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Clinical Chemistry 48: 2266-2269, 2002;
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(Clinical Chemistry. 2002;48:2266-2269.)
© 2002 American Association for Clinical Chemistry, Inc.


Technical Briefs

Use of Methyl Malondialdehyde as an Internal Standard for Malondialdehyde Detection: Validation by Isotope-Dilution Gas Chromatography–Mass Spectrometry

Giuliana Cighetti1a, Pietro Allevi2, Luigi Anastasia3, Luana Bortone1 and Rita Paroni4

1 Department of Medical Chemistry, Biochemistry and Biotechnology, School of Medicine, University of Milan, Via Saldini 50, 20133 Milan, Italy;

2 Dipartimento di Medicina, Chirurgia e Odontoiatria, Università di Milano, H. San Paolo, Via Di Rudini 8, 20142 Milan, Italy;

3 Department of Chemistry, Purdue University, West Lafayette, IN 47907-1393;

4 IRCCS H San Raffaele, Via Olgettina 60, 20132 Milan, Italy;

aauthor for correspondence: fax 39-2-50316040, e-mail giuliana.cighetti@unimi.it

The first 300 words of the full text of this article appear below.

Malondialdehyde (MDA), a compound derived from lipid peroxidation and from eicosanoid biosynthesis, exists in biological matrices both in the free form and bound to SH and/or NH2 groups of various biomolecules (1). Although other compounds (isoprostanes) have been proposed as more reliable indicators of oxidative damage (2), MDA is still widely used in clinical chemistry laboratories to monitor oxidative stress (3). Several methods have been developed to evaluate MDA in biological samples (1)(4), but the different analytical conditions used and the lack of a suitable internal standard have led to large discrepancies in measurements even at physiologic MDA concentrations in human plasma (5).

We (6) recently reported a "reference method" for free and total plasma MDA quantification, as the phenylpyrazole derivative, by isotope-dilution gas chromatography–mass spectrometry (ID-GC-MS) with dideuterated MDA (d2-MDA) as internal standard. This method, used for clinical MDA detection (7)(8)(9), offers the possibility of validating other proposed internal standards that differ from MDA in structure, stability, and reactivity. Unfortunately, the major limitations of d2-MDA include its difficult synthesis (10) and that it is detectable only by GC-MS, a method not always available in clinical laboratories. A compound that appears to be more suitable as an internal standard is methyl malondialdehyde (MMDA) because it is structurally close to MDA, is absent from biological matrices, is easily obtainable from a commercial compound, and is detectable by common methods such as HPLC, GC, and capillary electrophoresis.

MMDA was first evaluated as an internal standard for MDA determinations by Bull and Marnett (11), who unfortunately experienced difficulties in resolving the underivatized MDA and MMDA by HPLC. Recently, Claeson et al. (12) reported the use . . . [Full Text of this Article]




The following articles in journals at HighWire Press have cited this article:


Home page
Clin. Chem.Home page
G. Cighetti, R. Paroni, S. Marzorati, E. Borotto, R. Giudici, G. Magnanini, and G. Iapichino
Evaluation of Oxidative Stress in Serum of Critically Ill Patients by a Commercial Assay and Gas Chromatography-Mass Spectrometry
Clin. Chem., August 1, 2005; 51(8): 1515 - 1517.
[Full Text] [PDF]




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