TWI532992B - Method and system for measuring valproic acid and metabolic product thereof - Google Patents

Method and system for measuring valproic acid and metabolic product thereof Download PDF

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TWI532992B
TWI532992B TW102129354A TW102129354A TWI532992B TW I532992 B TWI532992 B TW I532992B TW 102129354 A TW102129354 A TW 102129354A TW 102129354 A TW102129354 A TW 102129354A TW I532992 B TWI532992 B TW I532992B
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valproic acid
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valproic
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TW201506403A (en
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呂濟宇
吳俊毅
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高雄醫學大學
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丙戊酸及其代謝物的量測方法及其系統 Method and system for measuring valproic acid and its metabolites

本發明是關於一種量測丙戊酸及其代謝物的方法、系統及套組。 The present invention relates to a method, system and kit for measuring valproic acid and its metabolites.

丙戊酸(valproic acid,VPA)為臨床上常用的小分子脂肪酸藥物,其廣泛用來治療各類癲癇症和做為情緒穩定用藥,神經醫學常使用此藥物預防神經退化性疾病和作為保護神經系統功用。 Valproic acid (VPA) is a clinically used small molecule fatty acid drug widely used in the treatment of various types of epilepsy and as a mood-stable drug. Neuromedicine often uses this drug to prevent neurodegenerative diseases and as a protective nerve. System function.

目前丙戊酸可做為口服製劑、糖漿和注射等劑型,在治療各適應症有不同的血中濃度,此外,因丙戊酸主要是透過肝臟進行藥物代謝,使用過量會造成肝毒性,且造成胎兒畸形與神經管發與缺陷等副作用。近年來,癌症研究中發現丙戊酸可抑制癌細胞的增生做為治療癌症的新用途。 At present, valproic acid can be used as an oral preparation, syrup and injection, and has different blood concentrations in the treatment of various indications. In addition, since valproic acid is mainly used for drug metabolism through the liver, excessive use may cause liver toxicity, and Causes side effects such as fetal malformations and neural tube defects and defects. In recent years, valproic acid has been found in cancer research to inhibit the proliferation of cancer cells as a new use for the treatment of cancer.

在臨床治療應用上,劑量不當可能造成產生副作用,如肝衰竭、小兒胰臟炎與高氨血症。代謝中,丙戊酸主要透過肝臟CYP450酵素進行代謝,產生50種代謝產物,其中主要代謝物2-丙基-4-戊烯酸(2-propyl-4-pentenoic acid)具有肝毒性,可進行二次代謝轉換為(E)-2,4-二烯VPA((E)-2,4-diene VPA),造成藥物引起肝臟損傷(drug-induced liver injury,DILI)。因此,無論單一使用或是用於合併療法上,在臨床上,必須 謹慎監控病人丙戊酸的血中濃度。 In clinical treatment applications, improper doses may cause side effects such as liver failure, pediatric pancreatitis and hyperammonemia. In metabolism, valproic acid is mainly metabolized by liver CYP450 enzyme, producing 50 metabolites, of which the main metabolite 2-propyl-4-pentenoic acid has hepatotoxicity. Secondary metabolism is converted to (E)-2,4-diene VPA ((E)-2,4-diene VPA), causing drug-induced liver injury (DILI). Therefore, whether it is used alone or for combination therapy, it must be clinically necessary. Carefully monitor the blood concentration of the patient's valproic acid.

在血液中的丙戊酸超過90%會與血液中的蛋白質(albumin protein)結合,並增加血液中監測的困難度。由於血液檢體成分複雜,包含血漿血球抗體與血漿蛋白等,過去文獻使用血液萃取方式,包含有機溶液萃取(liquid liquid extraction,LLE)及固相萃取法(solid-phase extraction,SPE)。 More than 90% of the valproic acid in the blood binds to the albumin protein in the blood and increases the difficulty of monitoring in the blood. Due to the complex composition of blood samples, including plasma blood cell antibodies and plasma proteins, the past literature uses blood extraction methods, including liquid liquid extraction (LLE) and solid-phase extraction (SPE).

固相萃取法是常用於過濾與分離的技術,依照待測樣本種類有不同的萃取相,使用固相萃取管匣來進行血液前處理,萃取步驟包含活化管柱(activate)、潤洗(washing)、加入(loading)及沖提(elute),獲得待測物後再以其他方法進行分析。 Solid phase extraction is a technique commonly used for filtration and separation. According to the type of sample to be tested, there are different extraction phases. The solid phase extraction tube is used for blood pretreatment. The extraction step includes activation of the column and washing. ), loading (loading) and eluting (elute), obtaining the analyte and then analyzing it by other methods.

另一方面,目前可透過包含液相層析質譜儀(liquid chromatography mass spectrometry)和氣相層析質譜儀(gas chromatography mass spectrometry)測量丙戊酸濃度。在測量過程中,以固相萃取法進行前處理,加入內部標準品並搭配上述質譜儀以測定血液丙戊酸的濃度;此外,另有文獻(名稱:Simultaneous determination of mycophenolic acid and valproic acid based on derivatization by high-performance liquid chromatography with fluorescence detection,Biomedical Chromatography 2006,20(4):319-26)利用具螢光偵測的液相層析儀用以同時測量血漿中黴酚酸及丙戊酸的方法,其在前處理時需利用含氯的有機溶劑處理樣本,在透過分析儀器測量過程中,並無法分析化合物結構;此外,該文獻使用此儀器分析樣本的時間相當冗長。 On the other hand, valproic acid concentrations can currently be measured by the inclusion of liquid chromatography mass spectrometry and gas chromatography mass spectrometry. In the measurement process, the pretreatment is carried out by solid phase extraction, the internal standard is added and the above mass spectrometer is used to determine the concentration of blood valproic acid; in addition, there is another document (name: Simultaneous determination of mycophenolic acid and valproic acid based on Derivatization by high-performance liquid chromatography with fluorescence detection, Biomedical Chromatography 2006, 20(4): 319-26) Using a liquid chromatography with fluorescence detection to simultaneously measure mycophenolic acid and valproic acid in plasma In the method, the sample needs to be treated with a chlorine-containing organic solvent in the pretreatment, and the structure of the compound cannot be analyzed during the measurement by the analytical instrument; in addition, the time for analyzing the sample using the instrument is rather lengthy.

上述的分析方法,其缺點在於在分析過程中僅能分析一個樣 本,前處理耗費成本高,且血液前處理步驟加上液相分析儀平衡及分析時間冗長。因此,市場上仍期待開發一套快速及安全之偵測丙戊酸的方法,以作為個體醫療上臨床用藥的依據。 The above analysis method has the disadvantage that only one sample can be analyzed during the analysis process. The pre-treatment cost is high, and the blood pre-treatment step plus the liquid phase analyzer balance and analysis time is lengthy. Therefore, the market is still looking forward to the development of a rapid and safe method for detecting valproic acid as a basis for clinical use in individual medicine.

有鑑於過去分析丙戊酸及其代謝物方法的缺點,本發明利用丙戊酸化學衍生方法,並利用基質輔助雷射脫附游離法及質量分析器進行應用結構分析及定量。 In view of the shortcomings of the past methods for analyzing valproic acid and its metabolites, the present invention utilizes a chemical conversion method of valproic acid and utilizes a matrix-assisted laser desorption free method and a mass analyzer for structural analysis and quantification.

