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Microchemical Journal 172 (2022) 106906

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Microchemical Journal
journal homepage: www.elsevier.com/locate/microc

Homogeneous liquid phase microextraction using hydrophilic media for the


determination of fluoroquinolones in human urine using HPLC-FLD
Eleni Tsanaktsidou a, Catherine K. Markopoulou a, Paraskevas D. Tzanavaras b,
Constantinos K. Zacharis a, *
a
Laboratory of Pharmaceutical Analysis, Department of Pharmaceutical Technology, School of Pharmacy, Aristotle University of Thessaloniki, GR-54124, Greece
b
Laboratory of Analytical Chemistry, School of Chemistry, Faculty of Sciences, Aristotle University of Thessaloniki, GR-54124, Greece

A R T I C L E I N F O A B S T R A C T

Keywords: Miniaturization of liquid-phase extraction is an increasingly emerging field of sample preparation aiming to
Homogeneous liquid phase microextraction reduce the solvent consumption and to protect the environment. In this paper, a homogeneous liquid phase
Fluoroquinolones microextraction using a hydrophilic extraction media in combination with a salt as phase-forming agent was
Human urine
developed for the determination of four fluoroquinolones (ciprofloxacin, norfloxacin, moxifloxacin and pruli­
High pressure liquid chromatography
floxacin) in human urine. Important parameters affecting the extraction performance including sample volume,
Fluorescence detection
Accuracy profiles organic solvent volume, salt concentration etc were systematically investigated and optimized. Multivariate
experimental designs namely Plackett-Burman and Box-Behnken designs were sequentially applied for factor
screening and optimization of the method parameters.
The method was fully validated using the “total error” approach. Accuracy profiles – a graphical decision-
making tool – were constructed using the results of the validation procedures. The β-expectation tolerance in­
tervals did not exceed the acceptance criteria of ± 15%, meaning that 95% of future results will be included in
the defined bias limits. The relative bias ranged between ─ 2.8 to 7.7 % for all analytes, while the RSD values for
repeatability and intermediate precision were less 6.6%. The achieved limits of detection (LOD) were ranged
between 3 and 11 ng mL− 1 while the lower limits of quantitation (LLOQ) were established as 10 ng mL− 1 for
ciprofloxacin and norfloxacin and 100 ng mL− 1 for moxifloxacin and prulifloxacin, respectively. The ruggedness
of the microextraction procedure was assessed through Monte-Carlo simulations and capability analysis. The
proposed approach improves the procedures proposed to date for the bioanalysis of fluoroquinolones in terms of
efficiency, reduction of the sample volume and extraction time.

1. Introduction dependent bactericidal activity but also some side effects including
tendon rupture, neurological and psychiatric symptoms have been also
Fluoroquinolones (FQs) is a group of antibiotics that exhibit strong reported [3,4].
antimicrobial action against both gram-positive and gram-negative In literature, several analytical methods have been reported on the
pathogens (broad-spectrum antibiotics). They are classified into four determination of FQs in urine matrixes. Among these, separation-
generations where ciprofloxacin (CIP) and norfloxacin (NOR) belong driven are the predominant techniques offering selective and sensi­
to the 2nd generation while moxifloxacin (MOX) and prulifloxacin tive determinations [5]. Recently reported methods for the analysis of
(PRU) to the 4th generation [1]. The action mechanism of FQs is urinary FQs include HPLC with UV [6] / fluorescence (FLD) [7], in
related to the creation of a selective complex with DNAgyrase of gram series UV-FLD [8] or mass spectrometric (MS) detection [9]. Due to the
(-) bacteria and topoisomerase IV of gram(+) bacteria resulting to the complexity of the biological matrix and the low concentration levels of
split of bacterial chromosomes [2]. The use of FQ in clinical practice is drugs, sample preparation is required prior to instrumental analysis.
crucial for the treatment of urinary tract infections and infections of Traditional techniques such as liquid–liquid extraction (LLE) and solid-
the digestive tract and respiratory system [1]. They exhibit very good phase extraction (SPE) are the most common sample pretreatment
bioavailability (at least 70%) which is characterized by concentration- methods for this kind of analysis. From the Green Analytical Chemistry

* Corresponding author.
E-mail address: czacharis@pharm.auth.gr (C.K. Zacharis).

