Next Article in Journal
Chromatographic-Based Platforms as New Avenues for Scientific Progress and Sustainability
Next Article in Special Issue
An Efficient UPLC-MS/MS Method for the Determination of Pyrroloquinoline Quinone in Rat Plasma and Its Application to a Toxicokinetic Study
Previous Article in Journal
Flavonoid and Phenolic Acid Profiles of Dehulled and Whole Vigna subterranea (L.) Verdc Seeds Commonly Consumed in South Africa
Previous Article in Special Issue
A Capillary Electrophoresis-Based Method for the Measurement of Hydroxychloroquine and Its Active Metabolite Desethyl Hydroxychloroquine in Whole Blood in Patients with Rheumatoid Arthritis
 
 
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Article

Determination of Inorganic Ions in Parenteral Nutrition Solutions by Ion Chromatography

Pharmaceutical Analysis, Department of Pharmaceutical and Pharmacological Sciences, KU Leuven, 3000 Leuven, Belgium
*
Author to whom correspondence should be addressed.
Molecules 2022, 27(16), 5266; https://doi.org/10.3390/molecules27165266
Submission received: 13 June 2022 / Revised: 12 August 2022 / Accepted: 15 August 2022 / Published: 18 August 2022

Abstract

:
A new, simple and sensitive ion chromatography (IC) method for the determination of sodium, potassium, magnesium, calcium and chloride in a parenteral nutrition (PN) solution was developed and validated. Before sample analysis, a sample pretreatment by calcination was applied which could totally remove interference from other constituents of the PN solution. Methanesulfonic acid (MSA) and sodium hydroxide were used as the mobile phase for the determination of cations and anions, respectively. The calibration curves showed good correlation between analyte peak area and concentration (r2 > 0.999). Detection limits ranged from 0.0001 to 0.02 mg/L and quantification limits from 0.0002 to 0.06 mg/L. Relative standard deviation (RSD) values for repeatability and inter-day precision did not exceed 1.0% and the recoveries for all analytes were between 99.1–101.1%. The robustness was verified by using an experimental design.

1. Introduction

Parenteral nutrition (PN) is administered intravenously and has been applied in clinical practice for over 50 years [1]. Currently, PN is used in several therapies of patients with short bowel syndrome, gastrointestinal bleeding, bowel obstruction and absorption disorders [2]. It also provides nutrition support for cancer patients, geriatric populations and preterm infants who have poor nutrition intake [3,4,5]. As PN is mainly used for feeble patients, the compounding of PN solutions in hospital pharmacies needs a strict control for quality assurance [6]. PN solutions usually contain over 20 ingredients, including electrolytes, glucose, amino acids and trace elements, and these nutritional solutions are typically prepared in hospital pharmacies. To avoid the risk for patients caused by errors in the electrolyte concentrations, quality control should be performed but is often limited [6]. Currently, sodium, potassium, magnesium and calcium are usually analyzed by potentiometric or photometric/spectrometric methods [7]. However, reproducibility of these methods is rather poor, they can be labor intensive, and the large amount of amino acids in PN solutions may interfere with the determination of the ions [7,8]. Therefore, other analytical techniques are required.
There are some widely used techniques for analyzing inorganic ions, such as atomic absorption spectroscopy (AAS), capillary electrophoresis with capacitively coupled contactless conductivity detection (CE-C4D), inductively coupled plasma quadrupole mass spectrometry (ICP-MS) and ion chromatography (IC) [7,9,10,11,12,13,14]. Some of them, such as CE-C4D and ICP-MS have been developed to analyze inorganic ions in PN solutions [7,14]. The drawbacks of CE are poor reproducibility of migration times and peak areas, which restrict its use for routine analysis [15]. The widespread use of ICP-MS is limited due to its high cost.
IC is a variant of high-performance liquid chromatography. As a highly sensitive and selective technique for the determination of inorganic ions, it has been used for routine determination of cations and anions in a wide variety of samples in many industries, including environment, biotechnology, agriculture, food and pharmaceutical industries [16,17]. Numerous methods were developed to determine sodium, potassium, magnesium, calcium and chloride utilizing IC with as main benefits compared to other analytical techniques: short analysis time, excellent sensitivity, high selectivity, small sample volume and cost-effectiveness [8,15]. Cation-exchange columns and anion-exchange columns have been applied for the determination of the respective ions due to their affinity to the specific ion exchanger. Conductivity detection is a universal detection technique in IC, including the suppressed and non-suppressed mode. For the suppressed mode, a suppressor is installed after the analytical column to lower the background signal and increase the sensitivity. For the non-suppressed mode, there is only a conductivity detector after the column making the system simpler and cheaper. Even though IC is commonly used in inorganic ions analysis, no study has been found in the literature describing the determination of sodium, potassium, magnesium, calcium and chloride in PN solutions.
In this study, IC methods for the determination of sodium, potassium, magnesium, calcium and chloride in PN solutions were developed using a one-factor-at-a-time approach. This was preferred above a design of experiments because influencing factors (including non-continuous ones) were difficult to predict in advance. Mainly, issues related to the sample pretreatment were encountered and solved step by step. After optimization, the methods were validated.

