Evidence map›Paper›PMID 40650135›Full record

ArticleInternational journal of molecular sciences2025

Analytical Validation of an LC-MS/MS Method for Simultaneous Quantification of Multiple Immunosuppressants in Microvolume Whole Blood.

Kenichi Aizawa, Natsuka Kimura, Takahiro Goda, Sho Nishida, Yasunaru Sakuma, Daiki Iwami, Ryozo Nagai

Abstract readValidation Study
In one paragraph

Article in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Kenichi AizawaDivision of Translational Research, Clinical Research Center, Jichi Medical University Hospital, Shimotsuke 329-0498, Tochigi, Japan.
Natsuka KimuraDivision of Translational Research, Clinical Research Center, Jichi Medical University Hospital, Shimotsuke 329-0498, Tochigi, Japan.
Takahiro GodaSolutions COE, Analytical & Measuring Instruments Division, Shimadzu Corporation, Kawasaki 210-0821, Kanagawa, Japan.ORCID 0000-0003-4196-5389
Sho NishidaDivision of Translational Research, Clinical Research Center, Jichi Medical University Hospital, Shimotsuke 329-0498, Tochigi, Japan.
Yasunaru SakumaDivision of Gastroenterological, General and Transplant Surgery, Department of Surgery, Jichi Medical University, Shimotsuke 329-0498, Tochigi, Japan.ORCID 0000-0002-0961-9622
Daiki IwamiDivision of Renal Surgery and Transplantation, Department of Urology, Jichi Medical University, Shimotsuke 329-0498, Tochigi, Japan.ORCID 0000-0002-8274-848X
Ryozo NagaiJichi Medical University, Shimotsuke 329-0498, Tochigi, Japan.

Funding

Jichi Medical University Hospital n.a.
6 · The paper itself

Abstract

Immunosuppressants are essential for preventing allograft rejection; however, they require therapeutic drug monitoring to maintain efficacy and to prevent severe complications such as opportunistic infections. Calcineurin inhibitors (CIs) are primarily distributed in red blood cells, whereas mycophenolic acid (MPA) and its metabolites are found in plasma. These differences necessitate separate analyses for each drug, increasing laboratory workload, analytical complexity, and patient burden. We developed a liquid chromatography-tandem mass spectrometry method for simultaneous quantification of CIs such as tacrolimus (Tac), everolimus (Eve), sirolimus (Sir), cyclosporine A (CycA) and MPA in 2.8-µL whole-blood samples, with a hematocrit-based correction to estimate plasma-equivalent MPA concentrations. Performance of this method was assessed by comparison with conventional immunoassay results using linear regression and Bland-Altman analyses, demonstrating excellent agreement, with strong linearity (R

Indexed as

Immunosuppressive AgentsTandem Mass SpectrometryChromatography, LiquidCyclosporineDrug MonitoringHumansLiquid Chromatography-Mass SpectrometryMycophenolic AcidReproducibility of ResultsSirolimusTacrolimusCyclosporineImmunosuppressive AgentsMycophenolic AcidSirolimusTacrolimushematocrit correctionLC-MS/MS immunosuppressantsmicrovolume whole bloodsimultaneous analysis

Identifiers

PMID40650135
PMCPMC12249770

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.