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Quantitation of 25-OH-Vitamin-D2 and 25-OH-Vitamin-D3 in Urine Using LC-MS/MS

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Clinical Applications of Mass Spectrometry in Biomolecular Analysis

Part of the book series: Methods in Molecular Biology ((MIMB,volume 1378))

Abstract

Patients with significant proteinuria represent a unique population with respect to vitamin D status due to the urinary losses of vitamin D-binding protein (DBP) to which >99 % of circulating 25-hydroxy vitamin D (25(OH)D) is bound. Low serum concentrations of 25(OH)D have been found in children and adults with nephrotic syndrome (NS). However, previously described assays developed to quantify the magnitude of urinary loss are technically challenging. This chapter describes a simple and sensitive method to quantify 25(OH)D2 and 25(OH)D3 in urine specimens in a single analytical LC-MS/MS analysis. This assay is more sensitive than previously described radioimmunoassays and offers the ability to quantitate both forms of 25-hydroxy vitamin D. The assay involves no chemical derivitization, has a linear measurement range of 20–1500 pg/mL and displays imprecision (CVs) below 7 % at various concentrations across the analytical measurement range.

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References

  1. Grober U, Spitz J, Reichrath J, Kisters K, Holick MF (2013) Vitamin D: update 2013: from rickets prophylaxis to general preventive healthcare. Dermatoendocrinol 5:331–347

    Article  PubMed Central  PubMed  Google Scholar 

  2. Alborzi P, Patel NA, Peterson C, Bills JE, Bekele DM, Bunaye Z, Light RP, Agarwal R (2008) Paricalcitol reduces albuminuria and inflammation in chronic kidney disease: a randomized double-blind pilot trial. Hypertension 52:249–255

    Article  CAS  PubMed  Google Scholar 

  3. Kuhlmann A, Haas CS, Gross ML, Reulbach U, Holzinger M, Schwarz U, Ritz E, Amann K (2004) 1,25-Dihydroxyvitamin D3 decreases podocyte loss and podocyte hypertrophy in the subtotally nephrectomized rat. Am J Physiol Renal Physiol 286:F526–F533

    Article  CAS  PubMed  Google Scholar 

  4. White P, Cooke N (2000) The multifunctional properties and characteristics of vitamin D-binding protein. Trends Endocrinol Metab 11:320–327

    Article  CAS  PubMed  Google Scholar 

  5. Nykjaer A, Dragun D, Walther D, Vorum H, Jacobsen C, Herz J, Melsen F, Christensen EI, Willnow TE (1999) An endocytic pathway essential for renal uptake and activation of the steroid 25-(OH) vitamin D3. Cell 96:507–515

    Article  CAS  PubMed  Google Scholar 

  6. Leheste JR, Melsen F, Wellner M, Jansen P, Schlichting U, Renner-Muller I, Andreassen TT, Wolf E, Bachmann S, Nykjaer A, Willnow TE (2003) Hypocalcemia and osteopathy in mice with kidney-specific megalin gene defect. FASEB J 17:247–249

    CAS  PubMed  Google Scholar 

  7. Safadi FF, Thornton P, Magiera H, Hollis BW, Gentile M, Haddad JG, Liebhaber SA, Cooke NE (1999) Osteopathy and resistance to vitamin D toxicity in mice null for vitamin D binding protein. J Clin Invest 103:239–251

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  8. Koenig KG, Lindberg JS, Zerwekh JE, Padalino PK, Cushner HM, Copley JB (1992) Free and total 1,25-dihydroxyvitamin D levels in subjects with renal disease. Kidney Int 41:161–165

    Article  CAS  PubMed  Google Scholar 

  9. Auwerx J, De Keyser L, Bouillon R, De Moor P (1986) Decreased free 1,25-dihydroxycholecalciferol index in patients with the nephrotic syndrome. Nephron 42:231–235

    Article  CAS  PubMed  Google Scholar 

  10. Goldstein DA, Haldimann B, Sherman D, Norman AW, Massry SG (1981) Vitamin D metabolites and calcium metabolism in patients with nephrotic syndrome and normal renal function. J Clin Endocrinol Metab 52:116–121

    Article  CAS  PubMed  Google Scholar 

  11. Barragry JM, France MW, Carter ND, Auton JA, Beer M, Boucher BJ, Cohen RD (1977) Vitamin-D metabolism in nephrotic syndrome. Lancet 2:629–632

    Article  CAS  PubMed  Google Scholar 

  12. Grymonprez A, Proesmans W, Van Dyck M, Jans I, Goos G, Bouillon R (1995) Vitamin D metabolites in childhood nephrotic syndrome. Pediatr Nephrol 9:278–281

    Article  CAS  PubMed  Google Scholar 

  13. Freundlich M, Bourgoignie JJ, Zilleruelo G, Abitbol C, Canterbury JM, Strauss J (1986) Calcium and vitamin D metabolism in children with nephrotic syndrome. J Pediatr 108:383–387

    Article  CAS  PubMed  Google Scholar 

  14. Sato KA, Gray RW, Lemann J Jr (1982) Urinary excretion of 25-hydroxyvitamin D in health and the nephrotic syndrome. J Lab Clin Med 99:325–330

    CAS  PubMed  Google Scholar 

  15. Tessitore N, Bonucci E, D’Angelo A, Lund B, Corgnati A, Valvo E, Lupo A, Loschiavo C, Fabris A et al (1984) Bone histology and calcium metabolism in patients with nephrotic syndrome and normal or reduced renal function. Nephron 37:153–159

    Article  CAS  PubMed  Google Scholar 

  16. Mittal SK, Dash SC, Tiwari SC, Agarwal SK, Saxena S, Fishbane S (1999) Bone histology in patients with nephrotic syndrome and normal renal function. Kidney Int 55:1912–1919

    Article  CAS  PubMed  Google Scholar 

  17. Thierry-Palmer M, Henderson VM, Hammali RE, Cephas S, Palacios C, Martin BR, Weaver CM (2008) Black and white female adolescents lose vitamin D metabolites into urine. Am J Med Sci 335:278–283

    Article  PubMed  Google Scholar 

  18. Carlow DC, Zhang Y, Leonard MB, Denburg M (2013) Analysis of 25-hydroxyvitamin D3 and 25-hydroxyvitamin D2 in urine using liquid chromatography with tandem mass spectrometry. Arch Pathol Lab Med 137:1519

    Google Scholar 

  19. Denburg M, deBoer IH, Carlow D, York A, Chun R, Hewison M, Leonard MB (2012) New insights into vitamin D-related mineral metabolism in nephrotic syndrome. J Am Soc Nephrol 23:316A

    Google Scholar 

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Correspondence to Dean C. Carlow M.D., Ph.D. .

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Carlow, D.C., Schofield, R.C., Denburg, M. (2016). Quantitation of 25-OH-Vitamin-D2 and 25-OH-Vitamin-D3 in Urine Using LC-MS/MS. In: Garg, U. (eds) Clinical Applications of Mass Spectrometry in Biomolecular Analysis. Methods in Molecular Biology, vol 1378. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-3182-8_33

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  • DOI: https://doi.org/10.1007/978-1-4939-3182-8_33

  • Publisher Name: Humana Press, New York, NY

  • Print ISBN: 978-1-4939-3181-1

  • Online ISBN: 978-1-4939-3182-8

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