High-throughput identification and determination of antifungal triazoles in human plasma using UPLC-QDa

Copyright © 2023 Elsevier B.V. All rights reserved..

Triazoles are common agents for invasive fungal infections, while therapeutic drug monitoring is needed to improve antifungal efficacy and reduce toxicity. This study aimed to exploit a simple and reliable liquid chromatography-mass spectrometry method for high-throughput monitoring of antifungal triazoles in human plasma using UPLC-QDa. Triazoles in plasma were separated by chromatography on a Waters BEH C18 column and detected using positive ions electrospray ionization fitted with single ion recording. M+ for fluconazole (m/z 307.11) and voriconazole (m/z 350.12), M2+ for posaconazole (m/z 351.17), itraconazole (m/z 353.13) and ketoconazole (m/z 266.08, IS) were selected as representative ions in single ion recording mode. The standard curves in plasma showed acceptable linearities over 1.25-40 μg/mL for fluconazole, 0.47-15 μg/mL for posaconazole and 0.39-12.5 μg/mL for voriconazole and itraconazole. The selectivity, specificity, accuracy, precision, recovery, matrix effect, and stability met acceptable practice standards under Food and Drug Administration method validation guidelines. This method was successfully applied to the therapeutic monitoring of triazoles in patients with invasive fungal infections, thereby guiding clinical medication.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:1226

Enthalten in:

Journal of chromatography. B, Analytical technologies in the biomedical and life sciences - 1226(2023) vom: 15. Juli, Seite 123774

Sprache:

Englisch

Beteiligte Personen:

Pan, Lulu [VerfasserIn]
Fan, Xiaxia [VerfasserIn]
Jia, Ao [VerfasserIn]
Li, Yafei [VerfasserIn]
Zhao, Yidan [VerfasserIn]
Liu, Ying [VerfasserIn]
Wang, Aifeng [VerfasserIn]
Ma, Yongcheng [VerfasserIn]

Links:

Volltext

Themen:

304NUG5GF4
8VZV102JFY
Antifungal Agents
Fluconazole
High-throughput
Invasive fungal infection
Itraconazole
JFU09I87TR
Journal Article
Therapeutic drug monitoring
Triazoles
UPLC-QDa
Voriconazole

Anmerkungen:

Date Completed 11.07.2023

Date Revised 18.07.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jchromb.2023.123774

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM358313406