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South African Journal of Animal Science
On-line version ISSN 2221-4062Print version ISSN 0375-1589
S. Afr. j. anim. sci. vol.55 n.3 Pretoria 2025
https://doi.org/10.4314/sajas.v55i3.07
V. HabimanaI, II, III, ; A.S. NgulumaI; Z.C. NzikuIV; C.C. Ekine-DzivenuIII; G. MorotaV; R. MrodeIII, VI; S.W. ChenyambugaI
IDepartment of Animal, Aquaculture, and Range Sciences, Sokoine University of Agriculture, Morogoro, Tanzania
IISACIDS Africa Centre of Excellence for Infectious Diseases, SACIDS Foundation for One Health, Sokoine University of Agriculture, Morogoro, Tanzania
IIIInternational Livestock Research Institute (ILRI), Nairobi, Kenya
IVTanzania Livestock Research Institute (TALIRI), Eastern Zone, Tanga, Tanzania
VLaboratory of Biometry and Bioinformatics, Department of Agricultural and Environmental Biology, Graduate School of Agricultural and Life Sciences, The University of Tokyo, Bunkyo, Tokyo 113-8657, Japan
VIAnimal and Veterinary Sciences, Scotland's Rural College, Easter Bush, Midlothian EH25 9RG, Scotland, United Kingdom
ABSTRACT
The main objective of this study was to develop and validate a high-performance liquid chromatography-tandem mass spectrometry (HPLC-MS/MS) method for the determination and quantification of three metabolites in raw milk samples: creatinine, citrate, and β-hydroxybutyrate (3-BHB). The effect of the temperature-humidity index (THI) on the concentrations of these metabolites was also investigated. The study used 29 Holstein-Friesian × Tanzanian Shorthorn Zebu cross-bred cows of two genotypes from the Tanzania Livestock Research Institute in Tanga, Tanzania. The cows were in their second or third parity and their second or third month of lactation. Chromatographic separation of the three metabolites was performed using a Supelco column (150 × 2.1 mm, 3 μm), with a mobile phase consisting of 1% formic acid and 10 mM ammonium formate in high-performance liquid chromatography (HPLC) water, and 1% formic acid in methanol. Creatinine, citrate, and 3-BHB were measured at 2.13, 2.33, and 2.48 minutes of run time, respectively. The calibration curves were linear and ranged from 0.0025 to 0.64 μg/mL for creatinine, 1.25 to 3.20 μg/mL for citrate, and 0.25 to1.28 μg/mL for 3-BHB. The creatinine (8.44-5.40 μg/mL), citrate (36.54-33.93 μg/mL), and 3-BHB (12.07-8.96 μg/mL) concentrations decreased with an increase in THI from 77 to 83. However, these results were complicated by significant interactions between the THI and the genotype, parity, and months in lactation. In conclusion, this study demonstrates the potential of an HPLC-MS/MS method to estimate creatinine, citrate, and 3-BHB concentrations in milk samples, and shows that heat stress affects the concentrations of these milk metabolites.
Keywords: β-hydroxybutyrate, citrate, creatinine, metabolic status, tandem mass spectroscopy
Introduction
Heat stress (HS) has the potential to affect both the health and milk production traits of dairy cattle reared in tropical, sub-tropical, and temperate regions (Liu et al., 2017). Lactating dairy cows under HS-inducing conditions limit their energy intake and are therefore unable to meet their bodies' requirements for milk production and the maintenance of good health. This results in reduced milk yield and quality and makes dairy cows susceptible to disease (Tian et al., 2016). Considering that HS reduces feed intake, impairs fertility and pregnancy rate (Osei-Amponsah et al., 2020; Yue et al., 2020), and alters the metabolic status of dairy cows, it is expected that dairy cows exposed to HS will be affected by metabolic disorders such as subacute ruminal acidosis (Gantner et al., 2016). High-yielding dairy cows exposed to HS-inducing environments appear to consume large amounts of high glycaemic carbohydrate feeds for fat mobilisation, but are often in a negative energy balance (NEB) status (Pires et al., 2022; Wang et al., 2022; Girma et al., 2023). The mobilisation of body reserves during a NEB status causes an increase in the concentration of circulating long chain non-esterified fatty acids (NEFA), which are oxidised to acetyl-coenzyme A to produce energy, and are also used for fat synthesis in the mammary glands (Van et al., 2020). If the liver is unable to oxidise fatty acids from NEFA to acetyl-coenzyme A and further to citrate through the tricarboxylic acid (TCA) cycle and respiratory chain reaction to produce energy as adenosine triphosphate, acetyl-coenzyme A is diverted to the production of ketones, which ultimately leads to ketosis (Turk et al., 2020; Van et al., 2020; Chen et al., 2023). Dairy cows are susceptible to ketosis because of their increased maintenance and thermoregulation requirements, and decreased feed intake at two and seven weeks postpartum, secondary to poor feeding and management (Gantner et al., 2016; Pires et al., 2022). Ketosis is classified as subclinical ketosis when the blood β-hydroxybutyrate (3-BHB) concentration is between 1.2 and 1.4 mmol/L, and clinical ketosis when the blood 3-BHB concentration is between 2.6 and 3.0 mmol/L (Bonfatti et al., 2019; Eom et al., 2022).
Robust metabolite biomarkers are needed to diagnose the threshold for the onset of HS, monitor its progression, and provide insight into its physiological mechanisms, thereby enabling the implementation of timely interventions to protect dairy cows from diseases such as ketosis (Tian et al., 2016). Several metabolites have been used to characterise the metabolism of dairy cows in the early stages of lactation (Koster et al., 2019). Of the milk metabolites crucial for this purpose, creatinine and 3-BHB have been identified as molecules of interest in relation to ketosis, and citrate has been identified as an early indicator of a NEB (Grelet et al., 2016; Eom et al., 2022; Chen et al., 2023). The ability to identify dairy cattle with high physiological imbalances because of HS is important for the early diagnosis of energetic and metabolic changes in high-producing dairy cows (Giannuzzi et al., 2023).
