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DAVID. F. SAYRE. From the Departments of Psychiatry, and. Pharmacology and. Therapeutics,. University of Ftorida,. College of. Medicine,. Gainesville,. Florida.
8883 A

STUDY

OF

THE

FACTORS

AFFECTING

TRIHYDROXYINDOLE

THE

PROCEDURE

ALUMINUM

FOR

THE

OXIDE-

ANALYSIS

OF

CATECHOLAMINES’ AARON the

From

H.

of Psychiatry,

Departments

ANTON

and

AND

Pharmacology

Medicine,

Received The of

plethora

of l)ro(’edures

norepinephrine

and

material emphasizes method still exists von Euler, 1959;

for

and Bone

by

1959). Most of procedures

(1955), involving

catecholamines

onto

aluminum

oxide

terial,

Goodall, procedure

1957), and an organic solvent for tissues also has been

(Shore

and

During utilizing organic laboratory enberg,

Drujan none

factory, the

aluminum

to

the

sulting which

to when

be

the

1951; and

extraction introduced

and

it came

amounts

of catecholamines of the of several

1958) satis-

to estimating in plasma.

factors

oxide-trihydroxyindole

introduction

Olin,

completely

investigation

affecting

A the led re-

procedure

modifications,

in a quantitative and sensitive method is adaptable to urine, plasma and tissue.

Furthermore,

several

1959; Shore

found

particularly

small

detailed

et at.,

our

deficiencies

observations

in current

have

methodology

1 This investigation was supported, P.H.S. research grant H-5251 from Heart Institute, U. S. Public Health

of

some

of the

reported

discrepan-

Each

step

in

this with

experimentation

mainly reagent

The

urine. or

follow

decision a

procedure biological to

particular

use

was maa

par-

procedure

on our objective of obtaining maximum consistent with low blanks and a of quenching. REAGENTS (HIGHEST PURITY). 1. Aluminum oxide (Woelm Neutral Activity Grade 1). The aluminum oxide was prepared in a hood as follows: a. 100 grams of aluminum oxide were added to 500 ml of 2 N HC1 in a 1000-mi beaker, covered with a watch glass and heated at 90#{176} to 100#{176}C for 45 minutes with continuous and rapid stirring (combination magnetic stirrer and hot plate). b. The beaker was removed from the heaterstirrer and the heavier particles of aluminum oxide allowed to settle for 1 minutes. The supernatant fluid (distinctly yellow in color) was discarded along with the finer particles of aluminum oxide. c. The precipitate was washed twice with fresh 250-ml portions of 2 N HC1 at 70#{176}C for 10 minutes, discarding the supernatant with the finer aluminum oxide particles each time. d. In a final acid wash, the aluminum oxide was stirred with 500 ml of 2 N HC1 at 50#{176}C for 10 minutes. e. After decanting the HC1, the precipitate was washed repeatedly (about 20 to 25 times) with fresh 200-mi portions of distilled water until a pH of 3.4 was reached, decanting the finer particles each time. f. Finally, the aluminum oxide was transferred to an evaporating dish, heated at 120#{176}Cfor 1 hour, at 200#{176}C for 2 hours and then stored in an incubator at 37#{176}C to keep the powder dry. Omitting the heat treatment reduced the efficiency of the Al203 by 10%. Before use, each batch of acidwashed aluminum oxide was tested for recovery of

1958).

were

College

was based sensitivity minimum

the l)ast year, several procedures aluminum oxide, ion exchange resins, and solvent extraction were tested in this (Bertler et at., 1958; Cohen and Gold1957; Crout, 1961; de Schaepdryver,

1958a; but

Olin,

for

to

ticular

and of

and Hansson, 1959; Kirschner

of Ftorida,

field.

METHODS.

oxidation of the subsequent eluate to a fluorescent trihydroxyindole derivative, or condensation of the eluate with ethylenediamine. 1\Iore recently ion exchange resins have been used in place of aluminum oxide (Bergstrom Bertler et at., 1958; Du Toit,

University

10, 1962

account

subjected

1950), Euler

and

August

cies in this

chemiintro-

and Weil-Maiherbe the selective adsorption

SAYRE

Therapeutics,

may

biological

Ehrlen (1948), Lund (1949, et at. (1949), Shaw (1938), von

Floding (1952),

the

estimation in

F.

Florida

publication

that the need for a suitable (for reviews on methods see Gaddum, 1959; Strauss and

Wurm, 1960; Weil-1’sialherbe, cal methods are modifications duced Natelson

the

and

Gainesville,

for

epinephrine

DAVID

revealed

which

in part, by the National Service.

standard

high 360

solutions

concentrations)

of

catecholamines

from

urine,

(low

and

was

accepted

and

1962

STUDIES

ON

CATECHOLAMINE

only if the recoveries were at least 95% of those obtained with the previous batch. 2. Perchloric acid (Baker or B & A). a. As a protein precipitant. In an initial purification step all biological material was made 0.4 N using concentrated (11.6 N) perchloric acid. Sulfuric, tnchioroacetic, hydrochloric and nitric acids as well as zinc sulfate were less suitable for this purpose. For example, recovery from urine was about 6% less and blanks were 11% higher with trichloroacetic acid. b. As the eluting agent. A modification of previous methods was the use of 0.05 N perchloric acid as the eluting agent. Various strengths of sulfuric, nitric, oxalic, hydrochloric, tnichloroacetic and acetic acids were less satisfactory. 3. Phosphate buffer 0.5 M pH 7.0. To adjust an aliquot of the perchlonic acid eluate to pH 7.0, several buffers (acetate, citrate, borate and lactate) were tried in various combinations, pH’s and strengths; phosphate buffer (0.5 M, pH 7.0) provided the lowest blanks with the least amount of quenching. 4. Acetic acid solution, 1.6 N. To adjust the perchlonic acid eluate to a low pH (about 2.0) in order to reduce the fluorescence of NE to a minimum without much influence on E fluorescence, a solution of 1.6 N acetic acid (mix 0.5 ml of glacial acetic acid, 17.4 N, with 5.0 ml 1120) was better than the eluate alone or mixed with acetate, glycine-HC1 and KC1-HC1 buffers at various strengths, pH’s and combinations. With this solution the fluorescence of NE was 5 to 6% that obtained with the pH 7.0 buffer. On the other hand, the fluorescence of E was 90 to 95% that at the higher p11. The blanks with the acetic acid solution were about those obtained with the commonly used acetate buffer (pH 3.5, 1.0 M). 5. Potassium ferricyanide (K,Fe (CN)6, 0.25%, Fisher or Baker, freshly prepared each time). Sodium peniodate, sodium nitrite, potassium permanganate, manganese dioxide, sodium hypochlorite, iodine and hydrogen peroxide were unsatisfactory as oxidizing agents for this procedure. 6. Disodium ethylenediaminet etraacet ate (EDTA). Both Baker and Fisher products were satisfactory.

