Skip to main content

Genetic Disorders of Steroid Metabolism Diagnosed by Mass Spectrometry

  • Chapter
Book cover Laboratory Guide to the Methods in Biochemical Genetics

Abstract

From a biochemical perspective most genetic disorders of steroid synthesis and metabolism are best studied by measuring individual steroids, or panels in serum, and/or by producing metabolic profiles of urinary steroids. There is increasing interest in further developing these analyses within the developing field of metabolomics. Classical analyses of hormones using immunoassays no longer have the sensitivity and accuracy demanded by physicians and researchers, and tandem mass spectrometry is rapidly taking over this role. However, gas-chromatography/ mass spectrometry (GC/MS) still reins supreme for the metabolic profiling of steroid metabolites, although this may slowly change. This chapter summarises recent developments in HPLC/MS techniques for hormonal steroid analysis as well as providing a comprehensive description of the use of mass spectrometry in the diagnosis and study of almost all single gene disorders of steroid synthesis and metabolism.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Adachi M, Tachibana K, Asakura Y, Yamamoto T, Hanaki K, Oka A (2004) Compound heterozygous mutations of cytochrome P450 oxidoreductase gene (POR) in two patients with Antley-Bixler syndrome. Am J Med Genet A 128:333–339

    Article  Google Scholar 

  2. Arlt W, Walker EA, Draper N, Ivison HE, Ride JP, Hammer F, Chalder SM, Borucka-Ankiewicz M, Hauffa BP, Malunowicz EM, Stewart PM, Shackleton CH (2004) Congenital adrenal hyperplasia caused by mutant P450 oxidoreductase and human androgen synthesis: analytical study. Lancet 363:2128–2135

    Article  PubMed  CAS  Google Scholar 

  3. Biason-Lauber A, Suter SL, Shackleton CH, Zachmann M (2000) Apparent cortisone reductase deficiency: a rare cause of hyperandrogenemia and hypercortisolism. Horm Res 53:260–266

    Article  PubMed  CAS  Google Scholar 

  4. Biglieri EG, Herron MA, Brust M (1966) 17-Hydroxylation deficiency in man. J Clin Invest 45:1946–1954

    Article  PubMed  CAS  Google Scholar 

  5. Bongiovanni AM (1962) The adrenogenital syndrome with deficiency of 3β-hydroxysteroid dehydrogenase. J Clin Invest 41:2086–2092

    Article  PubMed  CAS  Google Scholar 

  6. Bonny O, Rossier BC (2002) Disturbances of Na/K balance: pseudohypoaldosteronism revisited. J Am Soc Nephrol 13:2399–2414

    Article  PubMed  CAS  Google Scholar 

  7. Botero-Velez M, Curtis JJ, Warnock DG (1994) Liddle’s syndrome revisited – a disorder of sodium reabsorption in the distal tubule. N Engl J Med 330:178–181

    Article  PubMed  CAS  Google Scholar 

  8. Bradley LA, Palomaki GE, Knight GJ, Haddow JE, Opitz JM, Irons M, Kelley RI, Tint GS (1999) Levels of unconjugated estriol and other maternal serum markers in pregnancies with Smith–Lemli–Opitz syndrome(RSH) syndrome fetuses. Am J Med Genet 82:355–358

    Article  PubMed  CAS  Google Scholar 

  9. Butler GC, Marrian GF (1937) The isolation of pregnane-3,17,20-triol from the urine of women showing the adrenogenital syndrome. J Biol Chem 119:565–570

    CAS  Google Scholar 

  10. Caulfield MP, Lynn T, Gottschalk ME, Jones KL, Taylor NF, Malunowicz EM, Shackleton CH, Reitz RE, Fisher DA (2002) The diagnosis of congenital adrenal hyperplasia in the newborn by gas chromatography/mass spectrometry analysis of random urine specimens. J Clin Endocrinol Metab 87:3682–3690

    Article  PubMed  CAS  Google Scholar 

  11. Chu MD, Ulick S (1982) Isolation and identification of 18-hydroxycortisol from the urine of patients with primary aldosteronism. J Biol Chem 257:2218–2224

    PubMed  CAS  Google Scholar 

  12. Craig WY, Haddow JE, Palomaki GE, Kelley RI, Kratz LE, Shackleton CH, Marcos J, Steven Tint G, MacRae AR, Nowaczyk MJ, Kloza EM, Irons MB, Roberson M, (2006) Identifying Smith–Lemli–Opitz syndrome in conjunction with prenatal screening for Down syndrome. Prenat Diagn 26:842–849

