Journal Article

Interlaboratory comparison of 25-hydroxyvitamin D assays: Vitamin D Standardization Program (VDSP) Intercomparison Study 2 — Part 1 liquid chromatography – tandem mass spectrometry (LC-MS/MS) assays — impact of 3-epi-25-hydroxyvitamin D3 on assay performance

Cox, Lorna, Kuszak Adam J, Clarke, Michael W, Wise, Stephen A, Fischer, Ralf, Sempos, Christopher T, Law Emmett W K, Nalin Federica, Fitzgerald, Robert, Hahm, Grace, Camara, Johanna E, Holmquist, Brett, Creer, Michael H, Cavalier Étienne, Durazo-Arvizu Ramón A, van den Ouweland Jody M W, Gonthier Renaud, Burdette, Carolyn Q, Meadows, Sarah, Williams, Emma L, Jean-Nicolas, Simard, Ho, Chung S, Ivison Fiona, Lukas, Pierre, Merkel, Joyce, Hoofnagle, Andrew N, Breen, Norma, Robyak Kimberly

2022

Overview

An interlaboratory comparison study was conducted by the Vitamin D Standardization Program (VDSP) to assess the performance of liquid chromatography – tandem mass spectrometry (LC-MS/MS) assays used for the determination of serum total 25-hydroxyvitamin D (25(OH)D), which is the sum of 25-hydroxyvitamin D2 (25(OH)D2) and 25-hydroxyvitamin D3 (25(OH)D3). A set of 50 single-donor samples was assigned target values for concentrations of 25(OH)D2, 25(OH)D3, 3-epi-25-hydroxyvitamin D3 (3-epi-25(OH)D3), and 24R,25-dihydroxyvitamin D3 (24R,25(OH)2D3) using isotope dilution liquid chromatography – tandem mass spectrometry (ID LC-MS/MS). VDSP Intercomparison Study 2 Part 1 includes results from 14 laboratories using 14 custom LC-MS/MS assays. Assay performance was evaluated using mean % bias compared to the assigned target values and using linear regression analysis of the test assay mean results and the target values. Only 53% of the LC-MS/MS assays met the VDSP criterion of mean % bias ≤ |±5%|. For the LC-MS/MS assays not meeting the ≤ |±5%| criterion, four assays had mean % bias of between 12 and 21%. Based on multivariable regression analysis using the concentrations of the four individual vitamin D metabolites in the 50 single-donor samples, the performance of several LC-MS/MS assays was found to be influenced by the presence of 3-epi-25(OH)D3. The results of this interlaboratory study represent the most comprehensive comparison of LC-MS/MS assay performance for serum total 25(OH)D and document the significant impact of the lack of separation of 3-epi-25(OH)D3 and 25(OH)D3 on assay performance, particularly with regard to mean % bias.

• Publisher: Springer Nature B.V
• Subject: 25-Hydroxyvitamin D / Assaying / Bias / Calciferol / Chromatography / Criteria / Dilution / Liquid chromatography / Mass spectrometry / Mass spectroscopy / Metabolites / Performance assessment / Performance evaluation / Regression analysis / Scientific imaging / Spectroscopy / Standardization / Vitamin D / Vitamin D3