This

reagent

was

routinely

added

to all samples with the aluminum oxide. However, the subsequent addition of EDTA to the elu#{224}te (Crout, 1961; Du Toit, 1959) was not necessary in our method and, if anything, slightly depressed the fluorescence. 7. Sodium metabisulfite (Fisher or Baker). This reducing reagent also was routinely added to all samples because of better recoveries, particularly when the catecholamines were adsorbed onto aluminum oxide from acid solutions in the absence

361

METHODOLOGY

of biological metabisulfite or thiosulfate. 8. Alkaline

material. Results were than with ascorbate,

better with glutathione

Mallinckrodt’s sodium blanks than did Fisher and Baker products; the ascorbic acid from Nutnitional Biochemicals provided less interfering fluorescence than did several other brands. The alkaline ascorbate (prepared immediately before use) was made by completely dissolving 10 mg of hydroxide

ascorbic

ascorbate.

gave

acid

lower

in 0.1

ml

of distilled

water

and

then

adding 5.0 ml of 10 N NaOH. 9. Distilled water. Triple glass-distilled water was used throughout this procedure; resin-treated water (Barnstead Demineralizer, Amberlite MB-3) resulted in blanks which were 2 to 3 times those obtained with the triple glass-distilled water. The second distillation was carried out in the presence of EDTA at about 1 g/liter. No rubber was allowed to come in contact with the water since a highly fluorescent contaminant was leached out. Ground glass joints (no lubricant) were u8ed for all connections in the distillation apparatus (Pyrex), and a minimum quantity of water was stored in Pyrex containers. These precautions were particularly necessary to reduce blanks to a minimum when analyzing plasma. PREPARATION OF SAMPLES. 1. Urine. The specimen was collected in the presence of sodium metabisulfite (about 0.5 mg/ml urine) and immediately frozen until used (stable for several weeks under these conditions). The amount of metabisulfite was not critical since 10 times this amount did not alter the results. To reduce quenching to a minimum, 10.0 ml or less were used, e.g., 5.0 ml of rat urine has been sufficient. The urine samples were treated as follows: a. The aliquot of urine was placed in a 50-ml polyethylene taminant

centrifuge was

leached

tube out

of

(a cellulose

yellowish

con-

nitrate

tubes

and they could not be centrifuged at 30,000 X g) and made 0.4 N with concentrated (11.6 N) perchloric acid. b. The tube was capped, shaken vigorously (held in a horizontal position in a test tube rack in a mechanical shaker)2 for 5 minutes and then centrifuged at 30,000 X g for 10 minutes at 10#{176}C. This initial purification step removed such interfering substances as protein, phosphates, and some chromogenic material. c. The clear supernate was removed, adjusted to 25.0 ml with 0.4 N HCIO4 and transferred to a 50-mi beaker containing 400 mg A1203 and 200 mg EDTA. Under constant and rapid stirring (small 2 All manner.

shaking

procedures

were

done

in

this

362

ANTON

AND

stirring motor and glass stirring rod) the mixture was brought to and maintained at pH 8.6 with NaOH, and then the stirring was continued for 5 minutes (although less time, 2 to 3 minutes, gave good results, 5 minutes was chosen as the standard) ; a pH meter had to be used since indicator solutions or papers gave erratic results. A magnetic stirring bar ground the Al20, to a very fine powder which interfered with the subsequent oxidation

step

d. After quickly

the

settled

(also

noted

stirring and

the

by

had

Crout,

1961).

stopped,

supernatant

the was

A12O3

aspirated

off and discarded. e. The precipitated Al203 was washed into a glass centrifuge tube with 10 ml distilled water; the tube was glass stoppered and shaken for 2 minutes, centrifuged for 1 minute in a clinical centrifuge and the supernate aspirated off. This wash was repeated a minimum of four times; the use of buffers (acetate, phosphate) as a wash was unnecessary, and appeared to interfere with the subsequent analysis. f. After the fourth water wash, the catecholamines were eluted by vigorously shaking the Al203 for 15 minutes with 3.0 ml of 0.05 N perchioric acid. At least 85 to 90% of the catecholamines were eluted, and prior treatment of the aluminum oxide with dehydrating agents, e.g., acetone,

ethanol,

did

not

improve

the

recovery.

SAYRE

Vol.

