Mass spectrometry in the diagnosis of steroid-related disorders and in hypertension research
Abstract
The use of GC/MS and microbore HPLC/electrospray mass spectrometry for clinical studies in hypertension and mineralocorticoid research is described. In particular, an automated GC/MS method allows nearly quantitative measurements of metabolites of major steroids of adrenal, placental and gonadal origin. This method is able to distinguish almost all steroid related disorders. Electrospray mass spectrometry in conjunction with microbore HPLC is the latest mass spectrometry technique applicable to biochemical investigations. It offers high sensitivity (15 pg) for measurement of intact steroid conjugates and related compounds.
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Currently, gas chromatography-mass spectrometry (GC-MS) is the preferred method for the analysis of urine steroids in research laboratories due to the unparalleled resolution offered by this technique.
“Currently, gas chromatography-mass spectrometry (GC-MS) is the preferred method for the analysis of urine steroids in research laboratories due to the unparalleled resolution offered by this technique [339,340].”
From Human steroid biosynthesis, metabolism and excretion are differentially reflected by serum and urine steroid metabolomes: a comprehensive review (2019) · cites this paper as [340]
Serum A4 and testosterone are increased in untreated or poorly controlled CYP11B1 deficiency, whereas 11-oxygenated androgens are characteristically absent, with low excretion of the 11OHA4 metabolite 11β-OHAn.
“Serum A4 and testosterone (T) are increased in untreated or poorly controlled individuals, whereas 11-oxygenated androgens are characteristically absent, with low excretion of the 11OHA4 metabolite 11β-OHAn (20, 52).”
From Steroid Metabolome Analysis in Disorders of Adrenal Steroid Biosynthesis and Metabolism (2019) · cites this paper as [52]
Cites
New developments in biochemical mass spectrometry: electrospray ionization.
Smith, R. D., Loo, J., Edmonds, C. G., Barinaga, C., & Udseth, H. (1990) · Analytical Chemistry · doi:10.1021/ac00208a002 · Cited by 975 · see citing works
Stewart, P., Valentino, R., Wallace, A. M., Burt, D., Shackleton, C., & Edwards, C. R. W. (1987) · The Lancet · doi:10.1016/s0140-6736(87)91014-2 · Cited by 798 · see citing works
Self-citationUlick, S., Kodama, T., GUNCZIER, P., Zanconato, G., Ramirez, L. C., Rauh, W., Rösler, A., Bradlow, H. L., & New, M. I. (1979) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-49-5-757 · Cited by 494 · see citing works
Licorice-Induced Hypermineralocorticoidism
Farese, R. V., Biglieri, E. G., Shackleton, C. H. L., Irony, I., & Gomez-Fontes, R. (1991) · New England Journal of Medicine · doi:10.1056/nejm199110243251706 · Cited by 293 · see citing works
Self-citationA LIQUORICE EXTRACT WITH DEOXYCORTONE-LIKE ACTION
Molhuysen, J. A., Gerbrandy, J., Vries, L. A. D., et al. (1950) · The Lancet · doi:10.1016/s0140-6736(50)91341-9 · Cited by 179 · see citing works
Irony, I., Kater, C. E., Biglieri, E. G., & Shackleton, C. H. L. (1990) · American Journal of Hypertension · doi:10.1093/ajh/3.7.576 · Cited by 161 · see citing works
Self-citationWong, T., Shackleton, C. H., Covey, T. R., & Ellis, G. (1992) · Clinical Chemistry · doi:10.1093/clinchem/38.9.1830 · Cited by 159 · see citing works
Self-citationChu, M. D., & Ulick, S. (1982) · Journal of Biological Chemistry · doi:10.1016/s0021-9258(18)34909-3 · Cited by 121 · see citing works
The Influence of Glycyrrhetinic Acid on Plasma Cortisol and Cortisone in Healthy Young Volunteers
