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Determination of glycine, glutamine, glutamate, and γ-aminobutyric acid in cerebrospinal fluids by capillary Electrophoresis with light-emitting diode-induced fluorescence detection

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Determination of glycine, glutamine, glutamate, and

␥-aminobutyric acid

in cerebrospinal fluids by capillary electrophoresis with light-emitting

diode-induced fluorescence detection

Miao-Jen Lu

a

, Tai-Chia Chiu

b

, Po-Ling Chang

a

,

Hsin-Tsung Ho

c,d

, Huan-Tsung Chang

a,∗

aDepartment of Chemistry, National Taiwan University, Roosevelt Road, Section 4,

Taipei 106, Taiwan

bInstitute of Atomic and Molecular Sciences, Academia Sinica, Taipei, Taiwan cDepartment of Laboratory Medicine, Mackay Memorial Hospital, Taipei, Taiwan

dMackay Medicine, Nursing and Management College, Taipei, Taiwan

Received 17 November 2004; received in revised form 14 February 2005; accepted 15 February 2005 Available online 23 March 2005

Abstract

In this article, we present a simple and cost-effective method for the determination of amino acids in cerebrospinal fluids (CSF) by using capillary electrophoresis-light-emitting diode-induced fluorescence detection. When using a deactivated capillary filled with 0.6% poly(ethylene oxide) (PEO, Mr6.0× 105) prepared in 10 mM tetraborate (pH 9.3), we have achieved the limits of detection (S/N = 3) in the

range of 10–30 nM for naphthalene-2,3-dicarboxaldehyde (NDA) derivatized amino acids (detected in the anodic side) in the absence of electroosmotic flow (EOF). In order to further improve sensitivity, stacking and separation of CSF samples in the presence of EOF has been applied. When high voltage is applied, the analytes migrating against EOF slow down and are stacked at the boundary between 2.0% PEO (Mr8.0× 106) prepared in 10 mM tetraborate (pH 9.3) and sample zone. The stacking approach provides the LODs at the nM level for the

analytes (detected in the cathodic side) when injecting at 30 cm height for 150 s. The two proposed methods provide comparable results for the determinations of glycine (Gly), glutamine (Gln), and glutamate (Glu) in CSF samples from patients suffered from inflammation, epilepsy, and jaundice without sample preparation, but the stacking method is more sensitive and allows for the determination of␥-aminobutyric acid (GABA).

© 2005 Elsevier B.V. All rights reserved.

Keywords: Amino acids; Capillary electrophoresis; Cerebrospinal fluid; Light-emitting diode-induced fluorescence detection; Stacking

1. Introduction

Capillary electrophoresis (CE) with laser-induced fluores-cence (LIF) provides the advantages of high resolution, short analysis time, high sensitivity, and small sample size, which make it quite suitable for the routine determination of a great variety of compounds in biological samples[1–3]. Because of the brightness and spatial beam properties, lasers are

com-∗Corresponding author. Tel.: +11 886 2 23621963;

fax: +11 886 2 23621963.

E-mail address: changht@ntu.edu.tw (H.-T. Chang).

monly used as excitation sources. However lasers such as the Ar+and He–Cd lasers are generally expensive, relatively bulky, and have limited lifetimes (∼3000 h). Alternatively, light-emitting diodes (LEDs) have become very attractive light sources in CE because of the advantages of a long life-time (>10,000 h), high intensities at a variety of wavelengths (ranging from blue to red) and comparable stability when compared with those of conventional light source such as Hg and Xe lamps, small sizes, and ease of operation[4–6]. Be-cause the intensities are weaker and the emission lights are broader, LED-induced fluorescence detection (LEDIF) is less sensitive for analytes than LIF detection.

