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Analysis of Corticosteroids in Urine by HPLC and Thermospray LCMS
Analysis of Corticosteroids in Urine by HPLC and Thermospray LCMS
Cortisone
B elornelhosolte Cotllcoslerone
Introduction
Both naturally occurring and synthetic corticosteroids are used
primarily as anti-inflammatory drugs that also relieve pain. They
affect the blood level of natural corticosteroids.
It was known that athletes in sports such as cycling and
~ _~OH ~H2CH
1975, the IOC Medical Commission has restricted such use ex-
cept for legitimate medical purposes.
Chemical structures common to corticosteroids included A', HO-~-~OH
102 Reproduction (photocopying) of editorial content of this journal is prohibited without publisher's permission.
Journal of Analytical Toxicology, Vol. 14, March/April 1990
103
Journal of Analytical Toxicology, Vol. 14, March/April 1990
ratios of drug to internal standard. They indicated good linearity calculations were carried out on the basis of peak-area ratios
(r = 0.999) over the concentration range from 0.020/zg/mL between corticosteroids and the internal standard. The ratio
to 1.0 t~g/mL in the spiked urine sample (Table I). The detec- from extracted urine samples were compared to the peak-area
tion limits for the LLE method were about 3 ng as an injection ratios obtained from unextracted solutions of corticosteroids
amount, which corresponds to the 10-ng/mL level for 5 mL at known concentrations, to determine the percent recovery.
of urine sample. Except for triamcinolone, the recoveries with the LLE method
were higher than those with the SPE procedure.
Recovery study
Recovery studies were performed for 3 mL of urine contain- Analysis by thermospray LC/MS
ing 0.5 #g/mL of each corticosteroid and 0.5/zg/mL of internal U n d e r the described L C / M S conditions, the total ion
standard. The extracting solvent, diethyl ether showed good ex- chromatogram and mass spectrum o f each c o m p o u n d are shown
traction efficiency, least interfering substances, and quick con- in the appendix following the conclusion. The fragment or
centration time. Figure 3 shows the typical HPLC chromato- adduct ions of corticosteroids are listed in Table Ill. Protonated
grams for extracts of (A) blank urine and (B) spiked urine at molecular ion species [MH] § were found in all corticosteroids
pH 9 9 shows much less interference than acidic pH. commonly having 3-keto and 17-keto groups. The base peak
Table II shows the recoveries by LLE and SPE methods. All [MH] § was found in compounds containing no 17-hydroxy
group. Corticosteroids containing a 17-hydroxy group such as
betamethasone, cortisone, hydrocortisone, prednisolone, and
L.C i:1 2 4 6 . 4 5~]. 10~ of COULFrlIIIr
prednisone produced a base peak [MH-60] + from the bond-
cleavage between 17- and 20-carbon, and [MH-30] § due to
4O
30
'Ha
30
the loss of CH20. This can be explained by the elimination
2el a13 mechanism (14) proposed by Vandenheuvel. In addition
113
[MH-lg] § from the loss of H~O was observed. Ammonium
LC 'R 2 ' ~ 6 , 4 55~.1~ or CosPI)<EI.U G~ adduct ion [MNH,] § was found in corticosteroids with no
5e B 23 5 8 5E9 double bond between l- and 2-carbon, except for triamcinolone
41a 4 6 ,tel
313 1 7 9 3el acetonide. Both triamcinolone and triamcinolone acetonide
20 ' 20 showed m / z 359 and m / z 377 due to the side chain cleavage
9between 15- and 16-carbon. Figures 4 and 5 show the total ion
Time (mln.)
chromatogram and single ion chromatograms of a cortico-
Figure 3. Typical chromatograms for extracts of (A) blank urine and steroids mixture obtained in the SIM mode. The retention time
(8) spiked urine (pH 9), Peaks are the same as in Figure 2. and characteristic mass fragment ions [MH § [MH +-30],
and [MH+-Ig], as well as the protonated ion [MH]+and
ammonium adduct ion [MNH,] + could be used for the con-
firmation of each corticosteroid. The detection limits (by scan
Table II. Extraction Recoveries of Corticosteroids*
mode) were 10 ng for I 1-a-hydroxyprogesterone, prednisolone,
Uquld-Liquld Solid-Phase prednisone, and triamicinolone; 30 ng for cortisone and hydro-
Extraction (%) Extraction(~) cortisone; and 50 ng for the other corticosteroids tested. Sen-
Cortlcosterolds X*" RSD X'* RSD sitivity could be increased by using the selected ion monitoring
(SIM) mode with two or three ions producing the strongest
Triamcinolone 85.0 3.2 103 4,0
Prednisone 91.6 1.8 79.2 5.0
intensity; the detection limit was thus decreased to approximately
Prednisolone 99.1 1.1 89.9 3.1 1-5 ng for each corticosteriod.