MacKenzie, M. A., Hoefnagels, W. H. L., Jansen, R. W. M. M., Benraad, T. J., & KLOPPENBORG, P. W. C. (1990) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-70-6-1637 · Cited by 121 · see citing works
COCAINE AND MORPHINE WITHDRAWAL
Clarke, M. (1989) · The Lancet · doi:10.1016/s0140-6736(89)90554-0 · Cited by 107 · see citing works
Weidolf, L. O. G., Lee, E. D., & Henion, J. D. (1988) · Journal of Mass Spectrometry · doi:10.1002/bms.1200150508 · Cited by 100 · see citing works
Mass spectrometry of biological materials
Sellier, N. M. (1990) · Biochimie · doi:10.1016/0300-9084(90)90102-m · Cited by 92 · see citing works
Sjövall, J., & Vihko, R. (1966) · Steroids · doi:10.1016/0039-128x(66)90072-9 · Cited by 87 · see citing works
Dexamethasone-Suppressible Hyperaldosteronism
New, M. I., Siegal, E. J., & Peterson, R. E. (1973) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-37-1-93 · Cited by 84 · see citing works
Pathogenesis of the Type 2 Variant of the Syndrome of Apparent Mineralocorticoid Excess*
Ulick, S., Tedde, R., & Mantero, F. (1990) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-70-1-200 · Cited by 82 · see citing works
Gas Phase Chromatography of Steroids.
(1969) · Annals of Internal Medicine · doi:10.7326/0003-4819-70-5-1054_1 · Cited by 82 · see citing works
A new defect in the peripheral conversion of cortisone to cortisol
Phillipou, G., & Higgins, B. (1985) · Journal of Steroid Biochemistry · doi:10.1016/0022-4731(85)90451-0 · Cited by 79 · see citing works
Steroid profile for urine: reference values.
Weykamp, C. W., Penders, T. J., Schmidt, N., Borburgh, A. J., van de Calseyde, J. F., & Wolthers, B. J. (1989) · Clinical Chemistry · doi:10.1093/clinchem/35.12.2281 · Cited by 70 · see citing works
Mass Spectrometry: Application to Steroid and Peptide Research*
Shackleton, C. H. L., & Chai, W. (1985) · Endocrine Reviews · doi:10.1210/edrv-6-3-441 · Cited by 66 · see citing works
Self-citationShackleton, C. H. L., Honour, J. W., Dillon, M. J., CHANTLER, C., & Jones, R. W. A. (1980) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-50-4-786 · Cited by 66 · see citing works
Self-citationMELBY, J. C. (1989) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-69-4-697 · Cited by 66 · see citing works
Shackleton, C. H. L., Kletke, C., Wudy, S. A., & Pratt, J. H. (1990) · Steroids · doi:10.1016/0039-128x(90)90016-5 · Cited by 54 · see citing works
Self-citationThermospray HPLC/MS: A new mass spectrometric technique for the profiling of steroids
Liberato, D. J., Yergey, A. L., Esteban, N. V., Gómez-Sánchez, C. E., & Shackleton, C. H. L. (1987) · Journal of Steroid Biochemistry · doi:10.1016/0022-4731(87)90295-0 · Cited by 49 · see citing works
Self-citationPathophysiology of Deoxycorticosterone-Secreting Adrenal Tumors*
Irony, I., Biglieri, E. G., Perloff, D. L., & Rubinoff, H. (1987) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-65-5-836 · Cited by 44 · see citing works
Gas Phase Analytical Methods for the Study of Steroid Hormones and their Metabolites
Horning, E. C. (1968) · Monographs on endocrinology · doi:10.1007/978-3-662-35229-8_1 · Cited by 41 · see citing works
Esteban, N. V., Yergey, A. L., Liberato, D. J., LOUGHLIN, T., & Loriaux, D. L. (1988) · Journal of Mass Spectrometry · doi:10.1002/bms.1200151105 · Cited by 39 · see citing works
Street, J. M., Trafford, D. J. H., & Makin, H. L. J. (1985) · Journal of Chromatography B Biomedical Sciences and Applications · doi:10.1016/s0378-4347(00)84596-x · Cited by 36 · see citing works
Inborn errors of steroid biosynthesis: detection by a new mass-spectrometric method.
