Rapid measurement of plasma free fatty acid concentration and isotopic enrichment using LC/MS

Measurements of plasma free fatty acids (FFA) concentration and isotopic enrichment are commonly used to evaluate FFA metabolism. Until now, gas chromatography-combustion-isotope ratio mass spectrometry (GC/C/IRMS) was the best method to measure isotopic enrichment in the methyl derivatives of 13C-labeled fatty acids. Although IRMS is excellent for analyzing enrichment, it requires time-consuming derivatization steps and is not optimal for measuring FFA concentrations. We developed a new, rapid, and reliable method for simultaneous quantification of 13C-labeled fatty acids in plasma using high-performance liquid chromatography-mass spectrometry (HPLC/MS). This method involves a very quick Dole extraction procedure and direct injection of the samples on the HPLC system. After chromatographic separation, the samples are directed to the mass spectrometer for electrospray ionization (ESI) and analysis in the negative mode using single ion monitoring. By employing equipment with two columns connected parallel to a mass spectrometer, we can double the throughput to the mass spectrometer, reducing the analysis time per sample to 5 min. Palmitate flux measured using this approach agreed well with the GC/C/IRMS method. This HPLC/MS method provides accurate and precise measures of FFA concentration and enrichment. Measurements of plasma free fatty acids (FFA) concentration and isotopic enrichment are commonly used to evaluate FFA metabolism. Until now, gas chromatography-combustion-isotope ratio mass spectrometry (GC/C/IRMS) was the best method to measure isotopic enrichment in the methyl derivatives of 13C-labeled fatty acids. Although IRMS is excellent for analyzing enrichment, it requires time-consuming derivatization steps and is not optimal for measuring FFA concentrations. We developed a new, rapid, and reliable method for simultaneous quantification of 13C-labeled fatty acids in plasma using high-performance liquid chromatography-mass spectrometry (HPLC/MS). This method involves a very quick Dole extraction procedure and direct injection of the samples on the HPLC system. After chromatographic separation, the samples are directed to the mass spectrometer for electrospray ionization (ESI) and analysis in the negative mode using single ion monitoring. By employing equipment with two columns connected parallel to a mass spectrometer, we can double the throughput to the mass spectrometer, reducing the analysis time per sample to 5 min. Palmitate flux measured using this approach agreed well with the GC/C/IRMS method. This HPLC/MS method provides accurate and precise measures of FFA concentration and enrichment. Fatty acids are an important class of molecules for both energy metabolism (1Sidossis L.S. Coggan A.R. Gastaldelli A. Wolfe R.R. Pathway of free fatty acid oxidation in human subjects.J. Clin. Invest. 1995; 95: 278-284Crossref PubMed Scopus (82) Google Scholar, 2Horowitz J.F. Klein S. Oxidation of nonplasma fatty acids during exercise is increased in women with abdominal obesity.J. Appl. Physiol. 2000; 89: 2276-2282Crossref PubMed Scopus (64) Google Scholar) and cell signaling (3Stratford S. Hoehn K.L. Liu F. Summers S.A. Regulation of insulin action by ceramide: dual mechanisms linking ceramide accumulation to the inhibition of Akt/protein kinase B.J. Biol. Chem. 2004; 279: 36608-36615Abstract Full Text Full Text PDF PubMed Scopus (319) Google Scholar, 4Timmers S. Schrauwen P. de Vogel J. Muscular diacylglycerol metabolism and insulin resistance.Physiol. Behav. 2008; 94: 242-251Crossref PubMed Scopus (111) Google Scholar). The vast majority of fatty acids in humans are stored in a relatively inert form as adipose tissue triglyceride, being released into the circulation as free fatty acids (FFA) via lipolysis. Disturbances in FFA metabolism, including accelerated rates of FFA release under basal (5Jensen M.D. Haymond M.W. Rizza R.A. Cryer P.E. Miles J.M. Influence of body fat distribution on free fatty acid metabolism in obesity.J. Clin. Invest. 1989; 83: 1168-1173Crossref PubMed Scopus (544) Google Scholar) and postprandial (6Roust L.R. Jensen M.D. Postprandial free fatty acid kinetics are abnormal in upper body obesity.Diabetes. 