本發明的定量方法可選用丙戊酸同位素或丙戊酸代謝物同位素,如d6-丙戊酸(valproic acid-d6,丙戊酸之氘標定形式)作為內部標準品(internal standard)。 The quantitative method of the present invention may be selected from a valproic acid isotope or a valproic acid metabolite isotope such as d 6 -valproic acid (valproic acid-d 6 , a valproic acid ruthenium calibration form) as an internal standard.

在本文中所述的「丙戊酸同位素或丙戊酸代謝物之同位素」是丙戊酸或其代謝物利用有機化學合成,在甲基團(-CH3)以氘取代氫原子的同位素化合物,d6-丙戊酸與丙戊酸及其代謝物2-丙基-4-戊烯酸(4-ene valproic acid)均具有羧基團(-COOH),如圖1所示,本發明利用此內部標準品d6-丙戊酸共同經由化學衍生反應,以衍生反應試劑標記,基質輔助雷射脫附游離法及質量分析器。根據質譜儀質量分析器分析內部標準品之波峰面積,與待測樣本的波峰面積相比,將其數值帶入丙戊酸或其代謝物2-丙基-4-戊烯酸的檢量線,即可偵測待測樣本中的丙戊酸或2-丙基-4-戊烯酸的含量。 As used herein, "isotopes of valproic acid isotope or valproic acid metabolite" are isotopic compounds in which valproic acid or its metabolite is synthesized by organic chemistry, and a hydrogen group is replaced by a methyl group (-CH 3 ) with hydrazine. , d 6 -valproic acid and valproic acid and its metabolite 2-acet-4-pentenoic acid (4-ene valproic acid) both have a carboxyl group (-COOH), as shown in Figure 1, the present invention utilizes This internal standard, d 6 -valproic acid, is jointly labeled by a chemical derivatization reaction, a derivatization reagent, a matrix-assisted laser desorption free method, and a mass analyzer. Analyze the peak area of the internal standard according to the mass spectrometer mass analyzer, and bring the value to the calibration curve of valproic acid or its metabolite 2-propyl-4-pentenoic acid compared with the peak area of the sample to be tested. , the content of valproic acid or 2-propyl-4-pentenoic acid in the sample to be tested can be detected.

是以,本發明提供一種量測丙戊酸及其代謝物的方法,其包含以下步驟:(a)提供一含有丙戊酸或丙戊酸代謝物之樣本;(b)利用一溶 劑萃取分離出該樣本中的丙戊酸或丙戊酸代謝物,以得到一萃取物;(c)提供一內部標準品,並加入該萃取物中,其中該內部標準品為丙戊酸同位素或丙戊酸代謝物同位素;(d)將一衍生反應試劑加入該萃取物,並加熱進行化學衍生反應,一含有具衍生反應試劑標記的產物之衍生溶液,其中該具衍生反應試劑標記的產物包含具衍生反應試劑標記的丙戊酸、具衍生反應試劑標記的丙戊酸代謝物或具衍生反應試劑標記的內部標準品;及(e)利用基質輔助雷射脫附游離法及質量分析器以分析測定該衍生溶液,並利用該具衍生反應試劑標記的內部標準品計算丙戊酸或丙戊酸代謝物的含量。 Therefore, the present invention provides a method for measuring valproic acid and a metabolite thereof, comprising the steps of: (a) providing a sample containing a metabolite of valproic acid or valproic acid; (b) using a solution; Extracting the valproic acid or valproic acid metabolite in the sample to obtain an extract; (c) providing an internal standard and adding the extract, wherein the internal standard is a valproic acid isotope Or a valproic acid metabolite isotope; (d) adding a derivatization reagent to the extract, and heating to carry out a chemical derivatization reaction, a derivatization solution containing a product having a derivatization reagent label, wherein the derivatized reagent-labeled product a valproic acid having a derivatization reagent label, a valproic acid metabolite with a derivatization reagent label or an internal standard with a derivatization reagent label; and (e) a matrix-assisted laser desorption free method and mass analyzer The derivatization solution was assayed by analysis and the amount of valproic acid or valproic acid metabolite was calculated using the internal standard labeled with the derivatization reagent.

在一具體實施例中,該樣本為血液樣本或藥品樣本。當該樣本為血液樣本時,可在步驟(a)與(b)之間包含以下前處理步驟:將該血液樣本離心以分離出血球部份及血清部份;及取出該血清部份並與一酸性溶液混合進行酸化而得到一待測樣本。在另一具體實施例中,該酸性溶液可為磷酸、鹽酸或硫酸。當該樣本為藥品樣本時,可在步驟(a)與(b)之間包含:將該藥品樣本研磨至細粉狀。 In a specific embodiment, the sample is a blood sample or a drug sample. When the sample is a blood sample, the following pre-processing steps may be included between steps (a) and (b): centrifuging the blood sample to separate the bleeding ball portion and the serum portion; and removing the serum portion and An acidic solution is mixed and acidified to obtain a sample to be tested. In another embodiment, the acidic solution can be phosphoric acid, hydrochloric acid or sulfuric acid. When the sample is a drug sample, it may be included between steps (a) and (b): grinding the drug sample to a fine powder.

在一具體實施例中,本發明用來萃取分離出丙戊酸或丙戊酸代謝物的溶劑為正己烷、甲苯、二氯甲烷或乙腈。 In a specific embodiment, the solvent used in the present invention to extract the metabolite of valproic acid or valproic acid is n-hexane, toluene, dichloromethane or acetonitrile.

在一具體實施例中,本發明所使用的衍生反應試劑是4-溴甲基-6,7-二甲氧基香豆素(BrDMC)或4-溴甲基-7-甲氧基香豆素(BrMMC),其濃度範圍約為0.25-5mM。 In a specific embodiment, the derivatization reagent used in the present invention is 4-bromomethyl-6,7-dimethoxycoumarin (BrDMC) or 4-bromomethyl-7-methoxycoumarin (BrMMC) at a concentration ranging from about 0.25 to about 5 mM.

在一具體實施例中,本發明所使用的丙戊酸同位素為d6-丙戊酸。 In a particular embodiment, the isotopic valproic acid is used in the present invention, d 6 - propionic acid.

在一具體實施例中,本發明所使用的基質輔助雷射脫附游離法,其基質可為α-氰基-4-羥基桂皮酸、二羥基苯甲酸或3,5-二甲氧基-4-羥基桂皮酸。 In a specific embodiment, the matrix-assisted laser desorption free method used in the present invention may be a substrate of α-cyano-4-hydroxycinnamic acid, dihydroxybenzoic acid or 3,5-dimethoxy- 4-hydroxycinnamic acid.

在一具體實施例中,本發明可利用的質量分析器包括但不限於,飛行式時間質量分析器(time of flight analyzer,TOF analyzer)、四極棒質量分析器(quadrupole analyzer)、離子阱質量分析器(ion trap analyzer)或傅立葉轉換質量分析器(Fourier transform-ion cyclotron resonance,FT-ICR)。 In a specific embodiment, the mass analyzers that may be utilized in the present invention include, but are not limited to, a time of flight analyzer (TOF analyzer), a quadrupole analyzer, and ion trap mass analysis. (ion trap analyzer) or Fourier transform-ion cyclotron resonance (FT-ICR).