Shackleton, C. H. L. (1983) · Clinical Chemistry · doi:10.1093/clinchem/29.2.246 · Cited by 36 · see citing works
Self-citationCorticosteroids and peptide hormones in hypertension
Mantero, F., & Vecsei, P. (1987) · Raven Press eBooks · Cited by 33 · see citing works
Shackleton, C. H. L., Mattox, V. R., & Honour, J. W. (1983) · PubMed · Cited by 29 · see citing works
Self-citationHauffa, B. P., Sólyom, J., Gláz, E., Shackleton, C. H. L., Wambach, G. K., Vecsei, P., Stolecke, H., & Homoki, J. (1991) · European Journal of Pediatrics · doi:10.1007/bf01963554 · Cited by 28 · see citing works
Self-citationShackleton, C. H. L., & Reid, S. J. (1989) · Clinical Chemistry · doi:10.1093/clinchem/35.9.1906 · Cited by 28 · see citing works
Self-citationShackleton, C. H. L., Mattox, V. R., & Honour, J. W. (1983) · Journal of Steroid Biochemistry · doi:10.1016/s0022-4731(83)80027-2 · Cited by 28 · see citing works
Self-citationUlick, S., Chan, C. K., & Wang, J. Z. (1991) · The Journal of Steroid Biochemistry and Molecular Biology · doi:10.1016/0960-0760(91)90401-p · Cited by 23 · see citing works
Shackleton, C. H. L., IRIAS, J. J., McDonald, C., & Imperato‐McGinley, J. (1986) · Steroids · doi:10.1016/0039-128x(86)90007-3 · Cited by 10 · see citing works
Self-citation
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11β-Hydroxysteroid dehydrogenase type 1: a tissue specific regulator of glucocorticoid response
Tomlinson, J. W., Walker, E. A., Bujalska, I. J., Draper, N., Lavery, G. G., Cooper, M. S., Hewison, M., & Stewart, P. M. (2004) · Endocrine Reviews · doi:10.1210/er.2003-0031 · Cited by 969 · see citing works
Schiffer, L., Barnard, L., Baranowski, E. S., Gilligan, L. C., Taylor, A. E., Arlt, W., Shackleton, C. H. L., & Storbeck, K.-H. (2019) · The Journal of Steroid Biochemistry and Molecular Biology · doi:10.1016/j.jsbmb.2019.105439 · Cited by 450 · see citing works
“tories due to the unparalleled resolution offered by this technique [339,340].”
Self-citationArlt, W., Walker, E. A., Draper, N., Ivison, H. E., Ride, J. P., Hammer, F., Chalder, S. M., Borucka-Mankiewicz, M., Hauffa, B. P., Malunowicz, E. M., et al. (2004) · The Lancet · doi:10.1016/s0140-6736(04)16503-3 · Cited by 345 · see citing works
Self-citationA novel form of human mendelian hypertension featuring nonglucocorticoid-remediable aldosteronism
Geller, D. S., Zhang, J., Wisgerhof, M. V., Shackleton, C., Kashgarian, M., & Lifton, R. P. (2008) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2008-0594 · Cited by 296 · see citing works
Self-citationWudy, S. A., Schuler, G., Sánchez-Guijo, A., & Hartmann, M. F. (2018) · The Journal of Steroid Biochemistry and Molecular Biology · doi:10.1016/j.jsbmb.2017.09.003 · Cited by 236 · see citing works
Lavery, G. G., Walker, E. A., Draper, N., Jeyasuria, P., Marcos, J., Shackleton, C. H. L., Parker, K. L., White, P. C., & Stewart, P. M. (2006) · Journal of Biological Chemistry · doi:10.1074/jbc.m512635200 · Cited by 207 · see citing works
Self-citationUrinary markers of adrenarche: reference values in healthy subjects, aged 3–18 years
Remer, T., Boye, K. R., Hartmann, M. F., & Wudy, S. A. (2005) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2004-1571 · Cited by 193 · see citing works
