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Véronique Ducros, Hélène Belva-Besnet, Bruno Casetta, Alain Favier

A robust liquid chromatography tandem mass spectrometry method for total plasma homocysteine determination in clinical practice

Keywords: homocysteine, HPLC, tandem mass spectrometry (MS/MS), routine practice

Background: Total plasma homocysteine has emerged as an independent risk factor for vascular disease. To meet increasing requests by clinicians for this homocysteine determination, a rapid assay for a routine use has been developed.

Methods: A robust, stable, isotope-dilution liquid chromatography tandem mass spectrometry (LC/MS/MS) method is described, including all the practical details and analytical performance results.

Results: The method allows homocysteine quantitation over a linear working range up to 100 ?mol/L, with the limit of quantification estimated at a low value of 0.09 ?mol/L. Total analytical imprecision is less than 4%. Accuracy was assessed by measuring the homocysteine concentration in a serum Standard Reference Material.

Conclusions: The method was demonstrated to be quick, reliable and cheap after 1 year of use on a time-shared instrument in our hospital unit.

Clin Chem Lab Med 2006;44:987–90.

Clinical Chemical Laboratory Medicine, Walter de Gruyter

Print ISSN: 1434-6621
Volume: 44, 08/2006
Pages: 987 - 990

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