in human ultrafiltrate

Keywords

Warfarin Enantiomer Free Unbound Ultrafiltration Plasma 

Notes

Acknowledgements

The authors wish to acknowledge the New Zealand Lottery Grants Board and Health Research Council of New Zealand (ref. no. 08/322) for financial support of this study.

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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Berit Packert Jensen
    • 1
    Email author
  • Paul Ken Leong Chin
    • 1
  • Evan James Begg
    • 1
  1. 1.Department of MedicineUniversity of Otago, ChristchurchChristchurchNew Zealand

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