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2

Figure 1. SPLC method profile

MS Method

Analyte detection was performed on a

TSQ Endura MS

equipped with a heated electrospray ionization (HESI)

source. Table 1 shows MS conditions and Table 2 shows

the selected-reaction monitoring (SRM) transitions for all

four drugs and the two internal standards.

Table 1. MS conditions

Ionization

Heated electrospray ionization

Vaporizer temp

450 °C

Capillary temp

200 °C

Spray voltage

3500 V

Sheath gas

52 AU

Auxiliary gas

20 AU

Data acquisition mode

Selected-reaction monitoring (SRM)

Chrom filter peak width

3 s

Collision gas pressure

2 mTorr

Cycle time

0.2 s

Q1 (FWMH)

0.7

Q3 (FWMH)

0.7

SRM parameters

Refer to Table 2

Table 2. SRM Parameters

Calibrators and Controls

Whole blood calibrators for the immunosuppressant

drugs and quality control (QC) samples were purchased

from ChromSystems Instruments & Chemicals GmbH.

Vendor instructions were followed to reconstitute the

lyophilized calibrators and controls.

Results and Discussion

Data were acquired and processed with

Thermo Scientific TraceFinder software version 3.1.

Figure 2 shows a

representative chromatogram of the calibration standard

at the lowest level. All calibration curves were linear with

R

2

values greater than 0.9943. All of the QC samples

were within 20% of the manufacturer-specified

concentrations (Table 3). Table 4 shows the linearity

range and R

2

values, and Figure 3 shows representative

calibration curves for all four drugs. Figure 4 shows the

extracted ion chromatogram along with the calculated

concentrations for tacrolimus and sirolimus from different

donor samples.

Total solvent consumption is

3.37 mL A, 3.25 mL B, 1.5 C

for each injection

Table 3. Accuracy of QC samples

Table 4. Linearity ranges

Compound

Linear Range

R

2

Name

(ng/mL)

Tacrolimus

2.1–38.5

0.9971

Cyclosporine A

23.3–919

0.9951

Sirolimus

2.3–46.1

0.9943

Everolimus

2.2–41.1

0.9973

Compound

Name

Q1

(

m/z

)

Q3

(

m/z

)

RF

Lens

Collision

Energy

Tacrolimus

821.6 768.5

224

24

13

CD

2

-Tacrolimus

824.6 771.6

224

24

Cyclosporine A

1202.8 425.4

250

58

D

12

-Cyclosporine A 1214.8 437.4

250

58

Sirolimus

931.7 864.5

250

23

Everolimus

975.5 908.5

224

23

Sirolimus

Theoretical

Amount

Calculated

Amount

Difference

(%)

QC1

2.90

2.66

-8.41

QC2

10.1

10.8

6.78

QC3

20.4

22.4

9.63

QC4

38.5

35.8

-7.09

Cyclosporin A Theoretical

Amount

Calculated

Amount

Difference

(%)

QC1

53.0

56.9

7.37

QC2

276

320

15.8

QC3

514

500

-2.75

QC4

1110

1190

6.77

Everolimus Theoretical

Amount

Calculated

Amount

Difference

(%)

QC1

2.30

2.21

-3.83

QC2

4.40

3.80

-13.6

QC3

8.50

9.42

10.8

QC4

28.8

27.1

-5.89

Tacrolimus Theoretical

Amount

Calculated

Amount

Difference

(%)

QC1

2.60

3.04

16.8

QC2

7.30

7.66

4.86

QC3

16.7

17.4

4.08

QC4

34.2

32.3

-5.60