2. Results and Discussion

2.1. Method Development and Optimization for Cation Analysis

2.1.1. IC Separation Issues

As starting conditions, a cation analysis method for column testing was applied: cations were separated with an IonPac CS16 column kept at 40 °C and the mobile phase was 30 mM MSA with a flow rate of 0.36 mL/min [18]. The PN sample was injected following simple dilution with Milli-Q water. The chromatogram showed that the amino acids interfered with the determination of sodium and calcium (Figure 1). Therefore, adjustment of the chromatographic parameters was explored, in an attempt to separate peaks of analytes from interfering components. Different mobile phases were used, including 20 mM MSA, 30 mM MSA, 40 mM MSA, 30 mM MSA with 5% acetonitrile (ACN), 30 mM MSA with 10% ACN, 2 mM MSA with 10% ACN and 30 mM MSA with 5% tetrahydrofuran. A lower concentration of MSA or organic modifier could obviously delay the retention times, but this had limited improvement on the separation of sodium and the interfering substances. In this way, 30 mM MSA was maintained for further experiments. When changing the temperature in steps of 2 °C from 40 °C to 34 °C, peaks shifted only slightly. The best selectivity was obtained at 36 °C, but sodium and calcium ions could not yet be properly determined. In a next step, cleanup of the sample was explored.

2.1.2. Cleanup Procedure

Solid-phase extraction (SPE) has been reported to extract amino acids [19,20]. Three different SPE cartridges of HLB and MCX (Waters, Milford, MA, USA) and OnGuard II A (Thermo Scientific, Sunnyvale, CA, USA) were applied to extract the amino acids in this research. The experimental procedure was based on the operation manual and methods reported in literature [20,21]. For HLB, the cartridge was rinsed with 2 mL of methanol (MeOH) followed by 2 mL of Milli-Q water. Then, the sample that was acidified with 0.2% formic acid (FA) was loaded. Next, 2 mL of MeOH containing 10% Milli-Q water and 0.1% FA was used as washing solution. Subsequently, 500 µL of collected solution was dried and re-dissolved in 1 mL of 30 mM MSA for further analysis. For MCX, the cartridge was rinsed with 2 mL of MeOH followed by 2 mL of 1% FA. The next steps (loading, washing and re-dissolving) were the same as for the HLB cartridge. For OnGuard II A, the cartridge was conditioned with 10 mL of 30 mM MSA, followed by 10 mL of Milli-Q water. Loading 5 mL of sample solution, the first 3 mL of effluent were discarded, and the next 2 mL were collected for analysis. Although some cleanup was realized (see Figure 2), there was still interference, especially with the determination of sodium. Since there are over twenty amino acids in the PN solution, it is hard to totally remove the amino acids from the sample and so attempts using SPE were found to be unsatisfying.
Another approach is to heat the PN solution at a high temperature to decompose the amino acids, while metal ions such as sodium, potassium, magnesium and calcium remain in the residue. According to the European Pharmacopoeia (Ph. Eur.), methods for total ash and sulfated ash are able to remove amino acids from samples [22]. Therefore, the applicability of both methods as such was examined. After calcination, the residues were dissolved in water and injected in the IC system. Both methods provided an efficient cleanup as no further interference with the peaks of interest in the chromatogram was noticed. However, the recovery (Table 1) for Ca2+ and Mg2+ was below 10% for both procedures. Changing from water to 30 mM MSA as pickup solvent yielded recovery values for Ca2+ and Mg2+ above 90% (Table 1) with a slightly better performance for the sulfated ash method, while the recovery values for Na+ and K+ were more than 10% too high. As the H2SO4 used in this procedure could be a source of Na+ and K+, concentrated HNO3 and MSA, as well as 1 M MSA were also considered as calcination media. The results are presented in Table 1. Finally, 1 M MSA was withheld as the calcination medium with 30 mM MSA as the pickup solution.
Four heating temperatures (450 °C, 500 °C, 550 °C and 600 °C) were compared. Heating at 550 °C for 1 h was the optimal condition considering calcination efficiency as the content tended to be stable from 550 °C and higher (Figure 3).
Concerning the containers, four different types of crucibles were compared, including porcelain, quartz, polytetrafluoroethylene (PTFE) and aluminum oxide (Al-24). For this purpose, Milli-Q water instead of sample solution was used, followed by the addition of 1 M MSA and the calcination procedure described in Section 3.2.2. Porcelain crucibles released considerably more Na+, K+ and Ca2+ compared to quartz crucibles (Table 2). Next, PTFE and Al-24 crucibles were considered. PTFE crucibles were ion free, but the maximum temperature was limited to 270 °C, which is not efficient for calcination. Al-24 crucibles were not useful for liquids because of their porosity. Therefore, quartz crucibles were preferred for calcination since they released only tiny amounts (less than 0.1% of the content in the sample) and showed a sufficiently high temperature tolerance. The final sample pretreatment method for cation analysis has been described in Section 3.2.2.
Next, the influence of glass and plastic vials was examined when they were filled with Milli-Q water or 30 mM MSA. The results indicated that glassware could introduce sodium contamination (Table 3). Therefore, plastic recipients were applied during the whole process of cation analysis.