在另一實施例中,本發明可利用高效液相層析紫外光儀(HPLC-UV)或液態層析質譜儀(LC/MS/MS)測定樣本濃度。 In another embodiment, the present invention can determine sample concentration using high performance liquid chromatography (HPLC-UV) or liquid chromatography mass spectrometry (LC/MS/MS).

本文所述的丙戊酸代謝物包含2-丙基-4-戊烯酸(4-ene VPA)、2-丙基-3-羥基戊烯酸(3-OH丙戊酸)、2-丙基-4-羥基戊烯酸(4-OH丙戊酸)、2-丙基-5-羥基戊烯酸(5-OH丙戊酸)、2-丙基-2-戊烯酸(2-ene VPA)、2-丙基-3-戊烯酸(3-ene VPA)、2-丙基-3-酮基戊烯酸(3-keto VPA)或2-丙基-4-酮基戊烯酸(4-keto VPA)、2,4二烯丙戊酸(2,4-diene VPA)。 The valproic acid metabolite described herein comprises 2-propyl-4-pentenoic acid (4-ene VPA), 2-propyl-3-hydroxypentenoic acid (3-OH valproic acid), 2-prop 4--4-hydroxypentenoic acid (4-OH valproic acid), 2-propyl-5-hydroxypentenoic acid (5-OH valproic acid), 2-propyl-2-pentenoic acid (2- Ene VPA), 2-propyl-3-pentenoic acid (3-ene VPA), 2-propyl-3-ketopentenoic acid (3-keto VPA) or 2-propyl-4-ketopentyl 4-keto VPA, 2,4-diene VPA.

在一具體實施例中,本發明量測方法的萃取物可為萃取液或萃取液乾燥而得的萃取物。 In a specific embodiment, the extract of the measuring method of the present invention may be an extract obtained by drying an extract or an extract.

在一具體實施例中,本發明量測方法於步驟(d)中可另將活化劑及/或催化劑加入該萃取物中,催化劑可增加化學衍生反應效率。在一較佳實施例中,該活化劑為碳酸鉀或碳酸氫鉀,其濃度範圍約為0.5-6毫克;在另一較佳實施例中,該催化劑可為1,4,7,10,13,16-六氧雜環十八烷,其濃度範圍約為0.01-25mM。 In a specific embodiment, the measuring method of the present invention may further add an activator and/or a catalyst to the extract in the step (d), and the catalyst may increase the efficiency of the chemical derivatization reaction. In a preferred embodiment, the activator is potassium carbonate or potassium bicarbonate in a concentration ranging from about 0.5 to 6 mg; in another preferred embodiment, the catalyst can be 1, 4, 7, 10, 13,16-hexaoxacyclooctadecane in a concentration ranging from about 0.01 to 25 mM.

另一方面,本發明另提供一種用於量測丙戊酸及其代謝物之 系統,其包含:一內部標準品,其為丙戊酸同位素或丙戊酸代謝物同位素;一衍生反應試劑,用以在化學衍生反應中標記丙戊酸、丙戊酸代謝物或內部標準品;一加熱器,用以加熱進行化學衍生反應;一基質,其可吸收波長330-360nm雷射光束,其中該基質為α-氰基-4-羥基桂皮酸、二羥基苯甲酸或3,5-二甲氧基-4-羥基桂皮酸;一雷射光源,用以發射一雷射光;及一質量分析器,用以分析測定樣本中丙戊酸或丙戊酸代謝物的含量。 In another aspect, the invention further provides a method for measuring valproic acid and its metabolites a system comprising: an internal standard which is a valproic acid isotope or a valproic acid metabolite isotope; a derivatization reagent for labeling valproic acid, a valproic acid metabolite or an internal standard in a chemical derivatization reaction a heater for heating the chemical derivatization reaction; a substrate capable of absorbing a laser beam having a wavelength of 330-360 nm, wherein the substrate is α-cyano-4-hydroxycinnamic acid, dihydroxybenzoic acid or 3,5 - Dimethoxy-4-hydroxycinnamic acid; a laser source for emitting a laser beam; and a mass analyzer for analyzing the amount of valproic acid or valproic acid metabolite in the sample.

在一具體實施例中,本發明系統所使用的衍生反應試劑為4-溴甲基-6,7-二甲氧基香豆素(BrDMC)或4-溴甲基-7-甲氧基香豆素(BrMMC),其濃度範圍約為0.25-5mM。 In a specific embodiment, the derivatization reagent used in the system of the invention is 4-bromomethyl-6,7-dimethoxycoumarin (BrDMC) or 4-bromomethyl-7-methoxy Beansin (BrMMC) at a concentration ranging from about 0.25 to about 5 mM.

在一具體實施例中,本發明系統另包含一活化劑及/或一催化劑。在一較佳實施例中,本發明系統所使用的活化劑為碳酸鉀或碳酸氫鉀,其濃度範圍約為0.5-6毫克;在另一較佳實施例中,本發明系統所使用的催化劑為1,4,7,10,13,16-六氧雜環十八烷,其濃度範圍約為0.01-25mM。 In a specific embodiment, the system of the present invention further comprises an activator and/or a catalyst. In a preferred embodiment, the activator used in the system of the present invention is potassium carbonate or potassium bicarbonate in a concentration ranging from about 0.5 to about 6 mg; in another preferred embodiment, the catalyst used in the system of the present invention It is 1,4,7,10,13,16-hexaoxacyclooctadecane in a concentration ranging from about 0.01 to 25 mM.

本發明亦提供一種用於量測丙戊酸及其代謝物之套組,其包含:一內部標準品,其包含丙戊酸同位素或丙戊酸代謝物同位素;一衍生反應試劑,其用以在化學衍生反應中標記丙戊酸、丙戊酸代謝物或內部標準品;及一基質,其可吸收波長330-360nm雷射光束。 The invention also provides a kit for measuring valproic acid and its metabolite, comprising: an internal standard comprising a valproic acid isotope or a valproic acid metabolite isotope; a derivatization reagent for A valproic acid, a valproic acid metabolite or an internal standard is labeled in a chemical derivatization reaction; and a matrix that absorbs a laser beam having a wavelength of 330-360 nm.

在一具體實施例中,本發明套組的衍生反應試劑為4-溴甲基-6,7-二甲氧基香豆素(BrDMC)或4-溴甲基-7-甲氧基香豆素(BrMMC)。 In a specific embodiment, the derivatization reagent of the kit of the invention is 4-bromomethyl-6,7-dimethoxycoumarin (BrDMC) or 4-bromomethyl-7-methoxycoumarin (BrMMC).

在一具體實施例中,本發明套組的基質為α-氰基-4-羥基桂 皮酸、二羥基苯甲酸或3,5-二甲氧基-4-羥基桂皮酸。 In a specific embodiment, the matrix of the kit of the invention is α-cyano-4-hydroxy laurel Seroic acid, dihydroxybenzoic acid or 3,5-dimethoxy-4-hydroxycinnamic acid.

