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Rapidity and Precision of Steroid Hormone Measurement

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JOURNAL OF CLINICAL MEDICINE
卷 11, 期 4, 页码 -

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MDPI
DOI: 10.3390/jcm11040956

关键词

steroid hormone; immunoassay; mass spectrometry; radioimmunoassay; gas chromatography tandem mass spectrometry; liquid chromatography tandem mass spectrometry; matrix-assisted laser desorption; ionization

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Steroid hormones are present in all organisms and are widely used in the medical field. Monitoring hormone levels helps assess physiological changes associated with aging, disease risk, and disease diagnosis and treatment effects. Mass spectrometry-based methods are more specific for measuring steroid hormones compared to immunoassays, but they come with higher costs and technical requirements.
Steroids are present in all animals and plants, from mammals to prokaryotes. In the medical field, steroids are commonly classified as glucocorticoids, mineralocorticoids, and gonadal steroid hormones. Monitoring of hormones is useful in clinical and research fields for the assessment of physiological changes associated with aging, disease risk, and the diagnostic and therapeutic effects of various diseases. Since the discovery and isolation of steroid hormones, measurement methods for steroid hormones in biological samples have advanced substantially. Although immunoassays (IAs) are widely used in daily practice, mass spectrometry (MS)-based methods have been reported to be more specific. Steroid hormone measurement based on MS is desirable in clinical practice; however, there are several drawbacks, including the purchase and maintenance costs of the MS instrument and the need for specialized training of technicians. In this review, we discuss IA- and MS-based methods currently in use and briefly present the history of steroid hormone measurement. In addition, we describe recent advances in IA- and MS-based methods and future applications and considerations.

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