CLIN.CHEM. 28/7,1457-1460(1982) Simple, ReliableChromatographicMeasurementof Oxalate in Urine Antonio Di Corcia,’ Roberto Samperi,1 Giuliana Vinci,1 and Giuseppe D’Ascenzo2 In thisassay foroxalateinurine,oxalateisadsorbed from the urineonto graphitizedcarbon black (Carbopack B). Afterdesorptionand removal of the solvent,oxalicacid is gas-chromatographically measured after being deriva- tizedwithBF3/methanol.Chromatography is on Carbopack B/polyethylene glycol (M. 20 000),93.7/6.3by weight.The lower limit of detection of urinary oxalate is about 3 mg/L (CV 3.6%). A seriesofoxalatedeterminationsin24-h urinesamples of 15 subjectsgave a mean of 47.1 (SD 15.4) mg/24 h, with an analytical recovery of 97.4% (SD 3.0%, range 93.6-102.4%). Total analysis time for one sample is about 2 h. AddItIonal Keyphrases: adsorption vatization gas chromatography desorption den- #{149} Determination of urinary oxalate is of much interest for the diagnosis of various types of primary hyperoxaluria. Knowledge of the oxalate content of urine from patients with calcium oxalate nephrolithiasis, correlated with other data, can also aid urologists in clarifying which biochemical and (or) physiological mechanisms are operative in stone formation. Although there has been considerable work on methods for urinary oxalate measurement, almost none of these combine simplicity, rapidity, and reliability. Enzymic methods (1,2) are highly sensitive and require no sample pretreatment but are time consuming and expensive (3). Colorimetric determinations (4) are simple to perform but are affected by several positively interfering substances that can cause overestimation of urinary oxalate (5). Gas chromatography (GC), being both specific and sensitive, has been extensively exploited for determination of oxalate in both urine and serum (5-7). Nevertheless, many of the GC methods reported involve time-consuming samplepurification procedures, such as precipitation. Adsorbing materials for cleanup of biological samples are increasingly attracting attention for determination of compounds of biomedical interest (8-10). Column techniques for this are rapid, reliable, and simple, and offer additional selectivity when combined with GC analysis. Here we describe an accurate, rapid, and simple method for determining oxalate in urine. Samples are passed through a colunm filled with graphitized carbon black as adsorbent. The retained oxalate is eluted with acidified methanol. This solvent is then evaporated and the residue, derivatized with BF3 in methanol, is measured by GC. Materials and Methods We obtained 24-h urine specimens from 15 with 30 mL of toluene in the container as preserva- Materials. subjects, Istituto di Chimica Analitica, Universit#{224} Degli Studi di Roma, 00185 Roma, Italy. 2 Istituto Chimico, Universit#{224} di Camerino, Italy. Received Feb. 8, 1982; accepted April 6, 1982. tive. Oxalic acid (99.5%), 2-heptanone (the internal standard), and boron trifluoride (100 mL/L of methanol) derivatizing agent were all obtained from Fluka AG, Switzerland. Graphitized carbon black (Carbopack B, 80-120 mesh) was from Supelco Inc., Bellefonte, PA 16823. Polyethylene glycol (Mr 20 000) was from Carlo Erba, Milan, Italy. We used the Carlo Erba Model GI gas chromatograph equipped with a flame ionization detector, and we quantified peaks with a Shimadzu Model Chromatopac C-E 1 B integrator. The gas-chromatographic column adopted for quantitation was glass, 2 m X 2 mm (i.d.), packed with the same material used for the cleanup procedure-that is, Carbopack B-suitably modified with added polyethylene glycol (PEG). Preparation of the packing material and the column packing procedure were as previously described in detail (11, 12); final proportions of materials are Carbopack/PEG 93.7/6.3 by weight. The GC column was conditioned overnight at 250 #{176}C with nitrogen. For the quantitation procedure, the column was operated at 145 #{176}C with nitrogen as carrier gas and with a dead time of 25 s. The injection-port temperature was 180 #{176}C. A 5-sL Hamilton syringe, Model 801, was used to inject the final sample. Procedure. Prepare the purification 0.6 g