在一具體實施例中,本發明套組另包含一活化劑及/或一催化劑。在一較佳實施例中,本發明套組所使用的活化劑為碳酸鉀或碳酸氫鉀,其濃度範圍約為0.5-6毫克;在另一較佳實施例中,本發明套組所使用的催化劑為1,4,7,10,13,16-六氧雜環十八烷,其濃度範圍約為0.01-25mM。 In a specific embodiment, the kit of the present invention further comprises an activator and/or a catalyst. In a preferred embodiment, the activator used in the kit of the present invention is potassium carbonate or potassium bicarbonate in a concentration ranging from about 0.5 to about 6 mg; in another preferred embodiment, the kit of the present invention is used. The catalyst is 1,4,7,10,13,16-hexaoxacyclooctadecane in a concentration ranging from about 0.01 to 25 mM.

在一具體實施例中,本發明套組另包含一加熱器,用以加熱進行化學衍生反應。 In a specific embodiment, the kit of the present invention further comprises a heater for heating to carry out a chemical derivatization reaction.

在一具體實施例中,本發明套組另包含一質量分析器,用以分析測定樣本中丙戊酸或丙戊酸代謝物的含量。 In a specific embodiment, the kit of the present invention further comprises a mass analyzer for analyzing the amount of valproic acid or valproic acid metabolite in the assay sample.

在一較佳實施例中,本發明的量測方法的檢測時間僅需約50分鐘,透過基質輔助雷射脫附游離飛行時間質譜儀(MALDI-TOF MS)分析,可直接分析300個以上的血液樣本,適用於大量的檢體檢測。另一方面,在藥物製劑應用上,可用於藥物分析及藥廠生產品質管理。此外,利用本發明的量測套組,待測樣本進行化學衍生反應過程,以一般的微波爐加熱,即可進行分析。 In a preferred embodiment, the detection method of the present invention requires only about 50 minutes of detection time, and can be directly analyzed by matrix-assisted laser desorption free time-of-flight mass spectrometry (MALDI-TOF MS) analysis. Blood samples are suitable for a large number of sample tests. On the other hand, in the application of pharmaceutical preparations, it can be used for drug analysis and quality management of pharmaceutical production. In addition, with the measuring kit of the present invention, the sample to be tested is subjected to a chemical derivatization reaction process, and is heated in a general microwave oven to perform analysis.

本發明方法及套組可專一性檢測丙戊酸及其代謝物,相對於其他量測方法,可完全避免生物性干擾,僅需微量的樣本及試劑即可獲得精確的數值,無論應用在醫學檢測或製藥藥物分析,均為快速、有效率及具環保特質的分析方法。 The method and the kit of the invention can specifically detect valproic acid and its metabolites, and can completely avoid biological interference with respect to other measuring methods, and only need a small amount of samples and reagents to obtain accurate values, regardless of application in medicine Testing or pharmaceutical drug analysis are rapid, efficient and environmentally friendly analytical methods.

本說明書及申請專利範圍中所用之詞語『包含』、『具有』、『包括』或『含有』為包括在內的或開放式的,且其不排除額外未引用之元件 或方法步驟。 The words "including", "having", "including", or "including" are used in this specification and the scope of the claims, and are not intended to be Or method steps.

茲以下列具體實施態樣以進一步例示說明本發明,其中該些實施態樣僅提供作為說明,而非用以限制本發明之範疇。 The invention is further illustrated by the following detailed description of the embodiments of the invention.

圖1為本發明的化學衍生反應流程圖。 Figure 1 is a flow chart of the chemical derivatization reaction of the present invention.

圖2為本發明量測丙戊酸及其代謝物的化學衍生反應步驟過程。 2 is a process of the chemical derivatization reaction step for measuring valproic acid and its metabolites according to the present invention.

圖3為丙戊酸血液檢量線。 Figure 3 is a valproic acid blood test curve.

圖4為2-丙基-4-戊烯酸血液檢量線。 Figure 4 is a 2-propyl-4-pentenoic acid blood test curve.

圖2為本發明量測丙戊酸及其代謝物的步驟過程。本發明除了可分析服用丙戊酸藥品病患的血液,亦可應用分析丙戊酸藥品的純度與含量。 Figure 2 is a process of the steps of measuring valproic acid and its metabolites in accordance with the present invention. In addition to analyzing the blood of patients taking valproic acid, the present invention can also be applied to analyze the purity and content of valproic acid drugs.

實施例1:血液樣本Example 1: Blood sample

樣本取得及前處理(步驟101)Sample acquisition and pre-processing (step 101)

取得受檢測者的血液樣本,進行前處理(pretreatment):將血液樣本分離出血球部份及血清部份,採取20μL血清作為待測樣本,由於血清為組成複雜的生化樣本,需進一步將酸性溶液(磷酸、鹽酸或硫酸)加入待測的血液樣本調整pH值使其酸化以便從血清部份取出丙戊酸或2-丙基-4-戊烯酸。將1μL 85%磷酸與待測樣本均勻混合,其目的在於將血液中游離態丙戊酸經酸化成還原態丙戊酸,而游離態2-丙基-4-戊烯酸經酸化 後成為還原態2-丙基-4-戊烯酸。 Obtain the blood sample of the test subject and perform pretreatment: separate the blood sample from the hemorrhage ball part and the serum part, and take 20 μL of serum as the sample to be tested. Since the serum is a complex biochemical sample, the acidic solution needs to be further (Phosphoric acid, hydrochloric acid or sulfuric acid) is added to the blood sample to be tested to adjust the pH to acidify it to remove valproic acid or 2-propyl-4-pentenoic acid from the serum fraction. 1 μL of 85% phosphoric acid is uniformly mixed with the sample to be tested, the purpose of which is to acidify free valproic acid in the blood to reduced valproic acid, and the free state of 2-propyl-4-pentenoic acid is acidified. It is then reduced to 2-propyl-4-pentenoic acid.

樣本萃取(步驟102)Sample extraction (step 102)

加入溶劑萃取,可選擇脂溶性溶劑,如正己烷、甲苯或二氯甲烷,本實例選用100μL甲苯作為萃取的溶劑。將溶劑和樣本震盪30秒至2分鐘後,以高速冷凍離心機離心1-30分鐘(10000-13000rpm,4℃),取出80μL萃取液至另一微量離心管,並將取出的有機層以真空抽氣濃縮機乾燥後,接續化學衍生反應步驟。 After solvent extraction, a fat-soluble solvent such as n-hexane, toluene or dichloromethane can be selected. In this example, 100 μL of toluene is used as the extraction solvent. After shaking the solvent and sample for 30 seconds to 2 minutes, centrifuge in a high-speed refrigerated centrifuge for 1-30 minutes (10000-13000 rpm, 4 ° C), take 80 μL of the extract to another microcentrifuge tube, and vacuum the removed organic layer. After the air concentrator is dried, the chemical derivatization reaction step is continued.

內部標準品與化學衍生反應(步驟103、104)Internal standard and chemical derivatization reactions (steps 103, 104)

將5μL丙戊酸同位素或丙戊酸代謝物同位素(如80-100μM d6-丙戊酸)加入含有丙戊酸及2-丙基-4-戊烯酸的萃取物,作為內部標準品(步驟103),並加入活化劑、催化劑及衍生反應試劑進行化學衍生反應(步驟104)以增加偵測敏感度。 Add 5 μL of valproic acid isotope or valproic acid metabolite isotope (eg 80-100 μM d 6 -valproic acid) to the extract containing valproic acid and 2-propyl-4-pentenoic acid as internal standard ( In step 103), an activator, a catalyst, and a derivatization reagent are added for chemical derivatization (step 104) to increase detection sensitivity.