Creatinine is excreted from the bloodstream into the milk and usually detected and measured in the milk of dairy cows (Giannuzzi et al., 2023). Creatinine is the end product of creatine and creatine phosphate metabolism, and is associated with energy balance when a dairy cow requires the rapid provision of energy (Hu et al., 2022). The creatinine metabolite is produced during muscle cell breakdown, and has been used in several studies as a biomarker for muscle mass (Joo et al., 2021 ; Kim et al., 2021). The plasma creatinine concentration declines during the early stages of lactation because of poor protein mobilisation and the loss of muscle mass (Pires et al., 2022; Cattaneo et al., 2023).
Citrate plays a crucial role in the udders of dairy cows as it regulates Ca2+ and H+ ion homeostasis and maintains milk fluidity by acting on casein micelles (Yue et al., 2020). A decline in the citrate concentration in the udder causes the clumping of Ca2+ ions, which leads to damage to the parenchymatous tissues of the alveoli of the udder and, consequently, damage to the barriers between the milk and the blood, as well as inflammatory reactions in the alveolar tissue of the udder (Yue et al., 2020). Citrate also plays a central role as an intermediate in cellular energy metabolism in the TCA cycle, as well as in glycolysis and fatty acid synthesis, and is found in milk at higher levels than in other biofluids (Fan et al., 2018; Zhang et al., 2013; Kim et al., 2021). Acetyl-coenzyme A and oxaloacetate are oxidised to produce citrate, which then undergoes various further metabolic reactions to generate energy (Van et al., 2020). Citrate has been shown to be a milk biomarker for fat mobilisation and ketosis in dairy cattle during the early stages of lactation (Fan et al., 2019), and a decrease in the citrate concentration may exacerbate ketosis by causing the disruption of the TCA cycle and amino acid deprivation (Zhang et al., 2013).
β-hydroxybutyrate is a ketone body metabolite that has been used to diagnose ketosis in various studies (Kim et al., 2021). Milk 3-BHB is a classical biomarker for ketosis and metabolic status (Zhang et al., 2013; Pires et al., 2022). The HS-induced change in 3-BHB is a sign of a disturbance in mitochondrial function (Fan et al., 2019). Ketosis is diagnosed by measuring ketone body concentrations in the blood and milk, and occurs when ketone bodies from the adipose tissue, instead of glucose, are used for energy generation, when the energy generated by the body is insufficient (Grelet et al., 2019; Foldager et al., 2020). Analysis of milk metabolites may be useful in studies of body weight-related muscle synthesis and ketosis-related malnutrition (Kim et al., 2021).
According to Yue et al. (2020), blood 3-BHB, creatinine, and citrate levels can be used as biomarkers to determine HS susceptibility and NEB in lactating dairy cows. Genetic variations between individual dairy cows that result in certain pathways functioning more efficiently than others can cause systematic variations in baseline levels of metabolites (Krogh et al., 2020). Studies have shown that two different dairy cow genotypes exposed to similar HS conditions can respond very differently in terms of milk 3-BHB, citrate, and creatinine concentrations (Krogh et al., 2020). Moreover, assessing dairy cow phenotypes according to their 3-BHB, citrate, and creatinine levels provides an alternative approach to implementing genetic and genomic selection for reduced ketosis and HS susceptibility (Lou et al., 2022). Metabolomics, a useful tool for analysing the changes in metabolite concentrations in physiological fluids and tissues in response to internal and external stimuli (Hu et al., 2022), has been successfully applied to identify biomarkers for milk quality, energy metabolism, and rumen health in dairy cows (Yue et al., 2020).
A variety of methods, including high-pressure liquid chromatography, gas chromatography-mass spectrometry, and nuclear magnetic resonance, can be used for metabolite analysis (Eom et al., 2021; Shi et al., 2021). The major advantages of mass spectrometry (MS) are its high sensitivity and its ability to measure hundreds of metabolites. However, its limitations include the need for large amounts of sample and a lack of reproducibility and reliability (Kim et al., 2021). Reverse-phase liquid chromatography-tandem MS (LC-MS/MS) is a highly sensitive analytical technique that uses liquid chromatography to separate compounds within a sample and then uses MS to analyse the compounds. In a targeted format, this method can be used for the detection and quantification of known compounds or metabolites, which can be identified from the established metabolome database for that sample type (e.g., the milk metabolome) (Magan et al., 2019). Multiple reaction monitoring (MRM), with its high sensitivity, specificity, and speed, can overcome the main drawbacks of traditional high-performance liquid chromatography (HPLC) (such as low sensitivity and overlapping peaks) and two-dimensional gel electrophoresis (such as difficult automation, poor dynamic range, and limited sensitivity) (Li et al., 2019; Le et al., 2020).
Numerous studies conducted in temperate countries have quantified HS-related milk metabolites, using HPLC-tandem MS (HPLC-MS/MS) and proton nuclear magnetic resonance spectroscopy to identify metabolic differences in milk samples from mid-lactation cows (Tian et al., 2016; Yue et al., 2020). However, more information is needed on the mechanisms underlying the metabolic responses to HS exposure, particularly in high-producing dairy cattle breeds such as Holstein-Friesian cattle in sub-Saharan countries. Few studies have quantified the creatinine, citrate, and 3-BHB metabolites, which are important HS biomarkers in lactating dairy cows during the early stages of lactation. Therefore, the current study aimed to establish a reliable, accurate, and simple method for the determination and validation of creatinine, citrate, and 3-BHB metabolites in raw milk samples using HPLC-MS/MS. This is a new method for the determination of these three HS-related milk metabolites in a single chromatogram, and this method requires simple sample preparation, has a fast turnaround time, has interference-free analysis, and has traceability to other reference methods. The second objective of this study was to investigate the effects of HS - as measured using the temperature-humidity index (THI) - as well as the effects of genotype, parity, and months in lactation, and their interactions with the THI - on milk metabolite concentrations. The findings of this study will help to establish strategies to mitigate HS by using milk metabolites as biomarkers.
Materials and methods
Ethical approval for this research was granted by the institutional ethics committee of Sokoine University of Agriculture (SUA), College of Agriculture Guidelines (reference number: SUA/ADM/R. 1/8/843).
The study was conducted in accordance with good scientific practices approved by SUA. During milk sampling, all animal welfare concerns were addressed to minimise discomfort.
