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New procedures for autonomous analyses of dried blood spots by capillary electrophoresis
Profousová, Sylvie ; Glatz, Zdeněk (referee) ; Dvořák, Miloš (advisor)
Collection of capillary blood in the form of dry blood spot (DBS) samples on cellulose sampling cards has been popular in clinical analysis for some time. However, in the diagnosis and monitoring of metabolic disorders and diseases, target analytes (e.g. inorganic and organic ions) are examined from blood plasma or serum. Determination of the target analytes from capillary blood or DBS samples is not the standard and reference values are not available due to the different composition of plasma/serum vs. capillary blood. Moreover, DBS sorbents have been found to release several ions into DBS eluates resulting in their contamination and, together with the effect of blood hematocrit and retention of target analytes, can adversely affect the quantitative analysis of DBS samples. For these reasons, this thesis addresses the design of an alternative concept for DBS collection that would eliminate the use of sampling sorbents and ensure the collection of a defined and precise volume of blood. The experimental part focuses on the determination of selected inorganic and organic ions (NH4+, K+, Na+, Ca2+, Mg2+, Cl, NO3, NO2, SO42, formate, lactate, and acetate) by capillary electrophoresis with capacitively coupled contactless conductivity detection (CE-C4D) in various DBS samples. All these ions are present in blood at different concentrations and can be simultaneously released as contaminants from the DBS sorbents. A non-porous polypropylene vial was used for the novel sorbentless DBS collection. A small drop of blood of defined volume (e.g. 5 l) was transferred into this vial and then dried directly therein. The selected vial is suitable for both direct DBS elution and DBS eluate analysis and is fully compatible with autosamplers of commercial CE instruments. The proposed concept of the sorbentless blood collection eliminated unwanted contamination and proved suitable for the determination of the tested cations and anions. The stability of anions was generally lower than that of cations but was still significantly better compared to standard DBS sampling sorbents. Determination of some anions appeared to be acceptable only within 0–48 hours after drying of the sorbentless DBS samples (stored at laboratory temperature), as there was a continuous increase in their content. This was probably due to microbial degradation of the blood matrix. It was confirmed that this increase could be slowed down by storing sorbentless DBS samples at low temperatures. Different blood sampling procedures have been proposed for sorbentless DBS collection that are simple, economical, convenient, and repeatable and are therefore suitable for patient-centric blood sampling as well as for sampling in medical centers. This is a basic pilot study applied only to selected analytes that served as model examples, nevertheless, based on this thesis, more extensive scientific studies will follow up to further develop the new concept of sorbentless DBS collection.
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Low-cost microextraction and preconcentration procedures for biomedical applications
Vašátko, Jan ; Diviš, Pavel (referee) ; Dvořák, Miloš (advisor)
This thesis focuses on low-cost microextraction techniques and their application for purification and preconcentration of biological samples, specifically on the experimental study of supported liquid membrane (SLM) extraction. The described microextraction technique uses commercially available filtration plates as the extraction units and allows the extraction of basic drugs from biological samples of urine and blood (in the form of dried blood spots). The experimental part includes the optimization of microextraction conditions of basic drugs from real samples through a SLM coupled in-line to lab-made capillary electrophoresis. The basic optimization of microextraction conditions involved selecting the appropriate organic phase for membrane impregnation (1:1 mixture of ENB and DHE), appropriate agitation speed for sample convection during extraction (1000 rpm), and optimal ratio of donor to acceptor volumes for high preconcentration of the analytes (400:15 µL). After basic optimization, the effect of donor alkalization with NaOH on extraction recovery (ER) was investigated. For all matrices used (saline solution, undiluted human urine samples, human capillary blood eluted from dry blood spots with deionized water), the highest ER values were achieved using a neutral donor and an acidic acceptor. The extraction time (60 minutes) was optimized based on the time profile of the microextraction for 120 minutes. This optimized microextraction method is suitable for the determination of basic drugs in real matrices with sufficient sample clean-up, preconcentration and ER values.