0003-2670/$ – see front matter © 2005 Elsevier B.V. All rights reserved. doi:10.1016/j.aca.2005.02.041

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Derivatization is necessary to enhance detection signals when the analytes such as most amino acids do not pos-sess intrinsic fluorescence. Many fluorophores have been tested to form highly fluorescent derivative compounds with amino acids [7–10]. Among these, naphthalene-2,3-dicarboxaldehyde (NDA) is the most common reagent for labeling amino acids[10]. NDA reacts with primary amines in the presence of cyanide to produce cyano[f]benzoisoindole (CBI) products with high quantum yields (e.g.,Φf= 0.8 for Gly derivatives)[11]. CBI products exhibit two weaker exci-tation maxima in the visible region at approximately 420 and 440 nm and fluoresce at 490 nm after excitation[11].

With the advantages of LED and NDA addressed above, LEDIF detection should be sensitive enough to detect amino acids in biological samples such as blood, cerebrospinal fluid (CSF), and urine. If a greater sensitivity is required, a stack-ing technique in conjunction with CE-LEDIF can be ap-plied. A number of sample stacking techniques have been demonstrated, including field amplification injection, isota-chophoresis, and pH-mediated approaches[12–14]. Gener-ally, it is much easier and straightforward for the stacking of analytes prepared in low-conductivity media, because salt could cause poor stacking efficiency and loss of resolution as a result of Joule heating[15,16]. However, in view of life science, techniques allowing stacking of high-salt samples are more desired. Recently, we have developed a stacking method for the analysis of proteins in urine samples (up to 0.18␮L) without any sample pretreatment[16]. To minimize salt effects, a short plug of low pH buffer was applied after sample injection.

CSF is secreted in the brain and is in a steady state with the fluid surrounding brain cells. It plays a critical role in pro-viding a constant chemical environment for neurons and glia and is the body fluid most likely to reflect a disturbance of the amino acids metabolic pathway[17]. Changes in amino acids level in patients’ CSFs have been found to be related to neurological and psychiatric disorders [18]. The separa-tion of neurotransmitters in brain microdialysis samples by CE-LIF using NDA was completed in 10 min, which pro-vided the detection limits of 3, 15, 5 nM for␥-aminobutyric acid (GABA), glutamic acid (Glu), and l-aspartate (l-Asp), respectively[19]. That study also demonstrated that appli-cations of 0.1 mM nipecotic acid, a GABA uptake blocker, 1 mM pyrrolidine-2,4-dicarboxylic acid, a Glu/Asp uptake blocker, and 100 mg/kg of mercaptopropionic acid, a GABA synthesis inhibitor, induce a significant 100–200% increase, no change, and a 40% decrease (10 min after injection) in the concentration of GABA in striatum microdialysates, respec-tively. A similar technique was applied to monitoring vigaba-trin, an antiepileptic drug, and amino acids neurotransmitters in microdialysates from the rat striatum during intercerebral infusion of the drug[20]. The study suggested that vigaba-trin induces an increase in extracellular GABA concentration in relation with the drug concentration at the site of the bio-chemical changes and an unexpected increase in extracellular Glu.

In this research, we developed a sensitive and cost-effective CE method for the analysis of amino acids, includ-ing, glycine (Gly), Gln and GABA using a violet-LED as the light source. In order to provide greater sensitivity for detect-ing GABA, a stackdetect-ing technique usdetect-ing poly(ethylene oxide) (PEO) was applied. The usefulness of the proposed methods was tested by analyzing CSF samples from patients suffered from different diseases, including inflammation, epilepsy, and jaundice.

