Converting a Liquid-Liquid Extraction Method for Vitamin D to a 96-Well Plate Supported Liquid Extraction Format

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Case Study: PPS367 Converting a Liquid-Liquid Extraction Method for Vitamin D to a 96-Well Plate Page 1 Converting a Liquid-Liquid Extraction Method for Vitamin D to a 96-Well Plate Supported Liquid Extraction Format Leveraging Reduced Workflow Solutions in High Throughput Clinical Laboratories Cindy Gordon,1, Katerina Sadikova 1, Jane Dickerson 1, Frank Kero 2, Victor Vandell 2, Michael Yu 2, Elena Gairloch 2, Lee Williams 3 1. Seattle Children s Hospital, 4800 Sand Point Way NE Seattle WA 98105 2. Biotage, 10430 Harris Oaks Blvd, Suite C, Charlotte, NC 28269 3. Biotage GB Limited, Dyffryn Business Park, Ystrad Mynach, CF82 7TS, UK Introduction The objective of this study was to determine feasibility of transferring a validated liquid-liquid extraction method to a supported liquid extraction method using Biotage ISOLUTE SLE+ 96-well plates (400µL sample capacity). The laboratory supporting this study processes ~550 samples per month supporting vitamin D analysis in plasma and serum (mixed samples / not separated). During this evaluation, it was determined that sample processing time was reduced by ~50% for a de-identified patient set (n=30, split and processed by both methods). Towards high throughput analysis platforms, ISOLUTE SLE+ was demonstrated as a viable solution in the sample preparation workflow for vitamin D applications. Experimental Overview The strategy for this development workflow began with the liquid-liquid extraction procedure and the direct transfer to supported liquid extraction was evaluated. To optimize the method for analyte recovery, ph adjustment was evaluated in the sample pre-treatment. Elution volumes were also optimized for analyte recovery. Once optimized, the proof-of-concept was determined on a real patient sample set. The samples were split and process by each method for verification. Analytical Conditions Reagents (all obtained from Fisher Scientific (LC-MS grade)) Internal standard Sample pre-treatment mix (SLE) Aqueous mobile phase Methanol mobile phase d 6-25-hydroxyvitamin D 2, d 3-25-hydroxyvitamin D 3. 200 ng/ml in MeOH 5M NaOH/H 2 O/IPA (50:50:100, v/v/v) 2 mm ammonium acetate, 0.1% formic acid in H 2 O 2 mm ammonium acetate, 0.1% formic acid in MeOH 1

Converting a Liquid-Liquid Extraction Method for Vitamin D to a 96-Well Plate Page 2 Equipment Instrument : Column: Pre-column: Waters QuattroMicro triple quadrupole tandem mass spectrometer Electrospray source (+) Agilent 1100 or Waters 2795 Alliance HT HPLC Phenomenex Kinetex 2.6 µm PFP 100A 100 mm x 3 mm Phenomenex SecurityGuard ULTRA cartridges UHPLC PFP for 3.0mm ID columns SecurityGuard ULTRA holder UPLC Conditions Pump Flow (ml/min) 0.5 Table 1. Pump Gradient Run time (min) 10.0 Time (min) Mobile phase A (%) Mobile phase B (%) Flow (ml/min) 0.00 24.0 76.0 0.5 4.00 24.0 76.0 0.5 4.10 5.0 95.0 0.5 5.40 5.0 95.0 0.5 5.50* 24.0 76.0 0.5 *The analytical window runs to 5.5 min and then the column equilibrates for additional time. The total time is 10 min. Mass Spectrometry Conditions Source: ES+ Capillary (kv): 0.4 Source temperature ( C): 120 Desolvation temperature ( C): 450 Collision gas (mbar): 1.1 x 10-3 Dwell (s): 0.2 Delay (s): 0.1 Table 2. MS/MS Conditions Compound Type of use Transition Cone (V) Collision (ev) 25-(OH)D 3 Primary 383.3>257.2 28 18 25-(OH)D 3 Secondary 401.3>365.2 18 10 d 3-25-(OH)D 3 Internal std 404.4>368.2 18 10 25-(OH)D 2 Primary 413.3>355.2 18 10 25-(OH)D 2 Secondary 395.3>269.2 28 20 D 6-25-(OH)D 2 Internal std 419.4>355.2 18 10 2

