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Automatic and renewable micro-solid-phase extraction based on bead injection lab-on-valve system for determination of tranexamic acid in urine by UHPLC coupled with tandem mass spectrometry

Abstract

An automatic micro-solid-phase extraction (μSPE) method using on-line renewable sorbent beads followed by liquid chromatography–tandem mass spectrometry (LC–MS/MS) was established for the determination of tranexamic acid (TXA) in urine. The μSPE method was based on the bead injection (BI) concept combined with the mesofluidic lab-on-valve (LOV) platform. All steps of the μSPE–BI–LOV were implemented by computer programming, rendering enhanced precision on time and flow events. Several parameters, including the type of sorbent, volume and composition of the conditioning solution, washing solution, and eluent composition, were evaluated to improve the extraction efficiency. The best results were obtained with a hydrophilic–lipophilic balanced mixed-mode sorbent, decorated with sulfonic acid groups (Oasis MCX), and 99% acetonitrile–water (50:50, v/v)–1% ammonium hydroxide as eluent. Chromatographic separation was performed using a BEH amide column coupled to MS/MS detection in positive ionization mode. Good linearity was achieved (R2 > 0.998) for TXA concentrations in urine ranging from 300 to 3000 ng mL−1, with LOD and LOQ of 30 and 65 ng mL−1, respectively. Dilution integrity was observed for dilution factors up to 20,000 times, providing the extension of the upper limit of quantification to 12 mg mL−1. The method was validated according to international guidelines and successfully applied to urine samples collected during scoliosis surgery of pediatric patients treated with TXA.

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References

  1. Tengborn L, Blomback M, Berntorp E. Tranexamic acid - an old drug still going strong and making a revival. Thromb Res. 2015;135(2):231–42. https://doi.org/10.1016/j.thromres.2014.11.012.

    Article  CAS  PubMed  Google Scholar 

  2. Cai J, Ribkoff J, Olson S, Raghunathan V, Al-Samkari H, DeLoughery TG, Shatzel JJ. The many roles of tranexamic acid: an overview of the clinical indications for TXA in medical and surgical patients. Eur J Haematol. 2020;104(2):79–87. https://doi.org/10.1111/ejh.13348.

    Article  CAS  PubMed  Google Scholar 

  3. Lecker I, Wang DS, Whissell PD, Avramescu S, Mazer CD, Orser BA. Tranexamic acid-associated seizures: causes and treatment. Ann Neurol. 2016;79(1):18–26. https://doi.org/10.1002/ana.24558.

    Article  CAS  PubMed  Google Scholar 

  4. Lumsden MA, Wedisinghe L. Tranexamic acid therapy for heavy menstrual bleeding. Expert Opin Pharmacother. 2011;12(13):2089–95. https://doi.org/10.1517/14656566.2011.598857.

    Article  CAS  PubMed  Google Scholar 

  5. Hunt BJ. The current place of tranexamic acid in the management of bleeding. Anaesthesia. 2015;70:5. https://doi.org/10.1111/anae.12910.

    Article  CAS  Google Scholar 

  6. Silva EMP, Barreiros L, Sa P, Afonso C, Kozek-Langenecker S, Segundo MA. Analytical methods for quantification of tranexamic acid in biological fluids: a review. Microchem J. 2017;134:333–42. https://doi.org/10.1016/j.microc.2017.06.020.

    Article  CAS  Google Scholar 

  7. Jerath A, Yang QJ, Pang KS, Looby N, Reyes-Garces N, Vasiljevic T, Bojko B, Pawliszyn J, Wijeysundera D, Beattie WS, Yau TM, Wasowicz M. Tranexamic acid dosing for cardiac surgical patients with chronic renal dysfunction: a new dosing regimen. Anesth Analg. 2018;127(6):1323–32. https://doi.org/10.1213/ane.0000000000002724.

    Article  CAS  PubMed  Google Scholar 

  8. Hadad GM, El-Gindy A, Mahmoud WMM. Optimization and validation of an HPLC-UV method for determination of tranexamic acid in a dosage form and in human urine. Chromatographia. 2007;66(5–6):311–7. https://doi.org/10.1365/s10337-007-0323-6.

    Article  CAS  Google Scholar 

  9. Eriksson O, Kjellman H, Pilbrant A, Schannong M. Pharmacokinetics of tranexamic acid after intravenous administration to normal volunteers. Eur J Clin Pharmacol. 1974;7(5):375–80. https://doi.org/10.1007/bf00558210.

    Article  CAS  PubMed  Google Scholar 

  10. Looby N, Vasiljevic T, Reyes-Garcés N, Roszkowska A, Bojko B, Wąsowicz M, Jerath A, Pawliszyn J. Therapeutic drug monitoring of tranexamic acid in plasma and urine of renally impaired patients using solid phase microextraction. Talanta. 2021;225:121945. https://doi.org/10.1016/j.talanta.2020.121945.