本實例所使用的活化劑為2mg碳酸鉀,催化劑為5μL 1,4,7,10,13,16-六氧雜環十八烷(18-crown-6,10mM)和衍生反應試劑為5μL 4-溴甲基-6,7-二甲氧基香豆素(4-bromomethyl-6,7-dimethoxy coumarin,BRDMC)。 The activator used in this example was 2 mg potassium carbonate, the catalyst was 5 μL 1,4,7,10,13,16-hexaoxacyclooctadecane (18-crown-6, 10 mM) and the derivatization reagent was 5 μL 4 -bromomethyl-6,7-dimethoxy coumarin (BRDMC).

接著,透過乾式加熱法(30℃-80℃、10-60分鐘)或微波加熱法(150-190W、2-10分鐘)加熱進行化學衍生反應,以獲得具標記(tag)的衍生溶液,其中該衍生溶液包含具衍生反應試劑標記的丙戊酸、具衍生反應試劑標記的2-丙基-4-戊烯酸及/或具衍生反應試劑標記的d6-丙戊酸。 Next, the chemical derivatization reaction is carried out by dry heating (30 ° C - 80 ° C, 10-60 minutes) or microwave heating (150 - 190 W, 2 - 10 minutes) to obtain a labeled derivative solution, wherein the solution comprises valproic acid derivative having derivatization reagent labeled with derivatization reagents labeled 2-propyl-4-pentenoic acid and / or with derivatization reagents labeled d 6 - propionic acid.

樣本分析測定(步驟105)Sample analysis determination (step 105)

取出0.5μL衍生溶液進行基質輔助雷射脫附游離法,將衍生溶液放置(loading)於樣本盤上,覆蓋0.5μL的基質溶液(5mg/mL),使衍生溶液與基質溶液均勻混合,待乾揮發後,基質和衍生溶液中具衍生反應試劑標記的產物形成結晶狀固態物。 Take 0.5 μL of the derivatization solution for matrix-assisted laser desorption free method, load the derivatization solution onto the sample tray, cover 0.5 μL of the matrix solution (5 mg/mL), and mix the derivatized solution and the matrix solution evenly. After volatilization, the product with the derivatization reagent label in the matrix and the derivatization solution forms a crystalline solid.

本發明所使用的基質溶液可選擇吸收波長330-360nm雷射光束的α-氰基-4-羥基桂皮酸(α-cyano-4-hydroxycinnamic acid,CHCA)、二羥基苯甲酸(2,5-dihydroxybenzoic acid,DHB)或3,5-二甲氧基-4-羥基桂皮酸(3,5-dimethoxy-4-hydroxycinnamic acid,sinapic acid,SA)。在本實施例中,基質溶液係使用5-10mg/mL α-氰基-4-羥基桂皮酸(CHCA)。 The substrate solution used in the present invention can be selected from α-cyano-4-hydroxycinnamic acid (CHCA) and dihydroxybenzoic acid (2,5-) which absorb a laser beam having a wavelength of 330-360 nm. Dihydroxybenzoic acid, DHB) or 3,5-dimethoxy-4-hydroxycinnamic acid (sinapic acid, SA). In this example, the substrate solution used 5-10 mg/mL α-cyano-4-hydroxycinnamic acid (CHCA).

接著利用雷射光束(波長330-360nm)照射該結晶狀固態物,使該結晶狀固態物被激發以形成氣相離子,該氣相離子可經由電場加速進入一質量分析器,進一步偵測該氣相離子之荷質比(m/z),以獲得待測物的分子量。 The crystalline solid is then irradiated with a laser beam (wavelength 330-360 nm) to excite the crystalline solid to form a gas phase ion that can be accelerated into the mass analyzer via an electric field to further detect the The charge-to-mass ratio (m/z) of the gas phase ions to obtain the molecular weight of the analyte.

在本實例中,該質量分析器可選擇飛行式時間質量分析器(time of flight analyzer,TOF analyzer)、、四極棒質量分析器(quadrupole analyzer)、離子阱質量分析器(ion trap analyzer)或傅立葉轉換質量分析器(Fourier transform-ion cyclotron resonance,FT-ICR)。 In this example, the mass analyzer may select a time of flight analyzer (TOF analyzer), a quadrupole analyzer, an ion trap analyzer, or a Fourier. Fourier transform-ion cyclotron resonance (FT-ICR).

最後根據質譜儀的質量分析器分析具衍生反應試劑標記的d6-丙戊酸的波峰面積,與具衍生反應試劑標記的丙戊酸及具衍生反應試劑標記的2-丙基-4-戊烯酸(4-ene valproic acid)的樣本之波峰面積相比,將數值帶入丙戊酸或2-丙基-4-戊烯酸的檢量線,即可計算出該待測樣本中的丙戊酸或2-丙基-4-戊烯酸的含量。 Finally, according to the mass spectrometer mass analyzer, the peak area of the d 6 -valproic acid labeled with the derivatization reagent is analyzed, and the valproic acid labeled with the derivatization reagent and the 2-propyl-4-pentane with the derivatization reagent are labeled. The ratio of the peak area of the sample of 4-ene valproic acid to the calibration curve of valproic acid or 2-propyl-4-pentenoic acid can be calculated in the sample to be tested. The content of valproic acid or 2-propyl-4-pentenoic acid.

另一方面,本實例亦可使用高效液相層析紫外光儀(HPLC-UV)或液態層析質譜儀(LC/MS/MS)偵測待測樣本的濃度。 On the other hand, this example can also detect the concentration of a sample to be tested using a high performance liquid chromatography (HPLC-UV) or a liquid chromatography mass spectrometer (LC/MS/MS).

實施例2:藥品樣本Example 2: Drug sample

樣本取得及前處理(步驟101)Sample acquisition and pre-processing (step 101)

將錠劑劑型的藥品以物理性方法將藥品研磨至細粉,如研缽工具磨碎。 The drug in a lozenge form is physically pulverized to a fine powder, such as a mortar tool.

樣本萃取(步驟102)Sample extraction (step 102)

取藥品細粉,加入溶劑溶解萃取,如甲苯、乙腈,本實例選用乙腈(藥品與溶劑比例:1毫克/μL),並利用超音波震盪5-15分鐘,萃取出丙戊酸,接著以10000-13000rpm高速離心3-10分鐘,接續化學衍生反應步驟。 Take the fine powder of the medicine, add solvent to dissolve and extract, such as toluene and acetonitrile. In this example, acetonitrile (drug to solvent ratio: 1 mg/μL) is used, and ultrasonic vibration is used for 5-15 minutes to extract valproic acid, followed by 10000. Centrifugation at 13,000 rpm for 3-10 minutes followed by a chemical derivatization reaction step.