of Carbopack B particles column by suspending in 0.1 mol/L aqueous HC1 and into a 14 X 0.6 cm glass column introducing the suspension fitted with a Teflon stopcock. Pack the adsorbent by tapping the column while passing distilled water through it, until the column of carbon is 6.5cm high and the effluent water is at pH 6 (pH paper). Pass through the column, at a flow-rate of about 0.6 mL/min, 2 mL of the 24-h urine, previously diluted with an equal volume of water and then acidified with concentrated HC1 to pH 3 (pH meter). When the meniscus of the sample reaches the top of the carbon, wash the column by passing through 1.5 mL of water acidified with HC1 to pH 3. Use methanol acidified with HC1 (0.1 mol/L) to desorb oxalic acid from Carbopack B. Discard the first 4.6 mL of the effluent from the column and collect the following 1.3 mL, which contains oxalic acid, in a 10-mL air-tight screw-capped glass vial fitted with a silicone-rubber septum. The discarded fraction consists of 1.2 mL of dead volume, 2 mL of diluted urine, urine and 1.4 mL of the acidified water volume. Evaporate the collected just following fraction-mainly the methanol, with some water-under a stream of nitrogen while the tube is in a water bath maintained at 50 ± 1 #{176}C. Derivatize the residue by adding 0.1 mL of the methanolic BF3, capping the vial, and incubating for 5 mm in a water bath at about 70 #{176}C. After cooling the tube, add 10 L of 2-heptanone solution (1.11 gIL), then inject 0.6 tL onto the GC column. Figure 1A shows a typical GC profile for an unsupplemented urine. Calculations. To calculate the amount of oxalate in urine from the GC peak, prepare an oxalic acid/water/methanolic HC1 standard solution and evaporate a known volume of it. After derivatization, add 10 sL of the 2-heptanone standard solution, make replicate injections, and measure the peak area ratios of the dimethyl oxalate and the internal standard. We CLINICAL CHEMISTRY, Vol. 28, No. 7, 1982 1457 A B E x I- II- 4 a #{243} 468 TIME(min) Fig. 1. Gas chromatograms of a purified and derivatized urine: A, diluted with an equalvolume of water;B, diluted 20-fold with aqueous HCI (pH 3) to evaluate the minimum detectable amount of oxalate IS., Internal std repeated this procedure four times, varying the volume of the oxalic acid standard solution. Calculate the response factor (R.F.) for oxalic acid vs the fixed amount of internal standard used by dividing the amount of oxalic acid by the relative peak area obtained. When the concentration of the internal standard solution is 1.11 g/L, the R.F. value is 0.0659. Then calculate the amount of oxalate in 1 mL of urine (the urine volume effectively submitted to analysis) by the expression: glLofurine method, we prepared a 24-h urine sample as described in the previous section, and divided it into eight aliquots. Three of these aliquots were supplemented with known, increasing amounts of oxalic acid. Four aliquots were further diluted with various known amounts of aqueous HC1, pH 3. One aliquot was left unmodified. Each aliquot was analyzed six times, and the results are shown in Table 1. The coefficients of variation ranged from 1.5% for medium-concentration urines to 3.6% for high-dilution urine. The medium CV was 2.5% over the range of oxalate concentrations considered. The limit of sensitivity at which oxalate could be accurately measured where T is the mean recovery; A and Ais are the respective peak areas for oxalate and the internal standard; 88 is the relative molecular mass of the oxalate anion; and 90 is the relative molecular mass of oxalic acid. This latter correction is introduced to account for the fact that oxalic acid is used to calculate the R.F. value. Analytical Results and Discussion Precision and Limit of Sensitivity To evaluate the precision and the limit of sensitivity 1458 CLINICALCHEMISTRY,Vol.28,No.7, 1982 (CV 3.6%) was about 3 mg/L. At this concentration, a well-defined chromatographic peak for oxalate could be still obtained (Figure 1B). The percentage recovery was found to be independent of the amount of oxalate in the urine. Evidently the adsorbent used for the cleanup procedure was