Journal article

Publication year: 2022

Journal: The Journal of Steroid Biochemistry and Molecular Biology

Volume number: 224

ISSN: 0960-0760

eISSN: 1879-1220

DOI Link: https://doi.org/10.1016/j.jsbmb.2022.106163

Publisher: Elsevier

Abstract: 
Discovered about 50 years ago, the four C21 steroidal acids (alpha-)cortolic acid, beta-cortolic acid, (alpha-)cortolonic acid and beta-cortolonic acid present the oxidative end products of cortisol metabolism. Undergoing renal elimination, these cortoic acids have been assumed to constitute up to 25 % of total urinary cortisol metabolites. However, their analysis has been difficult, only few data has been published in adults, and this class of steroids has become practically forgotten. Since data in children are lacking and nothing is known about their metabolism during human development, we aimed at establishing a more practical analytical method and determined their urinary concentrations in a high number of healthy subjects. In our method, 5-mL-aliquots of 24-hour urine samples were subjected to solid phase extraction (C18 cartridges), followed by strong anion exchange chromatography, and formation of 2-propylester-trimethylsilylether derivatives (2-PR/TMS). The cortoic acids were quantified by targeted gas chromatography-mass spectrometry (GC-MS) using a nonpolar GC column and selected ion monitoring (SIM). Baseline separation of all cortoic acids was achieved. Calibration graphs were linear (R2 > 0.98). Variations in precision and accuracy were less than 15 %, respectively. The detection limit was 100 pg (injected) with a signal-to-noise ratio of 3. 240 specimens from 24-hour urine collections from healthy children (120 boys, 120 girls, aged 3-18 years; DONALD study) were analyzed for cortoic acids and neutral cortisol metabolites to create first reference ranges. The profile of cortoic acids was dominated by alpha-cortolonic acid with excretion rates up to 70 mu g/d. Absolute excretion rates of cortoic acids increased with age, their total excretion rates ranged between 11.0 and 127.3 mu g/d (median 45.7 mu g/d), but did not show any sexual dimorphism. Since cortoic acids make up only about 1 % of total urinary cortisol metabolites, determination of neutral urinary steroids reliably allows assessment of cortisol production. However, cortoic acids might present potential bio-markers of the body's redox state.

Harvard Citation style: Schauermann, M., Wachter, U., Hua, Y., Hartmann, M., Remer, T. and Wudy, S. (2022) Excretion of oxidated cortisol metabolites is markedly lower than previously assumed: An analysis of urinary cortoic acids in healthy children by GC-MS, The Journal of Steroid Biochemistry and Molecular Biology, 224, Article 106163. https://doi.org/10.1016/j.jsbmb.2022.106163

APA Citation style: Schauermann, M., Wachter, U., Hua, Y., Hartmann, M., Remer, T., & Wudy, S. (2022). Excretion of oxidated cortisol metabolites is markedly lower than previously assumed: An analysis of urinary cortoic acids in healthy children by GC-MS. The Journal of Steroid Biochemistry and Molecular Biology. 224, Article 106163. https://doi.org/10.1016/j.jsbmb.2022.106163