Study site
This study was conducted at the Tanzania Livestock Research Institute (TALIRI) dairy farm in Tanga municipality. A comprehensive description of the study site, experimental farm characteristics, and the dairy cows used in this study and their management is available in our previous work, which evaluated the effects of HS on the milk yield, milk composition, and physiological parameters of the cows studied (Habimana et al., 2024).
Experimental animals, milk sample collection, and THI computation
A total of 29 raw milk samples were collected from 29 Holstein-Friesian cross-bred dairy cows at the TALIRI Tanga farm during the last weeks of both the hot season (February 2022) and the cool season (July 2022). The cross-bred cows were the result of cross-breeding between Holstein-Friesian and Tanzania Shorthorn Zebu cattle. Milk samples were collected from cows belonging to two genotypes: 50% Holstein-Friesian (HF50, n = 18) and 75% Holstein-Friesian (HF75, n = 11). Second- or third-parity cows in their second to third months of lactation were used. Milk samples were collected in the afternoon between 14:30 and 17:00, and 16 milk samples were collected during the hot season (on 28 February 2022) and 13 milk samples were collected during the cool season (on 31 July 2022). Different lactating Holstein-Friesian cross-bred cows were sampled during the hot and cool seasons, based on the selection criteria stated above. However, the cows sampled in the hot and cool seasons were comparable in terms of their genetic compositions, months in lactation, and parities (Habimana et al., 2024).
To assess the HS experienced by the dairy cattle, data on daily maximum and minimum temperatures (°C) and relative humidities (%) during the experimental periods were obtained from the Tanga meteorological station, which is located 500 m from the TALIRI Tanga dairy cattle farm. The daily THI was calculated using Equation 1, as described by Ekine-Dzivenu et al. (2020):

In the formula, Tmax represents the maximum daily dry bulb temperature (in degrees Celsius), and RHmin represents the minimum daily relative humidity (in per cent). The minimum, average, and maximum THI values were generated for each milk sampling day, as well as for the three previous days. This particular THI model was chosen as the most suitable for the equatorial climate of Tanzania, considering the impact of HS on animal performance (Ekine-Dzivenu et al., 2020). The temperature and THI trends during the study period are available in our previous work (Habimana et al., 2024).
HPLC-MS/MS optimisation
The solvents and chemicals used for laboratory analysis included HPLC-grade methanol (Finar, India, 99.8%), HPLC-grade acetonitrile (Finar, India, 99.9%), analytical-grade formic acid (Finar, India, 98%), analytical-grade ammonium formate (Lober Chemie PVT, India, 98%), and HPLC-grade water (Carlo Erba, France). Ultrapure water for HPLC was obtained using a Milli-Q® UF-Plus apparatus (Millipore Corp., Burlington, MA, USA). Analytical standards of 3-BHB, creatinine, and sodium citrate, each with purities above 99% (Sigma Aldrich, USA), were used to quantify the metabolites in the raw milk samples.
Chromatography was performed using an Agilent 1100 HPLC system, which consisted of a micro-vacuum degasser (G1379A), binary pump (G1312A), autosampler (G1313A), thermostatted column compartment (G1316A), and diode array detector (G1315B). The chromatographic system was coupled with a Quattro Micro API triple quadrupole MS (Waters, Micromass Limited, UK), equipped with an electrospray ionisation (ESI) interface. System control, data acquisition, and the calculation of results for metabolites in milk were performed using MassLynx NT 4.1 software (Waters Corporation, USA). The nebulising and collision gases were nitrogen and argon, respectively.
Electrospray ionisation was operated in both positive and negative ion modes (ESI+ and ESI-) to select the mode that produced the most intense molecular ions. The optimisation of MS detection was performed using the auto-tune function of the MassLynx software. Ideal MS tune settings and MRM conditions were found for each compound by direct infusion and flow injection of individual solutions of the analytes at 10 mg/mL. For each compound, the transition with the highest intensity was chosen for quantification and the next most intense transition was selected for reliable confirmation. Thus, the identity of each compound was determined by retention time and two MS/MS transitions.
Chromatographic conditions were optimised to improve separation, sensitivity, and selectivity, taking into account the targeted analytes. Five HPLC columns were tested: Restek Allure Acidix (100 × 2.1 mm, 5 μm), Supelco Ascentis (100 × 2.1 mm, 2.7 μm), Xterra C18 (150 × 2.1 mm, 3.5 μm), Supelco (150 × 2.1 mm, 3 μm), and YMCbasic (50 × 2.1 mm, 3 μm). Different mobile phase compositions and additives were tested to optimise chromatographic separation. For the aqueous phase, a formate/formic acid buffer and HPLC water with formic acid were tested, and for the organic phase, formic acid in either methanol or acetonitrile were tested. Different concentrations of methanol, acetonitrile, formic acid, and formate were also investigated. Furthermore, flow rate and column temperature were optimised to improve chromatographic resolution and peak shapes and reduce the total analysis time. Flow rates from 0.2 to 0.4 mL/min were tested, and an optimum flow rate of 0.25 mL/min was selected. Column temperatures of 30 °C to 45 °C were tested, and at 40 °C, peak shapes and chromatographic responses were improved and run time was shortened.
Accurately weighed, appropriate amounts of the citrate, 3-BHB, and creatinine standards were dissolved in methanol in 10 mL volumetric flasks to obtain individual stock solutions. The concentrations of citrate, 3-BHB, and creatinine were 1287, 2040, and 1597 ppm, respectively. For MS optimisation, working standard solutions were obtained by diluting the individual stock solutions to 64.4, 10.2, and 5 ppm for citrate, 3-BHB, and creatinine, respectively, in 0.1% formic acid in 10:90 methanol:water. To optimise sample preparation, a mixture of 400 ppm citrate, 200 ppm 3-BHB, and 4 ppm creatinine was prepared by mixing appropriate amounts of each stock solution and diluting with 10:90 methanol:water containing 1% formic acid and 10 mM ammonium formate. Calibration standards were prepared at concentrations of 320, 160, 80, 40, 20, 10, 5, 2.5, and 1.25 ppm for citrate; 128, 64, 32, 16, 8, 4, 2, 1, and 0.25 ppm for 3-BHB; and 0.64, 0.32, 0.16, 0.08, 0.04, 0.02, 0.01, 0.005, and 0.0025 ppm for creatinine.
