Doubly or bisconjugated steroid metabolites have long been known as minor components of the steroid profile that have traditionally been studied by laborious and indirect fractionation, hydrolysis and gas chromatography-mass spectrometry (GC-MS) analysis.Recently, the synthesis and characterisation of steroid bis(sulfate) (aka disulfate or bissulfate) reference materials enabled the liquid chromatography-tandem mass spectrometry (LC-MS/MS) study of this metabolite class and the development of a constant ion loss (CIL) scan method for the direct and untargeted detection of steroid bis(sulfate) metabolites. Methods for direct LC-MS/MS detection of other bisconjugated steroids, such as steroid bisglucuronide and mixed steroid sulfate glucuronide metabolites, have great potential to reveal a more complete picture of the steroid profile. However, access to steroid bisglucuronide or sulfate glucuronide reference materials necessary for LC-MS/MS method development, metabolite identification or quantification is severely limited. In this work, ten steroid bisglucuronide and ten steroid sulfate glucuronide reference materials were synthesised through an ordered combination of chemical sulfation and/or enzymatic glucuronylation reactions. All compounds were purified and characterised using NMR and MS methods. Chemistry for the preparation of stable isotope labelled steroid { 13 C 6 }glucuronide internal standards has also been developed and applied to the preparation of two selectively mono-labelled steroid bisglucuronide reference materials used to characterise more completely MS fragmentation pathways. The electrospray ionisation and fragmentation of the bisconjugated steroid reference materials has been studied.Preliminary targeted ultra-high-performance liquid chromatography-tandem mass spectrometry (UHPLC-MS/MS) analysis of the reference materials prepared revealed the presence of three steroid sulfate glucuronides as endogenous human urinary metabolites.Highlights Ten steroid bisglucuronide reference materials synthesised and characterised Ten steroid sulfate glucuronide reference materials synthesised and characterised Stable isotope labelled internal standards using 18 O and 13 C prepared Electrospray ionisation and fragmentation of reference materials studied Three steroid sulfate glucuronide metabolites confirmed in human urine
Keywords:Steroid bisglucuronide; steroid sulfate glucuronide; steroid conjugate; phase II metabolism; stable isotope labelled internal standard; mass spectrometry.
AbbreviationsCID = collision induced dissociation, CIL = constant ion loss, DHEA = dehydroepiandrosterone, EA = epiandrosterone, E. coli = Escherichia coli, GC-MS = gas chromatography-mass spectrometry, LC-MS = liquid chromatography-mass spectrometry, LC-MS/MS = liquid chromatography-tandem mass spectrometry, NL = neutral loss, PORD = cytochrome P450 Oxido-Reductase Deficiency, SIM = single ion monitoring, SLOS = Smith-Lemli-Opitz Syndrome, SPE = solid phase extraction, SRM = selected reaction monitoring, STSD = Steroi...