138

with

0.4 N perchlonic acid and transferred to a beaker containing 400 mg Al203, 200 mg EDTA, 10.0 mg sodium metabisulfite, and then the same procedure followed as for urine (c-h). 3. Blood. Heparinized blood was collected in the presence of sodium metabisulfite (about 0.5 mg/mi), immediately centrifuged in the cold and the plasma frozen until used (stable for several weeks under these conditions). It should be noted that we found metabisuifite at a concentration above 0.2 mg/mi interfered with organic extraction procedures for blood serotonin (Davis, 1959; Waalkes, 1959). In agreement with Vaik and Price (1956) the catecholamines were not associated with any of the formed eiements (WBC, RBC, platelets) in blood. The use of sodium fluoride and sodium thiosuifate as preservatives as suggested by Weil-Malherbe and Bone (1952) markedly interfered with our method. This may be due to the effect of these agents on the oxidation of the catecholamines by ferricyanide (used in our method) whereas coupling with ethylenediamine was used by Weil-Maiherbe and Bone. The plasma was then treated as follows: a. Up to 30 ml of plasma were placed in a polyethylene centrifuge tube, made 0.4 N with concentrated HC1O4, stoppered and vigorously shaken for 5 minutes and then spun at 30,000 X g at 10#{176}C for 10 minutes. b. The clear supernate was adjusted to 25 ml with 0.4 N HC1O4 and transferred to a 50-mi beaker containing 400 mg Ai203, 200 mg EDTA, and continued as described for urine (c-h). 50-mi

The use of columns for the adsorption or elution of the catecholamines was inconvenient, resulted in less consistent results, and caused a 2-fold increase in blanks. Also, sensitivity was reFORMATION OF THE FLUORESCENT TRIHYDROXYduced by 50 since 6 ml of acid were necessary for INDOLE DERIVATIVES. Instrument performance eluting the catecholamines from the column. (sensitivity and wavelengths) was initially g. The supernate containing the catecholchecked with a reference solution of quinine sulamines was transferred to a small polyethylene (0.1 mg/mi in 0.1 N H2SO4), and then with centrifuge tube and spun at 30,000 X g at 10#{176}C fate standard solutions of NE and E; this was repeated for 10 minutes. This removed a faint haze which was unnoticed until the samples were examined at intervals during an analysis. These precautions eliminated instrument-caused variations in in a fluorescent light. The maximum force reached results which at times amounted to 15%. with the usual clinical centrifuge did not remove Only one sample at a time was reacted and its this haze which increased the blank. Relative Fluorescence determined. It was more h. After the high speed centrifuging, the clear convenient to do an analysis of all samples at samples were transferred to small glass test tubes pH 7.0 before changing to the lower pH. For conand 0.2-mi aliquots were taken for analysis. sistent results it was essential to maintain the 2. Tissue (immediately frozen until used). a. time relationships between adding the reagents and Up to 2 g of tissue (depending on its anticipated reading the fluorescence as indicated. Particularly catecholamine content) were homogenized in 10 with low concentrations of catecholamines, we ml of 0.4 N perchloric acid in a glass tissue grinder have observed slight shifts in wavelength peaks submerged in an ice bath. (Use 20 ml of acid with during the time that stability of readings has more than 2 g of tissue.) (Catecholamines could been claimed in other methods. An attempt to not be recovered from formaldehyde-treated specimitigate the problem of fluorescence instability mens.) recently has been made through the use of ethylb. The homogenate was transferred to a 50-mi enediamine in the reaction (von Euler and Lispolyethylene centrifuge tube and spun at hajko, 1961); however, this reagent was not neces30,000 X g at 10#{176}C for 10 minutes. sary in our procedure and increased the blanks. c. The clear supernate was adjusted to 25 ml

1962 With least

STUDIES our procedure, readings 10 minutes, blanks were

in fluorescence,

due

ON

CATECHOLAMINE

were stable for lower and variations

to reading

samples

at

NE

WHERE:

was

added,

mixed

E

at different

thoroughly

DIFFERENTIAL AND

CALCULATION

FOR

The

EPINEPHRINE.

NOREPINEPH-

following

calcula-

tions apply:

1.NE-

rFXB1 2.E=[-j-j-_]_1

Amount

100

rDxNExF 100XC

norepinephrine

of the of

ing

B

=

Net

F

=

H

=

Substituting

4

E

NE in which

the pro-

a

net

fluorescence

pH 7.0. The

- (1.05 X B)]

0.43[A

3. NE

of hg/ml)

of 100 blank was 0.2. Percentage of NE oxidized at pH 2.0 as compared to pH 7.0; this was 5%. That concentration of E in the cuvette (0.71 Lg/ml) which produced a net fluorescence of 100 at pH 2.0. The blank was 0.2. Net fluorescence of E (0.71 i.g/mi) at pH 7.0; this was 105. the constants: at

=

at

(0.43

read-

at pH 7.0. pH 2.0.

concentration

duced

D

(fluorescence

fluorescence

cuvette

the

in

eluate.

blank)

minus

C = That

eluate.

epinephrine

acid

the

in

acid

aliquot of the A = Net fluorescence

=

94.75 -

= 0.0045[A P X NE - X(1.050.71 X B)]Mg

ro.71 X B ioo =

JL (0.0071

100XO.43

X B)

- (0.08 X NE)2g

Since a 0.2-mi aliquot of the acid eluate was generally used, the above amounts were multiplied by 15 to give the weight of catecholamines in the original 3-mi aliquot used with the aluminum oxide. Instrumentation. The Aminco-Bowman Spectrophotofluorometer (SPF) was used to measure fluorescence using slit arrangement *5 and the RCA 1P-28 photomultiplier tube.1 RESULTS.

SPF, our Fluorometer

Instrumentation.

In

addition

to

the

method has been used with the Farrand (Model A) employing a modification

of the filter combination and Goldenberg (1957).

recommended Recently,

by the

Cohen contra-

dictory results from two laboratories (Orlans and Brodie, 1960; Sheppard and Zimmerman, 1960a, b) on the effect of small doses of reserpine on brain catecholamine levels apparently was due to the

Procedure.

