We present an ultra high performance liquid chromatography with ultraviolet spectroscopy and quadrupole time-of-flight mass spectrometry method for the simultaneous quantification of ten purines (adenine, hypoxanthine, guanine, xanthine, deoxyadenosine, adenosine, inosine, guanosine, xanthosine, and uric acid) and creatinine in human urine. After chromatographic separation on an ACE Excel 2 AQ column, high abundant creatinine and uric acid and the other low abundant purines were sequentially detected by ultraviolet and quadrupole time-of-flight mass spectrometry within a single run. Method validations including specificity (improved by accurate mass measurement), linearity (correlation coefficients ≥0.9944), limit of quantification (0.002-9.756 μg/mL), intra-and interday precision (relative standard deviations ≤9.1 and 14.0%, respectively), accuracy (relative errors ≤13.1%), extraction recovery (between 90.3 and 109.6%), matrix effect (between 85.3 and 110.5%), and stability (relative errors ≤14.3%) were fully evaluated. This approach was applied to characterize the disordered purine metabolism in acute and chronic gout as an example. Quantitative results (normalized by creatinine) showed that an overproduction of urinary purine precursors might be involved in the gout process. The developed method represents a useful tool to investigate the purine disturbances in gout and other relevant diseases.
K E Y W O R D Screatinine, gout, human urine, purine metabolites, purines
INTRODUCTIONPurines are the most widely occurring nitrogen-containing heteroaromatics in nature. As seen from the purine metabolic pathway (Figure 1), the purine bases (adenine, hypoxanthine, Article Related Abbreviations: CE, collision energy; IS, internal standard; PCA, principal component analysis; Q-TOF-MS, quadrupole time-of-flight mass spectrometry; QC, quality control; QQQ-MS, triple-quadrupole mass spectrometry; R 2 , correlation coefficient; RE, relative error.guanine, xanthine, and uric acid) and their ribo-(adenosine, inosine, guanosine, and xanthosine) or deoxyribonucleosides (deoxyadenosine, deoxyinosine, and deoxyguanosine), are the essential components of nucleotides, RNA, and DNA. The purine synthesis, recycling, and degradation involve a series of biological processes including energy metabolism and cell signaling [1]. Clinical evidence has shown that the disorders of purine metabolism are closely associated with various diseases. For example, uric acid, the final product of purine degradation, has long been accepted as a major risk factor and predictor of gout [2]. The other nucleobases of