1993; 42: 1567-1573Crossref PubMed Scopus (0) Google Scholar) conditions, are characteristic features of obesity. Plasma FFA concentrations are an imperfect indicator of FFA kinetics, as evidenced by the greater lipolysis rates in women than men at comparable FFA concentrations (7Nielsen S. Guo Z. Albu J.B. Klein S. O'Brien P.C. Jensen M.D. Energy expenditure, sex, and endogenous fuel availability in humans.J. Clin. Invest. 2003; 111: 981-988Crossref PubMed Scopus (110) Google Scholar) and the divergence of FFA concentrations and flux during exercise (8Ahlborg G. Felig P. Hagenfeldt L. Hendler R. Wahren J. Substrate turnover during prolonged exercise in man. Splanchnic and leg metabolism of glucose, free fatty acids, and amino acids.J. Clin. Invest. 1974; 53: 1080-1090Crossref PubMed Scopus (567) Google Scholar, 9Havel R.J. Carlson L.A. Ekelund L. Holmgren A. Turnover rate and oxidation of different free fatty acids in man during exercise.J. Appl. Physiol. 1964; 19: 613-618Crossref PubMed Scopus (118) Google Scholar). Robust isotope dilution techniques have been developed to measure FFA kinetics, including radiotracer methods using high-performance liquid chromatography (HPLC) (10Miles J.M. Ellman M.G. McClean K.L. Jensen M.D. Validation of a new method for determination of free fatty acid turnover.Am. J. Physiol. 1987; 252: E431-E438PubMed Google Scholar), gas chromatography-mass spectrometry (GC/MS) (11Wolfe R.R. Evans J.E. Mullany C.J. Burke J.F. Measurement of plasma free fatty acid turnover and oxidation using 1–13Cpalmitic acid.Biomed. Mass Spectrom. 1980; 7: 168-171Crossref PubMed Scopus (48) Google Scholar), and gas chromatography-combustion-isotope ratio mass spectrometry (GC/C/IRMS) (12Guo Z. Nielsen S. Burguera B. Jensen M.D. Free fatty acid turnover measured using ultralow doses of U-13Cpalmitate.J. Lipid Res. 1997; 38: 1888-1895Abstract Full Text PDF PubMed Google Scholar). Each of these methods requires an isolation and derivatization step followed by a relatively time-consuming chromatography separation, potentially limiting sample throughput. To improve efficiency, we developed a new method for simultaneous measurement of concentration and stable isotopic enrichment of plasma FFA. Our method uses HPLC electrospray ionization (ESI) quadrupole mass spectrometry in the selected ion monitoring (SIM) mode. The method is simple and reliable for monitoring changes in plasma FFA concentration and enrichment. By using HPLC for the separation, we can avoid the derivatization step, allowing more rapid sample processing. In addition, by employing a tandem HPLC injection system, we are able to obtain sample data every 5 min. The results compare favorably with the GC/C/IRMS (12Guo Z. Nielsen S. Burguera B. Jensen M.D. Free fatty acid turnover measured using ultralow doses of U-13Cpalmitate.J. Lipid Res. 1997; 38: 1888-1895Abstract Full Text PDF PubMed Google Scholar) approach for measuring palmitate flux using ultra-low tracer infusion rates. Palmitic acid, sodium palmitate, sodium heptadecanoate, essentially fatty acid free albumin, potassium phosphate, potassium biphosphate, heptane, 2.0 M (trimethylsilyl)diazomethane solution, sulfuric acid, and ammonium acetate were purchased form Sigma-Aldrich Chemicals (St. Louis, MO). 13C16palmitic acid was supplied by Cambridge Isotope Laboratories (Andover, MA). HPLC-grade acetonitrile, isooctane, isopropanol, methanol, and water were obtained from Burdick and Jackson Chemicals (Morristown, NJ). Four-milliliter screw-cap vials and 12 ml screw cap extraction tubes were supplied by Fisher Scientifics (Pittsburg, PA). All caps were lined with Teflon liners (Arthur H. Thomas, Philadelphia, PA). The GC column and LC column were purchased from Agilent Technologies (Santa Clara, CA) and Supelco (St. Louis, MO), respectively. A mixed solution of 10 mM of potassium phosphate and diphosphate were prepared in water. The pH of the phosphate buffer was brought up to 7.6 using 10 N sodium hydroxide. Two percent albumin solution was made by slowing adding 2 g of albumin to 100 ml of 10 mM phosphate buffer. Stock palmitate concentration standard of 400 μM and heptadecanoate internal standard of 60 μg/ml were made in 2% albumin