2.2. Method Development and Optimization for Anion Analysis

2.2.1. Anion Analysis Method Optimization

Anions were determined using an IonPac AS19 column. The method for column testing from the manufacturer was applied to set the starting conditions. Therefore, the column temperature was kept at 30 °C and the mobile phase was 20 mM NaOH with a flow rate of 1 mL/min [23]. No contamination was encountered for the determination of chloride. Increasing the temperature to 35 °C resulted in a faster analysis time and also a more stable baseline. As a consequence, we decided to adjust the temperature of the column and detector cell (which are both in the oven compartment) to 35 °C.

2.2.2. Sample Pretreatment for Anion Analysis

As there is no interference with the chloride analysis, a simple dilution step with Milli-Q water was executed before sample injection.

2.3. Comparing the Suppressed and Non-Suppressed System

The suppressor is a special device for IC, which is installed after the separation column and is intended to eliminate the highly conductive background and, therefore, enhances the sensitivity of the measured analytes. A system without a suppressor is simpler and cheaper. Even losing some sensitivity, it is still a good choice for ion analysis. The values for the limit of detection (LOD) and limit of quantification (LOQ) of the different analytes are illustrated in Table 4. Finally, the suppressed conductivity method was adopted for determination of inorganic ions in PN since a more stable baseline facilitates integration of the peaks.

2.4. Method Validation

2.4.1. Selectivity

No interfering peaks were observed in the blank chromatogram and all peaks were baseline separated in the chromatograms of standard and test sample.

2.4.2. Sensitivity

The measurement of the sensitivity was based on the LOD and LOQ evaluated by the signal-to-noise ratio. The LOD and LOQ values for Na+, K+, Mg2+, Ca2+ and Cl were shown in Table 4.

2.4.3. Linearity

The relationship between peak area (y) and concentration of analyte (x) was evaluated for Na+, K+, Mg2+, Ca2+ and Cl. For all of them, it was found to be linear with determination coefficients above 0.999 (Table 5). The 95% confidence interval of the intercepts included zero for all these regression equations. The residual plots were randomly distributed around the zero axis which indicates that the data fit the linear model well.

2.4.4. Precision

Precision was evaluated for repeatability (3 concentration levels) and inter-day precision as RSD (%). The results are shown in Table 6. The RSD (%) values were not higher than 1.0% for repeatability (n = 6) and inter-day precision (n = 12), which indicates a good precision for the method.

2.4.5. Recovery

To determine the recovery, Na+, K+, Mg2+, Ca2+ and Cl were added at three different concentration levels (80, 100 and 120 percent of the test sample concentration). The recoveries for these analytes ranged from 99.1% to 101.1% (Table 7), which demonstrates that the method is reliable.

2.4.6. Robustness

To check robustness, an experimental design using R software (version 4.1.3) and R-Studio (Boston, MA, USA) was applied. Three factors were investigated: suppressor current, concentration of MSA in the mobile phase and column temperature. Upon obtaining the experimental results, statistical analysis of the data was carried out to determine the coefficient plots and the response surface plots. No influence was observed on the peak area within the investigated range of the individual variables as all intervals included zero (Figure S1). The three regression coefficient plots shown in Figure 4 illustrate the effect of the individual variables and their interactions on the resolution between Na+ and K+ (Rs Na-K), K+ and Mg2+ (Rs K-Mg) and Mg2+ and Ca2+ (Rs Mg-Ca). In Figure 4a, the concentration of MSA and temperature have a significant negative effect on Rs Na-K, meaning that Rs Na-K will decrease when increasing one of those two factors and vice versa. It is shown in Figure 4b that temperature has a positive effect and the concentration of MSA shows a negative effect on Rs K-Mg. It can be derived from Figure 4c that the suppressor current has a significant negative effect on Rs Mg-Ca. Concerning interactions between two variables, no significant effect was observed as all intervals included zero. Moreover, from the response surface plots (Figure 5), it can be observed that the resolution between sodium and potassium was at least 6.5, the resolution between potassium and magnesium was always above 1.3 and the resolution between magnesium and calcium was over 3.0, under the examined experimental conditions. This means that the developed method is independent of small variations and can be considered robust.

2.5. PN Solution Analysis

The contents of the analytes were determined in two different batches of PN solutions. The results are shown in Table 8. The chromatograms obtained following the analysis of PN solution 1 are shown in Figure 6.