2. Experimental

2.1. Chemicals

All chemicals for preparing buffer solutions and amino acids were obtained from Sigma (St Louis, MO, USA), besides polymers. PEO (Mr 6.0× 105 and 8.0× 106) and

poly(vinyl pyrrolidone) (PVP) (Mr 1.3× 106) were

ob-tained from Aldrich (Milwaukee, WI, USA). NDA was obtained from Tokyo Chemical Industry (Tokyo, Japan) and dissolved in analytical grade methanol which was ob-tained form J.T. Baker (Phillipsburg, NJ, USA). Sodium dihydrogen phosphate and sodium hydroxide were used to prepare low-pH phosphate buffer (10 mM; pH 5.0). Tris(hydroxymethyl)aminomethane (Tris) was used to pre-pare TB buffers (pH 9.0) by adjustment with suitable amounts of boric acid. The concentration of TB buffer refers to the molarity of Tris. PEO solutions were prepared in different separation buffers (TB and tetraborate buffers)[21]. For sim-plicity, the polymer solution prepared from different sizes of PEO molecules is presented as PEO(X); for example, 0.5% PEO(8.0) means that the polymer solution was prepared from dissolving 0.5 g PEO (Mr8.0× 106) in l00 mL of water, TB

buffer, or tetraborate buffer.

2.2. Apparatus

The basic design of the CE-LEDIF system has been pre-viously described[5]. Briefly, a high-voltage power supply (Gamma High Voltage Research Inc., Ormond Beach, FL, USA) was used to drive electrophoresis. The entire CE sys-tem was placed in a black box with a high-voltage interlock. For safety, the high-voltage end of the separation system was put in a laboratory-made plexiglass box. A violet LED (In-GaN) with a maximum output at 405 nm with a full-width-at-half-maximum (FWHT) of 30 nm was obtained from Kwang-Hwa Electronic Material (Taichung, Taiwan) and was used for excitation. A laboratory-made power supply with adjusted voltages up to 5.0 V was used to drive the LED. In this study, the applied voltage of LED was set at 3.9 V, which provided an output power of 0.04 mW at 405 nm. We note that the LED was used for more than 1 year (>3000 h). The excita-tion light was focused on the capillary with a 40× objective (numerical aperture = 0.65). The fluorescence was collected with a 10× objective (numerical aperture = 0.25). One

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inter-ference filter (488 nm with a FWHM of 10 nm) was used to block scattered lights before the emitted light reached the photomultiplier tube (R928, Hamamatsu Photonics K.K., Shizuoka-Ken, Japan). The fluorescence signal was directly transferred through a 10 k resistor to a 24-bit A/D inter-face at 10 Hz (Borwin, JMBS Developments, Le Fontanil, France) and stored in a personal computer. Fused-silica cap-illary with 75␮m i.d. and 365 ␮m o.d. was purchased from Polymicro Technologies (Phoenix, AZ, USA). The capillary length is 50 cm (40 cm to detector) for the analysis of small injected volumes of samples (ca. 10 nL), while it is 60 cm (50 cm to detector) when conducting stacking and separation experiments.

ADV-E viscometer (Brookfield Engineering Laboratories Inc., Middleboro, MA, USA) was employed to measure the viscosity of PEO solutions in a constant-temperature bath at 25.0± 0.2◦C. All measurements were performed in tripli-cate.

2.3. Sample handling and derivatization procedure

CSF samples were taken from the bottom part of the lum-bar spinal column while the patients were in a sitting po-sition. The patients were all children who were diagnosed in the department of clinical laboratory of Mackay Memo-rial Hospital (Taipei, Taiwan). Derivatization procedure of amino acids with NDA in the presence of cyanide was mod-ified from the literature [22]. The derivatization was per-formed in 1.5 mL centrifuge tubes. The standard amino acids used to investigate the performance of the separation and stacking approaches in this study are alanine (Ala), GABA, Gly, histidine (His), and phenylalanine (Phe). For standard amino acids, 1.0 mL reaction mixtures (pH 9.3) containing amino acids (10␮M), NaCN (1.0 mM), NDA (1.0 mM), and sodium tetraborate (1.0 mM), were prepared. For real sam-ples, 50␮L CSF samples without any pretreatment were mixed with 50␮L aqueous solution (pH 9.3) consisting of 2.0 mM Na2B4O7, 2.0 mM NaCN, and 2.0 mM NDA. To

de-termine the concentrations of GABA, Gln, Glu, and Gly in CSF, 1–3␮L of standards were spiked to 100 ␮L of mixtures containing CSF samples (50␮L) prior to analysis. The solu-tions were allowed to react for 20 min in room temperature before injection into the capillary.