Kamrath, C., Hochberg, Z., Hartmann, M. F., Remer, T., & Wudy, S. A. (2012) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2011-1997 · Cited by 191 · see citing works
Rauh, M., Gröschl, M., Rascher, W., & Dörr, H. G. (2006) · Steroids · doi:10.1016/j.steroids.2006.01.015 · Cited by 170 · see citing works
Fassnacht, M., Schlenz, N., Schneider, S. B., Wudy, S. A., Allolio, B., & Arlt, W. (2003) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2002-021875 · Cited by 158 · see citing works
Steroid Metabolome Analysis in Disorders of Adrenal Steroid Biosynthesis and Metabolism
Storbeck, K.-H., Schiffer, L., Baranowski, E. S., Chortis, V., Prete, A., Barnard, L., Gilligan, L. C., Taylor, A. E., Idkowiak, J., Arlt, W., et al. (2019) · Endocrine Reviews · doi:10.1210/er.2018-00262 · Cited by 141 · see citing works
Self-citationA Switch in Hepatic Cortisol Metabolism across the Spectrum of Non Alcoholic Fatty Liver Disease
Ahmed, A., Rabbitt, E., Brady, T., Brown, C., Guest, P., Bujalska, I. J., Doig, C., Newsome, P. N., Hubscher, S., Elias, E., et al. (2012) · PLoS ONE · doi:10.1371/journal.pone.0029531 · Cited by 115 · see citing works
Caulfield, M. P., Lynn, T., Gottschalk, M. E., Jones, K. L., Taylor, N. F., Malunowicz, E. M., Shackleton, C. H. L., Reitz, R. E., & Fisher, D. A. (2002) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.87.8.8712 · Cited by 120 · see citing works
Self-citationShackleton, C., Marcos, J., Arlt, W., & Hauffa, B. P. (2004) · American Journal of Medical Genetics Part A · doi:10.1002/ajmg.a.30171 · Cited by 104 · see citing works
Self-citationWudy, S. A., Hartmann, M. F., & Remer, T. (2007) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.00495.2006 · Cited by 101 · see citing works
Lavery, G. G., Walker, E. A., Tiganescu, A., Ride, J. P., Shackleton, C. H. L., Tomlinson, J. W., Connell, J. M. C., Ray, D. W., Biason-Lauber, A., Malunowicz, E. M., et al. (2008) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2008-0743 · Cited by 95 · see citing works
Self-citationMissaghian, E., Kempná, P., Dick, B., Hirsch, A., Alikhani-Koupaei, R., Jégou, B., Mullis, P. E., Frey, B. M., & Flück, C. E. (2009) · Journal of Endocrinology · doi:10.1677/joe-08-0353 · Cited by 91 · see citing works
Differential Inhibition of CYP17A1 and CYP21A2 Activities by the P450 Oxidoreductase Mutant A287P
Dhir, V., Ivison, H. E., Krone, N., Shackleton, C. H. L., Doherty, A. J., Stewart, P. M., & Arlt, W. (2007) · Molecular Endocrinology · doi:10.1210/me.2007-0066 · Cited by 78 · see citing works
Self-citationMarcos, J., Renau, N., Casals, G., Segura, J., Ventura, R., & Pozo, O. J. (2014) · Analytica Chimica Acta · doi:10.1016/j.aca.2013.12.030 · Cited by 76 · see citing works
Shackleton, C., Pozo, O. J., & Marcos, J. (2018) · Journal of the Endocrine Society · doi:10.1210/js.2018-00135 · Cited by 75 · see citing works
Self-citationPalermo, M., Gomez-Sanchez, C., Roitman, E., & Shackleton, C. H. L. (1996) · Steroids · doi:10.1016/s0039-128x(96)00118-9 · Cited by 70 · see citing works
Lawson, A. J., Walker, E. A., Lavery, G. G., Bujalska, I. J., Hughes, B., Arlt, W., Stewart, P. M., & Ride, J. P. (2011) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1014934108 · Cited by 61 · see citing works
Human Δ4-3-oxosteroid 5β-reductase (AKR1D1) deficiency and steroid metabolism