Sample preparation involved extraction, evaporation, and filtration. Extraction was performed to isolate the analytes from the sample. Evaporation was carried out to reduce the organic modifier content prior to injection into the chromatographic system, to avoid band broadening and thus high variation in relative retention time. Filtration was performed to eliminate any particulates that would affect the column and HPLC performance. The influence of each step on recovery of the analytes was studied as described in the next sections.
The influence of filtration on the recoveries of the selected compounds was determined at two concentration levels: high (40 ppm citrate, 20 ppm 3-BHB, and 0.4 ppm creatinine) and low (10 ppm citrate, 5 ppm 3-BHB, and 0.1 ppm creatinine). Two sets of triplicate samples were prepared for each concentration. One set was filtered through a 0.22-μπι MS nylon syringe filter, while the other set was not filtered. The peak areas for the filtered and unfiltered samples were used to calculate per cent recovery, as per Equation 2:

The pre- and post-spiking approach was used to determine the influence of evaporation on the recoveries of the selected compounds at two concentration levels: high (40 ppm citrate, 20 ppm 3-BHB, and 0.4 ppm creatinine) and low (10 ppm citrate, 5 ppm 3-BHB, and 0.1 ppm creatinine).
For the pre-spiked samples at high concentrations, 100 μL of the standard mixture (400 ppm citrate, 200 ppm 3-BHB, and 4 ppm creatinine) was added to 4 mL of acetonitrile, then diluted to 5.0 mL with HPLC water and mixed by vortexing for 30 seconds. The mixture was evaporated in a water bath set to 85 °C until it reached approximately 500 μl in volume. The residue was quantitatively transferred to an Eppendorf tube and made up to 1 mL using the mobile phase. It was then mixed by vortexing and analysed. For the post-spiked samples at high concentrations, 1 mL of HPLC water and 4 mL of acetonitrile were vortexed for 30 seconds and evaporated in a water bath set to 85 °C until a volume of approximately 500 μL was obtained. The residue was transferred to an Eppendorf tube, spiked with 100 μL of the standard mixture (400 ppm citrate, 200 ppm 3-BHB, and 4 ppm creatinine) and made up to 1 mL using the mobile phase. This was then mixed by vortexing and analysed. The pre- and post-spiked samples at low concentrations used 25 μL of the standard mixture (400 ppm citrate, 200 ppm 3-BHB, and 4 ppm creatinine), but otherwise the procedure used was the same as described above for the high concentration samples. The obtained peak areas were used to calculate the per cent recovery, as per Equation 3:

The pre- and post-spiking approach was also used to determine the influence of extraction on the recoveries of the selected compounds at two concentration levels: high (40 ppm citrate, 20 ppm 3-BHB, and 0.4 ppm creatinine) and low (10 ppm citrate, 5 ppm 3-BHB, and 0.1 ppm creatinine). For the pre-spiked samples at high concentrations, 100 μL of the standard mixture (400 ppm citrate, 200 ppm 3-BHB, and 4 ppm creatinine) was added to 1.0 mL of thawed and thoroughly vortexed milk sample. A total of 4 mL of acetonitrile was added and the mixture was vortexed for two minutes and sonicated for five minutes. The mixture was then centrifuged at 12000 × g for 15 minutes to remove large biomolecules such as proteins. The supernatant was transferred and left to evaporate in a water bath set to 85 °C until reduced to a volume of approximately 500 μL. The residue was transferred quantitatively to an Eppendorf tube, made up to 1 mL using the mobile phase, vortexed, filtered, and analysed. For the post-spiked samples at high concentrations, 1.0 mL of thawed and thoroughly mixed milk sample was added to 4 mL of acetonitrile and the mixture was vortexed for two minutes and sonicated for five minutes. The mixture was then centrifuged at 12000 × g for 15 minutes. The supernatant was transferred and evaporated in a water bath set to 85 °C until reduced to a volume of approximately 500 μΙ. The residue was transferred quantitatively to an Eppendorf tube, 100 μL of the standard mixture (400 ppm citrate, 200 ppm 3-BHB, and 4 ppm creatinine) was added, and the mixture was made up to 1 mL using the mobile phase. This was then vortexed, filtered, and analysed. To determine the influence of extraction on recoveries at low concentrations, the samples were pre- and post-spiked with 25 μL of the standard mixture (400 ppm citrate, 200 ppm 3-BHB, and 4 ppm creatinine), but the same procedure as for the high concentration samples was otherwise followed. The obtained peak areas were used to calculate the per cent recovery using Equation 3.
Sample preparation
Sample preparation involved thawing and thoroughly mixing a 1.0 mL milk sample, and then vortexing this for one minute. Thereafter, 4 mL of acetonitrile was added and the mixture was vortexed again, mixed for two minutes, and then sonicated for five minutes. The mixture was then centrifuged at 12000 × g for 15 minutes and the supernatant was transferred and left to evaporate in a water bath set to 85 °C until a volume of approximately 500 μΐ was reached. The residue was transferred quantitatively to an Eppendorf tube, made up to 1 mL using the mobile phase, vortexed, filtered, and analysed.
HPLC-MS/MS method validation
Validation of the developed method was performed according to the guidelines of the International Conference on Harmonization (Harron, 2013). The method was validated for specificity, linearity, precision, accuracy, limit of detection (LOD), and limit of quantification (LOQ).
Specificity is the ability of a method to discriminate between the analytes of interest and other components in the sample. In this study, specificity was determined by performing the procedure using blank, standard, and test samples.
Linearity was determined using different known concentrations of the citrate, 3-BHB, and creatinine standards in triplicate, which were obtained by diluting the standard stock solution. The standard solutions were injected, the peak areas were measured, and linearity was evaluated by comparing the peak areas obtained to the known concentrations of the citrate, 3-BHB, and creatinine standards. For each analyte, a calibration curve was constructed by plotting the peak areas obtained against the known concentrations to obtain a linear equation. The correlation coefficient was also calculated.