2.4. Separation in the absence of EOF

The capillary used was dynamically coated with 5.0% PVP prepared in water at ambient temperature overnight. Be-fore coating the second layer of the capillary wall with 0.5% PEO(8.0) prepared in water at room temperature for 2 h, the polymer solution inside the capillary was flushed out with water[23]. The capillary was filled with 0.6% PEO(0.6) so-lution (prepared in tetraborate buffer; condition A) prior to separation. Electrokinetic injection was conducted at−10 kV for 10 s. Separation was carried out at−10 kV using 40 cm capillaries (30 cm in effective length). After each run, the

cap-illary was recoated with PEO for 2 min to achieve optimum resolution and reproducibility.

2.5. Separation in the presence of EOF

Prior to analysis, capillaries were treated with 0.5 M NaOH overnight[24]. After each run, capillaries were flushed with 0.5 M NaOH at 1 kV for 10 min to remove PEO solutions and to refresh the capillary wall, and subsequently filled with TB or tetraborate buffers. This treatment was quite success-ful to regenerate high and reproducible EOF (RSD < 1.5%). The capillaries are 40 cm in total length and 30 cm in effec-tive length. During separation, PEO solution prepared in TB buffer (condition B) or in tetraborate buffer (condition C) was introduced to the capillary by EOF from the anodic side. Hy-drodynamic injection was applied at 30 cm height for a time over a range from 10 to 180 s. After samples injection, a low pH plug of phosphate buffer (10 mM, pH 5.0) was applied [16]. The separation was conducted at 15 kV.

3. Results and discussion

3.1. Separations in the presence and absence of EOF

In terms of the fluorescence quantum yield and stability of the amino acid derivatives, separation conducted at pH 9.5 is preferred[25]. From the view point of the use of PEO, pH greater than 10.0 is not suitable because of accelerated hydrol-ysis of PEO. In our previous study, we demonstrated that re-producibility is poor at pH < 8.0 as a result of serious PEO ad-sorption on the capillary wall[26]. For these reasons, we only investigated the effect of PEO solution and background elec-trolytes on the separation of amino acid derivatives at pH 9.0 and 9.3. It has been suggested that PEO(0.6) provides better resolution for proteins than does PEO(8.0)[27]. However, we did not see a similar result for separating amino acid deriva-tives, mainly because the separation of small analytes is not according to the sieving mechanism. According to literatures [28,29], we suggested that PEO molecules interact with the amino acid derivatives through hydrogen bonding between polyethylene oxide chains of polymer and carboxylic groups or hydroxyl groups of the amino acid derivatives. In this study, we separately evaluated the separations of amino acid deriva-tives in the presence and absence of EOF using PEO. In the absence of EOF, low-viscosity PEO(0.6) solution (0.6%) was used for the sake of ease of filling a capillary and speed (the electrophoretic mobility decreases with increasing viscosity). In the presence of EOF, only high-concentration PEO (8.0) solutions (≥1.5%) were tested because the stacking efficiency and resolution increase with increasing the viscosity[30,31]. Using PEO(8.0) at the concentration less than 1.5%, the loss of resolution is problematic, mainly due to high bulk EOF and poor stacking.