3. Materials and Methods

3.1. Reagents and Materials

Standards are prepared from sodium chloride (99.87%, Merck KGaA, Darmstadt, Germany), potassium chloride (99.5+%, Chem-lab, Zedelgem, Belgium), magnesium chloride (98+%, Sigma-Aldrich, St. Louis, MO, USA) and calcium chloride (97+%, Sigma-Aldrich). MSA (>99.0%, Sigma-Aldrich) and sodium hydroxide (50% w/w aqueous solution, Acros Organics, Geel, Belgium) were purchased for mobile phase preparation. Water was purified by a Milli-Q water purification system from Millipore (Bedford, MA, USA). The oven (MR 170) was purchased from Heraeus (Hanau, Germany).
Glassware should be avoided for the preparation and storage of solutions and replaced by synthetic material.

3.2. Preparation of Standards and Samples

3.2.1. Preparation of Standards

MSA was diluted to 1 M and stored in a plastic bottle at 4 °C as a stock solution. The mobile phase for cation determination was prepared by diluting 1 M MSA to 30 mM MSA in Milli-Q water. Sodium hydroxide (NaOH) was diluted to 20 mM as the mobile phase for anion determination.
Standard stock solutions of the analytes were prepared by dissolving NaCl, KCl, MgCl2 and CaCl2 in Milli-Q water to obtain concentrations of 22.05 mM for Na+, 14.05 mM for K+, 1.75 mM for Mg2+, 10.50 mM for Ca2+ and 4.57 mM for Cl and stored in plastic bottles at 4 °C for no more than one week. Stock solutions were diluted to the standard solutions ranging from 50 to 150% of the test solution for the linearity tests. Stock solutions of Na+, K+, Mg2+ and Ca2+ were mixed and diluted 10 times as 100% standard solution for cation determination. For anion determination, the Cl stock solution was diluted 2 times as 100% solution.

3.2.2. Preparation and Quantification of Inorganic Ions in PN Solution

The PN solutions were prepared in the hospital pharmacy of UZ Leuven (Leuven, Belgium). The composition of all components is shown in Table 9. A calcination method was developed as a sample pretreatment method for cation analysis: 1.0 mL of PN solution was pipetted in a quartz crucible, then 1 mL of 1 M MSA was added to provide an acidic environment to facilitate calcination. After digesting at 100 °C for 1 h, the residue was heated with a Bunsen burner until white fumes were no longer evolved. Next, the crucible was heated at 550 °C for 1 h and cooled in a desiccator. The residue was dissolved in 20 mL of 30 mM MSA and filtered through a 0.20 µm filter as a test solution for injection. To determine Cl in the PN solution, the latter was diluted 20 times with Milli-Q water and filtered for injection.
The concentrations of the four cations and the anion in the test solutions were: 50.72, 54.94, 4.20, 41.3 and 81.12 mg/L for Na+, K+, Mg2+, Ca2+ and Cl, respectively. All solutions were prepared in duplicate, and each was injected in triplicate.

3.3. Instrumentation and Chromatography Conditions

Analyses were conducted using an IC system (ICS-3000, Dionex, Sunnyvale, CA, USA), equipped with a DP analytical pump, an AS50 auto-sampler, a conductivity detector (CD), a Dionex CSRS 300 suppressor for cation determination and a Dionex ADRS 600 suppressor for anion determination. Chromeleon 6.8 was used for data collection and system control.
An IonPac CS16 analytical column (3 mm × 250 mm) from Thermo Scientific (Sunnyvale, CA, USA) was used for cation separation. The eluent was 30 mM MSA at a flow rate of 0.36 mL/min and the column temperature was 36 °C. An IonPac AS19 analytical column (4 mm × 250 mm) from Thermo Scientific was used for anion separation. The eluent was 20 mM NaOH with a flow rate of 1.0 mL/min and the column temperature was 35 °C.

3.4. Validation Test

The method was validated for selectivity, sensitivity, linearity, precision, recovery and robustness according to the ICH guidelines [24].

3.4.1. Selectivity

Selectivity was examined by analyzing the standard solution and blank solvent (Milli-Q water) to ensure the separation of the different ions and possible interference from the blank solution consisting of Milli-Q water.

3.4.2. Sensitivity

In order to check the sensitivity of the method under the working conditions used, the LOD and LOQ were determined at a signal-to-noise ratio of 3 and 10, respectively.

3.4.3. Linearity

Calibration curves of different ions were prepared in five concentrations of standard solution ranging from 50 to 150% of the test concentration: 25.36 to 76.07 mg/L for sodium, 27.47 to 82.40 mg/L for potassium, 2.10 to 6.29 mg/L for magnesium, 20.65 to 61.95 mg/L for calcium and 40.56 to 121.68 mg/L for chloride.