solution. A 1 N sulfuric acid solution was prepared in water. An eight-point (0.00%–0.40%) 13C16palmitic enrichment curve was prepared in heptane. The curve was split into two separate aliquots for analysis in either LC/MS or GC/C/IRMS later. Plasma samples were obtained from six lean and obese volunteers participating in two ongoing research studies of free fatty acid turnover in order to obtain data from individuals with a wide range of palmitate flux. These protocols were approved by Mayo Institution Review Board, and all participants provided signed, informed consent. On the day of the study, each subject was infused with 13C16palmitate at rates of 2 or 6 nmol•kg−1•min−1. Blood samples were collected from a retrograde IV catheter using the heated hand vein approach and aliquotted into EDTA-containing tubes. Plasma was obtained by refrigerated centrifugation and stored at −80°C for analyses at a later date. On the day the samples were processed, a six-point palmitate concentration curve was constructed by taking 250 μl of the 400 μM stock solution and making dilutions with 10 mM phosphate buffer to yield 400, 200, 100, 50, 25. and 0 μM standards. Aliquots of 250 μl plasma were also placed into extraction tubes. A quantity of 50 μl of the heptadecanoate internal standard solution was spiked to each concentration standard and each plasma sample. The standards and plasma samples were extracted with freshly prepared Dole solution. The extracts were taken to dryness on a Speed Vac (Savant Instruments, Farmingdale, NY) and were analyzed first on the LC/MS system and then on GC/C/IRMS system as described below. Concentration and isotopic enrichment of palmitic acid from extracted plasmas were simultaneously measured against an extracted concentration standard curve as well as an enrichment standard curve on the Applied Biosystem API5000 mass spectrometer-MS (Foster City, CA) coupled with a Cohesive TX2 liquid chromatography system-LC (Franklin, MA). This system provides two LCs connected in parallel to the mass spectrometer, allowing twice the number of samples to be analyzed by using tandem sample injection. The LCs were controlled by Aria software (Cohesive Technology). Palmitic and heptadecanoic acids were separated on the LCs using an Ascentis C18, 2.7 μm, 2.1 × 150 mm column using two buffers. Buffer A was 80% acetonitrile, 0.5 mM ammonium acetate; buffer B was 99% acetonitrile, 1% 0.5 mM ammonium acetate. The flow rate was 0.4 ml/min, and the gradient conditions were as follows: 0–8 min isocratic at 55% B, 8–8.5 min 55⇒95% B, 8.5–10 min isocratic at 95% B, 10–10.5 min 95⇒55% B, and 10.5–12 min isocratic at 55% B. One tenth of the volume of each concentration standard and each plasma sample were resuspended in 400 μl of buffer A prior to injecting 10 μl onto the LC/MS. The chromographic separation of linoleic acid, palmitic acid, oleic acid, eladic acid, and heptadecanoic acid (internal standard) are depicted in Fig. 1A. Although palmitic and oleic acid peaks overlap, they are distinguishable by MS, whereas eladic acid, which is indistinguishable from oleic acid by MS, is easily separated by chromatography. Fig. 1B depicts the M+2 peaks for palmitate and heptadecanoate and the M+16 peak for palmitate of a plasma sample from a volunteer receiving a U-13Cpalmitate infusion. Palmitate elutes at 6.2 min and heptadecanoate acid at 7.1 min; however, in Fig. 1B the retention times are shown as 1.2 and 2.9 min because of the 3 min delay set in the LC method before diverting the flow to the MS for acquisition. The MS was set to acquire for only 5 min, allowing MS data acquisition from the second LC to begin while the first LC finishes its 12 min gradient. The MS was equipped with a turbo ion spray interface with the heater set at 60°C, spray voltage at 5500 V, sheath gas at 50, sweep gas at 40, and transfer capillary at 270°C. Palmitate, 13C16palmitate and heptadecanoate were selectively monitored at m/z 257, m/z 271 in negative mode. Palmitate was monitored as M+2−H− and M+16−H−. Heptadecanoic was also monitor as M+2−H− . Therefore m/z 271 was either 13C16palmitate or heptadecanoate, depending on where it eluted in the LC gradient. The second aliquot of the enrichment standards as well as the remaining