As shown inTable 1, the separation conducted in the ab-sence of EOF using 0.6% PEO(0.6) provides longer

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migra-Table 1

Comparison of three different conditions for the analyses of five model amino acids with respect to migration time, peak width, and LOD

Aa(0.6% PEO(0.6)) Bb(1.5% PEO(8.0)) Cb(2.0% PEO(8.0))

Time (min) Peak width (min)

LODc(nM) Time (min) Peak width (min)

LOD (nM) Time (min) Peak width (min) LOD (nM) Gly 10.6 0.32 9.3 10.25 0.05 50.6 8.71 0.09 44.2 Ala 11.2 0.44 22.1 9.71 0.05 84.1 8.07 0.10 75.4 GABA 12.6 0.37 14.2 9.23 0.04 48.9 7.33 0.07 44.7 His 14.4 0.38 27.5 8.74 0.04 85.2 6.67 0.09 76.9 Phe 16.1 0.46 19.4 8.44 0.03 48.7 6.24 0.09 40.9

aCapillary, effective (total) length 40 cm (30 cm); separation voltage,−10 kV; in the absence of EOF; PEO prepared in 10 mM borate buffer (pH 9.3). b Capillary, effective (total) length 40 cm (30 cm); separation voltage, 15 kV; in the presence of EOF; PEO prepared in 0.2 M TB buffer (pH 9.0) and 10 mM borate buffer (pH 9.3) in conditions B and C, respectively.

cThe concentrations of amino acids used for measuring migration times and peak widths are 10−6M. The linear regression coefficients (R2) for the peak height and peak area against the analyte concentration at the range of 10−5to 10−7M are both≥0.98. The LODs at the signal-to-noise ratio (S/N) 3 were calculated from the electropherograms when injecting 10−7M analytes.

tion times when compared to those in the presence of EOF. Broader peak profiles are another drawback when the separa-tion was conducted in the absence of EOF. Band broadening is mainly due to greater diffusion at lower-viscosity media and longer separation times. Despite these shortages, this condition provides better resolution and stable baseline. In the presence of EOF, the analytes migrated against EOF and were detected in the cathodic side. We note that the migra-tion order is reversed (detecmigra-tion point: anodic side) to that in the absence of EOF. We found that the optimum PEO(8.0) concentrations in terms of speed and efficiency were 1.5 and 2.0% when they were prepared in 200 mM TB (pH 9.0) and 10 mM tetraborate buffers (pH 9.3; containing sodium ions), respectively. It is worthy noting that the five amino acids were well resolved (Rs> 1.5).Table 1also shows that the

separa-tion is faster in the latter case as a result of a greater EOF at high ionic strengths[30]. When using 1.5% PEO(8.0) so-lution prepared in 200 mM TB (pH 9.0) and 2.0% PEO(8.0) prepared in 10 mM tetraborate buffers (pH 9.3), the EOF mo-bility values are 1.98× 10−4and 5.03× 10−4cm2V−1s−1, respectively. On the basis of the fact that the viscosity values of 1.5 and 2.0% PEO are 1642 and 4118 cP, respectively, we suggest that a greater EOF in 10 mM borate buffer (pH 9.3) is due to reduced PEO adsorption on the capillary wall at a high ionic strength. We note that the sensitivity is better in the absence of EOF as a result of a stable baseline and lower flu-orescence background. For example, the limit of detections (LODs) at S/N = 3 are 9.3 and 44.2 nM for Gly and 14.2 and 44.7 nM for GABA when using conditions A and C listed in Table 1, respectively.

3.2. Stacking and separation

It is extremely important to detect trace amounts of amino acids and peptides in biological samples. In order to further improve the sensitivity, we applied a stacking technique on the basis of viscosity changes[24,30–32]. It is worthy noting again that stacking efficiency is greater when using high-viscosity PEO solution. However, filling is a problem. On

the basis of our experience, the maximum sample injection length is also shorter when using a capillary filled with PEO solution (in the absence of EOF) than that filled with TB buffer while achieving similar resolving powers. Thus, only stacking and separation of amino acid derivatives in the pres-ence of EOF using 2.0% PEO(8.0) was tested. The amino acid derivatives (anions) migrating against EOF slow down and are stacked at the boundary between sample zone and PEO (neutral) solutions as a result of increases in viscos-ity and possible interactions with PEO molecules (hydrogen bonding). As shown inFig. 1, five peaks were well separated using 2.0% PEO(8.0) when the sample was injected at 30 cm height for 150 s (about 0.33␮L). We note that the migra-tion orders are different in the presence and absence of EOF. A longer separation time (versus condition C inTable 1) is mainly due to a small EOF mobility because PEO adsorption is significant when injecting a long plug of sample prepared

