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2

Targeted Quantitation of Insulin and Its Therapeutic Analogs for Research

Overview

Purpose:

To perform simultaneous qualitative and quantitative analyses of endogenous

insulin and/or therapeutic analogs at biological levels for research.

Methods:

We used a pan-anti insulin antibody in

Thermo Scientific™

Mass

Spectrometric Immunoassay (MSIA) D.A.R.T.’S

TM

pipette tips for highly-selective affinity

purification of all insulin analogs. Analogs were detected, verified, and quantified using

high-resolution, accurate-mass (HRAM) MS and MS/MS data from a

Thermo Scientific™ Q Exactive™ mass spectrometer.

Results:

We achieved a lower-limit-of-detection (LLOD) of 15 pM in plasma for all

variants used with linear regressions of 0.99 or better. Further, we demonstrate inter-

and intra-

day CV’s of < 3% and spike and recovery resulted in recoveries of 96–

100%.

Introduction

The measurement of insulin is a paramount metric in clinical research, therapeutic

research, forensic, and sports doping applications. Conventional insulin analytical

methods are plagued by the inability to differentiate endogenous insulin from exogenous

insulin analogs. The use of LC/MS can overcome this shortcoming

1

; however, the

LC/MS methods to date lack the analytical sensitivity demanded by the field. Therefore,

a highly selective sample interrogation workflow is required to address the complexity of

plasma samples and, ultimately, for accurate and sensitive LC/MS detection and

quantification. To meet these requirements, a MSIA research workflow was developed

for the high-throughput, analytically sensitive quantification of insulin and its analogs

from human donor plasma.

Methods

Sample Preparation

For spike and recovery studies, both neat and donor plasma samples containing a mix

of insulin and its analogs were prepared. Insulin was added at three different amounts

that spanned the dynamic range to the donor plasma. Up to four analogs were prepared

in a single sample. For the limit-of-detection and limit-of-quantification studies, 1.5 pM to

960 pM insulin was added to bovine serum albumin in phosphate buffered saline.

Additionally, either 0.05 nM of a heavy version of insulin or porcine insulin was added as

an internal reference standard to each well of 500 µL plasma.

Samples were then addressed for the first stage in the MSIA workflow. Targeted

selection was achieved using insulin MSIA Disposable Automated Research Tip’s

(D.A.R.T.’S) (Figure 1). The affinity purification step in the MSIA workflow was automated

by the Thermo Scientific™

Versette

™ automated liquid handler. Following extraction,

intact insulin analogs were eluted with 75 µL 70:30 water/acetonitrile with 0.2% formic

acid with 15 µg/mL ACTH 1-24. The final concentration was adjusted to 75:25

water/acetonitrile with 0.2% formic acid for LC/MS analysis.

Liquid Chromatography

A Thermo Scientific™ Dionex™ UltiMate™ 3000 RSLC system was used for all

experiments. 100 µL of each sample was separated on a 100 x 1 mm Thermo

Scientific™

ProSwift

™ column using a linear gradient (10–

50% in 10 min) comprised of

A) 0.1% formic acid in water and B) 0.1% formic acid in acetonitrile. The column was

heated to 50 ºC.

Mass Spectrometry

All data was acquired using a Q Exactive Orbitrap mass spectrometer operated in data-

dependent mode with dynamic exclusion enabled. Full scan MS data was acquired with

a resolution setting of 70,000 (at

m/z

200) and using a mass range of 800

2000 Da. A

targeted inclusion list was used to trigger MS/MS events and MS/MS was acquired with

a resolution setting of 17,500 (at

m/z

200).

Data Analysis

Thermo Scientific™ Pinpoint™ software version 1.3 was used to analyze all LC/MS

data. HRAM measurements were used for qualitative and quantitative measurement of

insulin and its analogs.

The three most abundant precursor charge states per analog and the six most abundant

isotopes per charge state provided qualitative validation for insulin and its analogs.

Qualitative scoring was based on mass error, precursor charge state distribution,

isotopic overlap, and corresponding LC elution peak profiles. Product ion data was used

for sequence verification.

FIGURE 1. Targeted se

its analogs are selecti

compounds. Lastly, th

which is ready for LC/

Results

FIGURE 2. HRAM MS

ion chromatograms fo

isotopic

m/z

values fro

from each isotope wer

Additionally, each ins

2a) comparative peak

well as 2b) isotopic di

Qualitative Validation

One of the primary limit

distinguish between end

insulin pan-

antibody in t

the

-chain that is cons

capture and detection of

region remains conserv

the MSIA workflow enab

ability to screen for uns

LC/MS detection using

insulin variants from the

precursor charge states

approach. Figure 3 sho

fragmentation patterns f

confirm the identity of in

2a

For quantification, a m

Amounts of each insuli

(AUC) values, normaliz

from standard curve dat