Skip to main content
Log in

An infrared spectroscopy method to detect ammonia in gastric juice

  • Paper in Forefront
  • Published:
Analytical and Bioanalytical Chemistry Aims and scope Submit manuscript

Abstract

Ammonia in gastric juice is considered a potential biomarker for Helicobacter pylori infection and as a factor contributing to gastric mucosal injury. High ammonia concentrations are also found in patients with chronic renal failure, peptic ulcer disease, and chronic gastritis. Rapid and specific methods for ammonia detection are urgently required by the medical community. Here we present a method to detect ammonia directly in gastric juice based on Fourier transform infrared spectroscopy. The ammonia dissolved in biological liquid samples as ammonium ion was released in air as a gas by the shifting of the pH equilibrium of the ammonium/ammonia reaction and was detected in line by a Fourier transform infrared spectroscopy system equipped with a gas cell for the quantification. The method developed provided high sensitivity and selectivity in ammonia detection both in pure standard solutions and in a simulated gastric juice matrix over the range of diagnostic concentrations tested. Preliminary analyses were also performed on real gastric juice samples from patients with gastric mucosal injury and with symptoms of H. pylori infection, and the results were in agreement with the clinicopathology information. The whole analysis, performed in less than 10 min, can be directly applied on the sample without extraction procedures and it ensures high specificity of detection because of the ammonia fingerprint absorption bands in the infrared spectrum. This method could be easily used with endoscopy instrumentation to provide information in real time and would enable the endoscopist to improve and integrate gastroscopic examinations.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Tucci A, Bisceglia M, Rugge M, Tucci P, Marchegiani A, Papadopoli G, Spada A, Villani A, Pennelli G, Fusaroli P, Caravelli G, Catalano T, Cennamo V, Cianci M, De Fanis C, Fabbri C, Feliciangeli G, Gizzi G, Spadaccini A, Caletti G (2007) Clinical usefulness of gastric-juice analysis in 2007: the stone that the builders rejected has become the cornerstone. Gastrointest Endosc 66(5):881–890

    Article  Google Scholar 

  2. Tonkic A, Tonkic M, Lehours P, Megraud F (2012) Epidemiology and diagnosis of Helicobacter pylori infection. Helicobacter 17:1–8

    Article  Google Scholar 

  3. Qujeq D, Savadkoohi S (2006) Measurement of ammonium concentration in gastric juice as a diagnostic test for Helicobacter pylori infection and the relationship between ammonium concentration and the severity of gastritis. Asian J Biochem 1(2):131–137

    Article  CAS  Google Scholar 

  4. Gladziwa U, Haase G, Handt S, Riehl J, Wietholtz H, Dakshinamurty KV, Glockner WM, Sieberth HG (1993) Prevalence of Helicobacter pylori in patients with chronic renal failure. Nephrol Dial Transplant 8(4):301–306

    CAS  Google Scholar 

  5. Kim H, Park C, Jang WI, Lee KH, Kwon SO, Robeycafferty SS, Ro JY, Lee YB (1990) The gastric juice urea and ammonia levels in patients with Campylobacter pylori. Am J Clin Pathol 94(2):187–191

    CAS  Google Scholar 

  6. Kearney DJ, Ritchie K, Peacock JS (2000) Gastric-juice ammonia assay for diagnosis of Helicobacter pylori infection and the relationship of ammonia concentration to gastritis severity. Am J Gastroenterol 95(12):3399–3403

    Article  CAS  Google Scholar 

  7. Igarashi M, Kitada Y, Yoshiyama H, Takagi A, Miwa T, Koga Y (2001) Ammonia as an accelerator of tumor necrosis factor alpha-induced apoptosis of gastric epithelial cells in Helicobacter pylori infection. Infect Immun 69(2):816–821

    Article  CAS  Google Scholar 

  8. Matsui T, Matsukawa Y, Sakai T, Nakamura K, Aoike A, Kawai K (1997) Ammonia inhibits proliferation and cell cycle progression at S-phase in human gastric cells. Dig Dis Sci 42(7):1394–1399