Fig. 1. Electropherogram of stacking and separation of five amino acids (50 nM) in the presence of EOF. Capillary is 60 cm in total length and 50 cm in effective length. Prior to sample injection, the capillary was filled with 10 mM tetraborate buffer (pH 9.3). Hydrodynamic injection was performed at 30 cm height for 150 s and separation was conducted at 15 kV using 2.0% PEO(8.0) prepared in 10 mM tetraborate buffer (pH 9.3).

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in a low ionic strength[31]. The plate numbers for the five analytes are all greater than 0.45 million/m, indicating good stacking. The LODs (S/N = 3) for Phe, His, GABA, Ala, and Gly are 3.4, 6.8, 4.5, 7.0, and 4.1 nM, respectively. When compared to the results shown inTable 1(condition C), the sensitivity improvements are over 10-fold for all the analytes. We point out that the linear regression coefficients for the peak height (or area) against the analyte concentration for all model analytes over the injection range 10–150 s are higher than 0.98.

3.3. Analysis of CSF in the absence of EOF

As addressed above, analysis of amino acid derivatives in the absence of EOF is sensitive (at the nM level), which shows the potential of this method for analyzing CSF sam-ples.Fig. 2A presents the separation of a CSF sample from a patient suffered from inflammation, exhibiting several iden-tified peaks corresponding to Glu, Gly, Gln, serine (Ser), va-line (Val), isoleucine (Ile), and Phe.Fig. 2B–D further show the separations of CSF samples from patients suffered from epilepsy, jaundice, as well as jaundice and epilepsy. The re-producibility of this method is good; RSD for the migration times less than 2.5% for the same sample. We point out that the fluorescence of the amino acid derivatives is quenched about 10 times by salts. The migration times for Glu, Gly, and Gln are different for various CSF samples, resulting from matrix effects. It is thus important to apply a standard ad-dition method to minimize the matrix interference. In this study, suitable amounts (1 to 80␮M) of corresponding stan-dard analytes were spiked to the CSF samples. The peak heights as a function of the spiked analyte concentrations are linear for Glu, Gly, and Gln. The linear regression co-efficients for Glu, Gly, and Gln in the eight CSF samples are all greater than 0.97, 0.93, and 0.96, respectively. The concentrations of Glu, Gly, and Gln in different CSF sam-ples are summarized inTable 2. The concentrations of Glu in the CSF samples are all in the normal range, while some of those for Gly and Gln are different from the normal values [33].

3.4. Stacking of CSF

Owing to matrix (salt) effect and poor sensitivity, CE in the presence of EOF might not be suitable for CSF samples (high salt and proteins). Our hypothesis is supported by the electropherogram depicted inFig. 3A, showing that only sev-eral broad peaks were detected when injected the CSF sample (30 cm height for 10 s). To overcome the problem, we injected a low-pH plug (pH 5.0; 10 s) after sample injection (30 cm height for 180 s)[16]. The low-pH plug provides at least two benefits for the analysis: (1) the effect of anions such as Cl−, H2PO4−, and HPO42− on stacking is minimized; and (2)

the analytes slow down as a result of pH changes, thereby increasing stacking efficiency.Fig. 3B shows better sensitiv-ity and thus more peaks were detected, including GABA that

Fig. 2. Separations of amino acid derivatives in different CSF samples in the absence of EOF using 0.6% PEO(0.6) prepared in 10 mM tetraborate (pH 9.3). CSF samples are from patients suffered from diseases of: (A) inflam-mation; (B) epilepsy; (C) jaundice; (D) epilepsy and jaundice. Capillary is 40 cm in total length and 30 cm in effective length. Electrokinetic injection was conducted at−10 kV for 10 s and separation was carried out at −10 kV. The capillary was coated with 5.0% PVP(1.3) and then with 0.5% PEO(8.0). Peaks assigned as numbers 1 and 2 in the electropherograms separately cor-respond to two different unidentified analytes.