plasma samples were methylated using (trimethylsilyl)diazomethane and methanol for analysis on the GC/C/IRMS as previously described (12Guo Z. Nielsen S. Burguera B. Jensen M.D. Free fatty acid turnover measured using ultralow doses of U-13Cpalmitate.J. Lipid Res. 1997; 38: 1888-1895Abstract Full Text PDF PubMed Google Scholar). The enrichment of 13C16palmitate, but not the concentration, was measured using this approach. The enrichment standard curves are shown in Figs. 2 and 3 for the LC/MS and GC/C/IRMS systems, respectively.Fig. 313C16 palmitate enrichment curve obtained on GC/IRMS.View Large Image Figure ViewerDownload Hi-res image Download (PPT) We measured 13C16 palmitate enrichment in 80 different plasma samples belonging to six study subjects using both systems. Fig. 4 shows the correlation between the two methods. As expected, the slope is not equal to 1.0 because the LC/MS measures the M+16 whereas the GC/C/IRMS measures total 13C enrichment. However, the relationship between the tracer:tracee ratios obtained from the two instruments was such that the intercept was not different than 0, and slope was not different than 1.0 (data not shown). Palmitate flux during 20 distinct steady-state intervals was calculated using the average palmitate enrichment from the two analytical approaches and the tracer infusion rates. For the LC/MS approach, we used the infusion rate of the 13C16palmitate (M+16) (the tracer purity averaged 85.2%), whereas for the GC/C/IRMS we used the infusion rate of the 13Cpalmitate (tracer purity of 99% 13C). Palmitate flux averaged 155 ± 71 and 147 ± 68 μmol/min (P = NS) for the LC/MS and GC/C/IRMS methods, respectively, and were well correlated (R2= 0.94, P < 0.00001). The slope of the relationship was not different than 1.0, and the intercept not different than 0. Fig. 5 depicts the flux measures using the two approaches. The palmitate concentration curve was linear from 0 to 400 μmol/l and was generated by monitoring M+2 species of both palmitate and heptadecanoate. A plasma quality control (QC) sample was analyzed with each set of samples to compare with the concentration value obtained from the HPLC-UV method that is routinely used in an adjacent laboratory (10Miles J.M. Ellman M.G. McClean K.L. Jensen M.D. Validation of a new method for determination of free fatty acid turnover.Am. J. Physiol. 1987; 252: E431-E438PubMed Google Scholar). The QC palmitate concentration obtained from six different sets gave the value of 143 ± 1 μM, similar to the average value observed for the same QC using HPLC-UV of 145 μM. A number of techniques are used to measure FFA concentration and isotopic enrichment. Most often FFA concentrations are measured using GC equipped with flame ionization detector (GC/FID) or coupled to mass spectrometer (13Shantha N.C. Napolitano G.E. Gas chromatography of fatty acids.J. Chromatogr. A. 1992; 624: 37-51Crossref PubMed Scopus (138) Google Scholar, 14Kangani C.O. Kelley D.E. Delany J.P. New method for GC/FID and GC-C-IRMS analysis of plasma free fatty acid concentration and isotopic enrichment.J. Chromatogr. B Analyt. Technol. Biomed. Life Sci. 2008; 873: 95-101Crossref PubMed Scopus (68) Google Scholar). Gas chromatograph coupled to mass spectrometer (GS/MS) allows measurements of both concentration and isotopic enrichment (15Pawlosky R.J. Sprecher H.W. Salem Jr, N. High sensitivity negative ion GC-MS method for detection of desaturated and chain-elongated products of deuterated linoleic and linolenic acids.J. Lipid Res. 1992; 33: 1711-1717Abstract Full Text PDF PubMed Google Scholar, 16Patterson B.W. Zhao G. Elias N. Hachey D.L. Klein S. Validation of a new procedure to determine plasma fatty acid concentration and isotopic enrichment.J. Lipid Res. 1999; 40: 2118-2124Abstract Full Text Full Text PDF PubMed Google Scholar). Gas chromatography methods for FFA often employ a time-consuming lipid extraction procedure, such as solid phase extraction or liquid-liquid extraction, separation of FFA by TLC, and derivatization to fatty acid methyl esters for measurement by GS/MS (15Pawlosky R.J. Sprecher H.W. Salem Jr, N. High sensitivity negative ion GC-MS method for detection of desaturated and chain-elongated products of deuterated linoleic and linolenic