Determination of Clinically Relevant Compounds using HPLC and Electrochemical Detection with a Boron-Doped Diamond Electrode

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Deteration of Clinically Relevant Compounds using HPLC and Electrochemical Detection with a Boron-Doped Diamond Electrode Bruce Bailey, Marc Plante, David Thomas, Qi Zhang and Ian Acworth Thermo Fisher Scientific, Chelmsford, MA, USA

Overview Purpose: In order to obtain satisfactory information concerning clinically relevant compounds such as aothiols, disulfides, and cholesterol from biological samples, scientists require a sensitive approach that can measure these key compounds. A simple, accurate and rapid UHPLC method was developed for the analysis of these compounds using liquid chromatography and an amperometric electrochemical cell with a boron-doped diamond (BDD) working electrode. This allows for the accurate quantification of analytes to picogram (pg) levels. Methods: This method describes an approach for direct analysis of glutathione redox status and blood cholesterol using UHPLC chromatographic techniques with a robust electrochemical cell using a BDD electrode. Results: The method enables the rapid separation of various aothiols, disulfides, and cholesterol at low levels from whole blood without significant matrix interferences. Introduction Several years ago, a novel working electrode material known as boron-doped diamond (BDD) became available, extending the range of compounds that could be measured using electrochemical detection. Although many different applications are now reported in literature, few have focused on clinical diagnostics. One possible example is the routine measurement of the cellular antioxidant glutathione (GSH) and its disulfide (GSSG). Oxidative stress is thought to be associated with many diseases. Changes in the GSH/GSSG ratio are currently used as an indicator of the level of oxidative stress. Although there are numerous approaches to measure tissue levels of GSH and GSSG, many suffer from methodological issues including specificity and may even cause an artificial change in the GSH/GSSG ratio that is being measured. Other HPLC-based approaches with electrochemical detection enable direct, selective and sensitive measurement of GSH and GSSG. Unfortunately, methods using glassy carbon working electrodes are limited by the oxidation potential used (adversely affecting the sensitivity of GSSG) and require routine maintenance due to adsorption problems. Both of these problems are overcome with the BDD working electrode. Presented here is a fast and easy way for detering the level of oxidative stress using UHPLC with BDD electrochemical detection. Another clinically relevant compound is the sterol, cholesterol, which is a major component of cell membranes and is associated with arteriosclerosis. Although simple kits are available for cholesterol measurement in plasma or serum, these do not provide any differentiation from phytosterols that may be present in the sample. A simple UHPLC method with electrochemical detection using the BDD working electrode is presented for the measurement of cholesterol in blood with imal sample preparation. This method is sensitive (<100 pg/ml) and provides sufficient resolution so that the presence of other phytosterols can also be detered. FIGURE 1. Molecular structures of A) glutathione (GSH), B) glutathione disulfide (GSSG), and C) cholesterol. A) GSH (reduced form) B) GSSG (oxidized form) C) Cholesterol 2 Deteration of Clinically Relevant Compounds using HPLC and Electrochemical Detection with a Boron-Doped Diamond Electrode

Methods 1) Analysis of Glutathione Redox Status Column: Pump Flow Rate: Mobile Phase: Column Temperature: Post Column Temperature Injection Volume: Cell Potential: Filter Constant: Cell Clean: Cell Clean Potential: Cell Clean Duration: Sample Prep: Thermo Scientific Accucore RP-MS column 2.6 μm, 2.1 150 mm 0.500 ml/ 0.1% pentafluoropropionic acid, 0.02% ammonium hydroxide, 2.5% acetonitrile, 97.4% water 50.0 C 25.0 C 2 µl standards; 4 µl samples Thermo Scientific Dionex 6041RS ultra Amperometric Analytical Cell with BDD electrode at +1600 mv 1.0 s On 1900 mv 10.0 s 5 20 µl whole blood + 200 µl 0.4 N PCA, mix and spin for 10 utes at 13,000 RPM. The clear supernatant was transferred into an autosampler vial and placed on the autosampler at 10 C. 2) Analysis of Cholesterol Levels in Whole Blood Column: Pump Flow Rate: Column Temperature: Mobile Phase A: Mobile Phase B: Injection Volume: Pump Flow Rate: Gradient Cell Potential: Clean Cell Potential Cell Clean Duration: Filter Constant: Sample Prep: Accucore C8 column 2.6 μm, 2.1 100 mm 1.00 ml/ 50.0 C 0.1% trifluoroacetic acid, 50 mm lithium perchlorate in water 0.1% trifluoroacetic acid, 50 mm lithium perchlorate in acetonitrile 2 µl standards and samples 1.00 ml/ Time %A %B -5.00 22.0 78.0 0.00 22.0 78.0 5.00 10.0 90.0 5.50 22.0 78.0 6.50 22.0 78.0 6041RS ultra Amperometric Analytical Cell with BDD electrode at +1900 mv +1950 mv 20.0 s 2.0 s 5 20 µl whole blood + 500 µl Mobile Phase B, mix and spin for 10 utes at 13,000 RPM. The supernatant was transferred into an autosampler vial and placed onto the autosampler. tray Thermo Scientific Poster Note PN70985_PITTCON_2014_E_02/14S 3