    Article  PubMed  Google Scholar 

  13. Cristoni S, Cuccato D, Sciannamblo M, Bernardi LR, Biunno I, Gerthoux P, Russo G, Weber G, Mora S (2004) Analysis of 21 deoxycortisol, a marker of congenital adrenal hyperplasia, in blood by atmospheric pressure chemical ionization and electrospray ionization using multiple reaction monitoring. Rapid Commun Mass Spectrom 18:77–82

    Article  PubMed  CAS  Google Scholar 

  14. Dave-Sharma S, Wilson RC, Harbison MD, Newfield R, Azar MR, Krozowski ZS, Funder JW, Shackleton CH, Bradlow HL, Wei JQ, Hertecant J, Moran A, Neiberger RE, Balfe JW, Fattah A, Daneman D, Akkurt HI, De Santis C, New MI (1998) Examination of genotype and phenotype relationships in 14 patients with apparent mineralocorticoid excess. J Clin Endocrinol Metab 83:2244–2254

    Article  PubMed  CAS  Google Scholar 

  15. Draper N, Walker EA, Bujalska IJ, Tomlinson JW, Chalder SM, Arlt, W, Lavery GG, Bedendo O, Ray DW, Laing I, Malunowicz E, White PC, Hewison M, Mason PJ, Connell JM, Shackleton CH, Stewart PM (2003) Mutations in the genes encoding 11 β-hydroxysteroid dehydrogenase type 1 and hexose-6-phosphate dehydrogenase interact to cause cortisone reductase deficiency. Nat Genet 34:434–439

    Article  PubMed  CAS  Google Scholar 

  16. Epstein EH Jr, Krauss RM, Shackleton CH (1981) X-linked ichthyosis: increased blood cholesterol sulfate and electrophoretic mobility of low-density lipoprotein. Science 214:659–660

    Article  PubMed  CAS  Google Scholar 

  17. Flück CE, Tajima T, Pandey AV, Arlt W, Okuhara K, Verge CF, Jabs EW, Mendonca BB, Fujieda K, Miller WL (2004) Mutant P450 oxidoreductase causes disordered steroidogenesis with and without Antley-Bixler syndrome. Nat Genet 36:228–230

    Article  PubMed  CAS  Google Scholar 

  18. Fredline VF, Taylor PJ, Dodds HM, Johnson AG (1997) A reference method for the analysis of aldosterone in blood by high-performance liquid chromatography-atmospheric pressure chemical ionization-tandem mass spectrometry. Anal Biochem 252:308–313

    Article  PubMed  CAS  Google Scholar 

  19. Fujieda K, Okuhara K, Abe S, Tajima T, Mukai T, Nakae J (2003) Molecular pathogenesis of lipoid adrenal hyperplasia and adrenal hypoplasia congenita. J Steroid Biochem Mol Biol 85:483–489

    Article  PubMed  CAS  Google Scholar 

  20. Geissler WM, Davis DL, Wu L, Bradshaw KD, Patel S, Mendonca BB, Elliston KO, Wilson JD, Russell DW, Andersson S (1994) Male pseudohermaphroditism caused by mutations of testicular 17β-hydroxysteroid dehydrogenase 3. Nat Genet 7:34–39

    Article  PubMed  CAS  Google Scholar 

  21. Glass IA, Lam RC, Chang T, Roitman E, Shapiro LJ, Shackleton CH (1998) Steroid sulphatase deficiency is the major cause of extremely low oestriol production at mid-pregnancy: a urinary steroid assay for the discrimination of steroid sulphatase deficiency from other causes. Prenat Diagn 18:789–800

    Article  PubMed  CAS  Google Scholar 

  22. Griffiths WJ, Alvelius G, Liu S, Sjovall J (2004) High-energy collision-induced dissociation of oxosteroids derivatised to Girard hydrazones. Eur J Mass Spectrom (Chichester, Eng) 10:63–88

    Article  CAS  Google Scholar 

  23. Griffiths W, Shackleton CHL, Sjövall J (2005) Mass spectrometry of steroids. In: Caprioli R (ed) The Encyclopedia of Mass Spectrometry, Vol 7. Elsevier, Amsterdam, pp 447–473