    Article  CAS  PubMed  Google Scholar 

  11. Looby NT, Tascon M, Acquaro VR, Reyes-Garces N, Vasiljevic T, Gomez-Rios GA, Wasowicz M, Pawliszyn J. Solid phase microextraction coupled to mass spectrometry via a microfluidic open interface for rapid therapeutic drug monitoring. Analyst. 2019;144(12):3721–8. https://doi.org/10.1039/c9an00041k.

  12. Niu ZL, Zhang WW, Yu CW, Zhang J, Wen YY. Recent advances in biological sample preparation methods coupled with chromatography, spectrometry and electrochemistry analysis techniques. Trac-Trends Anal Chem. 2018;102:123–46. https://doi.org/10.1016/j.trac.2018.02.005.

    Article  CAS  Google Scholar 

  13. Roszkowska A, Miekus N, Baczek T. Application of solid-phase microextraction in current biomedical research. J Sep Sci. 2019;42(1):285–302. https://doi.org/10.1002/jssc.201800785.

    Article  CAS  PubMed  Google Scholar 

  14. Sajid M, Nazal MK, Rutkowska M, Szczepanska N, Namiesnik J, Plotka-Wasylka J. Solid phase microextraction: apparatus, sorbent materials, and application. Crit Rev Anal Chem. 2019;49(3):271–88. https://doi.org/10.1080/10408347.2018.1517035.

    Article  CAS  PubMed  Google Scholar 

  15. Jang H, Mai XL, Lee G, Ahn JH, Rhee J, Truong QK, Vinh D, Hong J, Kim KH. Simultaneous determination of statins in human urine by dilute-and-shoot-liquid chromatography-mass spectrometry. Mass Spectrom Lett. 2018;9(4):95–9. https://doi.org/10.5478/msl.2018.9.4.95.

    Article  CAS  Google Scholar 

  16. Tudela E, Deventer K, Geldof L, Van Eenoo P. Urinary detection of conjugated and unconjugated anabolic steroids by dilute-and-shoot liquid chromatography-high resolution mass spectrometry. Drug Test Anal. 2015;7(2):95–108. https://doi.org/10.1002/dta.1650.

    Article  CAS  PubMed  Google Scholar 

  17. Deventer K, Pozo OJ, Verstraete AG, Van Eenoo P. Dilute-and-shoot-liquid chromatography-mass spectrometry for urine analysis in doping control and analytical toxicology. Trac-Trends Anal Chem. 2014;55:1–13. https://doi.org/10.1016/j.trac.2013.10.012.

    Article  CAS  Google Scholar 

  18. Madikizela LM, Ncube S, Chimuka L. Recent developments in selective materials for solid phase extraction. Chromatographia. 2019;82(8):1171–89. https://doi.org/10.1007/s10337-018-3644-8.

    Article  CAS  Google Scholar 

  19. Ramos L. Critical overview of selected contemporary sample preparation techniques. J Chromatogr A. 2012;1221:84–98. https://doi.org/10.1016/j.chroma.2011.11.011.

    Article  CAS  PubMed  Google Scholar 

  20. Plotka-Wasylka J, Szczepanska N, de la Guardia M, Namiesnik J. Modern trends in solid phase extraction: new sorbent media. Trac-Trends Anal Chem. 2016;77:23–43. https://doi.org/10.1016/j.trac.2015.10.010.

    Article  CAS  Google Scholar 

  21. Calderilla C, Maya F, Leal LO, Cerda V. Recent advances in flow-based automated solid-phase extraction. Trac-Trends Anal Chem. 2018;108:370–80. https://doi.org/10.1016/j.trac.2018.09.011.

    Article  CAS  Google Scholar 

  22. Miro M. On-chip microsolid-phase extraction in a disposable sorbent format using mesofluidic platforms. Trac-Trends Anal Chem. 2014;62:154–61. https://doi.org/10.1016/j.trac.2014.07.014.

    Article  CAS  Google Scholar 

  23. Oliveira HM, Segundo MA, Lima JLFC, Miro M, Cerda V. On-line renewable solid-phase extraction hyphenated to liquid chromatography for the determination of UV filters using bead injection and multisyringe-lab-on-valve approach. J Chromatogr A. 2010;1217(22):3575–82. https://doi.org/10.1016/j.chroma.2010.03.035.

    Article  CAS  PubMed  Google Scholar 

  24. Vichapong J, Burakham R, Srijaranai S, Grudpan K. Sequential injection-bead injection-lab-on-valve coupled to high-performance liquid chromatography for online renewable micro-solid-phase extraction of carbamate residues in food and environmental samples. J Sep Sci. 2011;34(13):1574–81. https://doi.org/10.1002/jssc.201100075.

