Rapid fractionation of Al in human serum by the use of HiTrap desalting size exclusion column with ICP-MS detection

Abstract

To understand the pathways of Al transport in human body it is necessary to identify and quantify Al species present in human serum. It has been demonstrated that about 90% of Al in human serum corresponds to high molecular mass species (HMM-Al) and that Al is bound exclusively to transferrin (Tf). The remaining Al exists in low molecular mass species (LMM-Al) bound predominantly to Al-citrate. In studies of the efficiencies of the chelation therapies and to perform kinetic studies of Al binding to Tf, rapid and reliable analytical procedures are required. Therefore, a new analytical procedure for the efficient, reliable and fast separation of proteins from LMM compounds in serum was developed by the use of a HiTrap desalting size exclusion column. Unspiked and spiked human serum that was left for six hours to reach approximately thermodynamic equilibrium were studied. The separation of HMM-Al from LMM-Al species was accomplished with tris-HCl buffer (pH 7.4) in 10 min. Al elution profile was followed by ICP-MS detection. In the first 5 min HMM-Al compounds were eluted, followed by the elution of LMM-Al species from 5 to 10 min. Results demonstrated that about 94% of Al was present in the HMM (protein) fraction. To prove the reliability of the fractionation procedure developed, the protein peak and LMM separated species were collected in 5 mL fractions, followed by the previously developed speciation procedures. Speciation of the protein peak by CIM^® DEAE-ICP-MS verified that about 98% of Al was bound to Tf. In the LMM serum fraction Al-citrate was separated on the FPLC column coupled to ICP-MS. Speciation data confirmed the reliability of the developed fast fractionation procedure. It represents a promising tool for investigations of kinetics of Al binding to Tf and may also be applied in studies of the efficiencies of the chelation therapies in patients overloaded with Al.