Recent Advances on Liquid Chromatographic and Mass Spectrometric Analysis of Selective Estrogen Receptor Modulators (Serms) in Biological Fluids

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Recent Advances on Liquid Chromatographic and Mass Spectrometric Analysis of Selective Estrogen Receptor Modulators (Serms) in Biological Fluids Send Orders for Reprints to [email protected] Current Chromatography, 2014, 1, 41-51 41 Recent Advances on Liquid Chromatographic and Mass Spectrometric Analysis of Selective Estrogen Receptor Modulators (SERMs) in Biological Fluids Konstantinos M. Kasiotis1,*, Evangelia N. Tzanetou2 and Serkos A. Haroutounian2 1Benaki Phytopathological Institute, Laboratory of Pesticides Toxicology, 8 St. Delta Street, Athens, Kifissia 14561, Greece; 2Chemistry Laboratory, Agricultural University of Athens, Iera odos 75, Athens 11855, Greece Abstract: Selective Estrogen Receptor Modulators (SERMs) comprise a class of therapeutic agents widely prescribed for the prevention and treatment of breast cancer, osteoporosis and postmenopausal symptoms. SERMs are exemplified by Tamoxifen (TAM), a molecule displaying pronounced activity that is mediated through its in vivo active metabolites (Z)- 4-hydroxytamoxifen and endoxifen. The extensive in vivo metabolism of SERMs along with their wide use as medica- tions, has led to the development of specific methods for the efficient separation and accurate identification of their parent molecules and metabolites in biological fluids. For this purpose, Liquid Chromatography (LC) is considered the most effi- cient separation technique, especially when combined with mass spectrometry in simple (LC-MS) and/or tandem mode (LC-MS/MS), constituting the cutting edge analytical approach in terms of selectivity and sensitivity. This review intends to account the major recent advances on the LC-MS determination of SERMs and metabolites in biological fluids, a sub- ject not reviewed to date with the exception of TAM which was extensively reviewed on 2010, consequencing the inclu- sion of only very recent reports on TAM assessments. Keywords: Bioanalysis, biological fluids, endoxifen, extraction, HPLC, LC-MS, LC-MS/MS, mass spectrometry, metabolites, MRM transitions, precipitation, raloxifene, SERMs, solid phase, tamoxifen. INTRODUCTION the need for accurate and sensitive analysis of TAM and its metabolites in human biological fluids. Notwithstanding, the Selective Estrogen Receptor Modulators (SERMs) en- increased risk of developing endometrial cancer upon long- compass a class of therapeutic agents extensively prescribed term administration of TAM in connection with other toxic- for the prevention and treatment of breast cancer, osteoporo- ity parameters, has directed scientists towards the exploita- sis and postmenopausal symptoms. Tamoxifen (TAM) (Fig. tion of novel SERMs. Thus, a second generation of SERMs - 1) constitutes the prototype of first generation SERMs, exemplified by raloxifene (RAL)- along with a third genera- which is prescribed for the treatment of primary and metas- tion was developed [1]. Moreover, various analytical meth- tatic breast cancers. TAM reduces the incidence of estrogen ods were also developed aiming to expand their detectability receptor positive breast cancers by about 60 to 70 % in and include the novel SERMs as well. The corresponding healthy high risk women [1]. Structurally, first generation analytical findings suggest the existence of an extensive SERMs are poly-aromatic compounds that contain phenolic metabolic pathway -as previously stated- with some metabo- moieties which are prone to oxidative metabolism. TAM is a lites being analogues of TAM [4]. prodrug that is converted into various metabolites with the P450 cytochrome enzymes playing key role in these Reversed Phase High Performance Liquid Chromatogra- transformations [2]. The most therapeutically active metabo- phy (RP-HPLC) is the most widely used technique, espe- lites of TAM are N-desmethyl-4-hydroxytamoxifen (en- cially for water-soluble molecules. Many researchers in- doxifen) and 4-hydroxytamoxifen (4-OH-TAM), which are volved in bioanalysis utilize this technique on daily basis to 30- to 100-fold more potent compared to TAM. The anti- perform a wide range of bioavailability and/or pharmacoki- estrogenic activities of endoxifen and 4-hydroxytamo-xifen netic studies. Additionally, RP-HPLC analysis is used as are similar although endoxifen is also a potent inhibitor of routine choice for the separation-identification of SERMs aromatase and is present at a higher steady state concentra- and their metabolites, while the unambiguous identification tion in patients than 4-hydroxytamoxifen [3]. provided by mass spectrometry has found merit in drugs and metabolites analysis in conjunction with liquid chromatogra- In addition, TAM was top-ranked among the adverse phy. Advances in the development of silica-based particles analytical findings within the hormone