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  • https://doi.org/10.3724/sp.j.1123.2023.12032Copy DOI Icon

基于固相萃取-高效液相色谱-串联质谱测定孕妇尿液中8种邻苯二甲酸酯代谢物及新生儿出生结局评价

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Abstract

邻苯二甲酸酯(PAEs)是一种环境内分泌干扰物,广泛存在于日常生活中,并可通过多种途径进入机体。孕妇作为一类特殊人群,若暴露于PAEs,将会对子代的生长发育造成不良影响。研究建立了固相萃取-高效液相色谱-串联质谱(SPE-HPLC-MS/MS)同时检测孕妇尿液中8种PAEs代谢物(mPAEs)的分析方法。尿液样品经β-葡萄糖苷酶酶解后,采用Bond Elut Plexa固相萃取柱净化,样品经洗脱、浓缩、复溶后,进行HPLC-MS/MS分析。采用Agilent Eclipse Plus C18色谱柱(100 mm×3 mm, 3.5 μm)进行分离,以0.1%乙酸水溶液和0.1%乙酸乙腈作为流动相进行梯度洗脱,在多反应监测(MRM)模式下检测,内标法定量。 结果表明,8种mPAEs在0.1~200 ng/mL范围内线性关系良好,检出限为0.015~0.048 ng/mL,定量限为0.050~0.160 ng/mL。在低、中、高3个加标水平(1、10、50 ng/mL)下,8种mPAEs的加标回收率为80.2%~99.7%。采用此方法对鄂州市妇幼保健院497名孕妇尿液中的8种mPAEs水平进行检测,结果表明,497名孕妇广泛暴露于PAEs,其中邻苯二甲酸单丁酯(MBP)的含量最高,中位数水平为104.46 ng/mL;邻苯二甲酸单苄酯(MBzP)的含量最低,中位数水平为0.22 ng/mL。同时,研究还对新生儿的出生结局进行了评估,线性回归模型表明,孕妇尿液中的邻苯二甲酸单乙酯(MEP)每增加一个自然对数(ln)水平,孕周减少0.11周(95%置信区间(CI): -0.18~-0.03);孕妇尿液中的邻苯二甲酸(2-乙基-5-氧己基)酯(MEOHP)和邻苯二甲酸单(2-乙基己基)酯(MECPP)每增加一个ln水平,新生儿出生体重分别降低39.28 g (95%CI: -76.48~-2.09)和39.62 g (95%CI: -73.73~-5.52)。该方法操作简便,检出限低,具有较高的准确度和精密度,通过此方法测定了孕妇尿液中的8种mPAEs,并结合新生儿的出生结局发现,孕期PAEs暴露会影响新生儿的生长发育。

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