A unified ex
trac
tion and quan
tifica
tion procedure basedon s
table iso
tope-dilu
tion liquid chroma
tography/
tandemmass spec
trome
try (LC/MS/MS) has been developed for
the simul
taneous de
termina
tion of
to
tal homocys
teine andfola
te (5-me
thyl
te
trahydrofolic acid and folic acid) levelsin human serum and plasma. This is
the firs
t repor
tdocumen
ting
the simul
taneous ex
trac
tion and quan
tifica
tion of
these s
truc
turally dissimilar analy
tes. Analy
tes arequan
ti
ta
tively isola
ted from samples (500
ti
ties/mgr.gif">L) prior
to LC/MS/MS analysis using a
two-s
tep s
tabiliza
tion processcombined wi
th C
18 solid-phase ex
trac
tion. The me
thodexhibi
ts excellen
t lineari
ty over 4 orders of magni
tude foreach analy
te. Measuremen
t repea
tabili
ty (RSD,
N = 2)ranged from 0.3%
to 3% for all analy
tes over 1 day ofanalysis. To
tal me
thod variabili
ty (RSD,
N = 6) rangedfrom 0.7%
to 10% for all analy
tes over
three independen
tdays of analysis. The accuracy and prac
tical applicabili
tyof
the me
thod were demons
tra
ted by applying
the me
thod
to
the quan
ti
ta
tive de
termina
tion of each analy
te in a newNIST serum S
tandard Reference Ma
terial (NIST SRM1955 Homocys
teine and Fola
te in Frozen Human Serum)and in a small subse
t of normal donor plasma samples.