3.4.4. Precision

Precision of the IC methods was evaluated by the repeatability and intermediate (inter-day) precision. Repeatability was determined by 6 replicates at 3 levels (80%, 100% and 120% of the test concentrations of the ions) on day 1, while the inter-day precision was evaluated by injecting the 100% solution in triplicate on days 2 and 3.

3.4.5. Recovery

The PN solution is a drug product of which the contents of the ingredients are known. The ingredients were separately available. The recovery of the ions was determined by adding three different concentration levels (80%, 100% and 120% of test concentration) of standard solution to a mixture of components in the PN solution which were not subject of the analysis. The sample pretreatment method was applied for the cations. The recovery was calculated using the following equation:
Recovery   ( % ) = experimentally   calculated   concentration theoretically   added   concentration × 100

3.4.6. Robustness

A robustness test was performed applying an experimental design to ensure the reliability of the analytical method by slightly varying the chromatographic factors within a certain range. In this study, a two-level full factorial design was applied. Three chromatographic parameters (suppressor current, concentration of MSA in the mobile phase and column temperature) were investigated at two levels (−1 and +1) around their central level (0) (Table 10).
According to the experimental design, 2k experiments were performed in random order, where k is the number of factors. Another three experiments with the variables at the central level were carried out at the beginning, middle and end of the series. In total, 11 experiments were carried out in this test. The mathematical relationship between the experimental variables (xi, xj, …) and response (y) can be obtained from the following equation:
y = b0 + bixi + bjxj + bijxi xj + ∙∙∙ + ε
where b are the regression coefficients and ε is the experimental error. b0 stands for the intercept, bi and bj describe the quantitative effect of the respective variables xi and xj, and bij represents the interaction effect between both variables. As responses, the resolutions Rs Na-K, Rs K-Mg and Rs Mg-Ca as well as the peak areas of Na+, K+, Mg2+, Ca2+ and Cl were selected.

4. Conclusions

This is the first report to describe a method for determination of inorganic ions in a PN solution by IC. An accurate, precise and sensitive analytical method was developed and validated for the individual cation and anion determination. Sample pretreatment was found to be necessary to avoid interference from matrix components. An internal standard was not required and would only complicate the procedure.

Supplementary Materials

The following supporting information can be downloaded at: https://www.mdpi.com/article/10.3390/molecules27165266/s1, Figure S1: Regression coefficient plots obtained from the robustness study for (a) peak area of Na+; (b) peak area of K+; (c) peak area of Mg2+; (d) peak area of Ca2+; (e) peak area of Cl.

Author Contributions

Conceptualization, E.A.; methodology, Z.W., K.W. and E.A.; validation, Z.W. and K.W.; formal analysis, Z.W. and E.A.; investigation, Z.W. and K.W.; resources, E.A.; data curation, Z.W. and E.A.; writing—original draft preparation, Z.W.; writing—review and editing, K.W., E.A. and A.V.S.; supervision, E.A. and A.V.S.; project administration, Z.W. and E.A.; funding acquisition, E.A. and A.V.S. All authors have read and agreed to the published version of the manuscript.

Funding

This research received no external funding.

Institutional Review Board Statement

Not applicable.

Informed Consent Statement

Not applicable.

Data Availability Statement

According to policy of KU Leuven. Authors may be contacted for more details concerning data supporting reported results.

Acknowledgments

Zhiqi Wen gratefully thanks the Chinese Scholarship Council (CSC) for her grant.

Conflicts of Interest

The authors declare to have no conflict of interest.

Sample Availability

Not applicable.