3.0 µa 2.8 2.6 2.4 2.2 2.0 1.8 1.6 1.4 Results and Discussion An instrumental prerequisite for trace analysis is that the HPLC system must be inert (free from leachable transition metals) in order to achieve optimal sensitivity using an electrochemical detector. The system uses biocompatible materials in the flow path to reduce the influence of metal that contribute to elevated background currents at the electrochemical cell. Use of the 6041RS amperometric cell provides the unique electrochemical capabilities of the boron-doped diamond which enables the oxidation of organic compounds using higher electrode potentials than other working electrode materials. Analysis of Glutathione Redox Status FIGURE 2. Overlay of analytical standards ranging from 1 20 µg/ml. CysGly GSH Methionine HCYS GSSG 1.2 1.0 0.8 0.6 0.4 0.2-0.0 20 ug/ml 10 ug/ml 5 ug/ml 2 ug/ml 1 ug/ml 0.0 0.2 0.4 0.6 0.8 1.0 1.2 1.4 1.6 1.8 2.0 2.2 2.4 2.6 2.8 3.0 3.2 3.4 3.6 3.8 4.0 4.2 4.4 4.6 4.8 5.0 The direct electrochemical detection of aothiol compounds only using a borondoped diamond electrochemical cell has been previously described. 1,2 The applied potential used for this study (+1600 mv) was sufficient to oxidize both thiol and disulfide analytes. Advantages of this approach include a stable electrode surface and method simplicity since no sample derivatization is required. After each analysis the electrode surface was regenerated by a 10 second clean cell pulse at +1900 mv. After a short re-equilibration period the electrode was once again stable and could be used for the analysis of the next sample. In the current method, the whole blood sample was added to the perchloric acid media, mixed and then centrifuged. The clear supernatant was then transferred into an autosampler vial and placed on the autosampler set at 10 C. This approach enabled rapid sample processing thus imizing issues related to the instability of the thiols. Rapid processing of these samples imizes any major chemical transformations taking place. For biological studies, the deteration of aothiol content should include compounds such as GSH, GSSG, methionine, and homocysteine. Figure 2 illustrates the overlay of calibration standards for these compounds ranging from 1 20 µg/ml. Excellent peak resolution and retention time uniformity were observed. The column used for this method was the Accucore RP-MS 2.6 micron solid-core material which provides fast, high resolution separations but with lower system pressures. Good linearity of response to different concentrations was obtained with correlation coefficients ranging from R 2 = 0.989 1.00 for the five compounds evaluated (Table 1) over the range of 1 20 µg/ml. The percent relative standard deviation (%RSD) for calibration curves (five concentrations in triplicate) is shown. Table 1. Regression data for standard calibration curves. Peak # Points RSD. % Correlation Coefficient. Slope CysGly 15 8.9059 0.989 0.0481 GSH 15 1.7446 1.000 0.0509 Meth 15 3.4526 0.999 0.0736 HCYS 15 1.9282 1.000 0.0268 GSSG 15 1.2458 1.000 0.0170 4 Deteration of Clinically Relevant Compounds using HPLC and Electrochemical Detection with a Boron-Doped Diamond Electrode

