3 A Fast and Robust HPLC Separation of Bile Acids, and their Conjugates, with Ascentis® Express C18 Clare Glicksman1, Michael Wright2, Dave Bell3 and Anders Fridström3 1 Biochemistry department, King’s College Hospital, London, UK 2 Biochemistry department, Cambridge University Hospital Trust, Cambridge, UK 3 Supelco®, Sigma-Aldrich Introduction Bile acids are increasingly recognised as playing an important signalling role in the control of immune response and energy metabolism. Recently, there has been interest in measuring bile acid concentrations in plasma and their impact on hormone concentrations, for example as affected by bariatric surgery (Figure 1). Primary bile acids are synthesised in the liver from cholesterol. The majority are conjugated, increasing hydrophilicity, with either glycine or taurine. They are stored in the gall bladder and released into the small intestine on food consumption. Bacteria in the gut can convert primary bile acids to secondary bile acids which are then reabsorbed and taken back to the liver as part of enterohepatic circulation. Here secondary bile acids can also be glycine or taurine conjugated. Spillover from this system results in bile acids in the peripheral circulation. There are potentially 15 species which can be measured in a peripheral plasma sample (Figure 2). Methodology The quantitation of plasma bile acids by tandem mass spectrometry MS/MS presents an analytical challenge. When employing collisioninduced dissociation, bile acids will either form no useful fragments for quantitation (unconjugated), or produce a charged fragment originating from a conjugation group (conjugated taurine and glycine salts). Figure 1. Roux-en-Y gastric bypass and gastric banding are two possible options for reducing dietary food intake. Both procedures create a small pouch at the start of the stomach by either restricting the stomach with a gastric band or by surgically creating a separate pouch from the stomach and then attaching it to the remainder of the GI tract. Pouch Small Stomach Pouch Roux-en-Y Gastric Bypass Bypassed Portion of the Stomach Duodenum Gastric Band Long Roux-Limb Larger Stomach Portion Port Colon Common Limb As three of the bile acids have the same molecular weight and elemental composition, they cannot be differentiated by MS/MS alone and require chromatographic separation of the group in both their unconjugated and conjugated forms. To enable separation, several orthogonal HPLC stationary phases were screened for selectivity. The best separation was achieved with an Ascentis® Express C18 analytical column (150 x 4.6 mm, 2.7 µm), based on Fused-Core® technology. Figure 2. Structural overview of bile acids and conjugated salts with corresponding m/z values Primary Cholic acid (CA) Primary Chenodeoxycholic acid (CDC) Secondary Deoxycholic acid (DC) Secondary Lithocholic acid (LC) Secondary Ursodexoycholic acid (UDC) Bile Acid(s) m/z transition DC, CDC, UDC 391.2/391.2 CA407.1/407.1 LC375.2/375.2 GDC, GCDC, GUDC 448.2/74.1 GCA464.2/74.1 GLC432.1/74.1 TDC, TCDC, TUDC 498.2/80.0 TCA514.0/80.0 TLC482.2/80.0 d4-DC395.2/395.2 d4-GDC452.1/74.1 d4-TDC502.2/80.0 R1R2R3 OH OH OH OH OH H OH H OH OH H H OH OH H Unconjugated Tauro (T) Glyco (G) X =OH X = NHCH2CH2SO3H X = NHCH2COOH O R3 X 12 3 R1 7 R2 (continued on page 4) sigma-aldrich.com/express HPLC/LC Helping to Elucidate the Role of Plasma Bile Acid Signalling in Humans 4 Figure 3. A typical chromatogram showing all analytes and internal standards with full resolution of all derivatives with similar m/z values 1.10 e4 XIC of – MRM (12paits): 391.2/391.2 amu from Sample 4 (Std. 1uM) of 2009_07_13 liver patient dil.wiff (Turbo Spray) Max. 4930.0 cps. 1.05 e4 D4-DC 1.00 e4 9500.00 9000.00 8500.00 HPLC/LC critical pairs with same mass TUDC 8000.00 7500.00 7000.00 Intensity, cps 6500.00 6000.00 UDC 5500.00 GCDC 5000.00 11.63 TDC 4500.00 D4-GDC CDC D4-TDC 4000.00 TCDC 3500.00 DC 11.30 TLC 7.62 3000.00 TCA 2500.00 2000.00 CA GUDC GDC 1500.00 LC GLC GCA 1000.00 500.00 0.00 12.48 1 2 3 4 5 6 7 Time, min 8 9 10 11 12 13 Sample preparation Conclusion Plasma proteins were removed with addition of 900 µL of ACN, containing deuterated internal standards, to 250 µL of human EDTA plasma. The mixture was vortexed, centrifuged and the supernatant evaporated before being reconstituted in a 50:50 solution of methanol and water. 10 µL (corresponding to 8.57 µL of plasma) was injected into the HPLC. A fast robust LC-MS/MS method was developed on a C18 Ascentis Express Fused-Core® Particle Column, allowing the 15 species to be measured individually rather than the alternative measurement of a total concentration by colourimetric kinetic enzyme assays. This is particularly useful in research into the role of individual bile acids as signalling molecules. The method is suitable for clinical laboratories and is currently being used to investigate potential mechanisms linked to gut hormone profiles and glycaemic control. Chromatography Column: Ascentis® Express C18 (150 x 4.6 mm, 2.7 μm) Solvent A: Methanol (5 mM ammonium acetate and 0.012% formic acid) Solvent B: Water (5 mM ammonium acetate and 0.012% formic acid) Gradient Time (min.) Solvent A (%) Solvent B (%) 0 7030 10 955 14 955 References 1. Glicksman, C. Investigation of Fractionated Plasma Bile Acids in Lean and Obese Subjects by LC-MSMS. Diploma work , MSc Clinical Biochemistry, University College, London, February 2010. 2. Glicksman, C.; Pournaras, D.J.; Wright, M.; Roberts, R.; Mahon, D.; Welbourn, R.; Sherwood, R.; Alaghband-Zadeh, J.; le Roux, C.W. Ann Clin Biochem 2010; 47: 482 – 484. Temperature 40 °C 3. Watanabe, M.; Houten, S.M.; Mataki, C. et al. Bile acids induce energy expenditure by promoting intracellular thyroid hormone activation. Nature 2006 439, 484 – 489. Mass Spectrometry Negative ESI with m/z showed in Figure 2 4. Katsuma, S.; Hirasawa, A.; Tsujimoto, G. Bile acids promote glucagon-like peptide-1 secretion through TGR5 in a murine enteroendocrine cell line STC-1. Biochem. Biophys. Res. Commun. 2005 329, 386 –390. Results See Figure 3. sigma-aldrich.com/express 5. Maruyama, T.; Tanaka, K.; Suzuki, J. et al. Targeted disruption of G protein-coupled bile acid receptor 1 (Gpbar1-M-Bar) in mice. J Endocrinol. 2006 191, 197– 205. 6. Tagliacozzi, D.; Mozzi, A.; Casetta, B. et al. Quantitative Analysis of bile acids in human plasma by liquid chromatography-electrospray tandem mass spectrometry: A simple and rapid one-step method. Clinical Chemistry and Laboratory Medicine 2003 41, 1633 –1641.
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