was not detected using the method in the absence of EOF. We note that the reason for not detecting GABA in CSF samples in the absence of EOF is because the method is not sensi-tive enough to detect 10−7 to 10−8M GABA, which is its normal concentration range in CSF[34]. Gly and Glu pos-sessing greater electrophoretic mobilities against EOF, they were detected after 25.0 min (not shown in the electrophero-grams).Fig. 4shows the electropherograms for the analyses of CSF samples from patients suffered from inflammation, epilepsy, jaundice, and epilepsy coupled with jaundice. The reproducibility of this method is good; RSD for the migration times less than 2.5%. In order to quantify the concentrations of Gln and GABA, the standards at the concentration ranges of 100–800␮M and 20–200 nM were spiked to the samples, respectively. The peak heights as a function of the spiked analyte concentrations are linear with the linear regression

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Table 2

Quantification of amino acids in CSF from patients suffered from inflammation, epilepsy and jaundice in the absence of EOF Syndrome/disease Patients Migration time (min) Concentration (␮M)a

Glu Gly Gln Glu Gly Gln

Inflammation 1 8.7± 0.1b 14.9± 0.2 19.7± 0.3 4.9± 0.5 (0.98)c 16± 1 (0.94) 610± 20 (0.97) Inflammation 2 8.6± 0.1 14.7± 0.1 19.5± 0.2 4.4± 0.1 (0.98) 14± 1 (0.95) 490± 18 (0.96) Inflammation 3 N.D.d 14.8± 0.2 19.8± 0.3 N.D.c 12± 4 (0.93) 130± 12 (0.98) Inflammation 4 8.5± 0.1 14.5± 0.2 19.3± 0.3 4.1± 0.6 (0.97) 10± 2 (0.93) 420± 18 (0.96) Epilepsy 5 8.7± 0.1 15.7± 0.2 21.1± 0.4 4.8± 0.9 (0.97) 12± 1 (0.95) 310± 16 (0.96) Jaundice 6 8.6± 0.1 15.6± 0.2 20.9± 0.3 3.2± 0.1 (0.97) 12± 1 (0.95) 460± 17 (0.97) Jaundice 7 8.7± 0.1 15.4± 0.2 20.5± 0.3 5.2± 0.7 (0.98) 8± 2 (0.93) 120± 10 (0.97) Epilepsy and jaundice 8 8.7± 0.2 16.4± 0.3 22.3± 0.4 5.1± 1.2 (0.97) 25± 5 (0.93) 260± 13 (0.96)

Normal rangee 1–48 3–11 335–885

aCapillary was filled with 0.6% PEO(0.6) prepared in 10 mM tetraborate buffer (pH 9.3); the separations were conducted at−10 kV; the electropherograms for samples from patients 1, 5, 6, and 8 are depicted inFig. 2; other conditions are the same as method A inTable 1.

b Data of quantitative variables are expressed as mean± S.D. (n = 5). cLinear regression coefficients.

d Not detected. eData from Ref.[33].

coefficients for Gln and GABA in the eight CSF samples are greater than 0.97 and 0.93, respectively. The migration times and concentrations of Gln and GABA in the CSF samples are summarized in Table 3. We note that the GABA con-centrations in the CSF samples from patients suffered from

Fig. 3. Electropherograms of amino acid derivatives in a CSF sample in the presence of EOF using 2.0% PEO(8.0): (A) the sample (asFig. 2A) was injected hydrodynamically at 30 cm height for 10 s; (B) hydrodynamic in-jection was conducted at 30 cm height for 180 s. After sample inin-jection, a low-pH (pH 5.0) plug was applied at 30 cm height for 10 s. Other condi-tions are the same as inFig. 1. Peaks assigned as numbers 1–4 separately correspond to four different unidentified analytes.