-

of

Amount

use in one of the ment of questionable

DXH 100-

=

and

allowed to stand for exactly 1 minute. 3. 0.2 ml of the alkaline ascorbate solution was added, and immediately and thoroughly mixed. 4. Within 15 to 30 seconds 0.5 ml distilled water was added, mixed thoroughly and the sample transferred to the cuvette. It must be emphasized that the 10 N alkali is somewhat viscous and must be completely mixed with the ascorbate solution before use. After adding the alkaline ascorbate, immediate and through mixing is absolutely necessary in order to obtain satisfactory results. 5. In not less than 1 minute nor more than 5 minutes after the addition of the alkaline ascorbate the fluorescence of the sample was read in the SPF. The activation and fluorescence wavelengths (uncorrected) for NE (409-519) were used at pH 7.0 whereas E peaks (422-529) were used at the lower pH. This procedure made the readings for NE more dissimilar and those for E more similar at the two pH’s. The use of zinc sulfate to catalyze the reaction at the lower pH (von Euler and Floding, 1955) was not necessary and, if anything, caused a slight quenching of the fluorescence. BLANKS. The same procedure was foilowed as for the sample except the fernicyanide was omitted. To ensure lowest blanks, glassware must be scrupulously clean. INTERNAL STANDARDS. During the developmental stages of this procedure, internal standards were included to check recoveries and quenching. However, with the present method, this procedure has been unnecessary except in pathologicai urine specimens which are very dark in color or produce a large amount of precipitated material when acidified. RINE

=

aiiquot

intervals, were avoided. 1 . A 0.2-mi aiiquot of the perchlonic acid eluate was placed in a small test tube and 0.1 ml of buffer (phosphate 0.5 M, pH 7.0 or the acetic acid solution) was added and the contents thoroughly mixed. 2. 0.02 ml of a 0.25% solution of potassium ferricyanide

363

METHODOLOGY

laboratories specificity.

Aluminum

Relative Fluorescence is equal to the per cent by the Meter Multiplier multiplier.

oxide,

of a filter which

instruhas

been

(RF), as used herein transmission multiplied setting of the Photo-

364

ANTON

AND

TABLE The

effect

of various

treatments

of Al203

Vol.

SAYRE

1 on recoveries

of norep’inephrine

(NE)*

Brand

Treatment

w

of AlsO,

Alcoa (A-303)

#{176}#{176}

Per cent

1. 2. 3. 4.

Standard Without Standard Standard

Preparations (NE, 0.5 Lg)I Standard Preparation (NE, 0.5 g)J Preparations (NE, 200 g)J Preparations (NE, 200 ug; eluted with

Extracted

*

from

t Woelm

as described

acetic

lOOt 64 96 94

acidll)

under

taken as 100% (actual uncorrected as described under METHODS.

sample prepared

A12O3

0.4 N HC1O4

25 ml

138

and

Baker (0537)

relative

Cat.

No.

Fisher (A-950)

recovery

96 89

Merck (71707)

of NEt

87

92

71

72 62

86 79 86

40 64 85

METHODS.

recovery

was

83%).

§ Al,O3

used as is without acid washing. #{182} NE, 0.5 Lg or 200 ig present in 25 ml of 0.4 N HCIO4. II These samples eluted with 3 ml 0.2 N acetic acid; 3 ml 0.05 more have

critically the ion

evaluated exchange

for resins,

this procedure was selected

than as the

adsorbent. In our hands, the use of ion exchange resins (Bertler et at., 1958) resulted in recoveries which oxide Also, from

were about 10% less than with aluminum as well as causing slightly higher blanks. the necessity for neutralizing the acid eluate the resin was a decided disadvantage be-

cause

of

problem the salt

the

time

of higher concentration

trihydroxyindole

and caused sample.

derivatives

enediamine catecholamines;

condensation several

the validity of the and Goidenberg, 1954; Nagatsu and Yagi tion

required quenching of the

additional

by increasing Oxidation to

rather

than

ethyl-

was used to detect the reports have impugned

condensation method (Cohen 1957; Holzbauer and Vogt, Yagi, 1962; Price et at., 1960;

and Nagatsu, 1959; Zilei etat., 1958). Oxidaat two different pH’s rather than the use of

different

filter

analysis (E); ratio

sets

was

used

of norepinephrine

for

and

the

ticularly afforded

at low concentrations, more reliable results

influenced

by

a

conclusion

similar

(1961). Effect

errors

other

in

methods.

procedure

was

or

minum hands, ployed

PH method it was less fluorescence;

suggested

by

Crout

Alcoa)

Woeim

pharm

Chemicals,

La.) provided

and

brands Neutral P.O.

preparation (Baker, Activity Box

best and most

of atuminum Fisher, Merck, Grade

755,

New

1 (AluOrleans,

consistent recoveries

others.

blanks. Only with Woelm was recovery of high as well as of catecholamines obtained NE with

the

was extracted various alu-

Goldfien et at., 1961 ; Jacobs et at., 1961 ; Price et al. , 1960), resulted in poor and erratic recoveries of catecholamines also show that, the

acid

used

(table depending for

1). The on the could

elution

the recoveries obtained. there was little difference perchioric acid (treatments Merck Al203, acetic acid of NE chioric

about acid.

brands. was an almost

markedly

NE

from than

impossible

with

obtained (62%) the

of Alcoa fine powder to

charcoal, Reagent

adsorbents

It must A12O3 used

a

obtain

withof the

Baker

Celite

product by finding had been figure other

not

although

cellulose, be used

that were

as

activated

very efficient adsorbent, could not be recovered from

be emphasized in this method

it

supernatant.

methyl could

procedure;

perhigh

A12O3 (activated) which made

a clear

kaolin, and

in this

charcoal was catecholamines

influence

the solution, whereas this 98% in the case of the

The sample extremely

Activated

in table 1 of Al203,

In the case of Woelm, between acetic acid and 3 and 4), whereas with increased the recovery

30% over that The poor recovery of

data brand

3) was explained, in part, 89% of the catecholamine

adsorbed was more

Lloyd’s of brand Of several

the

for

oxides as described in METHODS. In our nonacid washed aluminum oxide, as emby some investigators (Drujan et at., 1959;

