20.500.12556/DiRROS-28816 Development and validation of an LC-MS/MS bioanalytical method for simultaneous determination of five main metabolites from the folate-methionine cycle in biological samples: Implications for anti-folate treatment The folate-methionine cycle metabolites are essential for methylation reactions and cell growth, with their imbalances implicated in cardiovascular disease, neural tube defects, cancer, and psychiatric disorders. Reliable quantification of these metabolites is important for disease prevention and monitoring of antifolate therapies. However, existing analytical methods are often limited by a low number of analytes, lengthy sample preparation, high reagent consumption, derivatisation requirements or lack of efficiency for simultaneous analysis. In this study, we report the development and validation of a liquid chromatography-tandem mass spectrometry method for the simultaneous quantification of five key metabolites: 5-methyltetrahydrofolate, S-adenosylmethionine, S-adenosylhomocysteine, folic acid, and homocysteine in biological samples utilising simple and fast sample preparation by protein precipitation. Method validation followed the guideline M10 on bioanalytical method validation, demonstrating selectivity, concentration-response relationship, precision, accuracy and stability across short- and long-term storage. The method covered wide dynamic ranges between the lower and upper limits of quantification, namely 50–4000 μg/L for homocysteine, 500–10,000 μg/L for S-adenosylmethionine, 2.5–50 μg/L for S-adenosylhomocysteine, 2.5–100 μg/L for folic acid and 2.5–50 μg/L for 5-methyltetrahydrofolate. In addition, the method's robustness was shown in endogenous matrices of six different cell lines. Applicability was demonstrated on human lymphoblastoid cells treated with methotrexate, a known antifolate, revealing expected metabolic changes; increase in intracellular levels of folic acid and homocysteine, and decreased levels of 5-methyltetrahydrofolate and S-adenosylmethionine. These results highlight the ability of the method to detect metabolic changes and its potential as a robust tool for assessing methylation and folate status in biomedical research. LC-MS/MS folic acid 5-methyltetrahydrofolate S-adenosylmethionine S-adenosylhomocysteine homocysteine cell lysates LC-MS/MS folna kislina 5-metiltetrahidrofolat S-adenozilmetionin S-adenozilhomocistein homocistein celični lizati true false true Angleški jezik Slovenski jezik Neznano 2026-04-08 12:39:10 2026-04-08 12:39:11 2026-04-09 03:51:20 0000-00-00 00:00:00 2026 0 0 Nasl. z nasl. zaslona; Opis vira z dne 8. 12. 2025; 1-10 str. [art. no.] ǂ116399 Vol. 220 Jan. 2026 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 543.2/.9 1095-9149 10.1016/j.microc.2025.116399 260447235 RAZ_Rotman_Primec_Jaka_2026.pdf RAZ_Rotman_Primec_Jaka_2026.pdf 1 299614569FE757F106B5768D06042A59 763ec093f3bd1173cdc8a991a5091fd45a695b6aa7ea761ca1c438c62efd0100 7c7b67f5-3337-11f1-b941-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=42933 https://www.sciencedirect.com/science/article/pii/S0026265X2503749X 1 31ca0282-3337-11f1-b941-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=42930 Univerzitetni klinični center Ljubljana 0 0 0