References

  1. Dudrick, S.J. History of Parenteral Nutrition. J. Am. Coll. Nutr. 2009, 28, 243–251. [Google Scholar] [CrossRef] [PubMed]
  2. Van Gossum, A.; Cabre, E.; Hébuterne, X.; Jeppesen, P.; Krznaric, Z.; Messing, B.; Powell-Tuck, J.; Staun, M.; Nightingale, J. ESPEN Guidelines on Parenteral Nutrition: Gastroenterology. Clin. Nutr. 2009, 28, 415–427. [Google Scholar] [CrossRef] [PubMed]
  3. Sobotka, L.; Schneider, S.M.; Berner, Y.N.; Cederholm, T.; Krznaric, Z.; Shenkin, A.; Stanga, Z.; Toigo, G.; Vandewoude, M.; Volkert, D. ESPEN Guidelines on Parenteral Nutrition: Geriatrics. Clin. Nutr. 2009, 28, 461–466. [Google Scholar] [CrossRef] [PubMed]
  4. Arends, J.; Baracos, V.; Bertz, H.; Bozzetti, F.; Calder, P.C.; Deutz, N.E.P.; Erickson, N.; Laviano, A.; Lisanti, M.P.; Lobo, D.N.; et al. ESPEN Expert Group Recommendations for Action against Cancer-Related Malnutrition. Clin. Nutr. 2017, 36, 1187–1196. [Google Scholar] [CrossRef] [PubMed]
  5. Denne, S.C.; Poindexter, B.B. Evidence Supporting Early Nutritional Support with Parenteral Amino Acid Infusion. Semin. Perinatol. 2007, 31, 56–60. [Google Scholar] [CrossRef] [PubMed]
  6. Sommer, I.; Bouchoud, L.; Berger-Gryllaki, M.; Bonnabry, P.; Sadeghipour, F. Quality and Safety of Parenteral Nutrition for Newborn and Preterm Infants as an On-Ward Preparation. Eur. J. Hosp. Pharm. 2020, 27, 292. [Google Scholar] [CrossRef] [PubMed]
  7. Nussbaumer, S.; Fleury-Souverain, S.; Bouchoud, L.; Rudaz, S.; Bonnabry, P.; Veuthey, J.-L. Determination of Potassium, Sodium, Calcium and Magnesium in Total Parenteral Nutrition Formulations by Capillary Electrophoresis with Contactless Conductivity Detection. J. Pharm. Biomed. Anal. 2010, 53, 130–136. [Google Scholar] [CrossRef] [PubMed]
  8. Michalski, R. Ion Chromatography as a Reference Method for Determination of Inorganic Ions in Water and Wastewater. Crit. Rev. Anal. Chem. 2006, 36, 107–127. [Google Scholar] [CrossRef]
  9. Lewen, N. The Use of Atomic Spectroscopy in the Pharmaceutical Industry for the Determination of Trace Elements in Pharmaceuticals. J. Pharm. Biomed. Anal. 2011, 55, 653–661. [Google Scholar] [CrossRef] [PubMed]
  10. Ieggli, C.V.S.; Bohrer, D.; do Nascimento, P.C.; de Carvalho, L.M.; Garcia, S.C. Determination of Sodium, Potassium, Calcium, Magnesium, Zinc, and Iron in Emulsified Egg Samples by Flame Atomic Absorption Spectrometry. Talanta 2010, 80, 1282–1286. [Google Scholar] [CrossRef] [PubMed]
  11. Masár, M.; Sydes, D.; Luc, M.; Kaniansky, D.; Kuss, H.-M. Determination of Ammonium, Calcium, Magnesium, Potassium and Sodium in Drinking Waters by Capillary Zone Electrophoresis on a Column-Coupling Chip. J. Chromatogr. A 2009, 1216, 6252–6255. [Google Scholar] [CrossRef] [PubMed]
  12. Mittal, M.; Kumar, K.; Anghore, D.; Rawal, R.K. ICP-MS: Analytical Method for Identification and Detection of Elemental Impurities. Curr. Drug Discov. Technol. 2017, 14, 106–120. [Google Scholar] [CrossRef] [PubMed]
  13. Nakatani, N.; Kozaki, D.; Mori, M.; Tanaka, K. Recent Progress and Applications of Ion-Exclusion/Ion-Exchange Chromatography for Simultaneous Determination of Inorganic Anions and Cations. Anal. Sci. 2012, 28, 845–852. [Google Scholar] [CrossRef] [PubMed]
  14. Marie, N.; Verdier, C.; Bot, B.L.; Burgot, G. Analysis of Sodium and Potassium in Total Parenteral Nutrition Bags by ICP-MS and ICP-AES: Critical Influence of the Ingredients. Am. J. Anal. Chem. 2011, 2, 573–581. [Google Scholar] [CrossRef]
  15. Meng, H.-B.; Wang, T.-R.; Guo, B.-Y.; Hashi, Y.; Guo, C.-X.; Lin, J.-M. Simultaneous Determination of Inorganic Anions and Cations in Explosive Residues by Ion Chromatography. Talanta 2008, 76, 241–245. [Google Scholar] [CrossRef] [PubMed]
  16. Barron, L.; Gilchrist, E. Ion Chromatography-Mass Spectrometry: A Review of Recent Technologies and Applications in Forensic and Environmental Explosives Analysis. Anal. Chim. Acta 2014, 806, 27–54. [Google Scholar] [CrossRef] [PubMed]
  17. Michalski, R. Application of Ion Chromatography in Clinical Studies and Pharmaceutical Industry. Mini Rev. Med. Chem. 2014, 14, 862–872. [Google Scholar] [CrossRef] [PubMed]