not saturated. of the Recovery and Normal Values Recovery was evaluated by adding known amounts of oxalic acid to 24-h urine specimens from 15 different subjects and analyzing them. Recovery was 97.4% (SD = 3.0%, range Table 1. Results of Analyses (n 6) of a Urine Supplemented with Oxalic Acid or Diluted with Aqueous HCI (pH 3) = Table 2. Analytical Recovery of Oxalate under Various Analytical Conditions OxaIIc acId In urhie, a mg/L Found Mean (SD) CV, % 0 42 84 64.7 (1.8) 103.7 (2.3) 146.3 (2.2) 2.8 2.2 1.5 97.2 98.4 300 357.4(5.7) 1.6 98.0 Added 0, dil. 2foldb 0, dll. 5-fold 0, dll.10-fold 0, dil. 20-fold 31.3(0.6) 12.8(0.45) 6.5(0.15) 1.9 3.5 2.3 3.3 (0.12) 3.6 ‘Diluted wIth an equal volume wIth aqueous HCI, pH 3. Recovery, of water before analysIs (see text). 93.6-102.4%). The daily mean oxalate excretion (SD 15.4 mg, range 31.7-91.8 mg). 5DIIuted was 47.1 mg As reported elsewhere (13, 14), the selectivity of liquidmodified GC can be changed by varying the proportions of the liquid on the adsorbent surface. We found 6.3% PEG/modified Carbopack B to be the most selective packing material for GC quantitation of oxalic acid. Definitive evidence of this was achieved by connecting the chromatographic column to a mass spectrometer. For 15 different urine samples, the fragmentation patterns of the peaks supposedly representing oxalate in urine were identical to the pattern for authentic dimethyloxalate, no additional peak in the mass spectrum being observed. Internal standard was not added at the beginning of the extraction and derivatized, because no synthetic oxalate-like compound was eluted together with oxalic acid from the purification column. Of many compounds tested, 2-heptanone appeared to be the most suitable internal standard, because its retention time is near to that of dimethyl oxalate and its peak did not overlap with peaks for endogenous compounds in urine. Usually, to obviate incomplete conversion of oxalic acid to its corresponding ester, an acidic compound is used as internal standard by adding it before the derivatization procedure. This expedient was found to be unnecessary because we observed that, under our experimental conditions, residual amounts of oxalic acid were converted to dimethyl oxalate in the injection port of the GC apparatus. Storage The effect of storage on the oxalate concentration in urine was evaluated. A 24-h urine, collected with toluene as preservative and stored at room temperature, was analyzed seven times during three months. We saw no significant change in the oxalate concentration. The day-to-day CV was 5.3%. AnalyticalOptimization Studies We made a set of measurements on a 24-h urine sample from a selected subject, with analytical conditions described in the procedure section each time being modified by changing only one sequential variable. This was done to establish optimum analytical conditions for accurate, rapid oxalate determination and to ascertain which conditions were critical. 2 summarizes the results. As can be seen, there was considerable As reportedintext Undiluted urine Sample atpH 2.5 % Specificity Table Recovery, % (n = 3) ConditIons loss of oxalate if the 93.6 53.0 62.3 75.5 83.2 79.3 81.2 93.6 Sample at pH 3.5 Without water washes Bath temperature at 60 #{176}C 50 zL ofBF3/CH3OH Time ofderivatization: 5 mm dilution step for this particular urine was omitted, but for other urine samples examined, oxalate recovery was not markedly increased after sample dilution with water. The reason for this behavior is not clear to us. Perhaps this urine contained substances capable of capturing oxalate. If so, this ability was strongly dependent upon concentration, because a simple one-to-one dilution with water sufficed to overcome such activity. Accordingly, we dilute urines before analysis, to eliminate the possibility of occasionally obtaining erratic, low values for oxalate concentration. The losses observed when the pH of urine was adjusted to values other than pH 3 may be accounted for by two considerations. First, in an acidic medium some surface sites of GC are rearranged to form salts that can exchange anions (15). This rearrangement occurs