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The Guelph-Waterloo Center for Graduate Work in Chemistry, Department of Chemistry, University of Waterloo,
Waterloo, Ontario, Canada N2L 3G1
Solid-phase microextraction (SPME) has been applied to polyunsaturated fatty acids.3 Several organic compounds can be
the quantitative determination of ethanol, acetone, and associated, for example, with lung cancer,4 liver disease,5,6 and
isoprene in human breath. The method involves extrac- myocardial infarction.7 Increased concentrations (>50 nmol/L)
tion and preconcentration with a fused silica fiber coated of acetone have been detected in the breath of patients suffering
with a polymeric stationary phase, desorption at 200 °C, from diabetes, a chronic disorder in which either the pancreas is
and assay by gas chromatography/mass spectrometry. unable to produce insulin or the body is unable to effectively use
Three different fiber coatings have been evaluated with insulin.8-10 Moreover, breath acetone can be used to monitor
regard to sensitivity, linear range, precision, and detection patients on diets. A weight reduction of about 225 g/week is
limits. Typical RSD values in the range 2%-6% could be indicated by an acetone concentration of 500 nmol/L. Eating
obtained, depending on the fiber coating and the com- meals with a high carbohydrate content significantly decreases
pound investigated. The calibration curves for the com- this concentration.10 Breath acetone analysis can, therefore, be
pounds are reproducible and linear over the concentration used as a motivational tool during weight-loss programs. Inhala-
ranges found in human breath samples. The method is tion toxicology is another area of interest. Exposure of workers
capable of detecting concentrations of acetone and iso- to environmental pollutants can be monitored by breath analysis.11
prene reported for healthy subjects. The influence of Routine breath analysis is applied for the determination of ethanol
temperature and humidity on the extraction process has
because its concentration in breath is directly related to the
been studied in detail. A linear relationship between log
concentration in blood. A breath-to-blood ratio of 1:2100 is used
K versus 1/T allows the calibration of the method for any
when breath alcohol measurement devices are calibrated to reflect
given temperature. The device is portable, economical,
blood alcohol concentrations.12 Values displayed by breathalyzers
and easy to use in patient sampling.
show the blood concentration of alcohol that would be assumed
by the breath alcohol concentration.
In recent years there has been increased interest in the Breath compounds are present in nanomolar or even lower
determination of breath compounds in medicine and clinical
quantities.1 To improve the sensitivity and precision of the
toxicology. More than 100 compounds have been identified in
determination of these compounds, the sample has to be concen-
normal human breath by gas chromatography and mass spec-
trated before assay with gas chromatography/mass spectrometry
trometry.1 These voliatile organic compounds (VOCs) are pro-
(GC/MS). The three main methods currently utilized for pre-
duced by metabolic processes and partition from the blood stream
concentration are chemical interaction, adsorptive binding, and
via the alveolar pulmonary membrane into the alveolar air. This
cold trapping. For example, cold trapping utilizes solid adsorbents
implies that the concentration measured in breath is related to
cooled to temperatures of liquid nitrogen or solid carbon
the concentration in blood. Breath analysis can be used as a
dioxide.13-15 Trapping systems operated at ambient temperatures
diagnostic tool because increased or decreased concentrations of
some compounds have been associated with various diseases or
(3) Van Gossum, A.; Decuyper, J. Eur. Respir. J. 1989, 2, 287-291.
altered metabolism.2 The major advantage of breath analysis is
(4) Gordon, S. M.; Szidon, J. P.; Krotoszynski, B. K.; Gibbons, R. D.; O’Neill,
that it is a noninvasive procedure. It is well accepted by patients H. J. Clin. Chem. 1985, 31 (8), 1278-1282.
because it does not incur the inconvenience of the collection of (5) Kaji, H.; Hisamura, M.; Saito, N.; Murao, M. Clin. Chim. Acta 1978, 85,
279-284.
blood or urine samples. Although many diseases have not yet (6) Chen, S.; Mahadevan, V.; Zieve, L. J. Lab. Clin. Med. 1970, 75, 622-627.
been examined in the context of using breath analysis as a (7) Weitz, Z. W.; Birnbaum, A. J.; Sobotka, P. A.; Zarling, E. J.; Skosey, J. L.
diagnostic tool, the usefulness has already been demonstrated by Lancet 1991, 337, 933-935.