  18. Dionex Doc No. 031688; Product Manual for Dionex IonPacTM CS16 and CG16 Columns. Thermo Fisher Scientific: Sunnyvale, CA, USA, 2010; p. 23.
  19. Tang, X.; Gu, Y.; Nie, J.; Fan, S.; Wang, C. Quantification of Amino Acids in Rat Urine by Solid-Phase Extraction and Liquid Chromatography/Electrospray Tandem Mass Spectrometry: Application to Radiation Injury Rat Model. J. Liq. Chromatogr. Relat. Technol. 2014, 37, 951–973. [Google Scholar] [CrossRef]
  20. Du, C.-X.; Huang, Z. Analysis of Amino Acids in Human Tears by Hydrophilic Interaction Liquid Chromatography and Quadrupole Orbitrap Mass Spectrometry. RSC Adv. 2019, 9, 36539–36545. [Google Scholar] [CrossRef] [PubMed]
  21. Dionex Doc No. 031747; Product Manual for Dionex OnGuard II Cartridges. Thermo Fisher Scientific: Sunnyvale, CA, USA, 2017; p. 12.
  22. Council of Europe. Limit Tests. In European Pharmacopoeia (Ph. Eur.) 10.0.; European Directorate for the Quality of Medicines & HealthCare of the Council of Europe (EDQM): Strasbourg, France, 2020; Volume 1, pp. 137–143. [Google Scholar]
  23. Dionex Doc No. 065003-08; Product Manual for Dionex IonPacTM AS19. Thermo Fisher Scientific: Sunnyvale, CA, USA, 2013; p. 13.
  24. EMA. ICH, Validation of Analytical Procedures: Text and Methodology Q2 (R1); EMA: London, UK, 2006. [Google Scholar]
Figure 1. Chromatogram of blank, standard solution of cations in the PN solution, mixture of amino acids and PN solution without pretreatment. Peak 1: sodium, peak 2: potassium, peak 3: magnesium and peak 4: calcium.
Figure 1. Chromatogram of blank, standard solution of cations in the PN solution, mixture of amino acids and PN solution without pretreatment. Peak 1: sodium, peak 2: potassium, peak 3: magnesium and peak 4: calcium.
Molecules 27 05266 g001
Figure 2. Chromatogram of sample solution pretreated by MCX, HLB and OnGuard II A cartridge. Peak 1: sodium, peak 2: potassium, peak 3: magnesium and peak 4: calcium.
Figure 2. Chromatogram of sample solution pretreated by MCX, HLB and OnGuard II A cartridge. Peak 1: sodium, peak 2: potassium, peak 3: magnesium and peak 4: calcium.
Molecules 27 05266 g002
Figure 3. Content (%) of each cation in PN solution after calcination at different temperatures.
Figure 3. Content (%) of each cation in PN solution after calcination at different temperatures.
Molecules 27 05266 g003
Figure 4. Regression coefficient plots obtained from the robustness study for (a) resolution between Na+ and K+; (b) resolution between K+ and Mg2+; (c) resolution between Mg2+ and Ca2+.
Figure 4. Regression coefficient plots obtained from the robustness study for (a) resolution between Na+ and K+; (b) resolution between K+ and Mg2+; (c) resolution between Mg2+ and Ca2+.
Molecules 27 05266 g004
Figure 5. Response surface plots depicting the influence of MSA concentration and temperature on (a) resolution between Na+ and K+; (b) resolution between K+ and Mg2+; (c) resolution between Mg2+ and Ca2+.
Figure 5. Response surface plots depicting the influence of MSA concentration and temperature on (a) resolution between Na+ and K+; (b) resolution between K+ and Mg2+; (c) resolution between Mg2+ and Ca2+.
Molecules 27 05266 g005
Figure 6. Chromatograms obtained using the optimized conditions (see Section 3.3) for analysis of PN solution: (a) chromatogram of cations; (b) chromatogram of anions. Peak 1: sodium, peak 2: potassium, peak 3: magnesium, peak 4: calcium and peak 5: chloride.
Figure 6. Chromatograms obtained using the optimized conditions (see Section 3.3) for analysis of PN solution: (a) chromatogram of cations; (b) chromatogram of anions. Peak 1: sodium, peak 2: potassium, peak 3: magnesium, peak 4: calcium and peak 5: chloride.
Molecules 27 05266 g006
Table 1. Influence of different calcination conditions and pickup solvents on the determination of sodium, potassium, magnesium and calcium.
Table 1. Influence of different calcination conditions and pickup solvents on the determination of sodium, potassium, magnesium and calcium.
CalcinationPickup SolventContent %
Na+K+Mg2+Ca2+
Total ashwater9810466
Sulfated ashwater11611594
