title: Identification and quantification of the glucose degradation product glucosone in peritoneal dialysis fluids by HPLC/DAD/MSMS.
abstract: Glucose degradation products (GDPs) formed during heat sterilization of peritoneal dialysis (PD) fluids exert cytotoxic effects and promote the formation of advanced glycation end-products in the peritoneal cavity. As a result, long-term application of continuous ambulatory peritoneal dialysis is limited. The composition and concentration of GDPs in PD fluids must be known to evaluate their biological effects. The present study describes a targeted screening for novel GDPs in PD fluids. For this purpose, dicarbonyl compounds were converted with o-phenylenediamine to give the respective quinoxaline derivatives, which were selectively monitored by HPLC/diode array detector. Glucosone was thereby identified as a novel major GDP in PD fluids. Product identity was confirmed by LC/MSMS analysis using independently synthesized glucosone as a reference compound. Furthermore, a method was developed to quantify glucosone in PD fluids by HPLC/UV after derivatization with o-phenylenediamine. The method's limit of detection was 0.6 microM and the limit of quantitation 1.1 microM. A linear calibration curve was obtained between 1.1 and 113.9 microM (R(2)=0.9999). Analyzed at three different concentration levels, recovery varied between 95.6% and 102.0%. The coefficient of variation ranged between 0.4% and 4.7%. The method was then applied to the measurement of glucosone in typical PD fluids. Glucosone levels in double chamber bag PD fluids varied between not detectable and 6.7 microM. In single chamber bag fluids, glucosone levels ranged between 28.7 and 40.7 microM.
authors.affiliation: Department of Chemistry and Pharmacy, Food Chemistry, Emil Fischer Center, University of Erlangen-Nuremberg, Schuhstr. 19, 91052 Erlangen, Germany.
authors.forename: Stefan
authors.initials: S
authors.lastname: Mittelmaier
authors.forename: Michael
authors.initials: M
authors.lastname: Fünfrocken
authors.forename: Dominik
authors.initials: D
authors.lastname: Fenn
authors.forename: Thomas
authors.initials: T
authors.lastname: Fichert
authors.forename: Monika
authors.initials: M
authors.lastname: Pischetsrieder
mesh_terms: D002851:Chromatography, High Pressure Liquid / Q000295:instrumentation* / Q000379:methods*; D015314:Dialysis Solutions / Q000737:chemistry*; D005947:Glucose / Q000378:metabolism*; D007661:Ketoses / Q000032:analysis*; D013058:Mass Spectrometry / Q000295:instrumentation*; D010530:Peritoneal Dialysis; D012015:Reference Standards; D015203:Reproducibility of Results
chemical_list: D015314:Dialysis Solutions; D007661:Ketoses; C017022:glucosone; D005947:Glucose