Hydrocortisone 92.9 2.4 83.3 1.9
Cortisone 90.6 3.4 83.6 2.2 Case study: Determination of cortisohcortisone ratio in urine
Corticosterone 95.0 1.2 89.5 1.1 During the 24th Seoul Olympic Games, 1601 samples of
Triamcinolone acetonide 97.3 2.8 83.1 1.5
11-a-OH-Progesterone 87.3 3.2 86.4 1.6 athletes' urine, excreted after the end of competition, were
Deoxycorticosterone 98.7 2.3 85.6 2.3 analyzed for corticosteroids and to measure the distribution of
* IS: Betamethasone (LLE, 98.0%; SPE, 83.5%).
the cortisol:cortisone ratio. Urine (3 mL) was extracted by the
"" 1"1=5, LLE method, and the concentrations of cortisol and cortisone
were determined by using HPLC/DAD.
104
Journal of AnalyticalToxicology,Vol. 14, March/April 1990
0.0-0.09 94 35 9 128
TIC =r DRTR:CHIXB-S.D 0.1-0.19 317 160 30 307
0.2-0.29 345 130 25 490
0.3-0.39 140 51 12 203
c:~. o t 4.
0.4-0.49 49 14 4 67
0.5-0.59 20 10 1 31
4
TIma
G
(~In.)
8 I~ 0.6-0.69 7 3 0 10
0.7-0.79 4 1 0 5
0.8-0.89 3 2 0 5
0.9-0.99 0 2 0 2
2 t3t-,t~ 1.0-1.99 4 1 1 6
Z O . . . .
2.0-2.99 0 1 0 1
I=,, 3EI3.~EI =.,u. Cram ~RTR=CMIXB-~.O
3.0-3.99 0 1 0 1
4.0-4.99 0 0 0 0
D,~c~.,~' (c) >5.0 0 0 0 0
uncountable 83 34 8 125
# 2~uo
4elu~
4
r,,.j,,..
Ttmm
g
(mlh,)
L 8 IO
female,0.24~g/mL(SD • 0.25).
105
Journal of Analytical Toxicology, Vol. 14, March/April 1990.
Ratio
I : Male corUsol:codisone Male Female Unknown Total
400
: Female 0.0-0.09 66 33 6 105
3so. 0.1-0.19 34 6 2 42
0.2-0.29 102 35 6 143
aoo 0.3-0.39 153 60 13 226
!~o
0.4-0.49 135 62 6 203
z 0.5-0.59 136 62 15 213
2oo 0.6-0.69 125 41 10 176
0.7-0.79 70 23 4 97
0.8-0.89 41 23 6 70
0.9-0.99 15 10 1 26
1oo.
1.0-1.99 68 35 11 114
2.0-2.99 13 8 1 22
3.0-3.99 4 0 0 4
o~ . . . . . . . . . . 4.0-4,99 1 3 0 4
o.z o.a o.a o.4 o.~ o.6 o.7 o.e o.g t.o
ConcentPllton Range (ug/mL) >5.0 2 4 0 6
Figure 6. Concentration distribution of cortisol. uncountable 101 40 9 150
Total* 1066 445 90 1601
9 Mean: total, 0.64 pg/mL (SD + 1.86); male, 0.57 ~g/mL (SD + 0.82); and
female, 0.82 ~glmL (SD + 3.39).
$00.
4~0-
I : Male
~ooq
400-
: Female
taoq
aao-
I : Male
t2oq
eoo-
l~o. xooJ
eo 1
1oo,
~o
"~
ao 4
school children, ages 7 to 18.5 years. They used a competitive and their cortisohcortisone ratios ranged from 5.6 to 8.9. As
protein binding assay technique and reported that the mean shown in Table VI, those values are considerably high compared
cortisol concentration was 194 n m o l / L (approximately 0.070 to the ratios for most of the other samples. It is necessary to
/zg/L). But the measurement range of concentration of cortisol further research the relationship between the cortisol:cortisone
appropriate to 95~ of normal children was from 83 to 396 ratio for the useful prediction of abnormality of corticosteriod
nmol/L (approximately 0.030-0.143 #g/mL). They also found use in the doping test.
that the cortisol concentration was independent of sex, age, and
body weight.
Table VI and Figure 8 show the distribution for the concen-
Conclusion
tration ratio of cortisol to cortisone according to sex. The mean
ratios were 0.64 for total available data, 0.57 for male athletes
We described the method for resolving and quantitating
and 0.82 for female athletes.
corticosteroids in human urine by reversed-phase HPLC. This
During the '86 Seoul Asian Games, urine samples from 598 method allows the simultaneous determination of at least ten
athletes were tested and the mean values of cortisol and cor- corticosteroids with a very simple, reproducible, and reliable
tisone were 0.11 #g/mL and 0.17 #g/mL, respectively. The analytical procedure. The thermospray LC/MS technique pro-
mean ratio of cortisol to cortisone concentration was 0.64. duced useful information concerning the molecular weight of
A few cases of high cortisol concentrations (above 4/~g/mL) corticosteroids without the need for derivatization and detec-
were found in the urine samples during the 24th Olympic Games tion limits that could be decreased by using SIM mode.