內部標準品與化學衍生反應(步驟103、104)Internal standard and chemical derivatization reactions (steps 103, 104)

取出萃取液10μL加入丙戊酸同位素或丙戊酸代謝物同位素,作為內部標準品(步驟103),並加入活化劑、催化劑及衍生反應試劑進行化學衍生反應(步驟104)。 10 μL of the extract was taken out to add a valproic acid isotope or a valproic acid metabolite isotope as an internal standard (step 103), and an activator, a catalyst, and a derivatization reagent were added for chemical derivatization (step 104).

本實例所使用的活化劑為2mg碳酸鉀,催化劑為10μL 1,4,7,10,13,16-六氧雜環十八烷(18-crown-6,0-25mM)和衍生反應試劑為5μL 4-溴甲基-6,7-二甲氧基香豆素(4-bromomethyl-6,7-dimethoxy coumarin,BRDMC)。 The activator used in this example was 2 mg potassium carbonate, the catalyst was 10 μL 1,4,7,10,13,16-hexaoxacyclooctadecane (18-crown-6, 0-25 mM) and the derivatization reagent was 5 μL of 4-bromomethyl-6,7-dimethoxy coumarin (BRDMC).

透過乾式加熱法(30℃-80℃、10-60分鐘)或微波加熱法(150-190W、2-10分鐘)加熱進行化學衍生反應,以獲得具標記(tag)的衍生溶液,其中該衍生溶液包含具衍生反應試劑標記的丙戊酸及/或具衍 生反應試劑標記的d6-丙戊酸。 The chemical derivatization reaction is carried out by dry heating (30 ° C - 80 ° C, 10-60 minutes) or microwave heating (150-190 W, 2-10 minutes) to obtain a labeled derivative solution, wherein the derivative derivatization reagent solution containing labeled with valproate and d 6 / or with derivatization reagents labeled - propionic acid.

樣本分析測定(步驟105)Sample analysis determination (step 105)

取出0.5μL衍生溶液進行基質輔助雷射脫附游離法,將衍生溶液放置於樣本盤上,覆蓋0.5μL的基質溶液(10mg/mL),使衍生溶液與基質溶液均勻混合,待乾揮發後,基質和衍生溶液中具衍生反應試劑標記的產物形成結晶狀固態物。 Take 0.5 μL of the derivatized solution for matrix-assisted laser desorption free method, place the derivatized solution on the sample tray, cover 0.5 μL of the matrix solution (10 mg/mL), and uniformly mix the derivatized solution with the matrix solution. The product with the derivatization reagent label in the matrix and the derivatization solution forms a crystalline solid.

本發明所使用的基質溶液可選擇吸收波長330-360nm雷射光束的α-氰基-4-羥基桂皮酸(α-cyano-4-hydroxycinnamic acid,CHCA)、二羥基苯甲酸(2,5-dihydroxybenzoic acid,DHB)或3,5-二甲氧基-4-羥基桂皮酸(3,5-dimethoxy-4-hydroxycinnamic acid,sinapic acid,SA)。在本實施例中,基質溶液係使用5-10mg/mL α-氰基-4-羥基桂皮酸(CHCA)。 The substrate solution used in the present invention can be selected from α-cyano-4-hydroxycinnamic acid (CHCA) and dihydroxybenzoic acid (2,5-) which absorb a laser beam having a wavelength of 330-360 nm. Dihydroxybenzoic acid, DHB) or 3,5-dimethoxy-4-hydroxycinnamic acid (sinapic acid, SA). In this example, the substrate solution used 5-10 mg/mL α-cyano-4-hydroxycinnamic acid (CHCA).

接著利用雷射光束(波長330-360nm)照射該結晶狀固態物,使該結晶狀固態物被激發以形成氣相離子,該氣相離子可經由電場加速進入一質量分析器,進一步偵測該氣相離子之荷質比(m/z),以獲得待測物的分子量。 The crystalline solid is then irradiated with a laser beam (wavelength 330-360 nm) to excite the crystalline solid to form a gas phase ion that can be accelerated into the mass analyzer via an electric field to further detect the The charge-to-mass ratio (m/z) of the gas phase ions to obtain the molecular weight of the analyte.

在本實例中,該質量分析器可選擇飛行式時間質量分析器(time of flight analyzer,TOF analyzer)、四極棒質量分析器(quadrupole analyzer)、離子阱質量分析器(ion trap analyzer)或傅立葉轉換質量分析器(Fourier transform-ion cyclotron resonance,FT-ICR)。 In this example, the mass analyzer may select a time of flight analyzer (TOF analyzer), a quadrupole analyzer, an ion trap analyzer, or a Fourier transform. Fourier transform-ion cyclotron resonance (FT-ICR).

最後根據質譜儀的質量分析器分析具衍生反應試劑標記的d6-丙戊酸的波峰面積,與具衍生反應試劑標記的丙戊酸的樣本之波峰面積相比,將數值帶入丙戊酸的檢量線,即可計算出該待測樣本中丙戊酸的含 量。 Finally, according to the mass spectrometer mass analyzer, the peak area of the d 6 -valproic acid labeled with the derivatization reagent is analyzed, and the value is brought into the valproic acid compared with the peak area of the sample of the valproic acid labeled with the derivatization reagent. The calibration curve can calculate the content of valproic acid in the sample to be tested.

另一方面,本實例亦可使用高效液相層析紫外光儀(HPLC-UV)或液態層析質譜儀(LC/MS/MS)偵測待測樣本的濃度。 On the other hand, this example can also detect the concentration of a sample to be tested using a high performance liquid chromatography (HPLC-UV) or a liquid chromatography mass spectrometer (LC/MS/MS).

表一為實施例1及實施例2中不同樣本在化學衍生步驟及分析步驟中的反應試劑列表。 Table 1 is a list of reaction reagents in the chemical derivatization step and the analysis step for the different samples in Example 1 and Example 2.

實施例3:將丙戊酸或其代謝物直接添加至血液中分析Example 3: Analysis of valproic acid or its metabolite directly into blood

經由同日與異日分析結果,透過本發明的量測方法,血液中的丙戊酸及其代謝物2-丙基-4-戊烯酸(4-ene valproic acid)經衍生反應標記後呈現良好的線性關係,分別設計六個濃度建立丙戊酸及2-丙基-4-戊烯酸的檢量線如圖3及4。 Through the same day and different day analysis results, the valproic acid in the blood and its metabolite 2-isopropyl-4-pentenoic acid (4-ene valproic acid) are labeled by the derivatization reaction through the measurement method of the present invention. The linear relationship between the six concentrations of valproic acid and 2-propyl-4-pentenoic acid was determined as shown in Figures 3 and 4.

丙戊酸血液定量範圍10-1000μM,毒性代謝物2-丙基-4-戊烯酸血液定量範圍為5-500μM,決定係數(coefficient of determination,R2)大於0.999,相對標準偏差(relative standard deviation,RSD)小於5.73%。上述結果證實本發明的方法具高穩定性與再現性,可量測病患使用丙戊酸 藥物後血液的丙戊酸及代謝物之含量,同時可監控藥物治療濃度,作為個體醫療上用藥的依據。 The valproic acid blood quantitation range is 10-1000 μM, the toxic metabolite 2-propyl-4-pentenoic acid has a blood quantification range of 5-500 μM, the coefficient of determination (R 2 ) is greater than 0.999, and the relative standard deviation (relative standard) Deviation, RSD) is less than 5.73%. The above results demonstrate that the method of the present invention has high stability and reproducibility, and can measure the content of valproic acid and metabolites in the blood of patients after using valproic acid drugs, and can monitor the concentration of drug treatment as an individual medical treatment. in accordance with.

