Abstract
In this study, a new quantitative analytical method has been developed for the rapid determination of vancomycin in human plasma and urine using liquid chromatography/tandem mass spectrometry (LC - MS/MS). Chromatography was carried out on a $C_{18}$ XTerra MS column ($2.1{\times}30mm$) with a particle size of $3.5{\mu}m$. The mobile phase was 0.25% formic acid in 10% acetonitrile and the flow rate was $250{\mu}L/min$. Vancomycin and caffeine (internal standard) were detected by MS/MS using multiple reaction monitoring (MRM). Vancomycin gives a predominant doubly protonated precursor molecule ($[M+2H]^{2+}$) at m/z 725.0 and a corresponding product ion of m/z 100.0. Detection of vancomycin was good, accurate and precise, with a limit of detection of 1 nM in plasma. The calibration curves for vancomycin in human plasma was linear in a concentration range of $0.01{\mu}M$ - $100{\mu}M$ for plasma. This method has been successfully applied to determine the concentration of vancomycin in human plasma and urine from pharmacokinetic study and relative studies.
본 연구에서는 LC - MS/MS를 이용해 혈장과 뇨중에서 반코마이신을 신속하게 정량분석하는 방법을 개발하였다. 크로마토그래피는 $C_{18}$ XTerra MS 컬럼 ($2.1{\times}30mm$, $3.5{\mu}m$)을 사용하여 분석하였다. 이동상으로는 0.25% 초산이 섞인 10% 아세토니트릴 용액을 사용하였으며, 유속은 $250{\mu}L/min$이다. 반코마이신과 카페인 (내부표준물질)은 multiple reaction monitoring (MRM) 방법을 사용하여 검출하였으며 반코마이신은 precursor ion m/z 725.0 ( $[M+2H]^{2+}$)와 product ion m/z 100.0을 사용하였다. 혈장에서 반코마이신의 검출한계는 1 nM이며 좋은 정확성과 정밀성을 보여주었다. 또한 혈장중에서 반코마이신의 정량범위는 $0.01{\mu}M$ - $100{\mu}M$이다. 혈장과 뇨중에서 반코마이신을 정량하는 이 분석방법은 약물동력학연구 및 관련연구에 성공적으로 적용되었다.