Cited by 41Advanced Proteomics Techniques and ApplicationsMass Spectrometry Techniques and ApplicationsClinical Laboratory Practices and Quality Control

Simultaneous Phenotyping and Quantification of α-1-Antitrypsin by Liquid Chromatography–Tandem Mass Spectrometry

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Chen, Yuhong, Snyder, Melissa R, Zhu, Yi, Tostrud, Linda J, Benson, Linda M, Katzmann, Jerry A, Bergen, H Robert·2011·Clinical Chemistry

Abstract

BACKGROUND: α-1-Antitrypsin (A1AT) deficiency results from a genetic disorder at 2 common loci. Diagnosis requires quantification of A1AT and subsequent identification of the specific variant. The current algorithm of laboratory testing for the diagnosis of A1AT deficiency uses a combination of quantification (nephelometry), genotyping, and/or phenotyping. We developed a multiple reaction monitoring liquid chromatography–tandem mass spectrometry (LC-MS/MS) method for simultaneous quantification of A1AT and identification of the 2 most common deficiency alleles present in 95% of the patients with A1AT deficiency. METHODS: Serum samples (n = 40) were digested with trypsin, and appropriate 13C/15N-labeled standard peptides were added. We performed LC-MS/MS analysis with a 0.5- by 150-mm C18 column and H2O:acetonitrile:n-propanol:formic acid (A:98:1:1:0.2 and B:10:80:10:0.2; flow 12 μL/min) mobile phase in positive ion mode on a TSQ Quantum triple quadrupole MS system. We measured the A1AT concentration by comparison to a calibration curve and determined the phenotype by the presence or absence of variant peptides. We compared the results to the current phenotyping assay by isoelectric focusing (IEF) and the immunonephelometry quantitative assay. RESULTS: For A1AT allele detection, in 39 of 40 samples the LC-MS/MS results were identical to those obtained by IEF gel electrophoresis. The single discrepant result was rerun by IEF at a lower dilution, and the results were in concordance. The A1AT quantification by LC-MS/MS also compared favorably with nephelometry. CONCLUSIONS: The LC-MS/MS method correlates well with current phenotyping and nephelometric assays and has the potential to improve the laboratory diagnosis of genetic A1AT deficiency.

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Crossref · 10.1373/clinchem.2011.163006

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  • LC-MS/MS is suitable for highly multiplexed protein quantification and isoform differentiation, including apolipoproteins.

    “LC-MS/MS has proven suitable for multiplexed quantification and phenotyping of apolipoproteins.”

    From Automated multiplex LC-MS/MS assay for quantifying serum apolipoproteins A-I, B, C-I, C-II, C-III, and E with qualitative apolipoprotein E phenotyping (2016) · cites this paper as [12]

    The Discussion describes a multiplexed LC-MS/MS assay that simultaneously quantifies and phenotypes α-1-antitrypsin by detecting its S and Z variants. It does not demonstrate highly multiplexed quantification of multiple proteins or phenotyping of apolipoproteins. (LLM, conf=0.88)

    Experimental — accuracy not yet measured

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Authors
Chen, Y., Snyder, M. R., Zhu, Y., Tostrud, L. J., Benson, L. M., Katzmann, J. A., & Bergen, H. R.
Affiliations
  • Division of Clinical Pharmacology, Department of Molecular and Experimental Therapeutics
  • Division of Clinical Biochemistry & Immunology, Department of Laboratory Medicine & Pathology
  • Mayo Proteomics Research Center, and
  • Mayo Clinic (US)
Venue
Clinical Chemistry
Published
2011-08-01
Volume
57
Issue
8
Pages
1161-1168
ISSN
  • 0009-9147 (ISSN-L)
  • 1530-8561
OpenAlex
W2169213915
Cited by
41
References
1
Citations by year
2025: 1 · 2023: 1 · 2022: 1 · 2021: 2 · 2020: 4 · 2019: 3 · 2018: 3 · 2017: 4 · 2016: 7 · 2015: 4 · 2014: 3 · 2013: 4 · 2012: 3
FWCI
1.51
Type
journal article
Language
en
Open access
Locations
  • Clinical Chemistry (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • NIH (T32 GM08685)
  • Arlene Kogod Center on Aging
  • Noaber Foundation
  • Ted Nash Foundation
  • Mayo Clinic Research Committee
  • David Woods Kemper Memorial Foundation
Topics
  • Physical Sciences › Chemistry › Spectroscopy › Advanced Proteomics Techniques and Applications
  • Physical Sciences › Chemistry › Spectroscopy › Mass Spectrometry Techniques and Applications
  • Health Sciences › Medicine › Physiology › Clinical Laboratory Practices and Quality Control
Keywords
alpha-1 antitrypsin deficiency, multiple reaction monitoring, isoelectric focusing, nephelometry, genetic variant identification, trypsin digestion
MeSH terms
Alleles, alpha 1-Antitrypsin, Chromatography, Liquid, Heterozygote, Homozygote, Humans, Immunoassay, Isoelectric Focusing, Nephelometry and Turbidimetry, Phenotype, alpha 1-Antitrypsin Deficiency, Tandem Mass Spectrometry

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