    Google Scholar 

  24. Guo T, Chan M, Soldin SJ (2004) Steroid profiles using liquid chromatography-tandem mass spectrometry with atmospheric pressure photoionization source. Arch Path Lab Med 128:469–475

    PubMed  Google Scholar 

  25. Guo T, Taylor RL, Singh RJ, Soldin SJ (2006) Simultaneous determination of 12 steroids by isotope dilution liquid chromatography-photospray ionization tandem mass spectrometry. Clin Chim Acta 372:76–82

    Article  PubMed  CAS  Google Scholar 

  26. Hauffa BP, Solyom J, Glaz E, Shackleton CH, Wambach G, Vecsei P, Stolecke H, Homoki J (1991) Severe hypoaldosteronism due to corticosterone methyl oxidase type II deficiency in two boys: metabolic and gas chromatography-mass spectrometry studies. Eur J Pediatr 150:149–153

    Article  PubMed  CAS  Google Scholar 

  27. Higashi T, Uamauchi A, Shimada K, Koh E, Mizokami A, Namiki M (2005a) Determination of prostatic androgens in 10 mg of tissue using liquid chromatography-tandem mass spectrometry with charged derivatization. Anal Bioanal Chem 382:1035–1043

    Article  CAS  Google Scholar 

  28. Higashi T, Yamauchi A, Shimada K (2005b) 2-Hydrazino-1-methylpyridine: a highly sensitive derivatization reagent for oxosteroids in liquid chromatography-electrospray ionization-mass spectrometry. J Chromatogr B 825:214–222

    Article  CAS  Google Scholar 

  29. Hiort O, Holterhus PM, Werner R, Marschke C, Hoppe U, Partsch CJ, Riepe FG, Achermann JC, Struve D (2005) Homozygous disruption of P450 side-chain cleavage (CYP11A1) is associated with prematurity, complete 46,XY sex reversal, and severe adrenal failure. J Clin Endocrinol Metab 90:538–541

    Article  PubMed  CAS  Google Scholar 

  30. Holst JP, Soldin SJ, Tractenberg RE, Guo T, Kundra P, Verbalis JG, Jonklaas J (2007) Use of steroid profiles in determining the cause of adrenal insufficiency. Steroids 72:71–84

    Article  PubMed  CAS  Google Scholar 

  31. Honour JW, Anderson, JM, Shackleton, CH (1983) Difficulties in the diagnosis of congenital adrenal hyperplasia in early infancy: the 11β-hydroxylase defect. Acta Endocrinol (Copenh) 103:101–109

    CAS  Google Scholar 

  32. Honour JW, Tourniaire J, Biglieri EG, Shackleton CHL (1978) Urinary steroid excretion in 17α-hydroxylase deficiency. J Steroid Biochem 9:495–505

    Article  PubMed  CAS  Google Scholar 

  33. Honour JW, Dillon MJ, Shackleton CH (1982) Analysis of steroids in urine for differentiation of pseudohypoaldosteronism and aldosterone biosynthetic defect. J Clin Endocrinol Metab 54:325–331

    PubMed  CAS  Google Scholar 

  34. Imperato-McGinley J, Peterson RE, Gautier T, Arthur A, Shackleton C (1985) Decreased urinary C19 and C21 steroid 5α-metabolites in parents of male pseudohermaphrodites with 5α-reductase deficiency: detection of carriers. J Clin Endocrinol Metab 60:553–558

    PubMed  CAS  Google Scholar 

  35. Imperato-McGinley J, Gautier T, Peterson RE, Shackleton C (1986) The prevalence of 5α-reductase deficiency in children with ambiguous genitalia in the Dominican Republic. J Urol 136:867–873

    PubMed  CAS  Google Scholar 

  36. Inoue T, Okauchi Y, Matsuzaki Y, Kuwajima K, Kondo H, Horiuchi N, Nakao K, Iwata M, Yokogoshi Y, Shintani Y, Bando H, Saito S (1998) Identification of a single cytosine base insertion mutation at Arg-597 of the β subunit of the human epithelial sodium channel in a family with Liddle’s disease. Eur J Endocrinol 138:691–697

    Article  PubMed  CAS  Google Scholar 

  37. Irons M, Elias ER, Salen G, Tint GS, Batta AK (1993) Defective cholesterol biosynthesis in Smith–Lemli–Opitz syndrome. Lancet 341:1414