    Article  CAS  Google Scholar 

  9. Sato K, Watanabe S, Yoshizawa T, Hirose M, Murai T, Sato N (1999) Ammonia, hydrogen peroxide, and monochloramine retard gastric epithelial restoration in rabbit cultured cell model. Dig Dis Sci 44(12):2429–2434

    Article  CAS  Google Scholar 

  10. Timmer B, Olthuis W, van den Berg A (2005) Ammonia sensors and their applications - a review. Sensors Actuators B Chem 107(2):666–677

    Article  CAS  Google Scholar 

  11. Blusiewicz K, Rydzewska G, Rydzewski A (2005) Gastric juice ammonia and urea concentrations and their relation to gastric mucosa injury in patients maintained on chronic hemodialysis. Rocz Akad Med Bialymst 50:188–192

    CAS  Google Scholar 

  12. Goto H (2003) Helicobacter pylori and gastric diseases. Nagoya J Med Sci 66(3-4):77–85

    Google Scholar 

  13. Triebling AT, Korsten MA, Dlugosz JW, Paronetto F, Lieber CS (1991) Severity of Helicobacter-induced gastric injury correlates with gastric juice ammonia. Dig Dis Sci 36(8):1089–1096

    Article  CAS  Google Scholar 

  14. Tucci A, Tucci P, Bisceglia M, Marchegiani A, Papadopoli G, Fusaroli P, Spada A, Pistoletto MO, Cristino M, Poli L, Villani A, Bucci M, Marinelli M, Caletti G (2005) Real-time detection of Helicobacter pylori infection and atrophic gastritis: comparison between conventional methods and a novel device for gastric juice analysis during endoscopy. Endoscopy 37(10):966–976

    Article  CAS  Google Scholar 

  15. Krom MD (1980) Spectrophotometric determination of ammonia - a study of a modified Berthelot reaction using salicylate and dichloroisocyanurate. Analyst 105(1249):305–316

    Article  CAS  Google Scholar 

  16. Fraticelli YM, Meyerhoff ME (1981) Automated determination of ammonia with a potentiometric gas sensor and flowing internal electrolyte. Anal Chem 53(7):992–997

    Article  CAS  Google Scholar 

  17. Bertocchi P, Compagnone D, Palleschi G (1996) Amperometric ammonium ion and urea determination with enzyme-based probes. Biosens Bioelectron 11(1-2):1–10

    Article  CAS  Google Scholar 

  18. Calibration Curves Computing. http://www.inrim.it/download/CCC/index.html

  19. Herzberg G (1988) Citation classic - molecular spectra and molecular structure. 2. Infrared and Raman spectra of polyatomic molecules. CC/Eng Tech Appl Sci (13):16

  20. Tucci A, Tucci P, Marchegiani A, Papadopoli G, Spada A, Cristino M, Fusaroli P, Pistoletto MO, Pistoletto MO, Poli L, Bisceglia M, Caletti G (2005) Mt 21-42: development and validation of an automatic device proposed for the endoscopic diagnosis of Helicobacter pylori infection and atrophic gastritis. Digestion 72(1):33–42

    Article  Google Scholar 

  21. JCGM (2008) Evaluation of measurement data – guide to the expression of uncertainty in measurement, JCGM 100:2008 (GUM 1995 with minor corrections). http://www.bipm.org/utils/common/documents/jcgm/JCGM_100_2008_E.pdf

  22. JCGM (2008) Evaluation of measurement data – supplement 1 to the “Guide to the expression of uncertainty in measurement” – propagation of distributions using a Monte Carlo method, JCGM 101:2008. http://www.bipm.org/utils/common/documents/jcgm/JCGM_101_2008_E.pdf

Download references

Acknowledgments

This work was supported by the SETNanoMetro Seventh Framework Programme project (project number 604577; call identifier FP7-NMP-2013_LARGE-7).

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Andrea M. Giovannozzi.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Giovannozzi, A.M., Pennecchi, F., Muller, P. et al. An infrared spectroscopy method to detect ammonia in gastric juice. Anal Bioanal Chem 407, 8423–8431 (2015). https://doi.org/10.1007/s00216-015-9030-6

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00216-015-9030-6

Keywords

Navigation