(8) Levey, S.; Balchum, O. J.; Medrano, V.; Jung, R. J. Lab. Clin. Med. 1964,
the investigation of various clinical conditions. Volatile hydro- 63, 574-584.
carbons, especially ethane and pentane, have been used as (9) Rooth, G.; Ostenson, S. The Lancet 1966, ii, 1102-1105.
(10) Crofford, O. B.; Mallard, R. E.; Winton, R. E. Trans. Am. Clin. Climatol.
markers of lipid peroxidation, the oxidative degradation of
Assoc. 1977, 88, 128-139.
(11) Raymer, J. H.; Pellizzari, E. D.; Thomas, K. W.; Cooper, S. D. J. Exposure
† Present address: Department of Analytical Chemistry, Fraunhofer Institute
Anal. Environ. Epidemiol. 1991a, 1 (4), 439-451.
of Toxicology and Aerosol Research, Nikolai-Fuchs-Strasse 1, D-30625 Hannover, (12) Van Berkom, L. C. Alcohol Drugs Driving 1991, 7, 229-234.
Germany. (13) Van Gossum, A.; Shariff, R.; Lemoyne, M.; Kurian, R.; Jeejeebhoy, K. N.
(1) Krotoszynski, B. K.; Gabriel, G.; O’Neill, H. J. Chromatogr. Sci. 1977, 15, Am. J. Clin. Nutr. 1988, 48, 1394-1399.
239-244. (14) Roberts, R. J.; Rendak, J.; Butcher, J. Dev. Pharmacol. Ther. 1983, 6, 170-
(2) Manolis, A. Clin Chem. 1983, 29 (1), 5-15. 178.
S0003-2700(96)00749-4 CCC: $14.00 © 1997 American Chemical Society Analytical Chemistry, Vol. 69, No. 4, February 15, 1997 587
Figure 1. SPME device modified for breath analysis.
have also been used.16 Several published reviews discuss the contaminants in a hot GC injector. The SPME technique coupled
currently used sampling techniques.2,17 These methods require with GC has been used to analyze volatile and semivolatile air
complex devices, and each method has its particular problems. compounds.21 The fiber can be exposed directly to the air or to
The methods based on adsorptive binding or cold trapping are a sample collected in a gas sampling bulb. This paper reports on
susceptible to contamination and require an additional water trap the first application of solid-phase microextraction for the analysis
to remove the large amount of water vapor present in human of human breath. The validation of the method was based on
breath. Otherwise this water would saturate the traps, and after ethanol, acetone, and the nonpolar compound isoprene, which was
thermal desorption it could damage the GC column. Gas sampling found to be the main endogenous hydrocarbon of human breath.1
bags, often used to transport a definite volume of breath to a place
where the concentration and analysis are carried out, can be the EXPERIMENTAL SECTION
source of contamination and may lead to selective adsorption at Chemicals and Materials. Chemicals. Acetone (99.9%+,
the inner wall. Current sampling devices used to preconcentrate HPLC grade) was purchased from Sigma-Aldrich (Mississauga,
breath compounds at the time of sample collection normally ON, Canada) and isoprene (99%, inhibited with 100 ppm p-tert-
consist of a complex arrangement of tubing and valves which often butylcatechol) from Aldrich (Milwaukee, WI). Undernatured
lead to a buildup of contaminants and loss of analytes by leakage. ethanol (99.9%+, H2O < 0.1%) was obtained from a local pharmacy.
The difficulty in quantitative delivery of the sample to a gas Carbon disulfide was purchased from BDH Inc. (Toronto, ON,
chromatograph is another problem of the collection methods used Canada). Dimethyldichlorosilane (Supelco, Canada) was used to
currently. deactivate the glassware. For the Varian GC/MS system, helium
A technique is needed that does not concentrate H2O or CO2 was purchased from Praxair (Waterloo, ON, Canada).
and that can be applied directly to the mouth to preconcentrate Materials. Gas sampling bulbs (0.5 and 1.0 L) were used for
the compounds so that possible contamination due to tubing standard gas preparation (Supelco). Prior to the first use, all bulbs
material is avoided. were silanized to deactivate the interior glass surface using a 10%
Solid-phase microextraction (SPME), developed in recent years (v/v) solution of dimethyldichlorosilane in toluene. The solution
by Pawliszyn et al.,18-20 is a rapid, inexpensive, and efficient was kept in the bulbs for 12 h. After the bulbs were rinsed with
technique for sampling solid, liquid, or gaseous samples. It toluene and methanol several times, they were dried at 100 °C.
