Validation of a fast and reliable liquid chromatography tandem mass spectrometry for simultaneous quantitation of Voriconazole, Posaconazole and Linezolid in human serum
	    		
		   		
		   			
		   		
	    	
    	 
    	10.3760/cma.j.cn114452-20230202-00065
   		
        
        	
        		- VernacularTitle:液相色谱串联质谱同时检测伏立康唑、泊沙康唑和利奈唑胺血清药物浓度方法学建立
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Yiwen SANG
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Meng CHEN
			        		
			        		;
		        		
		        		
		        		
			        		Bo LIU
			        		
			        		;
		        		
		        		
		        		
			        		Pan YU
			        		
			        		;
		        		
		        		
		        		
			        		Xiang LI
			        		
			        		;
		        		
		        		
		        		
			        		Gong ZHANG
			        		
			        		;
		        		
		        		
		        		
			        		Zhihua TAO
			        		
			        		;
		        		
		        		
		        		
			        		Haibin DAI
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. 浙江大学医学院附属第二医院检验科,杭州310009
			        		
		        		
	        		
        		 
        	
        	
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Antifungal agents;
			        		
			        		
			        		
				        		Voriconazole;
			        		
			        		
			        		
				        		Posaconazole;
			        		
			        		
			        		
				        		Linezolid;
			        		
			        		
			        		
				        		Ttandem mass spectrometry
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			Chinese Journal of Laboratory Medicine
	            		
	            		 2023;46(8):808-813
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	Objective:To establish a high-performance liquid chromatography-tandem mass spectrometry (LC-MS/MS) method for the determination of voliconazole (VRC), posaconazole (PCZ), and linazolam (LNZ) in human serum.Methods:This study is a methodological validation by LC-MS/MS. The blood concentration results of VRC, PCZ, and LNZ in our hospital′s anti-infection patients were collected. Voriconazole, Posaconazole, and Linezolid were accurately weighed and prepared. Linezolid-[2H3] was used as the internal standard. After gradient elution on the ACE PFP column, the residuals were analyzed by LC-MS/MS in the positive electrospray ionization mode and multiple reaction monitor (MRM) mode. The method′s linearity, precision, lower limit of detection, and recovery rate were validated according to standard guidelines.Results:The linear correlation coefficient ( r) of the standard curve was above 0.99 ( r>0.99). The linear range of VRC and PCZ were 0.10 mg/L~10.00 mg/L, and the lower limit of detection were 0.01 mg/L. The linear range of LNZ was 0.50 mg/L~50.00 mg/L, and the lower limit of detection was 0.05 mg/L. The recoveries of VRC, PCZ and LNZ were 90.96%-103.18%, 91.84%-99.17%, and 97.04%-100.41%, respectively. Intra-and inter-batch precision (% CV) for VRC were less than 8.30%. Intra-and inter-batch precision (% CV) for PCZ was less than 9.78%. Intra-and inter-batch precision (% CV) for LNZ was less than 7.14%. Drug concentrations in 155 cases of VRC, 44 cases of PCZ, and 59 cases of LNZ were detected. Conclusion:We have established an LC-MS/MS method for the rapid, accurate, highly specific determination of VRC, PCZ, and LNZ concentrations in human serum. This method is suitable for analyzing large clinical sample sets.