(treatment that only

par-

used

1). In this experiment 25 ml 0.4 N HC1O4

concentration

Therefore, the since

(table from

differential

the pH method provided a differentiating of E to NE which was more than twice that with

as well as lowest relatively complete low concentrations

epinephrine

the

(NE)

obtained

oxide.

the

N HC1O4

the it.

the amounts of optimum in rela-

1962

STUDIES

tion to the adjusted eluting

fluid.

were

less

ing

and

were

varied

If

if less

too the

volume

of

volume A12O3

more was

was

of

of sample,

CATECHOLAMINE

supernate used,

blanks

used,

high. Although amount

ON

and

recoveries

and

quench-

other investigators

A12O3

according

we found

this

to

procedure

constant

volume

more

(adjusted)

consistent

Effect

of

agreement von

pH,

that

EDTA

and

of NE

aluminum lines).

In the

oxide

berg

(1957),

which

no mention

was

plasma and suspension

aluminum of the to the

made

1949)

at pH

of Cohen

were

we

Lund,

unable

of adjusting

8.6 and

we

absence

1,

Golden1)11 of the

oxide mixture. The pH of a aluminum oxide, prepared

directions

of Cohen

and

of

also

ment

better

Golden-

of recovery an

in

the

was present prevented in

or

metabisulfite,

the

distillation.

recovery

from

distilled

or

In

of NE

at

the

this

experi-

pH

7.0

than

was due to the fact that the at the higher pH was a more

factor

than

the

poorer

adsorption

onto A12O3 at the lower pH. Effect of alkaline ascorbate made with \TQJ The use of 10 N NaOH to make kaline

ascorbate

5 N was

cedure

used it was

by all others. In our oxidation observed that with increasing

was

umes

of

standard

a

by

Resin-

protected

destruction.

8.6 probably destruction

distilladata in

HC1O4)

partially

from

the

pH greater

lack

N

metabisulfite effect was

tissue

acetate

(second The

water

during

water

an almost tamed with

a critical

10 N the al-

innovation

since provoi-

catecholamine

theoretical alkaline

linear ascorbate

solution

response made

was obwith 10 N

but not with 5 N NaOH (fig. 2). This observation suggests that a considerable error may be introduced with 5 N alkali if the aliquot is var-

100’

90-

ied 80-

as

advised

with

the

but

all

7o-

alkali.

‘4-

60-

in

5 N

Also,

less

40

pink

sodium

for

ascorbate

30’ for

20

using

the of o

o

o

0

I0

pH

intensity

1. Effect of pH, metabisulfite the recovery of norepinephrine, HC1O4, from aluminum oxide. 0, acid made with EDTA-distilled metabisulfite; #{149}, acid made with no

EDTA-distilled

metabisulfite;

water,

and 0.5

EDTA g/25

on ml

water, with EDTA-distilled A, acid made with nonno metabisulfite.

almost

This

difference

half

from

the

hand,

This

with

due

oxidation

dopamine

fluoresced

to

cysteine,

not

substitute

agent.

the

One

eluting

reason

agent

presence

the

trihydroxyindole

that was

acetic acid had other

whereas began

was

fluores-

derivative

(3 ,4-dihydroxyphenylethylamine)

was

the

as

in its

of the

day

NaOH

agent.)

as the eliding acid

10 N

10 N alkaline

the

could

that

dopamine

during FIG.

acid

and

the

(Glutathione,

reducing

perchloric

observation

cence

0

1 hour.

the

with

5 N

same

stable,

of the

with

blanks

the

more

during

made

as

were

a problem

metabisulfite

Perchioric #{163}

much

of

The

NaOH

observed

after

and

methods.

N

no discoloration was

the ascorbate turn

10 were

was

ascorbate

50-

several

and

readings

quenching

water,

(no

. This

EDTA

sodium

8.05.

the 0.4

with

of EDTA

significant

to reproduce, the

made

experiment)

treated

show

in 25 ml

presence

the of

be distilled of EDTA.

line)

jg

solution

at

(fig.

a pH

catecholamines

of catecholamines

occurred

method

In

although

had

had to presence

(0.5

acid

the

1958a;

of 6.8

step

1 (dotted

in this

metabis-utfite.

a P11 one

Our water tion) in the figure

provided

Schaepdryver,

adsorption

solid

according

and (de

Orw#{233}n, 1955;

onto

at

using

others

optimum

had

used

ap-

results.

with

Euler

found

of sample

berg,

the

l)licabie only over a limited range. In our hands the use of constant amounts of reagents with a

365

METHODOLOGY

equally

concentration

acetic acid (table 2).

to the step,

and

presence not

of acetate because

the

eluted twice as much of the A12O3 as had the HCIO4. the well of

derivatives

of

in

acids

both

perchloric

acid

NE

the On

and (l)H (0.05

E 7.0). N)

366

ANTON

AND

Vol.

SAYRE

138

5, ‘I, 5,

0 ‘4-

5’

5,

ml of NE Standard

2. Comparison

FIG. (NE).

See

of the effect

Each point represents text for details.

the

results

of iON from

with

SN

at least

Contoining

alkali two

of relative

fluorescence

of trihydroxyindole (E) and dopamine

on the Relative

experiments

TABLE Comparison

0.I67g/mI

which

Fluorescence

of norepinephrine

did not

by more

NE 0.034 ,ig/ml

(1:5)

Present

(1: 10) von Euler (i955)1 (i:50)* de Schaepdryver (l:25)* Crout (l96l)T

and

0.034

derivatives of norepinephrine by several method8*

E g/m1

than

5%.