requires no solvents or complicated apparatus and provides linear After use, the gas bulbs were cleaned with deionized water,
results over a wide range of analyte concentrations. Analysis of followed by rinsing with methanol and drying at 100 °C. The bulbs
the extracts is performed using GC, GC/MS, or HPLC.18-20 In were then purged with purified nitrogen for 30 min to remove
the SPME technique, a fused silica fiber coated with a polymeric any contaminants.
stationary phase is contained in a specially designed syringe whose The SPME fibers and the holder were purchased from Supelco.
needle protects the fiber when septa are pierced. The fiber is Prior to their first use, new fibers have been conditioned under a
directly exposed to a liquid or gaseous sample to extract and helium stream to clean the fiber from any contaminants present
concentrate the analytes. After the absorption equilibration is in the coating. Conditioning was performed in a normal GC
attained, the fiber is withdrawn into the needle and introduced injection port following the instructions of the manufacturer.
into an injector of a gas chromatograph, where the extracted SPME Device Modified for Breath Analysis. The SPME
compounds are thermally desorbed and analyzed. SPME can be fiber can be directly exposed into the mouth of a subject. To
performed manually or by an autosampler. The method is avoid the subject’s tongue coming into contact with the fiber
economical, because one single fiber can be used repeatedly. during sampling, the fiber has to be protected. This is achieved
Unlike in conventional methods for analysis of gaseous samples, simply by using a small piece of inert tubing which fits onto the
modified equipment like a complex valve injection system, a depth guide of the SPME device. The tubing also serves as a
thermal desorption device, or a cooling trap is not required by mouthpiece, which can be easily replaced for hygienic reasons.
SPME. The SPME fiber is easily cleaned by desorbing any One little aperture in the tubing allows the subject to replace the
(15) Snider, M. T.; Balke, P. O.; Oerter, K. E.; Francalancia, N. A.; Pasko, K. A.;
dead volume in the tubing and to exhale during the sampling
Robbins, M. E.; Gerhard, G. S.; Richard, R. B. Life Chem. Rep. 1985, 3, procedure. Figure 1 shows the modified SPME device. The
168-173. breath sampling procedure is described below.
(16) Lawrence, G. D.; Cohen, G. Anal. Biochem. 1982, 122, 283-290.
Preparation of Standards. Preparation of Standards for the
(17) Schaeffer, H. J. J. High Resolut. Chromatogr. 1989, 12, 69-81.
(18) Chen, J.; Pawliszyn, J. Anal. Chem. 1995, 76, 2530-2533. Instrument Calibration. The standards used to calibrate the mass
(19) Zhang, Z.; Yang, M. J.; Pawliszyn, J. Anal. Chem. 1994, 66, 844A-853A.
(20) Boyd-Boland, A. A.; Pawliszyn, J. Anal. Chem. 1996, 68, 1521-1529.
(21) Chai, M.; Pawliszyn, J. Environ. Sci. Technol. 1995, 29, 693-701.
samples were analyzed using the method described in Table 1. have to be reached as long as the same extraction time is applied
Using this method, the overall run time was about 10 min. Total for both the breath and the standards, a very short sampling time
ion current was monitored for all samples; however, quantitation is possible. This is especially true for the Carbowax/DVB fiber,
was performed by selecting characteristic masses. This provided for which a sampling time of only 10 s is possible. Although the
better sensitivity and a linear calibration curve for standard equilibrium for ethanol is not reached after 10 s, the decrease in
injections. Table 1 summarizes the optimized instrumental sensitivity can be tolerated, considering that ethanol reaches much
parameters for both calibration and analysis of breath samples. higher concentrations in human breath than acetone and isoprene.
Unless otherwise stated, the analytes were thermally desorbed
RESULTS AND DISCUSSION from the fiber for 15 s at 200 °C throughout the study. The
Extraction Time Profiles. The first step in the development determination of the appropriate desorption time is important
of an SPME method is the determination of the time needed for because all of the analytes should be desorbed from the fiber to
the analyte to reach equilibrium between the sample and the fiber. reach the highest possible sensitivity and to avoid carryover. Less
The extraction time profiles of the four differently coated fibers than 1% carryover was found even when standards with high
were established by plotting the detector response versus the concentrations of ethanol (3.5 µmol/L) were extracted. Carryover
extraction time. The equilibration time is reached when a further was determined by analyzing the fiber blank directly after the
increase of the extraction time does not result in a significant initial injection and expressed as percentage of the initial peak
increase in the detector response. Figure 2 shows the extraction area. Fibers thermally desorbed for 30 s at 250 °C did not show
time profiles for 100 µm PDMS, 85 µm PA, 65 µm Carbowax/ any detectable carryover. Therefore, each fiber was predesorbed
DVB, and 65 µm PDMS/DVB fibers. All times were investigated in an extra injector port for 30 s at 250 °C prior to each extraction.