Precision was determined by studying the repeatability of the analysis at a minimum of three different concentrations for each analyte. Repeatability was determined at 40 and 5 ppm for citrate, 16 and 2 ppm for 3-BHB, and 0.08 and 0.01 ppm for creatinine, using eight replicates. Precision was expressed as the percentage relative standard deviation (% RSD).
The accuracy of the method was tested by performing pre- and post-spiking recovery studies at two different concentrations, as described in the HPLC-MS/MS optimisation section for the extraction of selected compounds.
The sensitivity of the method was evaluated by determining the LOD and LOQ values. The LOD value was determined from the calibration curves, and was calculated as three times the ratio of the residual standard deviation of the linear regression to the slope. The LOQ value was calculated as ten times the same ratio.
Statistical analysis
The peak area values and chromatograms for the creatinine, citrate, and 3-BHB metabolites were obtained by manual integration using MassLynx NT 4.1 software. Statistical analysis of the data was performed using Excel. The THI values (77 and 83) calculated for the days of milk sampling (28 February 2022 and 31 July 2022) in our previous work (Habimana et al., 2024) were used to investigate the effects of the THI on the milk metabolite concentrations. Moreover, the effects of genotype, parity, and months in lactation, and their interactions with the THI, on the creatinine, citrate, and 3-BHB concentrations were analysed using the PROC GLM procedure of SAS 9.2 (SAS Institute, 2003) through univariate analyses and a restricted maximum likelihood model. The model included fixed effects for the THI, genotype, parity, and months in lactation, as well as for the interactions between the THI and the genotype, parity, and months in lactation. The dependent variables were the creatinine, citrate, and 3-BHB concentrations in the milk samples. The final mixed linear model for each parameter was:

where Yimjkln is the phenotypic record for the creatinine, citrate, or 3-BHB concentration; μ is the overall mean; THI, is the effect of the ith THI class (77 or 83); Gm is the effect of the mth genotype (HF50 or HF75); Pj is the effect of the jth parity (2nd or 3rd); Lk is the effect of the kth month in lactation (2nd or 3rd); (G*THI)ij is the effect of the genotype by THI interaction; (P*THI)j is the effect of the parity by THI interaction; and (L*THI)ik is the effect of the month of lactation by THI interaction.
The significance of the fixed effects was analysed using the Tukey-Kramer test, and significance was set at P <0.05. The results are presented as the least-squares means ± the standard errors of the means.
Results
HPLC-MS/MS optimisation
The optimal source parameters for HPLC-MS/MS were established as: capillary 3.2 kV, exit potential 3 V, radio frequency lens 0.2 V, source temperature 120 °C, desolvation temperature 450 °C, and desolvation and cone gas flow rates of 650 and 110 L/min, respectively (Table 1). Creatinine showed acceptable sensitivity in the positive mode (ESI+), while citrate and 3-BHB showed acceptable sensitivities in the negative mode (ESI). The optimised MS/MS parameters for each compound are shown in Table 1. The dwell time was set at 100 ms for each channel.

A Supelco column (150 × 2.1 mm, 3 μm) and a mobile phase consisting of 1% formic acid and 10 mM ammonium formate dissolved in HPLC water (aqueous phase - A) and 1% formic acid in methanol (organic phase - B) resulted in the best peak resolution and signal intensity with an injection volume of 5 μL, as shown in Figure 1. The retention times for all compounds were less than three minutes. Initially, a mobile phase composition of 5% phase B (organic phase) was held for 1.0 minute (0-1 min), and was then increased to 35% phase B in 1.5 minutes (1.0-3.5 min). The proportion of phase B was then further increased to 95% in 0.5 minutes (3.5-4.0 min), and held constant for 1.5 minutes (4.0-5.5 min). It was then decreased back to 5% phase B within 0.5 minutes (5.5-6.0 min), and equilibrated for a further 7.0 minutes (6-13 min). Figure 1 shows the extracted chromatogram for the separation of citrate (2.33 μg/mL), 3-BHB (2.48 μg/mL), and creatinine (2.13 μg/mL) in milk sample number 13 collected during the hot season, where the retention time was 2.50 minutes in the column.

The filtration of the samples prior to HPLC analysis prevented the entry of unwanted particulate matter into the injector, and hence increased column life and optimised peak shape. However, filters release extractables into the sample and sometimes bind analytes. Therefore, the potential impact of filtration was evaluated based on analyte recovery. The average recovery percentages for the filtration step at high concentrations were 97% for creatinine, 93% for citrate, and 100% for 3-BHB. In contrast, the average recovery percentages at low concentrations were 106% for creatinine, 78%, for citrate, and 92% for 3-BHB (Figure 2).

Switching from a high proportion of organic solvent to a low proportion in which the analytes were extracted to a highly aqueous solvent was essential to obtain the best chromatographic separation. The effectiveness of the solvent exchange was evaluated based on the absolute recovery of the compounds. The average recovery percentages at high concentrations were 84% for creatinine, 107% for 3-BHB, and 99% for citrate. However, the average recovery percentages at low concentrations were 65% for creatinine, 80% for 3-BHB, and 75% for citrate (Figure 3).

Pre- and post-spike recoveries were also used to assess the optimum conditions for the simultaneous extraction of analytes. The average recovery percentages at high concentrations were 96% for creatinine, 113% for citrate, and 77% for 3-BHB. However, the average recovery percentages at low concentrations were 94% for creatinine, 80% for citrate, and 80% for 3-BHB (Figure 4). These results showed that the developed method had good recovery rates and precision, and was able to meet the requirements for the quantification of creatinine, citrate, and 3-BHB in raw milk samples from Holstein-Friesian cross-bred dairy cows.

