Plasma Renin Activity Measurement via LC-MS/MS

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Solution Overview

Problem

Current laboratory tests for measuring plasma renin activity are not cost-efficient and do not provide timely results, limiting frequent testing and diagnostic capabilities for disorders related to the renin-angiotensin-aldosterone system.

Innovation Solution

A method using mass spectrometry and liquid chromatography-tandem mass spectrometry (LC-MS/MS) to determine angiotensin I generation by plasma renin, incorporating a stable isotope-labeled internal standard and external calibration standards to quantify AngI levels accurately and efficiently.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Loss of time

If traditional laboratory tests are used to measure plasma renin activity, then the testing process is simpler and less expensive, but the results are not timely and frequent testing is limited

Engineering Contradiction:
Improvetesting timeVSAvoidtesting frequency
Core Design Contradiction:
Loss of timeVSProductivity

Solution Approach 1:

The patent replaces traditional mechanical/chemical assay methods with mass spectrometry technology to measure angiotensin I levels. This substitution enables faster, more automated analysis with results obtainable within hours rather than days, directly addressing the time loss and testing frequency limitations of conventional methods

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

Solution Approach 2:

The invention changes the measurement parameter from indirect renin activity assessment to direct angiotensin I quantification using mass spectrometry. This parameter change enables more precise, rapid, and frequent monitoring of renin-angiotensin system activity, overcoming the temporal limitations of traditional tests

Inventive Principle:
Principle #35Parameter changes

2Loss of energy

If traditional laboratory tests are used to measure plasma renin activity, then the testing procedure is less complex, but the results are not cost-efficient

Engineering Contradiction:
Improvetesting costVSAvoidtesting method complexity
Core Design Contradiction:
Loss of energyVSDevice complexity

Solution Approach 1:

The patent replaces complex, resource-intensive traditional assay procedures with mass spectrometry-based measurement. Although the instrument is sophisticated, the method eliminates multiple manual steps, reagents, and extended processing times associated with conventional tests, resulting in better cost-efficiency despite the advanced technology required

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

3Measurement precision

If mass spectrometry is used to measure AngI levels, then the measurement precision is improved, but the device complexity increases

Engineering Contradiction:
ImproveAngI measurement precisionVSAvoidmass spectrometry system complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent extracts and measures only the specific angiotensin I peptide of interest from the complex plasma matrix using mass spectrometry. By focusing the measurement on this single target molecule rather than assessing overall renin activity through indirect methods, the system achieves high measurement precision while managing device complexity through targeted analysis

Inventive Principle:
Principle #2Taking out (Extraction)

Solution Approach 2:

The invention uses stable isotope-labeled angiotensin I as an internal standard to mediate the measurement process. This intermediary substance enables precise quantification by providing a reference point that compensates for variations in the mass spectrometry system, thereby maintaining high measurement precision despite the complexity of the instrumentation

Inventive Principle:
Principle #24Intermediary (Mediator)

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

This approach enables sensitive and specific measurement of plasma renin activity, allowing for faster and more frequent testing, with an analytically measurable range of 0.167-66.667 ng/mL/hr, improving diagnostic capabilities for hypertension, aldosteronism, and adrenal insufficiency assessment.

Implementation Method 1

angiotensinogen, constitutively manufactured by the liver, is hydrolyzed by renin, an enzyme manufactured by the renal juxtaglomerular apparatus, to form AngI

Methodology Applied
Scientific EffectEnzymatic hydrolysis: Enzyme

Implementation Method 2

adding a protease; incubating the sample under conditions to allow the protease to hydrolyze the AngI to generate a defined AngI cleavage product

Methodology Applied
Scientific EffectEnzymatic hydrolysis: Enzyme

Implementation Method 3

ionizing the defined AngI cleavage product to produce one or more AngI cleavage product ions detectable by mass spectrometry

Methodology Applied
Scientific EffectIonization: Ionisation

Data Source

PatentEP3542166B9Methods and systems for determining plasma angiotensin i levels.
Publication Date: 2023.10.04 LABORATORY CORPORATION OF AMERICA HOLDINGS INC
  • EP3542166B9 patent drawingFigure 1
  • EP3542166B9 patent drawingFigure 2

AI summary

Disclosed are methods and systems for the quantification of AngI and/or determination of plasma renin activity in a sample. The methods and systems disclosed herein can be useful for diagnosis of hypertension, aldosteronism and other abnormalities of the renin angiotensin aldosterone system (RAAS).