2

High pHt

Method

differ

(NE),

Low Dopamine 0.340 pg/mI

NE 0.034 pg/mi

Direct

Blank

Direct

Blank

Direct

Blank

7.80

0.20

5.10

0.20

1.90 (3.lO)t

0.20 (0.20)t

3.80 6.00 4.00

0.37 0.31 0.41

4.80 5.00

0.37 0.31 0.41

Direct

Blank

epinephr-ine

p1St

E

Dopansine 0.340 pg/mI

0.034 pg/mI Direct

Blank

0.80

0.20

4.70

0.20

0.41 0.35 1.10

0.30 0.26 0.52

4.50

0.30 0.26 0.52

Blank

Direct

0.19 (0.39)t

0.18 (O.20)

0.87

0.62

Floding (1958a)

2.50

3.30

0.52

2.50

5.50

catecholamines were made up in the acid used for elution in the respective method. An amount of NE and E was used so final concentration in the reaction mixture (and in the cuvette) was the same (0.034 pg/mI) for all methods. The volumes of used and the procedures followed were exactly as described in the respective method. Note that the concentration of dopamine that of NE and E. Crout’s method uses iodine as the oxidant whereas K,Fe(CN)* is used in the others. high and low pH refer to the different buffers used in the particular method. These samples differed from the others in that 0.2 N acetic acid rather than 0.05 N HCIO4 was used as the solvent. § This is the ratio between the aliquot of the catecholamine solution used and the final volume of the reaction mixture as described in the respective method. #{182} Reference to the method used. * The that the reagents is 10 times The

was

readily

oxidation

buffered step

without

to the prior

pH

required

neutralization

for

the

which

may be necessary when more concentrated acids are used for elution. Also, in the case of urine extracts, quenching was about 10% less with perchloric acid than with acetic acid eluates.

If the ness for was used

acid

eluate

was

parently were destroyed under these conditions. aluminum

to be evaporated

paper chromatography, for elution since the

oxide

with

0.033 catecholamines

by the Although the

perchloric recoveries

hydrochloric

to dryN

HC1 apacid from and

1962

STUDIES

Perchloric less with

in the

strated

the

freezer

fluorescence of NE, E commonly

for

stability

perchloric and Comparison

several

months

the

catecholamines

of

hydrochloric of several

of and

acids. methods.

used

methods

is

The

final

concentration

had

been

added)

cuvette

was

with

The

(loser

ratio

fluorescence

tions

is

is to unity

high

blanks

Also

note

dopamine

the

of the if

with

the

that in

approached the

our

of sample mixture.

relative

Reducby using resulted

(K3Fe(CN)6

A. ROOM

a in

readings.

obtained was

(1961) of

BLANK,

obtained

(1958)

reported

products obtained

appear

that

to

by

be

our

with

the

iodine

iodine.

function

of

a

than

This

time

Attempts

were

to reduce

with

and quenching the salt saturated

various

ethylene

organic chloride,

with

chloride,

butanol,

the

heptane)

prior

B.

to

intensity

is particularly

nonspecific

(ethyl

acetate,

carbon

tetra-

alcohol,

xylene,

onto

aluminum

(5#{176}C)

ACID

ACID

______ BLANK,

DIRECT,

META META

0

DIRECT,

ACID

BLANK DIRECt

META META

DIRECT, DIRECT,

4

ACID BLANK,

BLANK,

that

3 to required

reassayed. catecholarnines.

blanks,

isoamyl

REFRIGERATOR

than less

of urine samples by acidified samples

solvents

adsorption

no was

within were

chloroform, ether,

parphe-

ferricyanide.

factor

need to be and urinary

made

the

the

with

if samples conditions

l)e ob-

general

of ferricyanide

important Storage fluorescence extracting

may

with ferricyanide quenching was

advantage

fern-

these

procedure,

a problem

the

However,

than

was greater (table 2) and

(4

DIRECT,

that

quenching

a

of fluorescence with iodine An important

iodine

produce half the with iodine. Also,

iodine.

rather

Thus,

when

method).

with

method

nomenon.

that

reported

a problem

ticular

(25#{176}C)

(U

Olin

cyanide oxidation fluorescence of that

for is

concentra-

methods.

and

than (Crout’s

the reaction could be completed minutes whereas 30 to 60 minutes

sensitive

the direct

fluorescence method

were obwe had

same

similar

in both

in

specimen

in the other procedures or less diluent (water) which

the

less

oxidant

servations

highest

more

original

only

obtained

of catecholamines

ing the ratios larger aliquot

volume reaction

was

the

Crout

in

all

lowest blanks even though

lowest ratio between the the final volume of the this

ours

(after

the and

the method since less required; this is true

to

in all cases. The

same

was

less

of catecholamines

(direct) and our procedure

fluorescence

tained

the

relative

derivatives with three

compared

2.

oxidant) Shore

in

367

METHODOLOGY

demon-

The

the trihydroxyindole dopamine obtained

reagents the

CATECHOLAMINE

acids were similar, blanks were slightly the perchioric acid. Analysis of eluates

stored

table

ON

0

0

02468101214

02468101214 DAYS

3. Comparison of acid and refers to calculations based mnetabisulfite added to urine; A, urine FIG.

Direct

metabisulfite as preservatives for on the net Relative Fluorescence. layered with toluene.

urinary

#{149}, acid

catecholamines. added to urine;

o,

368

ANTON

oxide.