HPLC-MS/MS method validation
The specificity was determined by comparing the chromatograms obtained for the blank, standard, and test sample solutions (Figure 5). There was no clear separation of the analytes and identification was made possible by the MS. Briefly, the peak areas for the blank sample ranged from 1.04 μg/mL to 4.89 μg/mL for citrate, 1.04 μg/mL to 4.85 μg/mL for 3-BHB, and 1.05 μg/mL to 4.58 μg/mL for creatinine (Figure 5A). The peak areas for the standards were 2.30 μg/mL for citrate, 2.66 μg/mL for 3-BHB, and 2.06 μg/mL for creatinine (Figure 5B). In the test sample, the peak areas were 2.30 μg/mL for citrate, 1.07 μg/mL for 3-BHB, and 2.13 μg/mL for creatinine, with retention times in the column of 2.0 to 2.5 minutes (Figure 5C).

In this study, the calibration curves were linear (R2 >0.995) over the range of 1.25-320 μg/mL for citrate, 0.25-128 μg/mL for 3-BHB, and 0.0025-0.64 μg/mL for creatinine. Additionally, the precision, expressed as the % RSD, ranged from 3.4% to 14% at low concentrations and from 3.2% to 10% at high concentrations. The per cent recovery of each analyte for the extraction of the selected compounds, obtained using the pre- and post-spiking recovery method as described, was 113% for citrate, 77% for 3-BHB, and 96% for creatinine at high concentrations, and 80% for citrate, 80% for 3-BHB, and 94% for creatinine at low concentrations.
The LOD and LOQ values obtained showed that all three milk metabolites analysed were detectable and quantifiable at the μg/mL level, as shown in Table 2. Briefly, the LOD values were 2.28 μg/mL for citrate, 1.72 μg/mL for 3-BHB, and 0.01 μg/mL for creatinine, while the LOQ values were 7.60 μg/mL for citrate, 5.73 μg/mL for 3-BHB, and 0.03 μg/mL for creatinine. For each metabolite, the slopes were significantly different from zero and the coefficient of determination (R2) was greater than 0.99 (Table 2).

Effects of the interactions between the THI and the genotype, parity, and month of lactation
Milk creatinine concentrations were significantly higher in the samples from the HF75 cows than the HF50 cows at a low THI. However, they were significantly higher for the HF50 cows than the HF75 cows at a high THI. Similar trends were observed for both citrate and 3-BHB, with higher concentrations found in the milk samples from the HF75 cows than the HF50 cows at a low THI, but higher concentrations in samples from the HF50 cows than the HF75 cows at a high THI (Table 3).

The milk creatinine concentration was significantly lower in the second parity than in the third at a low THI, but did not differ between the parities at a high THI. A similar trend was observed for the milk citrate concentration, which was lower in the second than the third parity at a low THI (P <0.0001). However, the citrate concentration also differed between the parities at a high THI, with the concentration being lower in the third parity than in the second under these conditions. In contrast, the milk 3-BHB concentration did not differ between the parities at a low THI, but was lower in the second parity than in the third at a high THI (Table 3).
Regarding the month of lactation, the milk creatinine concentration was significantly higher in samples from dairy cows in their third month of lactation than in samples from cows in their second month of lactation at a low THI. However, at a high THI, dairy cows in their second month of lactation had a higher milk creatinine concentration than those in their third month of lactation. The citrate concentration also showed a significant THI by month of lactation effect, but with contrasting trends to those found for creatinine. Dairy cows in their second month of lactation had a higher milk citrate concentration than those in their third month of lactation at a low THI, and the opposite effect was found at a high THI, with higher levels in third-month cows than second-month cows. The milk 3-BHB concentration showed yet another interaction effect, with significantly higher 3-BHB concentrations in cows in their second month of lactation than in those in their third month of lactation at both a low and a high THI (Table 3).
Effects of the THI, genotype, parity, and month of lactation
Considering the significance of the effects of the interactions between the THI and the genotype, parity, and month of lactation on milk metabolite concentrations, most of the main effects presented in Table 4 cannot be interpreted or discussed. However, it is notable that milk creatinine and 3-BHB concentrations consistently decreased as the THI increased, despite the effects of genotype, parity, and month of lactation. On average, the milk creatinine concentration decreased (P <0.0001) by 3.04 μg/mL when the THI increased from 77 to 83, and the milk 3-BHB concentration decreased (P <0.05) by 3.11 μg/mL when the THI increased from 77 to 83 (Table 4).

Discussion
The development and validation of reliable analytical methods for milk metabolites, including creatinine, citrate, and 3-BHB, are essential for improving our understanding of the effects of HS, as measured using the THI, on the metabolic status of dairy cows. The present study describes a simple, rapid, and accurate HPLC-MS/MS method for the determination and quantification of these three important milk biomarkers for HS in lactating dairy cows. This method may be useful for the identification of lactating dairy cows that are physiologically imbalanced, and thus at risk of developing metabolic or infectious diseases. Furthermore, this study demonstrates the effects of HS on milk creatinine, citrate, and 3-BHB concentrations, as well as the effects of interactions between HS and genotype, parity, and month of lactation.
The developed and validated HPLC-MS/MS method for the quantification of creatinine, citrate, and 3-BHB in raw milk samples from Holstein-Friesian cross-bred dairy cows reared in the humid coastal region of Tanzania is simple, rapid, and accurate, and is specific for these three metabolites. Chromatographic separation was performed using an HPLC-MS/MS method with MRM, using a Supelco column (150 × 2.1 mm, 3 μm) and a mobile phase consisting of 1% formic acid and 10 mM ammonium formate dissolved in HPLC water, and 1% formic acid dissolved in methanol. This method allowed for both the detection and quantification of the targeted metabolites. The results showed that the run times for creatinine, citrate, and 3-BHB were within the run times observed in previous studies. Ou et al. (2015) used an LC-MS/MS method for the quantification of serum creatinine and found that the retention time ranged from 1.5 to 3.0 minutes, which is in agreement with the findings of this study. Izco et al. (2003) used capillary electrophoresis (CE) to optimise and validate a method for the determination and quantification of citrate and inorganic phosphate in milk, and reported a run time of 2.33 minutes for the separation of those compounds. This time of separation is in agreement with the findings of this study. In this study, the recoveries at high concentrations were high for creatinine, citrate, and 3-BHB, while the recoveries at low concentrations were low for creatinine, citrate, and 3-BHB. The recovery percentages obtained in this study are lower than those reported by Izco et al. (2003), who measured the organic acid concentration using CE and found that the recovery percentage for extraction with sulphuric acid was 100% in milk.
