1. Clinical method evaluation of hemoglobin S and C identification by top-down selected reaction monitoring and electron transfer dissociation
- Author
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Denis F. Hochstrasser, Nicolas Vuilleumier, Alexander Scherl, Pierre Lescuyer, Lorella Clerici, Ralf Hartmer, Olivier Lassout, Yury O. Tsybin, Kaveh Samii, Wolfgang Jabs, and Didia Coelho Graca
- Subjects
0301 basic medicine ,SRM ,Clinical Biochemistry ,Mass spectrometry ,01 natural sciences ,High-performance liquid chromatography ,03 medical and health sciences ,Capillary electrophoresis ,Electron transfer dissociation ,Hemoglobin ,Hemoglobin disorders ,Molecular Biology ,ddc:616 ,Chromatography ,Chemistry ,Research ,010401 analytical chemistry ,Selected reaction monitoring ,Hemoglobin variants ,ETD ,Intact protein ,General Medicine ,Top-down ,0104 chemical sciences ,Hemoglobin variant ,Electron-transfer dissociation ,030104 developmental biology ,Molecular Medicine - Abstract
Background Biological diagnosis of hemoglobin disorders is a complex process relying on the combination of several analytical techniques to identify Hb variants in a particular sample. Currently, hematology laboratories usually use high-performance liquid chromatography (HPLC), capillary electrophoresis and gel-based methods to characterize Hb variants. Co-elution and co-migration may represent major issues for precise identification of Hb variants, even for the most common ones such as Hb S and C. Methods We adapted a top-down selected reaction monitoring (SRM) electron transfer dissociation (ETD) mass spectrometry (MS) method to fit with a clinical laboratory environment. An automated analytical process with semi-automated data analysis compatible with a clinical practice was developed. A comparative study between a reference HPLC method and the MS assay was performed on 152 patient samples. Results The developed workflow allowed to identify with high specificity and selectivity the most common Hb variants (Hb S and Hb C). Concordance of the MS-based approach with HPLC was 71/71 (100%) for Hb S and 11/11 (100%) for Hb C. Conclusions This top-down SRM ETD method can be used in a clinical environment to detect Hb S and Hb C.
- Published
- 2019