    Article  PubMed  CAS  Google Scholar 

  38. Jamieson A, Wallace AM, Andrew R, Nunez BS, Walker BR, Fraser R White PC, Connell JMC (1999) Apparent cortisone reductase deficiency: a functional defect in 11β-hydroxysteroid dehydrogenase type 1. J Clin Endocrinol Metab 84:3570–3574

    Article  PubMed  CAS  Google Scholar 

  39. Jeunemaitre X, Charru A, Pascoe L, Guyene TT, Aupetit-Faisant B, Shackleton CH, Schambelan M, Plouin PF, Corvol P (1995) [Hyperaldosteronism sensitive to dexamethasone with adrenal adenoma. Clinical, biological and genetic study]. Presse Med 24:1243–1248

    PubMed  CAS  Google Scholar 

  40. Joannou GE (1981) Identification of 15β-hydroxylated C21 Steroids in the neo-natal period: the role of 3α,15β,17α-trihydroxy-5β-pregnan-20-one in the perinatal diagnosis of congenital adrenal hyperplasia (CAH) due to a 21-hydroxylase deficiency. J Steroid Biochem 14:901–912

    Article  PubMed  CAS  Google Scholar 

  41. Johnson DW (2005) Ketosteroid profiling using Girard T derivatives and electrospray ionization tandem mass spectrometry: direct plasma analysis of androstenedione, 17-hydroxyprogesterone and cortisol. Rapid Commun Mass Spectrom 19:193–200

    Article  PubMed  CAS  Google Scholar 

  42. Kelley RI (1995) Diagnosis of Smith–Lemli–Opitz syndrome by gas chromatography/mass spectrometry of 7-dehydrocholesterol in plasma, amniotic fluid and cultured skin fibroblasts. Clin Chim Acta 236:45–58

    Article  PubMed  CAS  Google Scholar 

  43. Kushnir MM, Neilson R, Roberts WL, Rockwood AL (2004) Cortisol and cortisone analysis in serum and plasma by atmospheric pressure photoionization tandem mass spectrometry. Clin Biochem 37:357–362

    Article  PubMed  CAS  Google Scholar 

  44. Kushnir MM, Rockwood AL, Roberts WL, Pattison EG, Bunker AM, Fitzgerald RL, Meikle AW (2006) Performance characteristics of a novel tandem mass spectrometry assay for serum testosterone. Clin Chem 52:120–128

    Article  PubMed  CAS  Google Scholar 

  45. Kushnir MM, Rockwood AL, Roberts WL, Pattison EG, Owen WE, Bunker AM, Meikle AW (2006) Development and performance evaluation of a tandem mass spectrometry assay for 4 adrenal steroids. Clin Chem 52:1559–1567

    Article  PubMed  CAS  Google Scholar 

  46. Lacey JM, Minutti CZ, Magera MJ, Tauscher AL, Casetta B, McCann M, Lymp J, Hahn SH, Rinaldo P, Matern D (2004) Improved specificity of newborn screening for congenital adrenal hyperplasia by second-tier steroid profiling using tandem mass spectrometry. Clin Chem 50:621–625

    Article  PubMed  CAS  Google Scholar 

  47. Lai CC, Tsai CH, Tsai FJ, Wu JY, Lin WD, Lee CC (2002) Rapid screening assay of congenital adrenal hyperplasia by measuring 17 alpha-hydroxyprogesterone with high-performance liquid chromatography/electrospray ionization tandem mass spectrometry from dried blood spots. J Clin Lab Anal 16:20–25

    Article  PubMed  CAS  Google Scholar 

  48. Lavery GG, Walker EA, Slabbert A, Ride JP, Shackleton CHL, Tomlinson JW, Arlt W, Stewart PM (2008) Monogenic forms of hyperandrogenism due to defects in cortisol metabolism. New Engl J Med (in press)

    Google Scholar 

  49. Lemonde HA, Custard EJ, Bouquet J, Duran M, Overmars H, Scambler PJ, Clayton PT (2003) Mutations in SRD5B1 (AKR1D1), the gene encoding delta(4)-3-oxosteroid 5β-reductase, in hepatitis and liver failure in infancy. Gut 52:1494–1499

    Article  PubMed  CAS  Google Scholar 

  50. Li A, Tedde R, Krozowski ZS, Pala A, Li KX, Shackleton CH, Mantero F, Palermo M, Stewart PM (1998) Molecular basis for hypertension in the “type II variant” of apparent mineralocorticoid excess. Am J Hum Genet 63:370–379