Palermo, M., Marazzi, M. G., Hughes, B. A., Stewart, P. M., Clayton, P. T., & Shackleton, C. H. L. (2008) · Steroids · doi:10.1016/j.steroids.2007.12.001 · Cited by 55 · see citing works
Self-citationShackleton, C. (1999) · Steroids · doi:10.1016/s0039-128x(99)00022-7 · Cited by 48 · see citing works
Self-citationWhite, P. C. (2005) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2005-0942 · Cited by 47 · see citing works
Shackleton, C. H. L., Neres, M. S., Hughes, B. A., Stewart, P. M., & Kater, C. E. (2008) · Steroids · doi:10.1016/j.steroids.2008.02.001 · Cited by 39 · see citing works
Self-citationReduced 11β-hydroxysteroid dehydrogenase type 1 activity in obese boys
Wiegand, S., Richardt, A., Remer, T., Wudy, S. A., Tomlinson, J. W., Hughes, B., Grüters, A., Stewart, P. M., Strasburger, C. J., & Quinkler, M. (2007) · European Journal of Endocrinology · doi:10.1530/eje-07-0193 · Cited by 37 · see citing works
The Urinary Steroidome of Treated Children With Classic 21-Hydroxylase Deficiency
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Crowley, R. K., Hughes, B., Gray, J., McCarthy, T., Hughes, S., Shackleton, C. H. L., Crabtree, N., Nightingale, P., Stewart, P. M., & Tomlinson, J. W. (2014) · European Journal of Endocrinology · doi:10.1530/eje-14-0256 · Cited by 26 · see citing works
Self-citationKornel, L., Patel, S. K., Ezzeraimi, E., & Shackleton, C. H. L. (1995) · Steroids · doi:10.1016/0039-128x(95)00141-c · Cited by 3 · see citing works
Self-citation
- Authors
- Shackleton, C. H. L.
- Corresponding author
- Shackleton, Cedric H.L.
- Venue
- The Journal of Steroid Biochemistry and Molecular Biology
- Publisher
- Elsevier BV
- Published
- 1993-04
- Volume
- 45
- Issue
- 1-3
- Pages
- 127-140
- ISSN
- 0960-0760 (ISSN-L)
- OpenAlex
- W2027863180
- Cited by
- 247
- References
- 35
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2 · 2023: 9 · 2022: 3 · 2020: 6 · 2019: 5 · 2018: 4 · 2017: 8 · 2016: 6 · 2015: 10 · 2014: 7 · 2013: 10 · 2012: 7
- FWCI
- 3.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Steroid Biochemistry and Molecular Biology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01dk034400-10, 1s10rr006505-01)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK-34400)
- National Center for Research Resources (RR06505)
- Topics
- Physical Sciences › Chemistry › Spectroscopy › Mass Spectrometry Techniques and Applications
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal Regulation and Hypertension
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolomics and Mass Spectrometry Studies
- Keywords
- hypertension, mineralocorticoids, steroid metabolites, adrenal steroids, placental steroids, sex steroids, gas chromatography-mass spectrometry, steroid conjugates
- MeSH terms
- Adolescent, Adrenal Gland Neoplasms, Adrenal Hyperplasia, Congenital, Adult, Carbohydrate Sequence, Child, Child, Preschool, Chromatography, High Pressure Liquid, Female, Glucocorticoids, Glycyrrhiza, Humans, Hyperaldosteronism, Hypertension, Infant, Male, Gas Chromatography-Mass Spectrometry, Middle Aged, Mineralocorticoids, Molecular Sequence Data, Plants, Medicinal, Pseudohypoaldosteronism, Reference Values, Steroids
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