Clinical Chemistry
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Clinical Chemistry 46: 1003-1005, 2000;
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(Clinical Chemistry. 2000;46:1003-1005.)
© 2000 American Association for Clinical Chemistry, Inc.


Technical Briefs

Glutathione and Glutathione Metabolites in Small Tissue Samples and Mucosal Biopsies,

Katharina S. Kuhn1,a, Angela I. Krasselt1 and Peter Fürst1

1 Institute of Biological Chemistry & Nutrition, University of Hohenheim, Garbenstrasse 30, 70593 Stuttgart, Germany
a author for correspondence: fax 49-711-4592283, e-mail kkuhn{at}uni-hohenheim.de

Cellular glutathione homeostasis depends on a complex process of precursor amino acid uptake, synthetic enzymatic capacity, and redox cycling of the oxidized tripeptide to its reduced state (1). Appropriate assessment of cellular glutathione status should include measurement of concentrations of the precursor amino acids and dipeptides involved in glutathione homeostasis.

The use of the fluorogenic reagent ammonium-7-fluorobenzo-2-oxa-1,3-diazole-4-sulfonate (SBD-F) previously has been restricted to the quantification of homocysteine in plasma and serum (2)(3)(4) as well as thiols in urine (5). For the measurement of biologically important thiols, SBD-F possesses major advantages: high reactivity with thiol compounds, a low detection limit, high stability of the derivatives, and lack of native fluorescence or fluorescent byproducts (2)(3)(6). Previously reported methods using electrochemical detection (7)(8)(9) required that samples be analyzed within 2–12 h of processing. HPLC methods using derivatization of thiols with monobromobimane (10), N-(1-pyrenyl)maleimidine, or o-phthaldialdehyde (11) were used to measure intracellular thiols in muscle biopsies and in cell cultures, respectively. Apparently, these methods are less suitable in biological matrices because the sensitivities of the N-(1-pyrenyl)maleimidine and monobromobimane methods, respectively, merely facilitate measurements of Cys and glutathione (10)(11), whereas in the isocratic o-phthaldialdehyde method serious interferences invalidate separation of overlapping peaks (11).

In the present work, we report a routinely manageable, sensitive HPLC method for the separation of glutathione, its precursor amino acid Cys as well as the dipeptides {gamma}-Glu-Cys and Cys-Gly in small tissue specimens.

Heart, liver, lungs, musculus tibialis anterior, and small intestine were removed from male Sprague–Dawley rats (190–240 g) between 0830 and 1100 under anesthetic [Narketan® (0.1 mL/100 g of body weight) and Xylazin® (0.08 mL/100 g of body weight)]. Specimens were snap frozen in liquid nitrogen within 2 min after removal. Sample preparation was carried out as quickly as possible at 4 °C to minimize changes in the glutathione redox status.

Human mucosal biopsies (4–18 mg wet weight) were taken endoscopically (Robert-Bosch Hospital, Stuttgart, Germany) by coloscopy or gastroscopy and immediately snap frozen in liquid nitrogen. Patients gave informed written consent, and the study protocol had been approved previously by the local ethics committee. The procedure was in accordance with the ethical standards as formulated in the revised Helsinki Declaration of 1983.

Each specimen (wet weight, 4–100 mg) was transferred to a Potter-Elvejhem glass homogenizer, extracted with 1–5 mL of ice-cold 60 g/L sulfosalicylic acid (SSA)-1 mmol/L EDTA, and rapidly homogenized while the protein was directly precipitated. After centrifugation (1500g for 5 min at 4 °C), aliquots of the clear supernatants were either derivatized and analyzed promptly or stored for stability evaluation at -60 °C for 1, 4, and 12 weeks, respectively. The precipitate was analyzed for the concentrations of protein-bound thiols.

Glutathione recovery was determined by adding known amounts of either reduced (GSH) or oxidized (GSSG) glutathione (final concentrations, 10–20 and 2.5–5 µmol/L, respectively) to the SSA solution used for homogenization. Pieces from the same tissue were extracted for analysis with SSA solutions with and without added glutathione.

Reduction (n-tributylphosphine; Sigma) and derivatization (SBD-F; Fluka) of free thiol compounds were performed as described previously (3). We could confirm the stability of the SBD-F derivatives for 24 h at 4 °C (autosampler temperature). A new approach was that additional measurements were performed for each sample by omitting the thiol-reducing step with n-tributylphosphine, thus yielding the fraction of reduced thiols. In the reduction of disulfide bonds, dithiothreitol has been a widely used reagent (10)(11). However, in combination with the SBD-F method, n-tributylphosphine should be the reducing agent of choice. Indeed, the reaction of dithiothreitol with SBD-F yields fluorescent byproducts that interfere with the HPLC separation and detection of the physiologic thiols.