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Application of capillary electrophoresis for dried blood spots analysis
Ryšavá, Lenka ; Tůma,, Petr (referee) ; Petr,, Jan (referee) ; Kubáň, Pavel (advisor)
Blood samples are normally analyzed in the form of plasma or serum. As an alternative for blood sampling and storage, dry blood spots (DBS) have been increasingly used in recent years. In the actual dissertation thesis, DBS are processed and analyzed by capillary electrophoresis (CE), which has been very rarely used for DBS analysis in the past. However, CE offers several features, given by the recent development of this technique, not available for standard analytical methods. Direct coupling of microextraction techniques to CE and simultaneous determination of analytes present in complex matrices leads to minimization or elimination of deficiencies in DBS analysis, for example the effect of sample matrix, hematocrit effect, and inhomogeneous distribution of analytes in DBS. In the simplest possible arrangement, sample treatment, injection, and analysis of DBS samples are achieved exclusively by a single commercial CE instrument. Application of newly developed fully soluble materials for DBS sampling offers better extraction efficiency and more accurate quantitation. The developed concepts include new methods for efficient treatment of DBS samples and their direct analysis without the need for operator intervention and they provide sufficient selectivity and sensitivity for the determination of important analytes not only in DBSs but also in other complex samples.
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Pathology and physiology of de novo purine synthesis.
Krijt, Matyáš ; Zikánová, Marie (advisor) ; Šebesta, Ivan (referee) ; Čajka, Tomáš (referee)
Purines are organic compounds with miscellaneous functions that are found in all living organisms in complex molecules such as nucleotides, nucleosides or as purine bases. The natural balance of purine levels is maintained by their synthesis, recycling and degradation. Excess purines are excreted in the urine as uric acid. Purine nucleotides may be recycled by salvage pathways catalysing the reaction of purine base with phosphoribosyl pyrophosphate. A completely new central molecule of purine metabolism, inosine monophosphate, can be synthesized from precursors during the de novo purine synthesis (DNPS). DNPS involves ten steps catalysed by six enzymes that form a multienzymatic complex, the purinosome, enabling substrate channelling through the pathway. DNPS is activated under conditions involving a high purine demand such as organism development. Currently, three DNPS-disrupting disorders have been described: ADSL deficiency, AICA-ribosiduria and PAICS deficiency. All three disorders are caused by genetic mutations leading to the impaired function of particular enzyme causing insufficient activity of respective DNPS step, manifested biochemically by accumulation of substrate of deficient enzyme, biologically by disruption of purinosome formation and clinically by unspecific neurological features,...
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Low-cost microextraction and preconcentration procedures for biomedical applications
Vašátko, Jan ; Diviš, Pavel (referee) ; Dvořák, Miloš (advisor)
This thesis focuses on low-cost microextraction techniques and their application for purification and preconcentration of biological samples, specifically on the experimental study of supported liquid membrane (SLM) extraction. The described microextraction technique uses commercially available filtration plates as the extraction units and allows the extraction of basic drugs from biological samples of urine and blood (in the form of dried blood spots). The experimental part includes the optimization of microextraction conditions of basic drugs from real samples through a SLM coupled in-line to lab-made capillary electrophoresis. The basic optimization of microextraction conditions involved selecting the appropriate organic phase for membrane impregnation (1:1 mixture of ENB and DHE), appropriate agitation speed for sample convection during extraction (1000 rpm), and optimal ratio of donor to acceptor volumes for high preconcentration of the analytes (400:15 µL). After basic optimization, the effect of donor alkalization with NaOH on extraction recovery (ER) was investigated. For all matrices used (saline solution, undiluted human urine samples, human capillary blood eluted from dry blood spots with deionized water), the highest ER values were achieved using a neutral donor and an acidic acceptor. The extraction time (60 minutes) was optimized based on the time profile of the microextraction for 120 minutes. This optimized microextraction method is suitable for the determination of basic drugs in real matrices with sufficient sample clean-up, preconcentration and ER values.
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Hollow fibre-liquid phase microextraction of basic drugs from dried dried blood spots
Dvořák, Miloš ; Miková, B. ; Šlampová, Andrea ; Kubáň, Pavel
Hollow fibre-liquid phase microextraction (HF-LPME) was applied for rapid and efficient extraction of basic drugs from dried blood spots (DBS). Basic drugs from DBS were first extracted into 10 mM NaOH solution, which acted as the HF-LPME donor solution, and simultaneously the neutralized drugs were transferred across the HF and preconcentrated in 10 mM HCl acceptor solution inside the HF lumen. Mixture (1:1, v:v) of 1-ethyl-2-nitrobenzene and dihexyl ether was used for impregnation of the porous HF membrane. Analytes in the acceptor solution were injected directly from the HF into capillary electrophoresis instrument for further separation, detection and quantification. Repeatability of the hyphenated analytical system ranged from 9.8 to 13.8 % (RSD) and enrichment factors of 52 – 78 were obtained for model basic drugs spiked to DBS extracts at a concentration level of 0.1 mg/L.
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