Liquid chromatography-tandem mass spectrometry method as the golden standard for therapeutic drug monitoring in renal transplant

被引:34
作者
Aucella, Filippo [1 ]
Lauriola, Vincenzo [1 ]
Vecchione, Gennaro [2 ]
Tiscia, Giovanni Luca [2 ]
Grandone, Elvira [2 ]
机构
[1] IRCCS, Nephrol & Dialysis Dept, I-71013 San Giovanni Rotondo, Foggia, Italy
[2] IRCCS, Thrombosis & Haemostasis Unit, I-71013 San Giovanni Rotondo, Foggia, Italy
关键词
Kidney transplantation; Immunosuppression; Therapeutic drug monitoring; Liquid chromatography; Mass spectrometry; TACROLIMUS CONCENTRATIONS; MS/MS METHOD; CYCLOSPORINE; BLOOD; EVEROLIMUS; IMMUNOASSAY; PERFORMANCE; QUANTIFICATION; EXTRACTION; REJECTION;
D O I
10.1016/j.jpba.2013.08.001
中图分类号
O65 [分析化学];
学科分类号
070302 ; 081704 ;
摘要
Kidney transplanted patients need immunosuppressant therapies. Therapeutic drug monitoring approaches produce the optimal clinical outcome is still under debate. This review details strength and limits of methods available: immunoassay and chromatography-based. Liquid chromatography with mass spectrometry detection is a major breakthrough in therapeutic drug monitoring of immunosuppressive agents and is considered as the method of choice in therapeutic drug monitoring (TDM) of immunosuppressants. Despite the initial high cost for the instrumentation, HPLC-MS is more cost effective than microparticle enzyme immunoassay. The main important features of LC-MS/MS methodology for immunosuppressive drugs are the shortened analysis time, an increased throughput, higher selectivity, specificity, and sensitivity, and low cost of analysis. (C) 2013 Elsevier B.V. All rights reserved.
引用
收藏
页码:123 / 126
页数:4
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