antagonists and have increased the separation efficiency of the HPLC analy- modulators banned substances in 2010. The latter augmented sis. The latest development refers to the application of Ultra HPLC (UHPLC) that uses narrow-bore columns packed with *Address correspondence to this author at the Benaki Phytopathological very small particles (below 2 m), which finds numerous Institute, Laboratory of Pesticides Toxicology, 8 St. Delta Street, Athens, applications in SERMs separations (described below) and a Kifissia 14561, Greece; Tel: 00302108180384; Fax: 00302108180223; plethora of other analytes in various matrices [5]. To increase E-mail: [email protected] 2213-2414/14 $58.00+.00 © 2014 Bentham Science Publishers 42 Current Chromatography, 2014, Vol. 1, No. 1 Kasiotis et al. N O H N N O O HO TAM 4-Hydroxy TAM N-desmethyl TAM H N O N N O O HO Cl Endoxifen Clomiphene I N Idoxifene O OH O N O Cl Toremifene Cl HO Ospemifene N Lasofoxifene O N N O O N OH HO O O OH Bazedoxifene S S OH HO Arzoxifene Raloxifene HO O N O Acolbifene Fig. (1). Structures of TAM, its major metabolites and other SERMs. Recent Advances on Liquid Chromatographic and Mass Spectrometric Analysis Current Chromatography, 2014, Vol. 1, No. 1 43 accuracy and sensitivity of analysis HPLC was coupled with to the surface via covalent bonds or other nonpolar packing mass spectrometry. The use of mass spectrometry especially materials. These beads are porous in order to raise their sur- in tandem mode (HPLC-MS/MS) turned out to be an impor- face area available for binding. The majority of reports on tant analytical tool in the study of the metabolic fate of drugs SERMs analyses utilize C18 columns and in less extent C8 and other xenobiotics in living systems [6]. columns. The HPLC analyses of SERMs are vastly described for TAM since this molecule constitutes the first SERM During 2010 an extensive review published by Teunissen et al. covered the majority of bio-analytical methods for the developed and displays a high medicinal impact as the most prescribed SERM. As the number of SERMs increased identification/determination of TAM and its Phase I metabo- newer SERMs entered the analytical chemistry portfolio. lites [7]. The analysis of SERMs and other pharmaceuticals in bio- Since then, a substantial number of TAM analyses have logical fluids such as blood, serum/plasma or urine usually been published, intriguing us to summarize the recent ad- involves a liquid-liquid extraction step [9] and/or solid phase vances in the field. Specifically, the review herein envisages extraction (SPE) step [10] as well as protein precipitation. covering all currently available HPLC-MS methods for the The latter accounts for many applications reviewed in this detection of SERMs in biological fluids. Selected reports on report [11]. In order to better understand the analyses of HPLC analyses are also addressed, only when emphasis on these molecules it is important to understand their chemical the detection of SERMs with mass spectrometry is not ex- profile. tensively given. SERMS CHEMICAL PROFILE AND MOBILE PHASE REVERSED PHASE CHROMATOGRAPHY AND pH SERMs ANALYSIS The basic nature of SERMs accounts for their increased RP chromatography is by far the method of choice in ionization and decreased lipophilicity under acidic condi- HPLC applications, accounting approximately for 60% of all tions. This explains the preference of researchers for acidic reported methods [8]. In most cases the mobile phase is a mobile phase conditions in order to enhance ionization and polar solvent system comprised by a) water with an optional therefore shorten analysis time. When the sample contains buffer, and b) a water-miscible organic solvent, such as ace- impurities the use of basic mobile phase facilitates the sepa- tonitrile (ACN) or methanol (MeOH). During a RP-HPLC ration of analytes, as was demonstrated in an HPLC method the partitioning of analytes occurs between the polar mobile developed for bazedoxifene acetate [12]. Considering the phase and a non-polar stationary phase (Fig. 2). The latter importance of TAM and the fact that it was the first SERM typically consists of non-polar chemically modified silica prescribed the disclosure of pertinent works begins with (spherical silica beads,1.8-5 micron), which usually consists TAM and its metabolites. of either linear octadecyl (C18) or octyl C8 groups bounded UHPLC SENSITIVE DETECTIONS OF TAM AND PHASE I METABOLITES O Tandem mass spectrometry was used by Dahmane et al. to identify TAM and its metabolites in breast cancer patients Si [11]. Their method refers to the use of low volume of plasma (100 L) which was purified by protein precipitation and evaporation. The samples obtained were reconstituted with a N N O solution of MeOH/20mM ammonium formate 1:1 (v/v) and O the pH was adjusted to 2.9 with the addition of formic acid. The separation was performed using an Acquity
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