Quantification of Phosphatidylethanol (PEth) as alcohol consumption marker (RUO)

MassChrom® Phosphatidylethanol (PEth)

Quantification of Phosphatidylethanol as alcohol consumption marker (RUO)

(For research use only)

Introduction

Phosphatidylethanols (PEth) serve as highly specific biomarkers for alcohol intake, as these abnormal phospholipids are synthesized in the body only in the presence of ethanol. In contrast to Ethyl Glucuronide (EtG), with its short urinary detection window of a few days, and Carbohydrate-Deficient Transferrin (CDT), which mainly reflects chronic alcohol use, PEth provides as a marker over an extended period.
 
While liquid chromatography-tandem mass spectrometry (LC-MS/MS) can identify various PEth homologs, clinical testing typically targets the most prevalent forms, specifically PEth 16:0/18:1 and 16:0/18:2. Because PEth accumulates in erythrocytes and has a slow elimination rate, it can provide a detection window of several weeks. Furthermore, the faster synthesis rate and high abundance of PEth 16:0/18:2 enhance sensitivity for detecting recent alcohol consumption. Here, we describe a fast and robust method for the quantification of PEth 16:0/18:1 and 16:0/18:2 in whole blood.
 
Sample preparation is achieved through efficient extraction of analytes and the use of dedicated internal standards for all PEth homologs. The 6PLUS1® whole blood calibrator set covers the relevant calibration ranges for PEth and meets both forensic and clinical calibration requirements. Quality control is supported by the use of our two MassCheck® controls, which are designed to reflect the relevant decision limits.

Material & Methods

Sample Preparation

Prior to sample preparation, the Internal Standard Solution is prepared by mixing the Internal Standard Mix (order no. 63004) and the Extraction Reagent (Order No. 63005) in an appropriate ratio of 1:9. 

For sample preparation, 100 μl of Internal Standard Solution is pipetted into a 1.5 mL reaction vial. Subsequently, 20 μl of sample/calibrator/MassCheck® control is added and vortexed for 5 seconds, followed by centrifugation for 10 minutes at 15,000 g. The resulting supernatant is transferred into an autosampler vial.

LC-MS/MS

Injection volume of 1–20 µl is used. Chromatographic separation is performed on an Analytical Column (order no. 63100) at a column temperature of 40 °C. The analytes are separated under isocratic conditions at a flow rate of 0.4 ml/min using Mobile Phase (order no. 63001).

Electrospray ionization in negative ion mode is used. The multiple reaction monitoring (MRM) transitions used for quantification are listed in Table 1.

Quantification

A full calibration of the analysis system for each series of measurements is performed with 6PLUS1® multi level calibrator (order no. 63039). Calibration curves are constructed by calculating the analyte to internal standard (ISTD) peak area ratio on the y axis against calibrator concentrations on the x axis. Then a calibration curve is plotted for both PEth homolouges using linear regression and 1/x weighting.

App Note TDM - Binary gradient profileApp Note TDM - Binary gradient profile

Table 1: Multiple reaction monitoring transitions of Phosphatidylethanol 16:0/18:1 and 16:0/18:2, together with their respective internal standards

App Note TDM - Intra- and inter-assay data - Level I + IIApp Note TDM - Intra- and inter-assay data - Level I + II

Table 2: Interpretation of Phosphatidylethanol 16:0/18:1 values

Results

The run time is 3.5 min (see chromatogram in fig. 1). The calibration range of 10-1000 ng/mL covers the forensic and clinical relevant concentrations (table 2).

Conclusion

This product insight describes a protocol for the determination of PEth 16:0/18:1 and PEth 16:0/18:2 in whole blood using Chromsystems components. Suitable products for implementation in your laboratory will soon be available from Chromsystems.

Outlook

Further research will focus on developing a reliable protocol for automated sample preparation using 96-well plates and liquid handling systems.

Fig. 1: Chromatogram of phosphatidylethanol 16:0/18:1 and 16:0/18:2 at a concentration of 300 ng/mL each, with their respective internal standards

Fig. 2: Chemical structure of Phosphatidylethanol 16:0/18:1 and 16:0/18:2

Ordering Information (To order the products or for a quote, please contact us here)

  Product   Order no.
  Mobile Phase   63001
  Rinsing Solution   63009
  Internal Standard Mix   63004
  Extraction Reagent   63005
  Tuning Mix, Analytes and Internal Standards   63015
  Analytical Column   63100
  Product   Order no.
  6PLUS1® Multilevel Whole Blood Calibrator Set
  MassChrom® Phosphatidylethanol (PEth)
  63039
  MassCheck® Phosphatidylethanol (PEth)
  Whole Blood Control Set Level I
  6310
  MassCheck® Phosphatidylethanol (PEth)
  Whole Blood Control Set Level II
  6320

 

Last Update March 2026