inflammation and epilepsy are in the range of 40–120 nM, which is higher than the normal range. This is probably in-duced by drugs (such as vigabatrin) that patients took. It has been reported that antiepileptic drugs increase the concentra-tion of GABA in CSF of patients[20]. The concentrations

Fig. 4. Separations of amino acid derivatives in different CSF samples in the presence of EOF using 2.0% PEO(8.0). CSF samples are from patients suf-fered from diseases of: (A) epilepsy; (B) jaundice; (C) epilepsy and jaundice. Other conditions are the same as inFig. 3B.

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Table 3

Quantification of amino acids in CSF from patients suffered from inflammation, epilepsy and jaundice in the presence of EOF Syndrome/disease Patients Migration time (min)a Concentration (␮M)a

Gln GABA Gln (␮M) GABA (nM) Inflammation 1 18.6± 0.3b 18.8± 0.4 640± 20 (0.98)c 110± 8 (0.94) Inflammation 2 18.0± 0.2 18.3± 0.3 480± 18 (0.97) 90± 7 (0.95) Inflammation 3 18.4± 0.1 18.6± 0.1 140± 10 (0.98) 50± 4 (0.93) Inflammation 4 18.3± 0.3 18.5± 0.2 430± 16 (0.98) 80± 6 (0.96) Epilepsy 5 19.8± 0.3 20.0± 0.4 320± 17 (0.97) 50± 3 (0.93) Jaundice 6 18.0± 0.2 N.D.d 440± 14 (0.98) N.D. Jaundice 7 18.9± 0.3 N.D. 120± 13 (0.97) N.D.

Epilepsy and jaundice 8 17.1± 0.4 N.D. 270± 14 (0.97) N.D.

Normal range 335–885e 30–85f

a The electropherograms for samples from patients 1, 5, 6, and 8 are depicted inFig. 4; experimental conditions were the same as inFig. 3B. b Data of quantitative variables are expressed as mean± S.D. (n = 5).

cLinear regression coefficients. d Not detected.

eData from Ref.[33]. f Data from Ref.[34].

of Gln in different CSF samples obtained in the presence of EOF agree with those from the method in the absence of EOF.

4. Conclusions

CE-LEDIF was developed for the analysis of amino acid derivatives in CSF samples in the presence or absence of EOF. When compared to CE-LIF, the system is more com-pact and cheaper, but provides lower sensitivity (about 10 times lower). Without applying stacking, we achieved better sensitivity but longer separation times than do the analysis of amino acid derivatives in the absence of EOF. This method has been tested for the analysis of different CSF samples from patients suffered from inflammation, jaundice, and epilepsy. Stacking and separation of amino acid derivatives in the pres-ence of EOF provides sensitivity improvement more than 10-fold. By applying a short plug of low-pH solution, the analysis of large volumes of CSF samples without sample pretreatment has been demonstrated. This approach allows detection of GABA (less than 1.0␮M) in CSF samples from patients suffered from inflammation and epilepsy. The results shown in this study indicate great potential of this proposed method for determining amino acids in biological samples.

Acknowledgements

This work was supported by the National Science Council of Taiwan under contract numbers NSC 93-2113-M-002-034 and 93-2113-M-002-035. T.-C. Chiu is grateful to Academia Sinica for his postdoctoral fellowship at IAMS.

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數據

Fig. 1. Electropherogram of stacking and separation of five amino acids (50 nM) in the presence of EOF
Fig. 2. Separations of amino acid derivatives in different CSF samples in the absence of EOF using 0.6% PEO(0.6) prepared in 10 mM tetraborate (pH 9.3)
Fig. 4. Separations of amino acid derivatives in different CSF samples in the presence of EOF using 2.0% PEO(8.0)

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