Enhanced peak shape (narrow peak width) in addition to improved design features of the 6041RS cell with a BDD electrode provides good sensitivity. The small cell volume of only 50 nl contributes to low background currents which helps imize the noise of the electrochemical cell. The limit of detection (LOD) with S/N ratio of 5 for GSH is approximately 67 pg, while the LOD for GSSG is 175 pg on column. FIGURE 3. Overlay of standard (black trace) vs. whole blood (blue trace). 2.00 1.80 µa 1.60 1.40 1.20 1.00 0.80 GSH 0.60 0.40 0.20-0.00 CysGly Methionine GSSG Whole blood -0.20 5 ug/ml mix 1,000 875 0.00 0.25 0.50 0.75 1.00 1.25 1.50 1.75 2.00 2.25 2.50 2.75 3.00 3.25 3.50 3.75 4.00 4.25 4.50 4.75 5.00 Table 2. Aothiol levels (µm) observed in whole blood (n=3) using the BDD electrode. CysGly GSH Methionine GSSG Level µm 55.9±13.0 1017.2±26.2 107.4±52.7 71.1±25.9 Figure 3 shows an overlay of chromatograms for a standard mixture of aothiols and a sample of deproteinized whole blood. The levels of GSH and GSSG was easily measured in small samples of whole blood (<20 µl) using the UHPLC method described. The levels detected as shown in Table 2 are within the range of reported levels using other techniques. 3 Although the level of homocysteine was below the assay LOD using these small sample volumes, it would be possible to detect this compound by simply increasing the volume of sample collected and processed. Analysis of Cholesterol Levels in Whole Blood Rapid UHPLC analysis as shown in Figure 4 enables processing of samples within five utes. The overlay of calibration standards of five phytosterols from 0.5 20 µg/ml is shown in Figure 4. Good linearity of response to different concentrations was obtained with correlation coefficients ranging from R 2 = 0.992 0.997 for the five compounds evaluated (Table 3) over the range of 0.5 20 µg/ml. The RSD values FIGURE 4. Overlay of analytical standards (1 40 ng on column). na 750 625 500 375 250 125 0-125 -250 20 ug/ml 10 ug/ml 5 ug/ml 2 ug/ml 1 ug/ml 0.5 ug/ml -400 0.00 0.50 1.00 1.50 2.00 2.50 3.00 3.50 4.00 4.50 5.00 Thermo Scientific Poster Note PN70985_PITTCON_2014_E_02/14S 5

ranged from 7.2% to 9.5%, indicating that the BDD electrode provided suitable stability during this study. Samples can also be prepared for HPLC analysis by saponification with potassium hydroxide to reduce acylglycerols to fatty acids prior to analysis in order to remove potential buildup of lipophilic material being retained on the analytical column (data not shown). The analysis of cholesterol in whole blood was performed and is shown in Figure 5. The mean level of cholesterol in one subject was calculated at 182.3 mg/dl with a %RSD of 1.91% (n=6). Table 3. Regression data for standard calibration curves. Peak Name Ret.Time Number Rel.Std.Dev. Coeff.of () of Points % Deteration Slope Cholesterol 2.72 12 8.73 0.9943 31.74 Campesterol 3.068 12 9.4045 0.9942 20.43 Stigmasterol 3.258 12 7.1536 0.9965 44.72 Sitosterol 3.51 12 8.4131 0.9943 20.38 Stigmastanol 3.923 12 9.5449 0.9923 12.82 FIGURE 5. Overlay of standard (red trace) vs. whole blood (blue trace). 2,000 1,900 1,800 1,700 1,600 1,500 1,400 1,300 1,200 1,100 1,000 900 800 700 600 500 400 300 200 na 100 5 ug/ml 0 Whole Blood -100-200 0.00 0.50 1.00 1.50 2.00 2.50 3.00 3.50 4.00 4.50 5.00 Conclusions UHPLC with electrochemical detection using a BDD electrode provides a suitable means of detering clinically relevant compounds. The method for the analysis for the measurement of thiols, disulfides and thioethers proved to be simple and reliable with sufficient sensitivity for their measurement in deproteinized whole blood. Technical issues related to GSH autoxidation were imized by rapid sample preparation techniques. The levels of GSH and GSSG detected are within the range of reported levels using other techniques The levels of cholesterol detected in whole blood are within the range of reported levels using other techniques. References 1. Bailey, B.A. et al. Direct deteration of tissue aothiol, disulfide, and thioether levels using HPLC-ECD with a novel stable boron-doped diamond working electrode. Advanced Protocols in Oxidative Stress II, Methods in Molecular Biology, 2011, 594, 327-339. 2. Park, H.J. et al. Validation of high-performance liquid chromatography boron-doped diamond detection for assessing hepatic glutathione redox status. Anal. Biochem. 2010, 407, 151-159. 3. Raffa, M. et al. Decreased glutathione levels and impaired antioxidant enzyme activities in drug-naïve first-episode schizophrenic patients BMC Psychiatry, 2011, 11, 124-131. 6 Deteration of Clinically Relevant Compounds using HPLC and Electrochemical Detection with a Boron-Doped Diamond Electrode

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