However,

and

in

none

some

added

of

instances

catecholamines.

from

normal, might

cannot

be said.

against

the

acid

as

was

observed

be of value The

in

NE

been

had

with

from

metabisulfite placed

the

were

or

or (3)

refrigerator

10

layered

mg

it

per-

out

in the

(the

pH effect

samples

the

acidified

tor

temperature;

samples

tremendous samples

were

prepared

increase

in

at also

room

1.6

m,g

as

there

OF

FIG. 4. Standard Each point represents the See text for details.

was

2.0

24

EACH

curves results

(0 the

well

as

a

2.8

refrigera-

concomitant

of

con-

samples

NE

trend

catecholamine Lishajko

(1961)

content at pH’s

of urine below 1.0

was

Although

marked

0.5). in

was

was

keep

the

In most

other

optimum for many other

and

instances

less because

necessary

blanks

several

other

same

in all.

reagents highest

variations

The in

in

the

quenching

0.4-mi

case to

aliquots

(with

were used for plasma very low concentration

water)

of their

catecholamines.

of the

of and

series

the

there (room

metabisulfite as the of any preservative loss

as

mixture

minimum.

time).

blanks

catecholamine

Euler

not

138

of the method. A 1:5 ratio between of the aliquot and the final volume of to

of

the

Von

acidified

was

reaction

the

the

of our

urine

correspondingly

time

significant

of urine,

tory; samples were then analyzed at the intervals indicated and related to the results obtained at Note

a

Sensitivity volume

the

labora-

free

containing the absence

In

24 hours.

this

of

were

apparent

also reported increases in stored at room temperature

the

toluene.

series

was

within

sodium

with

each

or left

there

under

and to which (1) made 0.4 N

(2)

of

advise

became

either

HC1O4

in the

in both samples. At the same time only a slight change in those samples

and refrigerator) preservative.

in the freezer, 25-ml aliquots

source

tent was

unines

Since

urine

samples

in the

literature.

same

added)

added

3 may

of urine

when stored was done:

the

concentrated

Representative

figure

acidified

that

ceptibly darker even the following experiment

were such pro-

abnormal

or storage

recommended

(all

in

of

specimens whether

with

data

recovery

Vol.

SAYRE

increase

helped

the

humans;

collection

of urine

treatments

These

healthy

cedures

the

reduced

AND

volume and the reaction

sensitivity and

concentration mixture were

with lowest combinations

blanks; were

3.2

CATECHOLAMINE/mI

of norepinephrine (NE) and from at least two experiments

epinephnine which did

not

(E) at pH 7.0. differ by more

than

5%.

a

1962

STUDIES

ON

CATECHOLAMINE

369

METHODOLOGY

2.40 2.20-

aoo1.801.60I40I’

(U L ,‘ -1

1.20-

1.00.80.6040.20-

1.2

.8

4

2.4 2.8 32 35 4.0 4.4 4.8 52 5.6 6.0

1.6 2. m,.g

FIG. 5. Standard Each point represents the See text for details.

tried,

and

found

to

be

of Each

curves results

less

Catecholamlne/mI

of norepinephrine from at least two

In

satisfactory.

the

course of several hundred analyses, plasma blanks were the same as, or 5 to 10 higher than those obtained from an liver blanks kidney blanks.

when the catecholamines acid solution. Tissue

and

kidney,

also

from urine ranged from The reaction

were

until

of acetic this

in this

range.

Most

specimens and liver and 10 to 30% higher than plasma at the lower pH is particu-

larly sensitive to slight fluorescence of the standard 90 to 95% that obtained volume

were extracted blanks, except for

acid

changes in pH. The E solution should be at pH 7.0. If not, the

solution

relationship

should

and

using

a O.2-ml

aliquot

oxidation step); less could be detected rather than a 0.2-mi aliquot of the was

used

in the

his

apparent magnitude

About

5 mg

(Kuntzman (1958)

mg be

of E meas-

Strauss

reaction.

results were extrapolated from standards which were several more concentrated than his samples

review

published

the

his

5.

method the

the

fluores-

of the blank (Udenfniend,

limit of

et al.,

is not 1959).

of sensitivity

in

1961)

for

oxidized

4 and

E

reaction

These

curves highest curves

fig. 4) with

of the

aliquots

concentration known

indicate

reproduced aniounts

in up

the In

this

solutions

together) those the to 430

tested.

A (dotted

of NE

were The

were

(also linear

over

method.

Mvnons.

curves

mixture

of no is (locu-

of standard

under

remained

knew point

and

in the

and

linearity this

(separately

was

they

5 which

linearity

Shore

methodology,

that range;

figures

shown

final

the

demonstrated

as described

centrations

of

could

procedure.

stated

that

O.2-ml and

that

on eatecholamine

and

experiment

tissue

extraction

concentration

sensitivity

these

than

Although

between

amount

Wurm

data

a 10-fold

the

was

organic

and

NE

00

be weighed); this was about 8 times more than a recently reported! micro-modifica-

accurately sensitive

of

of

range.

difference

any

tion

in the

linearity

sample and that to be reliable

(using

mented

9.6

9.2

(E) at pH 2.0. differ by more

the

the

of the enough

tissue

not

concentration

of epmephrme, cence great

8.8

sensitivity of our method is of a similar we feel that at such low concentrations

Olin

Recently, Vendsalu (1960) indicated that he was able to measure less than 0.1 g epinephrine per liter of plasma using about 10 ml of plasma. However, catecholamine hundred-fold

large

8.0 84

7.6

did

indicating this

varied

if a O.4-ml acid eluate

72

Mixture

which

In their

of NE and 0.75 mixture could

6.8

epinephrine

he

ured. In terms of plasma catecholamine concentration, a minimum of 0.5 g NE and 0.75 zg E per liter could be detected (based on a 20-ml sample

without over

6.4

Reaction

(NE) and experiments

is obtained.

As little as 0.5 mjg per ml of final reaction

plasma

of Final

and

conin the

cuvette). mug/mI, portion lines E added

of in

370

ANTON

TABLE Recovery

%

Recov

from

75, 85,

0.20 0.50

83, 85 83 ± 1.2

ered

fromt

1.00

82,

Tissue

Urine

The

added

(12)

75,

77 ± 2.8 74, 77

amounts

(0.4 N HCIOs), human urine.

76

74, 77

84

of NE

20 ml human

(18)

were

75

80, 80,

75 ± 1.9 74, 76

81 81

from

1 gram

(10)

acid

and

10 ml

rat liver

t Results are shown for at least two experiments at each concentration. Where experiments were repeated many times (at the 0.50 level) the mean, the standard deviation and the number (in I)arefltheses) been made precipitation

to

of determinations for losses except in plasma and

plasma

tion

and

the

procedure

entire

followed

Recoveries

and

extraction

(based

90%

of the

counted

for.