Converting a Liquid-Liquid Extraction Method for Vitamin D to a 96-Well Plate Page 3 Sample Preparation Methodology Method 1: Gold standard referee method validated liquid-liquid extraction method 1. Set up labeled 2 ml Eppendorf centrifuge tubes for each blank, standard, control, and patient sample. 2. Vortex patient specimens, controls, and standards for 10 seconds. Centrifuge the tube if thevolume is close to needed volume (200 μl). 3. Pipette 200 μl of sample into the 2 ml Eppendorf tube. 4. Add 50 μl NaOH (5 M/L). Mix on Mix-Mate at 2000 RPM for 1 minute. Tubes are OK uncapped for this step. 5. Pipette 200 μl of internal standard into each tube. MixMate for 3 minutes. 6. Extract by adding 1.5 ml of hexane to each tube. Cap and vortex for 10 seconds. MixMate for 4 minutes. 7. Centrifuge in micro-centrifuge at 13,000 rpm for 5 min. 8. Cool in -20 C freezer for 20 min. Use tube racks previously pre-cooled in the freezer. 9. Using a transfer pipette, carefully transfer as much of the upper solvent layer as possiblewithout removing any of the bottom layer to a 2 ml labeled LCMS autosampler vial. 10. Dry down extracts under nitrogen in Reacti-therm Evaporator with the bath temperature set up at 35 C. Before the evaporation, clean nozzles with paper towel wetted by 20% methanol or isopropanol wipe. Method 2: Candidate supported liquid extraction procedure using ISOLUTE SLE+ plates 1. Label 0.6 ml microfuge tubes. 2. Add 200 µl patient sample (plasma or serum) to each tube. 3. Add 30 µl IS to each tube. 4. Add 200 µl sample pre-treatment mix to each tube. 5. Cap, mix on MixMate for 5 seconds. 6. Transfer entire sample to ISOLUTE SLE+ 400µL plate. 7. Wait 5 minutes. 8. Add 750 µl hexane to wells. 9. Wait 5 minutes. If solvent isn t completely eluted, pulse with pressure using a Biotage PRESSURE+ 96. Repeat step 8 and 9 with a further aliquot of hexane. 10. Dry under nitrogen, 45 C. 11. Reconstitute with 80 µl 70% MeOH 30%H2O. 12. Mix on MixMate 5 seconds. 13. Transfer to vial inserts. 14. Inject 20 μl into LCMS. Total time for processing 30 samples <2 hours 11. Reconstitute with 80 µl 70% MeOH 30%H2O. Vortex well. 12. Transfer all into a glass insert. Return the insert to the original vial and cap. 13. Centrifuge for 10 min at 2,500 rpm. 14. Inject 20 μl into LCMS. Total time for processing 30 samples >4 hours 3

Converting a Liquid-Liquid Extraction Method for Vitamin D to a 96-Well Plate Page 4 Results Example chromatograms for samples prepared using a) original liquid-liquid extraction method and b) supported liquid extraction method are shown in Figures 2 and 3 below: Figure 2. Example chromatogram for vitamin D metabolites extracted using original liquid-liquid extraction method. Figure 3. Example chromatogram for vitamin D metabolites extracted using supported liquid extraction method on ISOLUTE SLE+ plate. 4

Converting a Liquid-Liquid Extraction Method for Vitamin D to a 96-Well Plate Page 5 Levels of Vitamin D metabolites from split samples extracted using each technique are shown in Table 3, and correlation plots for each metabolite are shown in Figures 4 and 5. Table 2. Nominal data comparison, de-identified split sample patient set. Patient Sample ID D3-Liquid Extraction ng/ml D3-ISOLUTE SLE+ ng/ml Relative Error (%) Patient Sample ID D2-Liquid Extraction ng/ml D2-ISOLUTE SLE+ ng/ml Relative Error (%) 1 14.0 14.0 0.0 2 13.0 13.4-3.1 3 56.0 57.8-3.2 4 41.0 46.2-12.7 5 17.0 19.1-12.4 6 20.0 22.6-13.0 7 54.0 57.0-5.6 8 35.0 35.8-2.3 9 12.4 14.3-15.3 10 17.4 19.3-10.9 11 26.9 27.7-3.0 12 27.1 30.2-11.4 13 4.5 4.30 4.4 14 21.7 24.8-14.3 15 15.6 16.6-6.4 16 32.0 38.6-20.6 17 39.0 42.6-9.3 18 15.0 15.2-1.3 19 15.0 17.4-16.3 20 41.0 50.5-23.1 21 13.0 14.1-8.5 22 25.0 27.8-11.0 23 13.0 13.4-3.1 24 8.0 9.3-16.3 25 37.0 40.4-9.2 26 36.0 40.3-11.9 27 18.0 18.5-2.8 28 31.0 29.7 4.2 29 33.0 36.1-9.4 30 19.0 18.9 0.5 1 41.0 40.7 0.7 2 3.0 2.2 26.7 3 <2 <2 N/A 4 <2 <2 N/A 5 3.0 2.4 20.0 6 6.0 6.1-1.7 7 <2 <2 N/A 8 <2 <2 N/A 9 <2 <2 N/A 10 2.2 2.1 4.5 11 <2 <2 N/A 12 <2 <2 N/A 13 13.3 15.5-16.5 14 <2 <2 N/A 15 <2 <2 N/A 16 <2 <2 N/A 17 <2 <2 N/A 18 21.0 20.5 2.5 19 <2 <2 N/A 20 <2 <2 N/A 21 <2 <2 N/A 22 <2 <2 N/A 23 7.0 5.3 24.3 24 8.0 6.2 22.5 25 <2 <2 N/A 26 <2 <2 N/A 27 4.0 3.1 22.5 28 3.0 2.6 13.3 29 3.0 2.4 20.0 30 6.0 4.6 23.3 5