    Article  PubMed  CAS  Google Scholar 

  51. Lifton RP, Dluhy RG, Powers M, Rich GM, Gutkin M, Fallo F, Gill JR Jr, Feld L, Ganguly A, Laidlaw JC, Murnaghan DJ, Kaufman C, Stockigt JR, Ulick S, Lalouel J (1992) Hereditary hypertension caused by chimaeric gene duplications and ectopic expression of aldosterone synthase. Nat Genet 2:66–74

    Article  PubMed  CAS  Google Scholar 

  52. Makin HLJ (ed) (1984) Biochemistry of Steroid Hormones, 2nd edn. Blackwell Scientific, Oxford, UK

    Google Scholar 

  53. Malunowicz EM, Mitkowska Z, Bal K, Nizankowska-Blaz T, Moszczynska E, Iwanicka Z, Romer TE (1997) Definitive diagnosis of enzymatic deficiencies of steroidogenesis in at-risk newborns and infants by urinary marker analysis using GC/MS-SIM. Horm Res 48:243–251

    PubMed  CAS  Google Scholar 

  54. Malunowicz EM, Romer TE, Urban M, Bossowski A (2003) 11-β-Hydroxysteroid dehydrogenase type 1 deficiency (‘Apparent Cortisone Reductase Deficiency’) in a 6-year-old boy. Horm Res 59:205–210

    Article  PubMed  CAS  Google Scholar 

  55. Marsden D, Larson CA (2004) Emerging role for tandem mass spectrometry in detecting congenital adrenal hyperplasia. Clin Chem 50:467–468

    Article  PubMed  CAS  Google Scholar 

  56. Marwah A, Marwah P, Lardy H (2001) Liquid chromatography-electrospray ionization mass spectrometric analysis of corticosterone in rat plasma using selected ion monitoring. J Chromatogr B 757:333–342

    Article  CAS  Google Scholar 

  57. Mendonca BB, Russell AJ, Vasconcelos-Leite M, Arnhold IJ, Bloise W, Wajchenberg BL, Nicolau W, Sutcliffe RG, Wallace AM (1994) Mutation in 3β-hydroxysteroid dehydrogenase type II associated with pseudohermaphroditism in males and premature pubarche or cryptic expression in females. J Mol Endocrinol 12:119–122

    PubMed  CAS  Google Scholar 

  58. Minutti CZ, Lacey JM, Magera MJ, Hahn, SH, McCann M, Schulze A, Cheillan D, Dorche C, Chace DH, Lymp JF, Zimmerman D, Rinaldo P, Matern D (2004) Steroid profiling by tandem mass spectrometry improves the positive predictive value of newborn screening for congenital adrenal hyperplasia. J Clin Endocrinol Metab 89:3687–3693

    Article  PubMed  CAS  Google Scholar 

  59. Monder C, Bradlow HL (1980) Cortoic acids: explorations at the frontier of corticosteroid metabolism. Recent Prog Horm Res 36:345–400

    PubMed  CAS  Google Scholar 

  60. Nelson RE, Grebe SK, O’Kane DJ, Singh RJ (2004) Liquid chromatography-tandem mass spectrometry assay for simultaneous measurement of estradiol and estrone in human plasma. Clin Chem 50:373–384

    Article  PubMed  CAS  Google Scholar 

  61. Nikkila H, Tannin GM, New MI, Taylor NF, Kalaitzoglou G, Monder C, White PC (1993) Defects in the HSD11 gene encoding 11β-hydroxysteroid dehydrogenase are not found in patients with apparent mineralocorticoid excess or 11-oxoreductase deficiency. J Clin Endocrinol Metab 77:687–691

    Article  PubMed  CAS  Google Scholar 

  62. Palermo M, Gomez-Sanchez C, Roitman E, Shackleton CH (1996) Quantitation of cortisol and related 3-oxo-4-ene steroids in urine using gas chromatography/mass spectrometry with stable isotope-labeled internal standards. Steroids 61:583–589

    Article  PubMed  CAS  Google Scholar 

  63. Palermo M, Marazzi MS, Hughes BA, Stewart PM, Shackleton CHL (2008) Human Δ 4-3-oxosteroid 5β-reductase (AKR1D1) deficiency and steroid metabolism. Steroids 2008; 73:417–23