實施例4Example 4

本實例的受檢測者口服500毫克丙戊酸製劑後4小時,利用本發明方法步驟檢測丙戊酸及其代謝物的平均濃度,其結果如表二所示。由表二的結果可得知,當相對標準差的數值越小,表示利用本發明之檢測步驟越精準,且數據信賴度越高。 The average concentration of valproic acid and its metabolites was measured by the method of the present invention 4 hours after oral administration of the 500 mg valproic acid preparation of the subject of the present example, and the results are shown in Table 2. As can be seen from the results of Table 2, the smaller the value of the relative standard deviation, the more accurate the detection step using the present invention and the higher the data reliability.

實施例5Example 5

又,利用本發明之量測方法應用於藥物分析上,以臨床藥物作為樣本,進行藥物含量分析(tablet assay)均勻度檢測(uniformity assay),並建立標準品檢量線進行定量,決定係數(coefficient of determination,R2)大於0.998,且從表三結果來看,本實例中的相對標準差(relative standard deviation,RSD)小於2.77%,藥物純度在藥廠標示的範圍內,故本發明的檢測步驟所造成的分析結果符合生產管理標準。 In addition, the measurement method of the present invention is applied to drug analysis, the clinical drug is used as a sample, the tablet assay uniformity test is performed, and the standard product calibration curve is established for quantification and determination coefficient ( The coefficient of determination, R 2 ) is greater than 0.998, and from the results of Table 3, the relative standard deviation (RSD) in the present example is less than 2.77%, and the drug purity is within the range indicated by the pharmaceutical company, so the present invention The analysis results caused by the testing steps are in line with production management standards.

本實例所述的「回收率」是指利用本發明方法定量含丙戊酸藥物實際重量/藥物製造商標示含丙戊酸藥物重量×100%,當回收率越高及越接近100%,代表本發明方法越精準。 The "recovery rate" as used in the present example means that the actual weight of the valproic acid-containing drug by the method of the present invention/the pharmaceutical manufacturing trademark shows the weight of the valproic acid-containing drug × 100%, and the higher the recovery rate and the closer to 100%, the representative The more precise the method of the invention.

在本發明中敘述的具體實施例是為了說明及描述本發明,並不代表這些具體實施例就已詳述或侷限本發明於一定的形式或內容。從上述教導中可做出許多可能的修改及變化。 The specific embodiments described in the present invention are intended to illustrate and describe the invention. Many possible modifications and variations are possible in the above teachings.

選擇上述的事實與例子僅為了用於解釋本發明之原理及其實際用途,俾使熟悉本領域或專業之人士能夠運用或實施本發明,甚至於修改而適用於其他各種狀況。熟悉本領域或專業之人士亦可因而啟發出另外的應用,只要不悖離本發明之宗旨,均屬於本發明之內容。因此本發明的範圍係定義於申請專利範圍中,而非這些敘述及範例中。 The above-mentioned facts and examples are chosen merely to explain the principles of the invention and its practical use, and to enable those skilled in the art or the art to use or practice the invention, A person skilled in the art or a person skilled in the art may thus invent other applications, as long as they do not depart from the gist of the present invention. The scope of the invention is therefore intended to be defined in the scope of the claims

Claims (22)