when Carbopack B particles are suspended in acidified water before the purification column is prepared. Second, at pH 3, oxalate is almost exclusively present as the HC2O anion, while the H2C2O4 or C20r forms are partly present at pH values of 2.5 and 3.5, respectively. From these considerations and on the basis of the experimental observation, it follows that oxalate is retained by the Carbopack surface by an anion-exchange mechanism. Moreover, oxalic acid is not adsorbed by the adsorbent and the C20r anion is so strongly bound on the carbon surface that the HC1/methanol solvent mixture cannot remove it. Low analytical recovery on omitting the water-washing step before addition of acidified methanol may be ascribed to the presence in urine of substances that water cannot remove from the column but that, under our experimental conditions, are eluted with methanol, interfering during the derivatization of oxalic acid. To optimize analytical conditions in terms of rapidity and sensitivity, measurements were made by varying the bath temperature for solvent removal, the duration of derivatization, and the volume of BF3/CH3OH needed to prepare dimethyl oxalate. Bath temperatures exceeding 50#{176}C caused loss of sample, probably owing to some decomposition of oxalic acid. Derivatizations longer than 5 mm were unnecessary. Volumes of BF3/CH3OH lower than 0.1 mL caused incomplete derivatization of oxalic acid, probably owing to the presence of traces of water in the residue, which partly decompose BF3. We thank F. Bruner (Urbino, Italy) for GC-MS measurements and Miss Doralba Berardo for assistance with the manuscript. References 1. Bennett, D. J., Cole, F. F., dioenzymatic isotope-dilution Frohlich, E. D., and Erwin, D. T., A raassay for oxalate in serum or plasma. Clin. Chem. 25, 1810-1813 (1979). 2. SaIls, J. D., Lumley, M. F., and Jordan, J. E., An assay for oxalate based on the conductometric measurement of enzyme-liberated CLINICALCHEMISTRY,Vol. 28,No.7, 1982 1459 dioxide. Biochem. Med. 18, 371-377 (1979). 3. Kohlbecker, G., Richter, L., and Butz, M., Determination of oxalate carbon in urine using oxalate oxidase: Comparison with oxalate decarboxylase. J. Clin. Chern. Clin. Biochem. 17, 309-313 (1979). 4. Hodgkinson, A., and Williams, A., An improved colorimetric procedure for urine oxalate. Clin. Chim. Acta 36, 127-132 (1972). 5. Farrington, C. J., and Chalmers, A. H., Gas-chromatographic estimation of urinary oxalate and its comparison with a colorimetric method. Clin. Chem. 25, 1993-1996 (1979). 6. Dosch, W., Rapid and direct gas chromatographic determination of oxalic acid in urine. Urol. Res. 7, 227-234 (1979). 7. Moye, H. A., Malagodi, M. H., Clarke, D. H., and Miles, C. J., A rapid gas chromatographic procedure for the analysis of oxalate ion in urine. Clin. Chim. Acta 114, 173-185 (1981). 8. Narasimhachari, N., Evaluation of C18 Sep-Pak cartridges for biological sample clean-up for tricyclic antidepressant assays. J. Chromatogr. Biomed. AppI. 225, 189-195 (1981). 9. Williams, V. P., Ching, D. K., and Cederbaum, S. D., Adsorption 1460 CLINICAL CHEMISTRY, Vol. 28, No. 7, 1982 of organic acids from amniotic fluid and urine onto silica gel before analysis by gas-chromatography. Clin. Chem. 25, 1814-1820 (1979). 10. Di Corcia, A., Ripani, L., and Sainperi, R., A chromatographic micro-procedure for trace determination of phenobarbital in blood serum. J. Chromatogr. Biomed. APPI., in press. 11. Di Corcia, A., Samperi, R., and Severini, C., An improved GC column for trace determination of aliphatic amines in water. J. Chromatogr. 170, 325-328 (1979). 12. Di Corcia, A., Samperi, R., and Liberti, A., Tetranitrofluore- none-modified graphitized carbon black for GC analysis of aromatic J. Chromatogr. 122,459-464 (1976). 13. Di Corcia, A., Liberti, A., and Samperi, R., Gas-liquid-solid chromatography-theoretical aspects and analysis of polar compounds. Anal. Chem. 45, 1228-1235 (1973). 14. Di Corcia, A., and Liberti, A., Gas-liquid-solid chromatography. Adv. Chromatogr. 14,305-3M (1976). hydrocarbons. 15. Boehm, H. P., Adv. Catalysis 16, 179-273 (1966).
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