    Article  CAS  Google Scholar 

  64. Palomaki GE, Bradley LA, Knight GJ, Craig WY, Haddow JE (2002) Assigning risk for Smith–Lemli–Opitz syndrome as part of 2nd trimester screening for Down’s syndrome J Med Screen 9:43–44

    Article  PubMed  CAS  Google Scholar 

  65. Peterson RE, Imperato-McGinley, J, Gautier T, Shackleton C (1985) Male pseudohermaphroditism due to multiple defects in steroid-biosynthetic microsomal mixed-function oxidases. A new variant of congenital adrenal hyperplasia. N Engl J Med 313:1182–1191

    PubMed  CAS  Google Scholar 

  66. Phillipov G, Palermo M, Shackleton CH (1996) Apparent cortisone reductase deficiency: a unique form of hypercortisolism. J Clin Endocrinol Metab 81:3855–3860

    Article  PubMed  CAS  Google Scholar 

  67. Pitt JJ (2007) High-throughput urine screening for Smith–Lemli–Opitz syndrome and cerebrotendinous xanthomatosis using negative electrospray tandem mass spectrometry. Clin Chim Acta 380:81–88

    Article  PubMed  CAS  Google Scholar 

  68. Plumb R, Castro-Perez J, Granger J, Beattie I, Joncour K, Wright A (2004) Ultra-performance liquid chromatography coupled to quadrupole-orthogonal time-of-flight mass spectrometry. Rapid Commun Mass Spectrom 18:2331–2337

    Article  PubMed  CAS  Google Scholar 

  69. Raffaelli A, Saba A, Vignali E, Marcocci C, Salvadori P (2006) Direct determination of the ratio of tetrahydrocortisol + allo-tetrahydrocortisol to tetrahydrocortisone in urine by LC-MS/MS. J Chromatogr B Analyt Technol Biomed Life Sci 830:278–285

    Article  PubMed  CAS  Google Scholar 

  70. Rauh M, Groschl M, Rascher W, Dorr HG (2006) Automated, fast and sensitive quantification of 17 alpha-hydroxy-progesterone, androstenedione and testosterone by tandem mass spectrometry with on-line extraction. Steroids 71:450–458

    Article  PubMed  CAS  Google Scholar 

  71. Reutens AT, Achermann JC, Ito M, Ito M, Gu W-X, Habiby RL, Donohoue PA, Pang S, Hindmarsh PC, Jameson JL (1999) Clinical and functional effects of mutations in the DAX-1 gene in patients with adrenal hypoplasia congenita. J Clin Endocrinol Metab 84:504–511

    Article  PubMed  CAS  Google Scholar 

  72. Rosenfield RL, Rich BH, Wolfsdorf JI, Cassorla F, Parks JS, Bongiovanni AM, Wu CH, Shackleton CH (1980) Pubertal presentation of congenital ∆5-3β-hydroxysteroid dehydrogenase deficiency. J Clin Endocrinol Metab 51:345–353

    PubMed  CAS  Google Scholar 

  73. Saenger P, Klonari Z, Black SM, Compagnone N, Mellon SH, Fleischer A, Abrams CAL, Shackleton CHL, Miller WL (1995) Prenatal diagnosis of congenital lipoid adrenal hyperplasia. J Clin Endocrinol Metab 80:200–205

    Article  PubMed  CAS  Google Scholar 

  74. Sanchez R, Rheaume E, Laflamme N, Rosenfield RL, Labrie F, Simard J (1994) Detection and functional characterization of the novel missense mutation Y254D in type II 3 β-hydroxysteroid dehydrogenase (3βHSD) gene of a female patient with non salt-losing 3βHSD deficiency. J Clin Endocrinol Metab 78:561–567

    Article  PubMed  CAS  Google Scholar 

  75. Shackleton CH (1976) Congenital adrenal hyperplasia caused by defect in steroid 21-hydroxylase. Establishment of definitive urinary steroid excretion pattern during first weeks of life. Clin Chim Acta 67:287–298

    Article  PubMed  CAS  Google Scholar 

  76. Shackleton CH (1986) Profiling steroid hormones and urinary steroids. J Chromatogr 379:91–156

    Article  PubMed  CAS  Google Scholar 

  77. Shackleton CH (1993) Mass spectrometry in the diagnosis of steroid–related disorders and in hypertension research. J Steroid Biochem Mol Biol 45:127–140

