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Direct measurement of serum free testosterone by ultrafiltration followed by liquid chromatography tandem mass spectrometry
Abstract
Background Currently there is no reliable method suitable for routine measurement of serum free testosterone (FT). Aim To develop such a method involving liquid chromatography tandem mass spectrometry (LC-IDMS/MS) that directly detects and quantifies the FT present in serum. Methods Ultrafiltrate testosterone obtained from 0.5 mL of serum was partially purified by liquid/liquid extraction and quantified using an Agilent 1200 Series HPLC system coupled to an API 5000 mass spectrometer equipped with an atmospheric pressure chemical ionization ion source. Using split samples serum free testosterone was compared between direct ultrafiltration (UF) coupled LC-MS/MS, analogue FT immunoassay, free testosterone calculated from mass action equations (cFT) and with equilibrium dialysis (ED) coupled LC-MS/MS. Results Total imprecision determined over twenty runs was Conclusion We present a relatively simple UF coupled LC-MS/MS definitive method that measures serum free testosterone. The method is relatively fast, reliable and is suitable for the routine clinical laboratory practice.
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LC-MS/MS coupled ultrafiltration (UF) is a comparable alternative to ED and, when properly validated, can display equal performance to ED.
“Briefly, LC–MS/MS coupled ultrafiltration (UF) constitutes a comparable alternative to ED.”
From Role of sex hormone-binding globulin in the free hormone hypothesis and the relevance of free testosterone in androgen physiology (2022) · cites this paper as [201]
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Narinx, N., David, K., Walravens, J., Vermeersch, P., Claessens, F., Fiers, T., Lapauw, B., Antonio, L., & Vanderschueren, D. (2022) · Cellular and Molecular Life Sciences · doi:10.1007/s00018-022-04562-1 · Cited by 96
Metadata
- Authors
- Chen, Y., Yazdanpanah, M., Wang, X. Y., Hoffman, B. R., Diamandis, E. P., & Wong, P.-Y.
- Affiliations
- University of Toronto (CA)
- University Health Network (CA)
- Mount Sinai Hospital (CA)
- Corresponding author
- Wong, Pui-Yuen
- Venue
- Clinical Biochemistry
- Publisher
- Elsevier BV
- Published
- 2010-03
- Volume
- 43
- Issue
- 4-5
- Pages
- 490-496
- ISSN
- 0009-9120 (ISSN-L)
- OpenAlex
- W2035349952
- Cited by
- 43
- References
- 2
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 2 · 2023: 1 · 2022: 3 · 2021: 1 · 2019: 1 · 2018: 3 · 2017: 1 · 2016: 2 · 2015: 1 · 2014: 6 · 2013: 6 · 2012: 8
- FWCI
- 3.15
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Biochemistry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
- Health Sciences › Health Professions › Medical Laboratory Technology › Clinical Laboratory Practices and Quality Control
- Physical Sciences › Chemistry › Analytical Chemistry › Analytical Methods in Pharmaceuticals
- Keywords
- serum free testosterone, ultrafiltration, liquid chromatography-tandem mass spectrometry, equilibrium dialysis, immunoassay comparison, mass action equations, total testosterone
- MeSH terms
- Adult, Chromatography, Liquid, Humans, Male, Reference Standards, Testosterone, Ultrafiltration, Serum, Tandem Mass Spectrometry, Limit of Detection
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