    Article  CAS  PubMed  Google Scholar 

  25. Ramdzan AN, Barreiros L, Almeida MIGS, Kolev SD, Segundo MA. Determination of salivary cotinine through solid phase extraction using a bead-injection lab-on-valve approach hyphenated to hydrophilic interaction liquid chromatography. J Chromatogr A. 2016;1429:284–91. https://doi.org/10.1016/j.chroma.2015.12.051.

    Article  CAS  PubMed  Google Scholar 

  26. Sammani MS, Clavijo S, Gonzalez A, Cerda V. Development of an on-line lab-on-valve micro-solid phase extraction system coupled to liquid chromatography for the determination of flavonoids in citrus juices. Anal Chim Acta. 2019;1082:56–65. https://doi.org/10.1016/j.aca.2019.06.032.

    Article  CAS  PubMed  Google Scholar 

  27. Chen XW, Wang JH. The miniaturization of bioanalytical assays and sample pretreatments by exploiting meso-fluidic lab-on-valve configurations: a review. Anal Chim Acta. 2007;602(2):173–80. https://doi.org/10.1016/j.aca.2007.09.019.

    Article  CAS  PubMed  Google Scholar 

  28. Miro M, Oliveira HM, Segundo MA. Analytical potential of mesofluidic lab-on-a-valve as a front end to column-separation systems. Trac-Trends Anal Chem. 2011;30(1):153–64. https://doi.org/10.1016/j.trac.2010.08.007.

    Article  CAS  Google Scholar 

  29. Bojko B, Vuckovic D, Cudjoe E, Hoque ME, Mirnaghi F, Wasowicz M, Jerath A, Pawliszyn J. Determination of tranexamic acid concentration by solid phase microextraction and liquid chromatography-tandem mass spectrometry: first step to in vivo analysis. J Chromatogr B. 2011;879(32):3781–7. https://doi.org/10.1016/j.jchromb.2011.08.003.

    Article  CAS  Google Scholar 

  30. Bojko B, Vuckovic D, Mirnaghi F, Cudjoe E, Wasowicz M, Jerath A, Pawliszyn J. Therapeutic monitoring of tranexamic acid concentration: high-throughput analysis with solid-phase microextraction. Ther Drug Monit. 2012;34(1):31–7. https://doi.org/10.1097/FTD.0b013e3182400540.

    Article  CAS  PubMed  Google Scholar 

  31. Gorynski K, Bojko B, Kluger M, Jerath A, Wasowicz M, Pawliszyn J. Development of SPME method for concomitant sample preparation of rocuronium bromide and tranexamic acid in plasma. J Pharm Biomed Anal. 2014;92:183–92. https://doi.org/10.1016/j.jpba.2014.01.026.

    Article  CAS  PubMed  Google Scholar 

  32. Barreiros L, Amoreira JL, Machado S, Fernandes SR, Silva EMP, Sa P, Kietaibl S, Segundo MA. Determination of tranexamic acid in human plasma by UHPLC coupled with tandem mass spectrometry targeting sub-microgram per milliliter levels. Microchem J. 2019;144:144–50. https://doi.org/10.1016/j.microc.2018.08.061.

    Article  CAS  Google Scholar 

  33. European Medicines Agency. Guideline on bioanalytical method validation EMEA/CHMP/EWP/192217/2009; 2011.

  34. European Commission. European Union Decision 2002/657/EC 17082002: commission decision laying down performance criteria for the analytical methods to be used for certain substances and residues thereof in live animals and animal products. Off. J. Eur. Communities. 2002;221:8–32.

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Funding

This work received financial support from PT national funds (FCT/MCTES, Fundação para a Ciência e a Tecnologia and Ministério da Ciência, Tecnologia e Ensino Superior) through grant UIDB/50006/2020. S. R. Fernandes thanks FCT and ESF (European Social Fund) through NORTE2020 (Programa Operacional Regional Norte) for her PhD grant (SFRH/BD/130948/2017). L. Barreiros acknowledges funding from FCT through program DL 57/2016 – Norma transitória. M. Miró acknowledges financial support from the Spanish Ministry of Science and Innovation (MICINN) and Spanish State Research Agency (AEI) through projects CTM2017-84763-C3-3-R and PID2020-117686RB-C33 (MICINN/AEI/FEDER).

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Correspondence to Marcela A. Segundo.

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The study protocol was approved by the Ethics Committee for Health at Centro Hospitalar do Porto (process no. 2015.083(077-DEFI/072-CES). Experiments were performed following all internationally accepted rules of good clinical practices. All participants in the study have provided written informed consent prior to collection of samples.

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Fernandes, S.R., Barreiros, L., Sá, P. et al. Automatic and renewable micro-solid-phase extraction based on bead injection lab-on-valve system for determination of tranexamic acid in urine by UHPLC coupled with tandem mass spectrometry. Anal Bioanal Chem 414, 649–659 (2022). https://doi.org/10.1007/s00216-021-03606-y

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