一種丙戊酸及其代謝物的量測方法,其係由以下步驟所量測:(a)提供一含有丙戊酸或丙戊酸代謝物之樣本;(b)進行該樣本之前處理;(c)利用一溶劑萃取分離出該樣本中的丙戊酸或丙戊酸代謝物,以得到一萃取物;(d)提供一內部標準品,並加入該萃取物中,其中該內部標準品為丙戊酸同位素或丙戊酸代謝物同位素;(e)將一衍生反應試劑加入該萃取物,並加熱進行化學衍生反應,以得到一含有具衍生反應試劑標記的產物之衍生溶液,其中該具衍生反應試劑標記的產物包含具衍生反應試劑標記的丙戊酸、具衍生反應試劑標記的丙戊酸代謝物或具衍生反應試劑標記的內部標準品;及(f)利用基質輔助雷射脫附游離法及質量分析器以分析測定該衍生溶液,並利用該具衍生反應試劑標記的內部標準品計算丙戊酸或丙戊酸代謝物的含量。 A method for measuring valproic acid and its metabolites, which is measured by the following steps: (a) providing a sample containing a valproic acid or a valproic acid metabolite; (b) performing a pretreatment of the sample; c) separating the valproic acid or valproic acid metabolite in the sample by a solvent extraction to obtain an extract; (d) providing an internal standard and adding the extract, wherein the internal standard is a valproic acid isotope or a valproic acid metabolite isotope; (e) adding a derivatization reagent to the extract and heating to carry out a chemical derivatization reaction to obtain a derivatized solution containing a product having a derivatization reagent label, wherein the The derivative reagent-labeled product comprises valproic acid labeled with a derivatizing reagent, a valproic acid metabolite with a derivatizing reagent label or an internal standard with a derivatization reagent label; and (f) matrix-assisted laser desorption The free method and mass analyzer are used to analyze the derivatization solution and calculate the content of the valproic acid or valproic acid metabolite using the internal standard labeled with the derivatization reagent. 如申請專利範圍第1項所述之量測方法,其中該樣本為血液樣本或藥品樣本。 The method of measuring according to claim 1, wherein the sample is a blood sample or a drug sample. 如申請專利範圍第2項所述之量測方法,其中該血液樣本之該前處理為:將該血液樣本離心以分離出血球部份及血清部份;及取出該血清部份並與一酸性溶液混合進行酸化而得到一待測樣本。 The method of measuring according to claim 2, wherein the pretreatment of the blood sample is: centrifuging the blood sample to separate the hemosphere portion and the serum portion; and removing the serum portion and being acidic The solution is mixed and acidified to obtain a sample to be tested. 如申請專利範圍第3項所述之量測方法,其中該酸性溶液為磷酸、鹽酸 或硫酸。 The measuring method according to claim 3, wherein the acidic solution is phosphoric acid or hydrochloric acid. Or sulfuric acid. 如申請專利範圍第2項所述之量測方法,其中該藥品樣本之該前處理為:將該藥品樣本研磨至細粉狀。 The method of measuring according to claim 2, wherein the pretreatment of the drug sample is: grinding the drug sample into a fine powder. 如申請專利範圍第1項所述之量測方法,其中該溶劑為正己烷、甲苯、二氯甲烷或乙腈。 The method of measuring according to claim 1, wherein the solvent is n-hexane, toluene, dichloromethane or acetonitrile. 如申請專利範圍第1項所述之量測方法,其中該衍生反應試劑為4-溴甲基-6,7-二甲氧基香豆素(BrDMC)或4-溴甲基-7-甲氧基香豆素(BrMMC)。 The method of measuring according to claim 1, wherein the derivatization reagent is 4-bromomethyl-6,7-dimethoxycoumarin (BrDMC) or 4-bromomethyl-7- Oxycoumarin (BrMMC). 如申請專利範圍第7項所述之量測方法,其中該衍生反應試劑的濃度範圍為0.25-5mM。 The method of measuring according to claim 7, wherein the concentration of the derivatization reagent ranges from 0.25 to 5 mM. 如申請專利範圍第1項所述之量測方法,其中該丙戊酸同位素為d6-丙戊酸。 The method of measuring according to claim 1, wherein the valproic acid isotope is d 6 -valproic acid. 如申請專利範圍第1項所述之量測方法,其中該質量分析器為飛行式時間質量分析器、四極棒質量分析器、離子阱質量分析器、傅立葉轉換質量分析器。 The measuring method according to claim 1, wherein the mass analyzer is a flying time quality analyzer, a quadrupole mass analyzer, an ion trap mass analyzer, and a Fourier transform mass analyzer. 如申請專利範圍第1項所述之量測方法,其中該丙戊酸代謝物包含2-丙基-4-戊烯酸(4-ene VPA)、2-丙基-3-羥基戊烯酸(3-OH丙戊酸)、2-丙基-4-羥基戊烯酸(4-OH丙戊酸)、2-丙基-5-羥基戊烯酸(5-OH丙戊酸)、2-丙基-2-戊烯酸(2-ene VPA)、2-丙基-3-戊烯酸(3-ene VPA)、2-丙基-3-酮基戊烯酸(3-keto VPA)或2-丙基-4-酮基戊烯酸(4-keto VPA)、2,4二烯丙戊酸(2,4-diene VPA)。 The method of measuring according to claim 1, wherein the valproic acid metabolite comprises 2-propyl-4-pentenoic acid (4-ene VPA), 2-propyl-3-hydroxypentenoic acid (3-OH valproic acid), 2-propyl-4-hydroxypentenoic acid (4-OH valproic acid), 2-propyl-5-hydroxypentenoic acid (5-OH valproic acid), 2 -propyl-2-pentenoic acid (2-ene VPA), 2-propyl-3-pentenoic acid (3-ene VPA), 2-propyl-3-ketopentenoic acid (3-keto VPA) Or 2-propyl-4-ketopentanoic acid (4-keto VPA), 2,4-dienyl valeric acid (2,4-diene VPA). 如申請專利範圍第1項所述之量測方法,其中於步驟(d)中可另將活化劑 及/或催化劑加入該萃取物中。 The measuring method according to claim 1, wherein the activator may be further added in the step (d) And/or a catalyst is added to the extract. 如申請專利範圍第12項所述之量測方法,其中該活化劑為碳酸鉀或碳酸氫鉀;該催化劑為1,4,7,10,13,16-六氧雜環十八烷。 The method of measuring according to claim 12, wherein the activator is potassium carbonate or potassium hydrogencarbonate; and the catalyst is 1,4,7,10,13,16-hexaoxacyclooctadecane. 如申請專利範圍第13項所述之量測方法,其中該活化劑的濃度範圍為0.5-6毫克;該催化劑的濃度範圍為0.01-25mM。 The method of measuring according to claim 13, wherein the activator has a concentration ranging from 0.5 to 6 mg; and the catalyst has a concentration ranging from 0.01 to 25 mM. 一種用於量測丙戊酸及其代謝物之系統,其包含:一內部標準品,其為丙戊酸同位素或丙戊酸代謝物同位素;一衍生反應試劑,用以在化學衍生反應中標記丙戊酸、丙戊酸代謝物或內部標準品;一加熱器,用以加熱進行化學衍生反應;一基質,其可吸收波長330-360nm雷射光束,其中該基質為α-氰基-4-羥基桂皮酸、二羥基苯甲酸或3,5-二甲氧基-4-羥基桂皮酸;一雷射光源,用以發射一雷射光;及一質量分析器,用以分析測定樣本中丙戊酸或丙戊酸代謝物的含量。 A system for measuring valproic acid and its metabolites comprising: an internal standard which is a valproic acid isotope or a valproic acid metabolite isotope; a derivatization reagent for labeling in a chemical derivatization reaction a valproic acid, a valproic acid metabolite or an internal standard; a heater for heating for a chemical derivatization reaction; a substrate capable of absorbing a laser beam having a wavelength of 330-360 nm, wherein the substrate is α-cyano-4 - hydroxy cinnamic acid, dihydroxybenzoic acid or 3,5-dimethoxy-4-hydroxycinnamic acid; a laser source for emitting a laser beam; and a mass analyzer for analyzing the sample C The content of valeric acid or valproic acid metabolites. 如申請專利範圍第15項所述之系統,其中該衍生反應試劑為4-溴甲基-6,7-二甲氧基香豆素(BrDMC)或4-溴甲基-7-甲氧基香豆素(BrMMC)。 The system of claim 15 wherein the derivatization reagent is 4-bromomethyl-6,7-dimethoxycoumarin (BrDMC) or 4-bromomethyl-7-methoxy. Coumarin (BrMMC). 如申請專利範圍第15項所述之系統,其另包含一活化劑及/或一催化劑。 The system of claim 15 further comprising an activator and/or a catalyst. 如申請專利範圍第17項所述之系統,其中該活化劑為碳酸鉀或碳酸氫鉀;該催化劑為1,4,7,10,13,16-六氧雜環十八烷。 The system of claim 17, wherein the activator is potassium carbonate or potassium hydrogencarbonate; and the catalyst is 1,4,7,10,13,16-hexaoxacyclooctadecane. 一種用於量測丙戊酸及其代謝物之套組,其包含:一內部標準品,其包含丙戊酸同位素或丙戊酸代謝物同位素;一衍生反應試劑,其用以在化學衍生反應中標記丙戊酸、丙戊酸代謝物 或內部標準品,該衍生反應試劑為4-溴甲基-6,7-二甲氧基香豆素(BrDMC)或4-溴甲基-7-甲氧基香豆素(BrMMC);及一基質,其可吸收波長330-360nm雷射光束,該基質為α-氰基-4-羥基桂皮酸、二羥基苯甲酸或3,5-二甲氧基-4-羥基桂皮酸。 A kit for measuring valproic acid and its metabolites comprising: an internal standard comprising a valproic acid isotope or a valproic acid metabolite isotope; a derivatization reagent for use in a chemical derivatization reaction Mark valproic acid, valproic acid metabolite Or an internal standard, the derivatization reagent is 4-bromomethyl-6,7-dimethoxycoumarin (BrDMC) or 4-bromomethyl-7-methoxycoumarin (BrMMC); A substrate which absorbs a laser beam having a wavelength of 330-360 nm and which is α-cyano-4-hydroxycinnamic acid, dihydroxybenzoic acid or 3,5-dimethoxy-4-hydroxycinnamic acid. 如申請專利範圍第19項所述之套組,其另包含一活化劑及/或一催化劑。 The kit of claim 19, further comprising an activator and/or a catalyst. 如申請專利範圍第19項所述之套組,其另包含一加熱器,用以加熱進行化學衍生反應。 The kit of claim 19, further comprising a heater for heating for chemical derivatization. 如申請專利範圍第19項所述之套組,其另包含一質量分析器,用以分析測定樣本中丙戊酸或丙戊酸代謝物的含量。 The kit of claim 19, further comprising a mass analyzer for analyzing the amount of valproic acid or valproic acid metabolite in the assay sample.
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