    Article  PubMed  CAS  Google Scholar 

  78. Shackleton C, Malunowicz E (2003) Apparent pregnene hydroxylation deficiency (APHD): seeking the parentage of an orphan metabolome. Steroids 68:707–717

    Article  PubMed  CAS  Google Scholar 

  79. Shackleton CH, Reid S (1989) Diagnosis of recessive X-linked ichthyosis: quantitative HPLC/mass spectrometric analysis of plasma for cholesterol sulfate. Clin Chem 35:1906–1910

    PubMed  CAS  Google Scholar 

  80. Shackleton CH, Honour JW, Taylor NF (1979a) Metabolism of fetal and neonatal adrenal steroids. J Steroid Biochem 11:523–529

    Article  CAS  Google Scholar 

  81. Shackleton CH, Swift PG, Savage DC, Honour JW (1979b) Deficient 3β-hydroxy-5-ene steroid secretion by newborn infants. J Clin Endocrinol Metab 49:247–251

    CAS  Google Scholar 

  82. Shackleton CH, Roitman E, Monder C, Bradlow HL (1980a) Gas chromatographic and mass spectrometric analysis of urinary acidic metabolites of cortisol. Steroids 36:289–298

    Article  CAS  Google Scholar 

  83. Shackleton CH, Honour JW, Dillon MJ, Chantler C, Jones RW (1980c) Hypertension in a four-year-old child: gas chromatographic and mass spectrometric evidence for deficient hepatic metabolism of steroids. J Clin Endocrinol Metab 50:786–802

    Article  CAS  Google Scholar 

  84. Shackleton CH, Taylor NF, Honour JW (1980b) An Atlas of Gas Chromatographic Profiles of Neutral Urinary Steroids in Health in Disease. Packard-Becker, Delft

    Google Scholar 

  85. Shackleton CH, Irias J, McDonald C, Imperato-McGinley J (1986) Late-onset 21-hydroxylase deficiency: reliable diagnosis by steroid analysis of random urine collections. Steroids 48:239–250

    Article  PubMed  CAS  Google Scholar 

  86. Shackleton CHL, Kletke C, Wudy S, Pratt JH (1990) Dehydroepiandrosterone sulfate quantification in serum using high-performance liquid chromatography/mass spectrometry and a deuterated internal standard: a technique suitable for routine use or as a reference method. Steroids 55:472–478

    Article  PubMed  CAS  Google Scholar 

  87. Shackleton CH, Chuang H, Kim J, de la Torre X, Segura J (1997) Electrospray mass spectrometry of testosterone esters: potential for use in doping control. Steroids 62:523–529

    Article  PubMed  CAS  Google Scholar 

  88. Shackleton CH, Roitman E, Kelley R (1999) Neonatal urinary steroids in Smith–Lemli–Opitz syndrome associated with 7-dehydrocholesterol reductase deficiency. Steroids 64:481–490

    Article  PubMed  CAS  Google Scholar 

  89. Shackleton CH, Roitman E, Kratz L, Kelley R (2001) Dehydro-oestriol and dehydropregnanetriol are candidate analytes for prenatal diagnosis of Smith–Lemli–Opitz syndrome. Prenat Diagn 21:207–212

    Article  PubMed  CAS  Google Scholar 

  90. Shackleton C, Roitman E, Guo LW, Wilson WK, Porter FD (2002) Identification of 7(8) and 8(9) unsaturated adrenal steroid metabolites produced by patients with 7-dehydrosterol-∆7-reductase deficiency (Smith–Lemli–Opitz syndrome). J Steroid Biochem Mol Biol 82:225–232

    Article  PubMed  CAS  Google Scholar 

  91. Shackleton C, Marcos J, Malunowicz E, Szarras-Czapnik M, Jira P, Taylor NF, Murphy N, Crushell E, Gottschalk M, Hauffa BP, Cragun DL, Hopkin RJ, Adachi M, Arlt W (2004a) Biochemical diagnosis of Antley-Bixler syndrome by steroid analysis. Am J Med Genet 128:223–231

    Article  Google Scholar 

  92. Shackleton C, Marcos J, Arlt W, Hauffa BP (2004b) Prenatal diagnosis of P450 oxidoreductase deficiency (ORD): a disorder causing low pregnancy estriol, maternal and fetal virilization, and the Antley-Bixler syndrome phenotype. Am J Med Genet A 129:105–112

