Simultaneous HPLC determination with light-scattering detection of lactulose and mannitol in studies of intestinal permeability in pediatrics.
We describe a new HPLC method for the simultaneous determination of lactulose and mannitol in urine, in which cation-exchange chromatography and evaporative light-scattering detection are used. The two sugars are orally administered for the estimation of intestinal permeability in children. Samples were purified by solid phase extraction on a C18 cartridge and subsequent addition of anion-exchange resin. Cellobiose may be used as an internal standard. The chromatographic separation was carried out in 16 min at a flow rate of 0.5 mL/min, using deionized water as the mobile phase. Within-run precision (CV) measured at three concentrations was 1.6-2.3% for lactulose and 1.0-1.9% for mannitol. Between-run CVs were 2.1-4.1% and 1.3-2.7% for lactulose and mannitol, respectively. Analytical recovery of both sugar probes was 97-101%. The detection limits (signal-to-noise ratio = 3) were 0.82 mg/L for lactulose and 0.65 mg/L for mannitol. The lactulose/ mannitol ratio in control subjects was 0.024 +/- 0.006; in patients with Crohn's and coeliac diseases in active phase, the ratios were 0.200 +/- 0.082 and 0.072 +/- 0.025, respectively. The method is rapid, simple, and sensitive, and suitable for determination of intestinal permeability in children.
Marsilio
R
R
Department of Pediatrics, University of Padua, Italy.
D'Antiga
L
L
Zancan
L
L
Dussini
N
N
Zacchello
F
F
D000284:Administration, Oral; D000293:Adolescent; D002446:Celiac Disease / Q000652:urine; D002648:Child; D002675:Child, Preschool; D002851:Chromatography, High Pressure Liquid; D002852:Chromatography, Ion Exchange; D003424:Crohn Disease / Q000652:urine; D005260:Female; D005765:Gastrointestinal Agents / Q000008:administration & dosage / Q000652:urine*; D006801:Humans; D007223:Infant; D007408:Intestinal Absorption; D007792:Lactulose / Q000008:administration & dosage / Q000652:urine*; D008027:Light; D008297:Male; D008353:Mannitol / Q000008:administration & dosage / Q000652:urine*; D010539:Permeability; D012542:Scattering, Radiation; D012680:Sensitivity and Specificity
D005765:Gastrointestinal Agents; D008353:Mannitol; D007792:Lactulose