KOSTOLANSKÁ, Katarína, Helena ŠIPROVÁ, Elis BARTEČKŮ, Jan JUŘICA, Ivan ŘIHÁČEK, Eva TÁBORSKÁ, Miroslav SOUČEK and Ondřej PEŠ. Longitudinal monitoring of hair cortisol using liquid chromatography-mass spectrometry to prevent hypercortisolism in patients undergoing glucocorticoid replacement therapy. THERAPEUTIC DRUG MONITORING. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS, 2022, vol. 44, No 3, p. 438-447. ISSN 0163-4356. Available from: https://dx.doi.org/10.1097/FTD.0000000000000946.
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Basic information
Original name Longitudinal monitoring of hair cortisol using liquid chromatography-mass spectrometry to prevent hypercortisolism in patients undergoing glucocorticoid replacement therapy
Authors KOSTOLANSKÁ, Katarína (703 Slovakia, belonging to the institution), Helena ŠIPROVÁ (203 Czech Republic), Elis BARTEČKŮ (203 Czech Republic, belonging to the institution), Jan JUŘICA (203 Czech Republic, belonging to the institution), Ivan ŘIHÁČEK (203 Czech Republic), Eva TÁBORSKÁ (203 Czech Republic, belonging to the institution), Miroslav SOUČEK (203 Czech Republic) and Ondřej PEŠ (203 Czech Republic, guarantor, belonging to the institution).
Edition THERAPEUTIC DRUG MONITORING, PHILADELPHIA, LIPPINCOTT WILLIAMS & WILKINS, 2022, 0163-4356.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30202 Endocrinology and metabolism
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 2.500
RIV identification code RIV/00216224:14110/22:00125625
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1097/FTD.0000000000000946
UT WoS 000793999100013
Keywords in English LC MS; hair cortisol; longitudinal; substitution therapy; Bayes modeling
Tags 14110222, 14110512, 14110516, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 3/4/2023 09:01.
Abstract
Objective: Currently available methods for endogenous cortisol monitoring in patients with hormonal insufficiency rely on measurements of plasma levels only at a single time point; thus, any kind of chronic exposure to cortisol is challenging to evaluate as it requires collecting samples at different time points. Hair cortisol levels acquired longitudinally better reflected chronic exposure (both cortisol synthesis and deposition) and may significantly contribute to better outcomes in glucocorticoid replacement therapies. Design: Twenty-two patients on cortisol substitution therapy were monitored for plasma, urinary, and hair cortisol levels for 18 months to determine whether hair cortisol may serve as a monitoring option for therapy setting and adjustment. Methods: Plasma and urinary cortisol levels were measured using standardized immunoassay methods, and segmented (∼ 1 cm) hair cortisol levels were monitored by liquid chromatography coupled to mass spectrometry. A log-normal model of the changes over time was proposed, and Bayesian statistics were used to compare plasma, urinary, and hair cortisol levels over 18 months. Results and Conclusions: Hair cortisol levels decreased over time in patients undergoing substitutional therapy. The residual variance of hair cortisol in comparison to plasma or urinary cortisol levels was much lower. Thus, longitudinal monitoring of hair cortisol levels could prove beneficial as a non-invasive tool to reduce the risk of overdosing and improve the overall patient health.
Links
MUNI/A/1090/2021, interní kód MUName: Příspěvek {bio}chemických metod při studiu molekulární podstaty vybraných patologických jevů a onemocnění
Investor: Masaryk University
MUNI/A/1266/2020, interní kód MUName: Příspěvek [bio]chemických metod při studiu molekulární podstaty vybraných patologických jevů a onemocnění
Investor: Masaryk University
ROZV/28/LF11/2020, interní kód MUName: Klinické aplikace hmotnostní spektrometrie
Investor: Ministry of Education, Youth and Sports of the CR, Internal development projects
ROZV/28/LF/2020, interní kód MUName: LF - Příspěvek na InstP 2020
Investor: Ministry of Education, Youth and Sports of the CR, Internal development projects
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