Measurement of arginine derivatives in pediatric patients with chronic kidney disease using high-performance liquid chromatography-tandem mass spectrometry.

Abstract:

BACKGROUND:The arginine derivatives asymmetric dimethylarginine (ADMA) and symmetric dimethylarginine (SDMA) interfere with endothelial nitric oxide synthesis. Plasma ADMA and SDMA have been shown to be risk factors for cardiovascular disease and/or kidney function deterioration in a variety of patient populations. METHODS:We developed a method to quantitatively measure arginine, ADMA, and SDMA using HPLC-tandem mass spectrometry. 13C6-L-Arginine was used as the internal standard, while the derivatives were separated on a silica column in less than 14 min. Plasma levels of ADMA, SDMA, and arginine were measured in children with stage II or III chronic kidney disease (CKD) and age- and gender-matched siblings. RESULTS:The chromatography exhibited no observable ion suppression in the patient specimens tested. There was no apparent carryover for any of the analytes. The assay was linear over 0.32-2.29, 0.23-4.43, and 1.00-303.89 micromol/L for ADMA, SDMA, and arginine, respectively. Plasma ADMA, SDMA, and arginine (mean+/-SD) were 1.10+/-0.35, 2.06+/-1.11, and 57.93+/-22.10 mumol/L for children with CKD, and 0.78+/-0.16, 0.71+/-0.23, and 65.29+/-21.30 micromol/L for the healthy siblings. CONCLUSIONS:The method exhibited no observable ion suppression in the patient specimens tested and has an acceptably short analytical cycle time. Children with CKD had higher levels of ADMA and SDMA than the healthy siblings.

journal_name

Clin Chem Lab Med

authors

Wang S,Vicente FB,Miller A,Brooks ER,Price HE,Smith FA

doi

10.1515/CCLM.2007.277

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

1305-12

issue

10

eissn

1434-6621

issn

1437-4331

journal_volume

45

pub_type

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