基于高稳定性LC-MS/MS法测定绝经后骨质疏松妇女血清中维生素K1、MK-4、MK-7和D水平:MK-7可能是骨代谢的新标志物。

IF 3.2 3区 医学 Q2 ENDOCRINOLOGY & METABOLISM
Annals of Nutrition and Metabolism Pub Date : 2023-01-01 Epub Date: 2023-05-30 DOI:10.1159/000531065
Chunyan Li, Cuiying Liang, Ziqing Kong, Yu Su, Wenhua Ren, Huiran Dong, Yuqi Wu, Nana Yang, Ruichen Liu, Jun Wu, Yang Zheng
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引用次数: 1

摘要

引言:维生素K(VK)和维生素D(VD)在骨质疏松症中起着重要作用。维生素K1(VK1)、维生素K2(VK2、甲萘醌-4(MK-4)和甲萘醌-7(MK-7))对骨骼肌的代谢具有重要意义。25羟基维生素D2和25羟基维生素D3(25(OH)D2和25(OH)D3)反映循环VD水平。更敏感的测量方法还有待开发。在本研究中,开发了一种新的高效液相色谱-串联质谱法(LC-MS/MS)来测定人血清中的VK1、VK2(MK-4和MK-7)以及25(OH)D2和25(OH-D3)水平。方法:我们开发了一种简单的LC-MS/MS方法来测定人类血清中VK1、MK-4、MK-7、25(OH)D2和25(OH。结果:在规定的工作范围(0.05-5 ng/mL)内,VK1、MK-4和MK-7的总体精密度(变异系数)在2.66%至10.11%之间。绝经后骨质疏松妇女的血清VK1、MK-4和MK-7水平分别为1.187±0.094 ng/mL、0.058±0.009 ng/mL和0.885±0.064 ng/mL(平均值±标准差)。绝经前妇女的血清VK1、MK-4和MK-7水平分别为1.143±0.103 ng/mL、0.028±0.003 ng/mL和1.553±0.226 ng/mL。绝经后骨质疏松症妇女血清25(OH)D2和25(OH-D3水平分别为0.757±0.056 ng/mL和11.72±0.632 ng/mL。绝经前患者血清25(OH)D2和25(OH)D3水平分别为1.793±0.575 ng/mL和12.42±1.069 ng/mL。结论:建立了一种新的LC-MS/MS测定血清VK和VD水平的方法。绝经后骨质疏松症患者血浆MK-7下降早于VD。MK-7状态与骨质疏松症显著相关,可被认为是诊断绝经后妇女骨质疏松症的可预测生物标志物。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Determination of Vitamin K1, MK-4, MK-7, and D Levels in Human Serum of Postmenopausal Osteoporosis Women Based on High Stability LC-MS/MS: MK-7 May Be a New Marker of Bone Metabolism.

Introduction: Vitamin K (VK) as well as vitamin D (VD) plays an important role in osteoporosis. Vitamin K1 (VK1), vitamin K2 (VK2, menaquinone-4 (MK-4), and menaquinone-7 (MK-7)) are significant for the metabolism of skeletal muscle. 25-hydroxyvitamin D2 and 25-hydroxyvitamin D3 (25(OH)D2 and 25(OH)D3) reflect circulating VD levels. More sensitive measurements remain to be developed. In the present study, a new high-performance liquid chromatography-tandem mass spectrometry (LC-MS/MS) method was developed for the determination of VK1, VK2 (MK-4 and MK-7), as well as 25(OH)D2 and 25(OH)D3 levels in human serum.

Methods: We developed a simple LC-MS/MS method for the determination of VK1, MK-4, MK-7, 25(OH)D2, and 25(OH)D3 levels in human serum and validated the method in a study cohort of 200 patients divided into the premenopausal women group and postmenopausal osteoporosis patient group.

Results: The overall precision (coefficient of variation) ranged from 2.66 to 10.11% in the specified working range (0.05-5 ng/mL) for VK1, MK-4, and MK-7. Serum VK1, MK-4, and MK-7 levels in postmenopausal women with osteoporosis were 1.187 ± 0.094 ng/mL, 0.058 ± 0.009 ng/mL, and 0.885 ± 0.064 ng/mL, respectively (mean ± standard deviation). Serum VK1, MK-4, and MK-7 levels in premenopausal women were 1.143 ± 0.103 ng/mL, 0.028 ± 0.003 ng/mL, and 1.553 ± 0.226 ng/mL, respectively. Serum 25(OH)D2 and 25(OH)D3 levels in postmenopausal women with osteoporosis were 0.757 ± 0.056 ng/mL and 11.72 ± 0.632 ng/mL, respectively. Serum 25(OH)D2 and 25(OH)D3 levels in premenopausal were 1.793 ± 0.575 ng/mL and 12.42 ± 1.069 ng/mL, respectively.

Conclusion: A new LC-MS/MS method for determination of serum VK and VD levels was evaluated and validated. MK-7 in plasma decreased earlier than VD in postmenopausal osteoporosis patients. MK-7 status is significantly associated with osteoporosis and could be considered a predictable biomarker in the diagnosis of osteoporosis in postmenopausal women.

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来源期刊
Annals of Nutrition and Metabolism
Annals of Nutrition and Metabolism 医学-内分泌学与代谢
CiteScore
6.50
自引率
0.00%
发文量
55
审稿时长
6-12 weeks
期刊介绍: ''Annals of Nutrition and Metabolism'' is a leading international peer-reviewed journal for sharing information on human nutrition, metabolism and related fields, covering the broad and multidisciplinary nature of science in nutrition and metabolism. As the official journal of both the International Union of Nutritional Sciences (IUNS) and the Federation of European Nutrition Societies (FENS), the journal has a high visibility among both researchers and users of research outputs, including policy makers, across Europe and around the world.
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