    Article  Google Scholar 

  93. Shackleton CHL, Marcos J, Palomaki GE, Craig WY, Kelley RE , Kratz LE , Haddow JE (2007) Dehydrosteroid measurements in maternal urine or serum for the prenatal diagnosis of Smith–Lemli–Opitz syndrome (SLOS). Am J Med Genet A 143:2129–2136

    Google Scholar 

  94. Speiser PW (2004) Improving neonatal screening for congenital adrenal hyperplasia. J Clin Endocrinol Metab 89:3685–3686

    Article  PubMed  CAS  Google Scholar 

  95. Speiser PW, White PC (2003) Congenital adrenal hyperplasia. N Engl J Med 349:776–788

    Article  PubMed  CAS  Google Scholar 

  96. Starcevic B, DiStefano E, Wang C, Catlin DH (2003) Liquid chromatography-tandem mass spectrometry assay for human serum testosterone and trideuterated testosterone. J Chromatogr B 792:197–204

    Article  CAS  Google Scholar 

  97. Stewart PM, Murray BA, Mason JI (1994) Human kidney 11β-hydroxysteroid dehydrogenase is a high affinity nicotinamide adenine dinucleotide-dependent enzyme and differs from the cloned type I isoform. J Clin Endocrinol Metab 79:480–484

    Article  PubMed  CAS  Google Scholar 

  98. Taylor RL, Machacek D, Singh RJ (2002) Validation of a high-throughput liquid chromatography-tandem mass spectrometry method for urinary cortisol and cortisone. Clin Chem 48:1511–1519

    PubMed  CAS  Google Scholar 

  99. Turpeinen U, Stenman U-H (2003) Determination of urinary free cortisol by liquid chromatography-tandem mass spectrometry. Scand J Clin Lab Invest 63:143–150

    Article  PubMed  CAS  Google Scholar 

  100. Turpeinen U, Markkanen H, Sane T, Hamalainen E (2006) Determination of free tetrahydrocortisol and tetrahydrocortisone ratio in urine by liquid chromatography-tandem mass spectrometry. Scand J Clin Lab Invest 66:147–159

    Article  PubMed  CAS  Google Scholar 

  101. Ulick S, Levine LS, Gunczler P, Zanconato G, Ramirez LC, Rauh W, Rosler A, Bradlow HL, New MI (1979) A syndrome of apparent mineralocorticoid excess associated with defects in the peripheral metabolism of cortisol. J Clin Endocrinol Metab 49:757–764

    PubMed  CAS  Google Scholar 

  102. Wald NJ, Rodeck C, Hackshaw AK, Walters J, Chitty L, Mackinson AM (2003) First and second trimester antenatal screening for Down’s syndrome: the results of the Serum, Urine and Ultrasound Screening Study (SURUSS) J Med Screen 10:56–104

    Article  PubMed  CAS  Google Scholar 

  103. White PC (2001) Steroid 11β-hydroxylase deficiency and related disorders. Endocrinol Metab Clin North Am 30:61–79

    PubMed  CAS  Google Scholar 

  104. White PC (2004) Aldosterone synthase deficiency and related disorders. Mol Cell Endocrinol 217:81–87

    Article  PubMed  CAS  Google Scholar 

  105. Wong T, Shackleton CH, Covey TR, Ellis G (1992) Identification of the steroids in neonatal plasma that interfere with 17 α-hydroxyprogesterone radioimmunoassays. Clin Chem 38:1830–1837

    PubMed  CAS  Google Scholar 

  106. Yoshida T, Majors RE (2006) High-speed analyses using rapid resolution liquid chromatography on 1.8-micron porous particles. J Sep Sci 29:2421–2432

    Article  PubMed  CAS  Google Scholar 

  107. Zhao M, Baker SD, Yan X, Zhao Y, Wright WW, Zirkin BR, Jarow JP (2004) Simultaneous determination of steroid composition of human testicular fluid using liquid chromatography tandem mass spectrometry. Steroids 69:721–726

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Shackleton, C. (2008). Genetic Disorders of Steroid Metabolism Diagnosed by Mass Spectrometry. In: Blau, N., Duran, M., Gibson, K. (eds) Laboratory Guide to the Methods in Biochemical Genetics. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-76698-8_26

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-76698-8_26

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-76697-1

  • Online ISBN: 978-3-540-76698-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics