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Determination of cyclosporine A concentration in human whole blood by liquid chromatography tandem mass spectrometry and its clinical application
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Yu ZHANG, Ya-xin CAO, Yu-xuan CHEN, Wei YANG
Chinese Journal of Clinical Pharmacology | 2026, 42(10) : 1391 - 1396
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Chinese Journal of Clinical Pharmacology | 2026, 42(10): 1391-1396
Research Method
Determination of cyclosporine A concentration in human whole blood by liquid chromatography tandem mass spectrometry and its clinical application
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Yu ZHANG, Ya-xin CAO, Yu-xuan CHEN, Wei YANG
Affiliations
  • Tianjin Medical Device Evaluation and Inspection Center, Tianjin 300191, China
Published: 2026-05-28 doi: 10.13699/j.cnki.1001-6821.2026.10.007
Outline
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Objective

To establish a high-efficiency and sensitive liquid chromatography-tandem mass spectrometry (LC-MS/MS) method for the quantitative analysis of cyclosporine A in human whole blood.

Methods

Protein precipitation with methanol was employed for sample pretreatment, and cyclosporine A-d4 was used as the internal standard. Chromatographic separation was performed on a Kinetex C18 column (3.0 mm×50.0 mm, 2.6 μm, 100 Å) with a mobile phase consisting of 0.1% formic acid in water (phase A) and 0.1% formic acid in methanol (phase B) at a flow rate of 0.55 mL·min-1. The column temperature was maintained at 40 ℃. Quantitative detection was carried out using electrospray ionization in positive ion mode and multiple reaction monitoring (MRM). The method was validated for specificity, calibration curve and lower limit of quantitation (LLOQ), accuracy and precision, matrix effect, and sample stability.

Results

The retention time of cyclosporine A was 1.19 min, with a total run time of 2.0 min per sample. A good linear relationship was observed in the concentration range of 10-1 000 ng·mL-1 (r=0.998 5), and the LLOQ was 10.0 ng·mL-1. The recovery rates ranged from 99.53% to 102.83%, with intra-batch precision ≤3.58% and inter-batch precision ≤3.24%. The sample stability was satisfactory, and the matrix effect was negligible.

Conclusion

The established method features short analysis time, high sensitivity, and low sample volume requirement, making it suitable for therapeutic drug monitoring and accurate quantification of cyclosporine A in human whole blood samples.

cyclosporine A  /  liquid chromatography tandem mass spectrometry  /  blood concentration monitoring
Yu ZHANG, Ya-xin CAO, Yu-xuan CHEN, Wei YANG. Determination of cyclosporine A concentration in human whole blood by liquid chromatography tandem mass spectrometry and its clinical application[J]. Chinese Journal of Clinical Pharmacology, 2026 , 42 (10) : 1391 -1396 . DOI: 10.13699/j.cnki.1001-6821.2026.10.007
Year 2026 volume 42 Issue 10
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Article Info
doi: 10.13699/j.cnki.1001-6821.2026.10.007
  • Receive Date:2025-10-30
  • Online Date:2026-08-06
  • Published:2026-05-28
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  • Received:2025-10-30
Affiliations
    Tianjin Medical Device Evaluation and Inspection Center, Tianjin 300191, China
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表12种不同金属材料的力学参数

Family
属数
Number of
genus
种数
Number of
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占总种数比例
Percentage of
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种数
Number of
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Percentage of total
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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