Total ash30 mM MSA103829593
Sulfated ash30 mM MSA11511397100
HNO330 mM MSA1141159797
MSA30 mM MSA10798102103
MSA 1 M30 mM MSA10497103100
Table 2. Blanks in different crucibles.
Table 2. Blanks in different crucibles.
Content mg/L
Na+K+Mg2+Ca2+
Porcelain crucibles0.050<LOQ<LOQ0.413
Quartz crucibles0.005<LOQ<LOQ<LOQ
<LOQ means the content was lower than the LOQ.
Table 3. Blanks in different materials.
Table 3. Blanks in different materials.
Content mg/L
Na+K+Mg2+Ca2+
Glass vial + water0.9180.052<LOQ<LOQ
Plastic vial + water<LOQ<LOQ<LOQ<LOQ
Plastic vial + 30 mM MSA<LOQ<LOQ<LOQ<LOQ
<LOQ means the content was lower than the LOQ.
Table 4. LOD and LOQ of Na+, K+, Mg2+, Ca2+ and Cl obtained with the suppressed and non-suppressed system.
Table 4. LOD and LOQ of Na+, K+, Mg2+, Ca2+ and Cl obtained with the suppressed and non-suppressed system.
AnalyteSuppressed SystemNon-Suppressed System
LOD mg/LLOQ mg/LLOD mg/LLOQ mg/L
Na+0.0010.0030.10.2
K+0.010.030.31.0
Mg2+0.020.060.20.5
Ca2+0.020.060.31.0
Cl0.00010.00020.0050.01
Table 5. Regression data for Na+, K+, Mg2+, Ca2+ and Cl.
Table 5. Regression data for Na+, K+, Mg2+, Ca2+ and Cl.
AnalyteRange (mg/L)Regression EquationDetermination
Coefficient
Na+25.36–76.07y = 0.2863 x − 0.07260.9999
K+27.47–82.40y = 0.1804 x − 0.04840.9997
Mg2+2.10–6.29y = 0.4374 x − 0.01940.9997
Ca2+20.65–61.95y = 0.3249 x − 0.21920.9999
Cl40.56–121.68y = 0.1077 x − 0.16600.9992
Table 6. Precision of the IC method.
Table 6. Precision of the IC method.
AnalyteRepeatability
RSD% (n = 6)
Inter-Day Precision
RSD% (n = 12)
80%100%120%100%
Na+0.40.60.50.4
K+0.90.20.50.9
Mg2+0.90.60.30.8
Ca2+0.30.40.70.3
Cl0.80.80.91.0
Table 7. Recovery of the IC method.
Table 7. Recovery of the IC method.
AnalyteRecovery (%)
80%100%120%
Na+100.5100.1101.0
K+100.399.1100.9
Mg2+99.4101.199.5
Ca2+100.4100.1100.2
Cl100.599.799.9
Table 8. Contents (RSD%, n = 6) of different ions following analysis of PN solutions.
Table 8. Contents (RSD%, n = 6) of different ions following analysis of PN solutions.
PN SolutionNa+ (%)K+ (%)Mg2+ (%)Ca2+ (%)Cl (%)
1102.4 (0.7)99.4 (0.7)101.2 (0.5)101.3 (0.8)99.1 (0.8)
2100.4 (0.6)98.9 (0.7)100.8 (0.9)100.1 (0.5)100.5 (0.9)
Table 9. Composition of the PN solution.
Table 9. Composition of the PN solution.
IngredientsContents
Sodium glycerophosphateSodium 23.8 mM
K2HPO4 anhydrousPotassium 8.6 mM
KH2PO4 anhydrousPotassium 1.0 mM
Ca gluconate 10%Calcium 20.65 mM
KClPotassium 18.5 mM, chloride 18.5 mM
NaClSodium 20.3 mM, chloride 20.3 mM
MgCl2 6 aquaMagnesium 3.45 mM, chloride 6.9 mM
VaminolactAlanine 6.3 g/L, arginine 4.1 g/L, aspartic acid 4.1 g/L, cysteine/cystine 1.0 g/L, glutamic acid 7.1 g/L, glycine 2.1 g/L, histidine 2.1 g/L, isoleucine 3.1 g/L, leucine 7.0 g/L, lysine 5.6 g/L, methionine 1.3 g/L, phenylalanine 2.7 g/L, proline 5.6 g/L, serine 3.8 g/L, taurine 0.3 g/L, threonine 3.6 g/L, tryptophan 1.4 g/L, tyrosine 0.5 g/L, valine 3.6 g/L
Glucose 70%
Water for injection
Glucose 70% 240 mL/L
Table 10. Chromatographic parameter settings applied in the experimental design of the robustness study.
Table 10. Chromatographic parameter settings applied in the experimental design of the robustness study.
ParameterLow Value (−)Central Value (0)High Value (+)
Suppressor current (mA)303234
Concentration of MSA (mM)293031
Column temperature (°C)343638
Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Share and Cite

MDPI and ACS Style

Wen, Z.; Wolfs, K.; Van Schepdael, A.; Adams, E. Determination of Inorganic Ions in Parenteral Nutrition Solutions by Ion Chromatography. Molecules 2022, 27, 5266. https://doi.org/10.3390/molecules27165266

AMA Style

Wen Z, Wolfs K, Van Schepdael A, Adams E. Determination of Inorganic Ions in Parenteral Nutrition Solutions by Ion Chromatography. Molecules. 2022; 27(16):5266. https://doi.org/10.3390/molecules27165266

Chicago/Turabian Style

Wen, Zhiqi, Kris Wolfs, Ann Van Schepdael, and Erwin Adams. 2022. "Determination of Inorganic Ions in Parenteral Nutrition Solutions by Ion Chromatography" Molecules 27, no. 16: 5266. https://doi.org/10.3390/molecules27165266

Article Metrics

Back to TopTop