The chromatographic system was a Merck HPLC system with an L-7100 HPLC pump, a D-7000 interface, an L-7360 column oven (set at 20 °C), an L-7250 autosampler with a Rheodyne injection valve (20-µL loop), and an L-7480 fluorescence detector (385 nm excitation/515 nm emission). Data analysis was performed using Hitachi D-7000 HPLC System Manager software. To minimize the matrix-related errors of the original SBD-F method, we introduced a gradient elution chromatography, which allowed greater flexibility to adapt the system to a variety of tissue matrices: 0 min, 6% B; 8 min, 7% B; 9 min, 60% B; 14 min, 80% B; 15 min, 100% B; 22 min, 100% B; 24 min, 6% B; 30 min, 6% B. Elute A was methanol-phosphate buffer (0.1 mol/L, pH 6; 2:98, by volume), and elute B was methanol-water (50:50, by volume). Routinely, single-point calibration was achieved by comparison with an external calibration solution [10 µmol/L Cys, 5 µmol/L {gamma}-Glu-Cys (Kyowa Hakko), 2.5 µmol/L Cys-Gly (Bachem), 50 µmol/L glutathione] run every 8–10 samples. In Fig. 1 , typical chromatograms depict the separation of four thiols from rat cardiac muscle.



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Figure 1. Typical HPLC analysis of a rat heart sample.

Sample preparation and chromatographic conditions were as described in the text. A, complete chromatogram; B, detailed view of the intensity range 0–30 mV for the identification of Cys, {gamma}-Glu-Cys, and Cys-Gly.

The "within-run" imprecision of the method evaluated by the relative standard deviation (RSD) was assessed from replicate HPLC analyses of 20 calibrators derivatized separately and was 3.2% for Cys, 2.2% for {gamma}-Glu-Cys, 2.9% for Cys-Gly, and 2.0% for glutathione.

The "within-day" variation in tissue samples (muscle, liver, mucosa) was assessed by the RSD from duplicate analyses on 10 consecutive days. The RSD was <2% for both free and reduced glutathione; for the free and reduced thiols, respectively, the RSD was 2.3–2.9% and 4.6–6.6% for Cys, 4.8–10.1% and 4.9–18.6% for {gamma}-Glu-Cys, and 6.2–18.0% and 4.5–11.9% for Cys-Gly.

Calibration curves based on 12 duplicate analyses of the calibrators (Cys, 0.2–44 µmol/L; {gamma}-Glu-Cys, 0.1–22 µmol/L; Cys-Gly, 0.05–11 µmol/L; glutathione, 1–220 µmol/L) on 5 consecutive days showed excellent linearity of the response in the range of tissue concentrations for all thiol compounds; correlation coefficients (r) were always >=0.999. The variations of the slopes were 2.8% for Cys, 1.5% for {gamma}-Glu-Cys, 2.0% for Cys-Gly, and 1.1% for glutathione.

The detection limits (signal-to-noise ratio of 3:1) were 0.3 pmol for Cys, 0.2 pmol for {gamma}-Glu-Cys, and 0.1 pmol for Cys-Gly and glutathione. In the present study, the modified SBD-F method facilitated a 10- to 20-fold increase in sensitivity compared with the monobromobimane method, thus allowing satisfactory and highly reproducible measurements of glutathione and Cys in tissue specimens of ~5 mg, such as endoscopic intestinal biopsies, whereas for measurements of dipeptides, 20 mg (liver, mucosa) to 60 mg (muscle) was required. Endoscopic techniques are less invasive and time-consuming than conventional surgical procedures, allowing rapid sample handling, thereby minimizing ischemia-induced changes in glutathione status.

The tissue concentrations of thiol compounds are given in Table 1 . GSH ranged from 94% of free tissue glutathione in intestinal mucosa up to 98% in the heart; the amount of protein-bound glutathione in precipitated protein was <0.1%. Indeed, the values for tissue distribution of glutathione are in good agreement with earlier reported data (12). The mean recoveries of GSH and GSSG were 91–98% of the original value except in the heart samples, where an average of 88% of the amount of GSSG added was recovered as SBD-F derivatives.


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Table 1. Concentrations of free and reduced thiols as measured in deproteinized rat tissue extracts (n = 6) and intact human gastric (n = 12) or colonic (n = 11) mucosal biopsies.

Stability of thiol compounds during prolonged storage of the deproteinized tissue homogenates is a prerequisite for reliable analysis in clinical and experimental setting. Previously, it had been shown that the glutathione content in kidney SSA homogenates was comparable to original measurements within a 10% error after storage at -70 °C for 12 months (13). We were able to confirm the stability of glutathione for up to 12 weeks at -60 °C, with concentrations of free glutathione and GSH assessed after 12 weeks ranging from 92% to 106% of the original value. Tissue Cys concentrations showed greater variability; they were decreased by 8–23% after storage for 12 weeks. The considerable variations observed in the repeatedly measured concentrations of the dipeptides {gamma}-Glu-Cys and Cys-Gly suggest that their reliable assessment necessitates immediate SBD-F derivatization.


Acknowledgments

We gratefully acknowledge financial support from Fresenius-Kabi, Bad Homburg, Germany. We thank S. Cvek and M. Wolter for excellent technical assistance, are indebted to Prof. Dr. H-C. Bode, Robert Bosch Hospital, Stuttgart, for providing us with the human mucosal biopsy specimens.


References

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