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Updated: Aug 22, 2025

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Published on: April 23, 2019
Sample multiplexing for increasing throughput for quantification of estrogens in serum by LC-MS/MS
1Key Clinical Laboratory of Henan Province, Department of Clinical Laboratory, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, China. yuantf0717@whu.edu.cn.
A new liquid chromatography-tandem mass spectrometry (LC-MS/MS) method enables rapid, simultaneous quantification of serum estrogens (estrone, estradiol, estriol) in a single run, doubling assay throughput for improved disease diagnosis.
Area of Science:
- Biochemistry
- Analytical Chemistry
- Clinical Diagnostics
Background:
- Estrogens play crucial roles in numerous physiological processes.
- Accurate and rapid estrogen quantification is vital for diagnosing and managing estrogen-related diseases.
- High-volume assay methods are needed to meet clinical demands.
Purpose of the Study:
- To develop and validate a sample-multiplexing liquid chromatography-tandem mass spectrometry (LC-MS/MS) method for simultaneous quantification of serum estrogens.
- To enhance assay throughput for estrone (E1), estradiol (E2), and estriol (E3).
Main Methods:
- Developed a sample-multiplexing LC-MS/MS method using 100 μL serum samples.
- Employed ethyl acetate extraction, dansyl chloride or pyridine-3-sulfonyl chloride derivatization, and a second liquid-liquid extraction with hexane.
- Validated the method according to FDA and CLSI guidelines.
Main Results:
- The method achieved simultaneous analysis of E1, E2, and E3 in 2 serum samples within a 7-minute run.
- Demonstrated excellent analytical performance: accuracy (87.7-110.3%), linearity (R² > 0.99), and precision (CVs 1.7-9.4%).
- Showed negligible interference, carry-over, and acceptable matrix effects.
Conclusions:
- The developed sample-multiplexing LC-MS/MS method significantly increases assay throughput for serum estrogens.
- This method provides accurate and reliable quantification of E1, E2, and E3 without compromising analytical performance.
- Offers a valuable tool for high-volume estrogen analysis in clinical diagnostics.
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