106
Journal of Analytical Toxicology, Vol. 14, March/April 1990
Appendix
Scan
i{38j
~
]
5{3
j
3{30
165
333
.
,,,/I ~ ~
!.
(7.220 m i n )
S U B T R R C T E ~ SCALE[3
340
375 253
m4r/ I
of DATR:BETRME-5.D
.........~..,.,,; .....I. . . . . . . . . . . . . . . .
360 380 400
434
428
~
440
451/
46D
,00]j I
g:
Scan
50 t
e ....
168
I
47
,.
(7.353
SU[3TRRCTE[3
362
.,
min)
I,
364
.
o4" [3ATR:CORTICOI.DD
SCNLED
,, . . . .
35{} 368 378 388 398 4{3{3 41'8
Mass/Charge Ha=s/Charge
TIC o~ DATA:BETRME-S.D TIC of DRTA:CORTICOI.D
u4,DE4 ~8.{3E4
"1
~3.~E4
~2.0E4
~10000
2
Betamethasone
~
Ime (min.)
6
L 8 10
~6.eE41
{3Eq
O~ .
2
. . ~. .
~
Corticosterone
ime
.
(min.)
6
~
8
" --c
IO
~ 1. {3E5 u2.0E4~
Cortisone ~.SE4j
10000J Deoxycorticosterone
5. 0E4
500D~
8J . . . . . . . . . . . . . . -
2 4 6 8 10 2 4 G 8 IO 12
Time (mln.) Time (min.)
Scan 103 (5.10] mln) of DRTR:CORTL-I.D Scan IS6 48,782 min) of DRTR:PROGE-I.D
3 SUBTRACTED SCALED
eJ ..
__3 3{38
_ . ~ , . _ - , . I 4 . . . ! , . . . . . . .11,. . . . . ( . . . . . . .~ .
404 ~oj 0 ' ,I
/
,
~3 ~0~ 363
,
/
,, ,
/
h .
390/
'D
300 320 340 360 380 400 330 340 350 360 37{a 38{~ 35{3
Mass/Charge M ~ s s / C h apse
TIC of D ~ T A : C O R T L - I . D TIC o f DATR:PROGE-I.DD
b.{3E0i
~4.{3E4
~L_ r
~4.{3E4
~3.0E4
~2.0E4
Hydrocortisone ~3.OE41
~{3E41
,,i?~ e-~
~10080~ ~10000~
D" , - , , - , ,
2 4 6 8 10 2 4 S 8 10
T Ime (ml~.) Time ( m i n . )
Scan 116 ( 5 . 165 m i n ) O~ DRTR:PREDNSLI .D Scan 89 44. ]s min) of DRTR:PREDDNSNI .D
I{301 iS % T R A C T E [ 3 SCALED 1001 ~99 SUBTRACTED/
/ SCF~Ep
343 sD I ~ 3s3
/. ... / / , 3~6 325 , / 3~
I{301 o ,
3{3{3
TIC
II,
o?
,,
320
,,~J.l.
Mess/Charge
[3ATR:PREDNSLI.D
34o
.. hL. ,J,.
36D
/
380 300
TIC
320 340
Me~:;s/Ch s r g e
360
o f EIFtTA:PREDNSN! .[3
380
I,OESJ
e. DE4 t
•2 . DE4
J 9
2
, .
Prednisolone
4
, .
i~
6
.
8
,
ff
~,0E4 t
4 . DE4
~.DE41
N"
2 4 S 8
Time (mln.) Time (min.)
E
7 5el
0
3~s
..... .........~,L~ 9
,
RCTE[3 SCALE[3
~5
: . .+ , ~,......
~77
. .
10D 1
5o
o
34,
SUBTRACTED
2$5 )77
/ ...... I~,....... ,.. . . . . . . . . .
SCALED
~ .~.
@35
L
~.
320 340 360 388 400 4~D 440 340 360 380 408 420 440 468
Ma=s/Charge Mass/Charge
TIC of OATA:TRIRM-3.[3 TIC of [3ATA:TRIAMACI.D
1,OE5
5.DE4 Triamcinolone ~
gl.SE41
~2;8E4
1 O D O 8
J 5DODI
2 4 6 8 18
Ttme (mln.) T ime 4min.)
107
Journal of AnalyticalToxicology,Vol. 14, March/April 1990
108