Regardless

and

oxida-

on 75 % recovery).

reproducibility.

at least

catecholamines was retained

are shown. No correction has that incurred as a result of protein tissue.

By

this could

be ac-

of the

concentration

of 15% the

had

been

adsorbed

In

and

normal

in

volume

incurred

tion. Table bility range

of

(de Schaepdryver,

reproduci-

occurring

substances

have

reported

been

to interfere abnormally in

tumors

could

the

same

the

Lishajko,

1959;

Vendsalu,

that fluorescence droxyl substituent hydrogen on the attached

to

the

catechol 1951;

relatively

the

speci-

1960).

Studies

on

reaction

have

high l)eaks)

nucleus Lund,

been

Dopa oxidized

case

number

fluorescence of methyldopa,

in

and

However, only

a few

of compounds.

(even

more which

at does

naturally

by

a

dagger)

concentration However, the and dopamine with

patients problem

neural

[dopa.

normal

up

to

urine

can be distinguished products have dopamine.

are

However,

(Carisson 1959) can

presence substance (Lockett,

from different

they

whereas

of

be

the other

and used

Waldeck, to detect

of NE. Traces of an have been detected 1954, 1957) but the

3% NE equivalents) After treatment with fluorescence of 3 ,4-diacid would be negligible amount found in the urine of

large

stance) established

of

a small

amount

togral)hic a molar differences

aluminum

the

with neuroblastoma [90 mg/24 hr vs. 0.4 mg/24 hr (von Studnitz, 1960)]. apparent purity (single fluorescent subthe interfering catecholamines was by paper chromatography. However,

substance could missed with the

suggest

(Bu’lock 1949).

quantified!

instances and with a small its fluorescent

Euler

requires the presence of a hyon the beta carbon and a alpha carbon of the alkyl amine

Harley-Mason, studies

von

in the

patients normal, The

were

; dopamine hr vs. about 50 g/24 hr in Studnitz, 1960; Voorhess and in

oxidative procedures 1958; Drujan et at.,

even

from of

enough

of a

characteristics

in

is compared compounds

method. of dopa

urine

15 mg/24 vs. none up to 100 mg/24 normal urine (von

fluorescent

g/ml

(indicated

present

1962)]. their

1960) prompted of this problem. NE peaks) of a

none

with this large amounts

excreted

of the (Axeirod,

in parentheses

in high

hydroxyphenylacetic

concentration results were

1958a;

Specificity of the method. ficity of the tnihydroxyindole

The

precipita-

good

a large Similar

and loss

with E, and we have not noted any differences in the recovery of NE and biological material as reported by some

investigators

such

protein

the

of the method over with diverse material.

obtained significant E from and

because

3 also emphasizes

plasma for the

catabolites

eluted

urine

small amounts (about would be inconsequential. aluminum oxide, the

loss, the corrected

identi-

interfering

were tissue

this were

of the

recent

at 0.43

dopamine in the isoproterenol-like in animal tissue

for

carbon

figures

first elution. Since this amount was ignored, the recoveries of NE and E from biological material were at least 75% (table 3). Although recoveries not corrected concentrations

alpha

urinary

possibly

138

as the

catecholamines

4 ; the

after

NE since

catecholamines

present, a constant 10 to the aluminum oxide after

in

table

in

Gardner,

method

new

of compounds

NE

oxide.

25 ml

as well

occurring

obtained

74, 75

on the 4),

1960; Goodall, 1959; Kirschner, a more thorough investigation The Relative Fluorescence (at to

81, 81

extracted

plasma,

(table of many

number

77

74,

a hydrogen

chain

naturally

77. 77 85

have

side fication

Plasma

0.02 0.05 0.10

Vol.

SAYRE

not

(NE)

-

Acid

*

3

of norepinephrine various media*

NE Add&

AND

of a contaminating

fluorescent

be detected in the SPF but far less sensitive paper chroma-

procedures.

Expressing

the

basis would not significantly except that the fluorescence

norepinephrine rine would

results

on

alter these of ethyl-

and isopropylethylnorepinephbe more alike.

Comparative distribution of catecholamines in several species. Table 5 shows the comparative distribution of norepinephnine and epinephrine in plasma,

urine

and

tissues

of

man

and

several

1962

ON

STUDIES

CATECHOLAMINE

TABLE Relative

fluorescence

(RF)

371

METHODOLOGY

4

of analogs

of norepinephrine5 a

H-C Compound

.fii........_

Norepinephninet (NE) Epinephninet (E) N-Ethylnorepinephnine Isoproterenolt (Isuprel) Norhomoepinephnine (Cobefrin) Ethylnorepinephnine (Butanefnin) Isopropylethylnorepinephnine (Dilabron) Dopaminet Methyldopaminet (Epinine)

Relative Fluorescence (RF)

NH

I \ .1.

OH OH OH OH OH OH OH

OH OH OH OH OH OH OH

OH OH OH OH OH OH OH

H H H H CH3 C2H5 C2H5

H H H H H H H

H CH3 C2H5 C3H7 H H C3H7

100.0 (80.0) 70.0 (56.0) 65.8 (51.6) 41 .2 (33.0) 9.5 (6.1) 5.9 (3.5) 4.9 (3.1)

Methyldopa (Aldomet) Normetanephninet Dichloroisopnoterenol Synephnint

OH OH OH OH OH Cl OH H

H H H H OH OH OH OH H H OH H H H

H H H CH3 H H H H CH3 CH3 CH3 CH, H H

H H COOH COOH H H H H H H H CH, H H

H CH3 H H H C3H7 CH3 CH3 H H CH3 CH3 H H

2.2 1 .0 12.1 17.2 0.06