Converting a Liquid-Liquid Extraction Method for Vitamin D to a 96-Well Plate Page 6 70 45 60 y = 1.0875x - 0.0134 R² = 0.9827 40 35 y = 1.017x - 0.6817 R² = 0.9921 D3-measured ng/ml by ISOLUTE SLE+ 50 40 30 20 D2-measured ng/ml by ISOLUTE SLE+ 30 25 20 15 10 10 5 0 0 10 20 30 40 50 60 D3-measured ng/ml by liquid extraction 0 0 5 10 15 20 25 30 35 40 45 D2-measured ng/ml by liquid extraction Figure 4. Correlation plot: Split patient sample study, determination of vitamin D3 in plasma and serum. Figure 5. Correlation plot: Split patient sample study, determination of vitamin D2 in plasma and serum. Conclusions Transfer of methodology from a traditional liquid-liquid extraction method to a supported liquid extraction method was simple and straightforward, with minimal optimization required. Good correlation between measured levels of vitamin D metabolites in split samples extracted using the original validated liquid-liquid extraction method and the optimized supported liquid extraction method using ISOLUTE SLE+ plates was achieved. Time for processing a batch of 30 patient samples (serum and plasma) was approximately halved using the supported liquid extraction approach, from > 4 hours to < 2 hours. Due to the cleaner nature of the extraction, centrifugation steps were not required in the supported liquid extraction method. This study suggests that supported liquid extraction using ISOLUTE SLE+ 96-well extraction plates is a viable alternative to liquid-liquid extraction in a busy clinical laboratory. Ordering Information Part Number Description 820-0400-P01 ISOLUTE SLE+ 400 μl Supported Liquid Extraction Fixed Well Plate Quantity 1 EUROPE Main Office: +46 18 565900 Toll Free: +800 18 565710 Fax: +46 18 591922 Order Tel: +46 18 565710 Order Fax: +46 18 565705 order@biotage.com Support Tel: +46 18 56 59 11 Support Fax: + 46 18 56 57 11 eu-1-pointsupport@biotage.com NORTH & LATIN AMERICA Main Office: +1 704 654 4900 Toll Free: +1 800 446 4752 Fax: +1 704 654 4917 Order Tel: +1 704 654 4900 Order Fax: +1 434 296 8217 ordermailbox@biotage.com Support Tel: +1 800 446 4752 Outside US: +1 704 654 4900 us-1-pointsupport@biotage.com JAPAN Tel: +81 3 5627 3123 Fax: +81 3 5627 3121 jp_order@biotage.com jp-1-pointsupport@biotage.com CHINA Tel: +86 21 2898 6655 Fax: +86 21 2898 6153 cn_order@biotage.com cn-1-pointsupport@biotage.com To locate a distributor, please visit our website at www.biotage.com Part Number: PPS367 2014 Biotage. All rights reserved. No material may be reproduced or published without the written permission of Biotage. Information in this document is subject to change without notice and does not represent any commitment from Biotage. E&OE. Product and company names mentioned herein may be trademarks or registered trademarks and/or service marks of their respective owners, and are used only for explanation and to the owners benefit, without intent to infringe. For more information visit www.biotage.com. 6