Nonetheless, the R2-values for the regression lines for creatinine, citrate, and 3-BHB were remarkably high. This indicated that the responses for creatinine, citrate, and 3-BHB increased linearly with the concentrations of the standards added (Flores-Flores & González-Peñas, 2017). A similar validation coefficient after 999 random permutation tests yielded an R2 of 0.291 in the study by Fan et al. (2018) and, thus, no significant interference of any compound could appear as a single peak in the chromatogram. In the study by Izco et al. (2003), the R2 obtained for citrate using CE was 0.9967, which is in agreement with the findings of this study, although the determination and quantification methods used were different. This indicates the presence of various organic acids, such as formic acid, acetonitrile, acetic acid, or lactic acid, which are generally higher than the normal values observed in raw milk with citrate. The calculated concentrations of creatinine, citrate, and 3-BHB in the milk samples in the present study are within the range reported in other studies (Ou et al., 2015; Lamp et al., 2015; Miranda et al., 2020).
Once the HPLC-MS/MS method had been optimised and validated, the effects of the interactions between the THI and the genotype, parity, and month of lactation were assessed. Generally, under hot and humid weather conditions, high-yielding dairy cattle experience a NEB, as a result of their feed intake being insufficient to meet their energy requirements for milk production (Joo et al., 2021). In this study, the milk creatinine concentration decreased as the THI increased in both the HF50 and the HF75 dairy cows. Moreover, the HF50 cows had lower milk creatinine concentrations than the HF75 cows at a low THI. Creatine and creatine phosphate metabolism produce creatinine as an end product, and this process is associated with energy balance when dairy cattle require the rapid provision of energy (Hu et al., 2022). Therefore, the decrease in the milk creatinine concentration found with an increase in THI in this study suggests potential implications for creatinine phosphate metabolism in both the HF50 and HF75 cows in response to HS.
Milk citrate and 3-BHB are used as biomarkers of energy status in dairy cattle and are correlated with the presence of ketone bodies in the milk and the de novo synthesis of fatty acids (Tian et al., 2016). Chen et al. (2023) reported that citrate is a potential proxy for a NEB in dairy cattle, suggesting that the genetic selection of dairy cattle with lower milk citrate levels could allow for the indirect selection of dairy cattle with a better energy balance at the beginning of lactation. Additionally, the genetic selection of lactating cows with lower milk citrate levels could potentially affect dairy cattle thermotolerance (Chen et al., 2023). Bjerre-Harpøth et al. (2012) identified milk citrate as a potential HS and physiological imbalance biomarker, which could be used for the monitoring of on-farm dairy cattle throughout lactation. This aligns with the findings of our study. Increases in milk 3-BHB and citrate concentrations reflect increases in the concentrations of these metabolites in the blood, and are indicative of excessive protein mobilisation and a reduced glucose supply to the mammary glands during milk synthesis (Tian et al., 2016).
Regarding the effects of parity and THI on milk metabolite concentrations, a higher creatinine concentration was observed in the third-parity cows than in the second-parity cows at a low THI. This is in contrast with the findings of Wu et al. (2019), who reported that the serum creatinine concentration decreased from 62.5 mmol/L in second-parity cows to 57.2 mmol/L in third-parity cows. Moreover, in their study, the serum 3-BHB concentration also decreased, from 0.50 mmol/L in the second parity to 0.49 mmol/L in the third parity (Wu et al., 2019), which is also in contrast with the findings of this study. Nevertheless, the third-parity cows had higher milk 3-BHB concentrations than the second-parity cows at a high THI, which is in partial agreement with the findings of Kuczynska et al. (2021) and Walter et al. (2022). Walter et al. (2022) reported that 3-BHB concentrations are always higher in multiparous cows than in primiparous cows. In our study, the milk citrate concentration was higher in the third-parity cows than in the second-parity cows at a low THI.
The month of lactation has also been found to effect milk metabolite concentrations (Walter et al., 2022). In the present study, the examination of the month of lactation × THI interaction indicated that the milk creatinine concentration was significantly higher in cows in their third month of lactation than in those in their second month of lactation at a low THI. The opposite trend was observed at a high THI, with the creatinine concentration being higher in the cows in their second month of lactation than in those in their third month of lactation under these conditions. Moreover, in this study, the milk citrate concentration was higher in cows in their third month of lactation than in those in their second month of lactation at a high THI. These findings are in contrast with those of Garnsworthy et al. (2006), who observed higher milk citrate concentrations in dairy cattle in the early months of lactation than in dairy cattle in mid-lactation. Garnsworthy et al. (2006) also observed a daily decline in the milk citrate concentration as the months in lactation advanced, which is in partial agreement with the findings of this study for cows under low THI conditions. Furthermore, the finding that the milk citrate concentration decreased as the months in lactation increased at a low THI is consistent with the findings of Lim et al. (2020) in South Korea, who reported that the citrate concentration in milk from Holstein dairy cattle decreased from 6.08 mmol/L at three days in milk to 2.79 mmol/L at 30 days in milk. Moreover, milk 3-BHB concentrations were significantly higher in dairy cows in their second month of lactation than in those in their third month of lactation, at both low and high THI values. These findings concur with those of Van et al. (2020), who observed a decline in blood 3-BHB concentrations as the months in lactation increased, indicating extensive body reserve mobilisation during the early months of lactation. The decrease in the milk 3-BHB concentration observed in this study is also consistent with the findings of Sabek et al. (2021), who reported that days in milk significantly affected 3-BHB concentrations in cows in China. However, in their study, parity had no significant effect on the milk 3-BHB concentration (Sabek et al., 2021), which is in contrast with the results of the present study. The findings of the current study are also in agreement with those of Lei & Simões (2021), who reported a decline in the milk 3-BHB concentration from the second to the third month of lactation.