acids.J. Lipid Res. 1992; 33: 1711-1717Abstract Full Text PDF PubMed Google Scholar, 17Pawlosky R. Barnes A. Salem Jr, N. Essential fatty acid metabolism in the feline: relationship between liver and brain production of long-chain polyunsaturated fatty acids.J. Lipid Res. 1994; 35: 2032-2040Abstract Full Text PDF PubMed Google Scholar, 18Lin Y.H. Pawlosky R.J. Salem Jr, N. Simultaneous quantitative determination of deuterium- and carbon-13-labeled essential fatty acids in rat plasma.J. Lipid Res. 2005; 46: 1974-1982Abstract Full Text Full Text PDF PubMed Scopus (17) Google Scholar). To date, the most sensitive method for measuring low levels of isotopic enrichment is by GC/C/IRMS (12Guo Z. Nielsen S. Burguera B. Jensen M.D. Free fatty acid turnover measured using ultralow doses of U-13Cpalmitate.J. Lipid Res. 1997; 38: 1888-1895Abstract Full Text PDF PubMed Google Scholar, 14Kangani C.O. Kelley D.E. Delany J.P. New method for GC/FID and GC-C-IRMS analysis of plasma free fatty acid concentration and isotopic enrichment.J. Chromatogr. B Analyt. Technol. Biomed. Life Sci. 2008; 873: 95-101Crossref PubMed Scopus (68) Google Scholar, 19Goodman K.J. Brenna J.T. High sensitivity tracer detection using high-precision gas chromatography-combustion isotope ratio mass spectrometry and highly enriched U-13C-labeled precursors.Anal. Chem. 1992; 64: 1088-1095Crossref PubMed Scopus (149) Google Scholar). Although GC/C/IRMS is very accurate and precise in measuring very low enrichment samples, thus allowing low tracer infusion rates to be used, its narrow dynamic range compromises concentration measurement. Therefore, it is not the instrument of choice for quantifying concentration, especially in a protocol where lipolysis is either suppressed or increased. This new method for simultaneously measuring plasma FFA concentration and fatty acid isotope enrichment by HPLC/MS involves extraction of FFA from plasma and direct injection of extract into the HPLC system, thus eliminating extensive sample preparation. Because the method is specific for FFA without contribution from esterified fatty acids, no separation step using TLC or solid phase extraction is required. We believe a major advantage of this method is that the fatty acids do not require derivatization before analysis. After extraction, the samples can be dried, resuspended in solvent A used in HPLC gradient, and injected on the column. The HPLC system we employ uses two columns connected in parallel to a mass spectrometer, enabling sample throughput to double, essentially reducing the run time of plasma palmitate samples to 5 min. The reduced analysis time makes this method especially suitable for analysis of large numbers of samples. After chromatographic separation, the samples are directed to a mass spectrometer. The concentration and enrichment are measured using SIM in negative electrospray ion mode. To optimize ionizing conditions, we used palmitic acid (C16:0) as the standard fatty acid. We were able to simultaneously measure palmitate concentration and enrichment in the low enrichment range by LC/MS. By using the M+2 as the base peak for measuring M+16 abundance, we were able to accurately assess palmitate enrichment at low levels typically best measured by GC/C/IRMS. This LC/MS method for measuring isotopic enrichment compared extremely well with the GC/C/IRMS approach to measure palmitate flux. We found only one publication describing the use of HPLC/MS to measure fatty acid enrichment (20Gagne S. Crane S. Huang Z. Li C.S. Bateman K.P. Levesque J-F. Rapid measurement of deuterium-labeled long-chain fatty acids in plasma by HPLC-ESI-MS.J. Lipid Res. 2007; 48: 252-259Abstract Full Text Full Text PDF PubMed Scopus (30) Google Scholar). The authors describe an LC/MS in negative mode using SIM approach to measure deuterium-labeled fatty acids. They were able to trace the of an deuterium-labeled fatty acid in rat plasma using this approach. In the method we describe allows the measurement of palmitate concentration and flux using an ultra-low U-13Cpalmitate tracer and LC/MS. The the accurate measurement of FFA with a in both sample and analytical run We believe that this approach improve the of laboratory analysis of plasma samples from FFA flux