by analyzing duplicates. This procedure also ensured that no analytes were extracted from
The 100 µm PDMS fiber reached equilibrium after about 30 s the ambient air due to passive sampling.
for all three compounds investigated in this study. Acetone and Selection of SPME Coating. The choice of an appropriate
isoprene equilibrated even faster when the Carbowax/DVB fiber coating is essential for the SPME method. Depending on the
was used. Only 10 s was necessary for these compounds, whereas molecular weight and the polarity of the analytes to be extracted,
ethanol required about 1 min to reach equilibrium. The new the sensitivity of each fiber is different. Four types of coatings
PDMS/DVB fiber also showed fast equilibration times. Isoprene were investigated. A standard sample of ethanol, acetone, and
equilibrated in about 15 s, acetone in 30 s, and ethanol in 1 min. isoprene with a relative humidity of 99% was analyzed four times
The more polar the compound, the longer it took to reach
with each fiber. The extraction time was 1 min for the PDMS,
equilibrium. As can be seen in Figure 2b), the equilibration times
Carbowax/DVB, and PDMS/DVB fibers, and 4 min for the PA
for the PA fiber for all three compounds were much longer. This
fiber. The desorption time was always 15 s except for the PA
fiber probably requires a longer equilibration time because it is a
fiber, which was desorbed for 20 s. The temperature of the water
more crystalline polymer than the PDMS coating. Therefore,
bath was kept at 35 ( 0.1 °C. Figure 3a shows the absolute
diffusion into the polymer does take longer for PA than for
amount of each analyte extracted by each type of fiber obtained
PDMS.23
by comparing the detector response with the calibration curves
Since the breath sampling device will be applied directly into
generated with liquid standards. For a better comparison, the
the subject’s mouth, a short equilibration time is required.
amount of each analyte extracted by the PDMS/DVB fiber was
Therefore, the appropriate fibers are the PDMS, the Carbowax/
set at 100%. The results are illustrated in Figure 3b. As can be
DVB, and the PDMS/DVB fibers. Since equilibrium does not
seen from Figure 3b, the PDMS/DVB fiber, recommended for
(22) Supelco chromatography products catalog, 1996, Supelco Inc., Canada. polar volatiles, exhibited a higher sensitivity for the analytes of
(23) Louch, D.; Motlagh, S.; Pawliszyn, J. Anal. Chem. 1992, 64, 1187-1199. interest in comparison to the other fibers. This was especially
log K ) a(1/T) + b
compound a b r2
ethanol 2014 -4.8 0.9935
acetone 1866 -4.2 0.9887
isoprene 852 -1.1 0.9425
a Concentrations of analytes in the standard: ethanol, 136 nmol/L;
acetone, 109 nmol/L; and isoprene, 100 nmol/L. Relative humidity,
99%; extraction temperatures investigated, 26, 35, and 44 °C; extraction
time, 1 min; desorption time, 15 s.
ACKNOWLEDGMENT
patient. A complete analysis is performed in less than 10 min, Financial support from the Natural Sciences and Engineering
which allows a much higher sample throughput compared to other Research Council of Canada, Supelco, and Varian is greatly
methods described so far. The technique is sufficiently sensitive appreciated. This work was presented in part at the 21st
to detect 5.8 nmol/L ethanol, 1.8 nmol/L acetone, and 0.3 nmol/L International Symposium on Chromatography, September 15-
isoprene, respectively. The response was linear over the concen- 20, 1996, Stuttgart, Germany.
tration ranges of interest, and the data obtained for accuracy and
precision are satisfactory. However, further evaluation of this new
sampling approach against well-understood blood measurements Received for review July 25, 1996. Accepted November
is necessary before it can be relied upon for clinical measure- 18, 1996.X
ments. AC960749L
The device is easy to handle, and because of its simplicity,
the buildup of contaminants is unlikely. The mouthpiece can be X
Abstract published in Advance ACS Abstracts, January 1, 1997.