Heat stress can also alter energy metabolism, as seen by the declines in the concentrations of creatinine and 3-BHB as the THI increased, despite the significant interaction effects. Similar findings were reported by Hu et al. (2022), in association with cold stress in Sanhe and Holstein cattle in China. β-hydroxybutyrate, a physiologically important ketone body, is generated from lipolysis in the liver mitochondria and can be used as source of energy during a period of low blood glucose levels (Yue et al., 2020). The decreases in milk creatinine and 3-BHB concentrations in response to increases in the THI found in this study are in partial agreement with the findings of Wu et al. (2019) in China. The decrease in milk creatinine in this study is also in agreement with the findings of Joo et al. (2021), who observed a decline in blood creatinine, among other biochemical parameters, in response to HS in Holstein dairy cattle in South Korea. Similar decreases in plasma 3-BHB concentrations due to HS were also reported by Yue et al. (2020), indicating that HS seriously impairs udder health. These findings are also consistent with those of Fan et al. (2019) on the effects of HS on milk metabolites, as they found that HS increased the concentration of glucose and galactose, but decreased the acetoacetate and 3-BHB concentrations. In contrast, Lamp et al. (2015) reported an increase in plasma creatinine and 3-BHB concentrations as a result of HS in dairy cattle in Germany, which contradicts the results of this study. Tian et al. (2016) similarly reported that HS increased blood 3-BHB (1.08-1.38, P <0.02) concentrations in dairy cattle, compared to a HS-free group of cows, providing a further contradiction to the results of our study. However, Safa et al. (2019) reported a significant decline in plasma glucose, NEFA, and 3-BHB concentrations in heat-stressed dairy cattle compared to dairy cattle under cool conditions in Iran, which concurs with the findings of our study. Yue et al. (2020) suggested that the lower milk and plasma 3-BHB concentrations found in heat-stressed dairy cattle was the result of the inhibition of the β-oxidation of fatty acids in dairy cattle experiencing HS.
Fan et al. (2019) used LC-MS/MS to investigate the effects of HS on milk composition traits and metabolites, and identified 34 milk metabolites that are potential indicators of HS in early lactating dairy cows. The identified metabolites included 3-BHB, citric acid, creatine, and creatinine. In an earlier study by Fan et al. (2018) on liver metabolic perturbations in heat-stressed lactating dairy cows, they identified 33 potential regulatory biomarkers of HS. These included creatine, citrate, creatinine, glucose, lactate, and acetoacetate, supporting the findings of our study. Fan et al. (2018) further suggested that these metabolites could be used to provide reliable information on the threshold of HS in dairy cattle, and may thus help in the genetic selection of dairy cattle genotypes and individual animals that are thermotolerant to an elevated THI. The present study confirmed that the selected milk metabolites (creatinine, citrate, and 3-BHB) are promising indicators of HS and metabolic status in lactating dairy cows. These milk metabolites, if combined with environmental parameters (such as ambient temperature, relative humidity, solar radiation, and THI), can provide accurate information about the HS thresholds of dairy cattle and may help in the genetic selection of dairy breeds that are heat-adaptive (Fan et al., 2019).
The use of milk metabolites is advantageous because milk samples are easy to collect. Milk sampling is thus less invasive, requires minimal animal handling, and is well-suited for grazing dairy cows and behavioural studies as it does not require animal handling beyond standard management practices. Excessive handling can affect the research time budget and induce stress in cows (Pires et al., 2022). Pires et al. (2022) recommended that standard milk sampling conditions need to be established and improved, in order for milk metabolites to be applied as HS biomarkers and metabolic status indicators for early stages of lactation in dairy cows.
Conclusions
The HPLC-MS/MS method developed in this study enabled the detailed analysis of metabolic profiles and the identification of three potential HS biomarkers in dairy cattle. The method used a Supelco column (150 × 2.1 mm, 3 μm), and a mobile phase consisting of 1% formic acid and 10 mM ammonium formate dissolved in HPLC water, and 1% formic acid dissolved in methanol. The method was found to be appropriate for the detection and quantification of creatinine, citrate, and 3-BHB metabolites and is highly advantageous over a wide analytical range. It can thus be used to diagnose dairy cattle with physiological imbalances caused by HS and metabolic diseases such as subclinical ketosis, hyperketonaemia, and a general NEB. Raw milk samples from lactating dairy cows in the early months of lactation can potentially be used to identify HS, but this will only be possible once appropriate threshold values for these metabolites have been determined. Furthermore, the significant effects of the interactions between the THI and the genotype, parity, and months in lactation on the concentrations of creatinine, citrate, and 3-BHB in the raw milk samples will have to be taken into account when determining these threshold values.
Further studies on other dairy cattle breeds reared in the warm and humid coastal regions of Tanzania or other countries with similar climatic conditions are needed to identify other HS-sensitive metabolites as potential biomarkers for HS using the developed HPLC-MS/MS method. The number of samples and farms should also be increased in future studies to maximise the included variation during the calibration of this method. Other milk metabolites could also be analysed using the developed HPLC-MS/MS method, to further aid the determination of the physiological status of dairy cattle.
Acknowledgements
The authors acknowledge the assistance provided by Christopher Johnson Mwankuna of the Department of Chemistry and Physics, College of Natural and Applied Sciences, at SUA during the laboratory analyses and HPLC-MS/MS method development. The funders had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. The findings and conclusions of this study are those of the authors and do not necessarily represent the views of the funders.
Authors' contributions
Conceptualisation: VH, ASN, GM, and SWC; methodology: VH; formal analysis: VH, GM, and SWC; data curation: VH; writing (original draft preparations): VH; writing (review, editing, and supervision): ASN, ZCN, CC-ED, GM, RM, and SWC. All the authors have read and agreed to the published version of the manuscript.
Conflict of interest declaration
The authors have no conflicts of interest to declare.
Funding
This study was funded by the Regional Scholarship and Innovation Fund (RSIF) of the Partnership for Skills in Applied Sciences, Engineering, and Technology (PASET) grant (project grant number: P165581) to the SACIDS Africa Centre of Excellence for Infectious Diseases of Humans and Animals in Southern and East Africa (SACIDS-ACE) at the Sokoine University of Agriculture (SUA). VH is a recipient of an RSIF-PASET doctoral scholarship at SUA.
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Submitted 5 November 2024
Accepted 5 February 2025
Published March 2025
# Corresponding author: vincenthabimana5@gmail.com












