In a groundbreaking study, Mark Dennis Chico Retrato, a PhD candidate at Uppsala University in Sweden, has developed a novel method for analyzing phospholipids in total parenteral nutrition (TPN) products using Ultra-Performance Liquid Chromatography-Mass Spectrometry (UPLC-MS). This research has significant implications for quality control processes in pharmaceutical manufacturing and, ultimately, patient care.
Research Overview
Retrato's work focuses on method development for reinforcing and analyzing the stability of parenteral nutrition products. The study employs UPLC in tandem with mass spectrometry to perform targeted lipidomic analysis of phospholipids and other components in pharmaceutical raw ingredients used for TPN.
Key Aspects of the Method
1. Instrumentation: The research utilizes an Acquity Waters UPLC system coupled with a Thermo QExactive Orbitrap MS.
2. Chromatography: An Acquity UPLC CSH C18 column (2.1 × 100 mm, 1.7 μm) is employed for separation.
3. Mobile Phases:
- Phase A: ACN:H2O (60:40) with 0.1% formic acid and 10 mM ammonium formate
- Phase B: IPA:ACN (90:10) with 0.1% formic acid and 10 mM ammonium formate
4. Ionization: Heated electrospray ionization (HESI) with spray voltages of 3.5 kV for positive mode and 3.3 kV for negative mode.
5. Operation Mode: UPLC uses gradient elution up to 20 minutes, while MS employs targeted selected ion monitoring (t-SIM).
Method Validation and Accuracy
To ensure the method's accuracy and precision, Retrato implemented several validation steps:
1. Adherence to ICH Q2R2 guidelines, which are the basis for FDA and EMA regulations on analytical procedures for pharmaceutical components.
2. Establishment of system suitability studies to test method feasibility.
3. Matrix matching for calibration curves to closely relate to the pharmaceutical component being analyzed.
4. Use of deuterated internal standards for reliable quantification.
5. Quality control samples at various levels, including below the limit of detection, within the calibration curve, and above it.
Sample Preparation and Nitrogen Evaporation
A critical step in the sample preparation process involves nitrogen evaporation. This technique is employed to concentrate samples and prepare them for UPLC-MS analysis. The process typically follows these steps:
1. Initial sample extraction in Eppendorf tubes with volumes up to 2 mL.
2. Centrifugation and reconstitution, resulting in a volume of around 1 mL.
3. Nitrogen evaporation to dryness, which is crucial for concentrating the sample.
4. Reconstitution of the dried sample in 200 microliters of solvent just before analysis.
The use of nitrogen evaporation is particularly important for:
- Concentrating samples to improve detection limits
- Removing excess solvent that may interfere with analysis
- Standardizing sample volumes for consistent results
Unexpected Findings and Implications
Retrato's research revealed several unexpected findings:
1. A greater variety of phosphatidylcholine species than initially anticipated, with some compounds showing four distinct peaks instead of the expected two or three.
2. The ratio of lysophosphatidylcholine (LPC) in the product was found to affect its stability.
These discoveries have important implications for quality control processes in TPN products, potentially leading to improved stability assessments and more accurate quantification of key lipid components.
Impact on Patient Care
The developed method offers several advantages that could positively impact patient care:
1. Flexibility to analyze lipid contents at various stages of pharmaceutical manufacturing.
2. Potential application in clinical studies for monitoring lipid content in blood plasma.
3. Improved quality control for TPN products, ensuring better stability and composition for critically ill patients who rely on these formulations.
By contributing to the production of higher-quality TPN products, this research has the potential to enhance the care and outcomes for patients unable to ingest food normally.
In conclusion, Mark Dennis Retrato's innovative UPLC-MS method for phospholipid analysis in TPN products represents a significant advancement in pharmaceutical quality control. The integration of nitrogen evaporation in the sample preparation process plays a crucial role in achieving accurate and sensitive results, ultimately contributing to improved patient care through better quality parenteral nutrition products.