https://doi.org/10.1016/j.microc.2021.106906
Received 24 August 2021; Received in revised form 23 September 2021; Accepted 6 October 2021
Available online 11 October 2021
0026-265X/© 2021 Elsevier B.V. All rights reserved.
E. Tsanaktsidou et al. Microchemical Journal 172 (2022) 106906

point of view, these techniques are considered unfavorable due to the Table 1
drawbacks mainly related to the waste of solvents, toxic reagents, Validation results for the quantitation of CIP in human urine.
consumption of time and energy. Other drawbacks include the limited Validation criteria
extraction recoveries and the relatively poor selectivity especially
Response function Slope (×10- Intercept r
when the physicochemical properties of the analytes vary over a wide (linear unweighted) 3
) (×10-3)
range [10]. (ka = 5; m = 5; n = 3) (10 ─ 100 ng mL− 1)
New trends in sample preparation comprise the use of simpler, Day 1 88.9 386.6 0.9990
automated, miniaturized and “green” analytical schemes [11]. The basic Day 2 89.2 291.1 0.9995
Day 3 84.8 433.0 0.9995
philosophy is the fulfillment of the 12 principles of Green Analytical Precision (k = 5; n = 3)
Chemistry towards the maximization of the eco-friendly character of the C (ng mL− 1) sr (%)b sR (%)c
analytical methods. Various novel microextraction techniques have 10 6.6 5.2
therefore been developed for the determination of FQ in urine involving 25 1.4 2.6
50 1.3 2.3
dispersive micro solid-phase extraction (DMSPE) [12], stir flat sheet
100 3.3 3.5
membrane liquid microextraction [13], liquid phase microextraction Trueness (k = 5; n = 3)
using microchip device [14], single drop liquid–liquid–liquid micro­ C (ng mL− 1) Relative bias (%)
extraction [15], ionic liquid-based microextraction system [16], salting- 10 + 6.6
out assisted liquid phase microextraction [17,18] and effervescence- 25 + 3.0
50 + 6.4
assisted liquid phase microextraction with switchable solvent [19]. 100 + 4.7
Homogeneous liquid phase microextraction (HLPME) has attracted Accuracy (k = 5; n = 3)
much attention in the last years [20]. The principle of this technique is C (ng mL− 1) Relative β-ЕΤІ (%)
based on the usage of a low dielectric constant hydrophilic organic 10 [3.08, 10.12]
25 [─ 6.70, 12.64]
solvent (acetonitrile, methanol, acetone, tetrahydrofuran etc), which is
50 [─ 1.82, 14.56]
completely soluble with water [21]. The contact area between the two 100 [─ 3.40, 12.77]
“phases” is principally infinite compared to other immiscible solvent-
based LLE or dispersive liquid liquid microextraction (DLLME) leading Linearity (k = 5; n = 3; m = 5)(10–100 ng
to higher mass transfer. The phase separation can be accomplished by i) mL− 1)

changing the temperature, ii) altering the pH of perfluorinated surfac­


Slope 1.055
tants, iii) the formation of ion-pair and iv) the addition of an electrolyte Intercept ─ 1.355
(salting-out) [21,22]. In the latter case, two theories are currently pre­ r2 0.9993
sumed to describe the salting-out phenomenon. One of them claims that LOD (ng mL− 1) 3
LLOQ (ng mL− 1) 10
the more polar solvent favorably surrounds the electrolyte (salt) due to
the Coulombic forces while an alternative theory states that one of the a
k, m and n correspond to the number of experiments, calibration levels and
solvents preferentially solvates the electrolyte (ionic or not ionic) replicates, respectively
b
making it unavailable to dissolve the other solvent [23]. However, it is sr (%): relative standard deviation under repeatability conditions
c
possible that both phenomena can act synergistically. The main char­ sR (%): relative standard deviation under intermediate precision
acteristics of this technique comprise simplicity in operation, low cost,
reduction the extraction time and usage of non-halogenated or aromatic MgSO4, NaCl, KCl, Na2SO4, (NH4)2SO4, NaH2PO4, H3PO4 and trime­
solvents. Additionally, the extracts are fully compatible with reversed thylamine (TEA) (≥99% in all cases) were provided by Merck (Darm­
phase HPLC enabling direct injection. stadt, Germany). High-purity water (18.2 MΩ cm resistivity) that was
The purpose of the present study is the systematic development and used for the HPLC analysis was produced by a B30 water purification
thorough optimization of a homogeneous liquid-phase microextraction system (Adrona SIA, Riga, Latvia).
scheme for the determination of four FQs in human urine. Following For the optimization of HLPME parameters, artificial urine was pre­
extraction, the analytes were processed by HPLC-FLD. Experimental de­ pared according to the literature [24] by dissolving lactic acid (0.1 g),
signs were exploited to identify the parameters that most affecting the citric acid (0.4 g), sodium bicarbonate (2.1 g), urea (10 g), CaCl2⋅2H2O
extraction performance and to find the optimum HLPME experimental (0.37 g), NaCl (5.2 g), MgSO4⋅7H2O (0.49 g), Na2SO4⋅10H2O (3.2 g),
conditions. The described method was fully validated using the accuracy KH2PO4 (0.95 g), K2HPO4 (1.2 g) and NH4Cl (1.3 g) in 1 L H2O. The pH of
profiles which take into consideration the total error (systematic and the final solution was adjusted to 6.0 by addition of 1.0 mol L-1 HCl.
random errors of the results). The proposed analytical scheme offers sig­ Standard analyte and ISTD stock solutions (1000 μg mL− 1) were
nificant advantages including simplicity, easy handling, cost-effectiveness prepared in methanol. All solutions were filtered and stored at 4 ◦ C
and high extraction recoveries. protected from the light. Working standard solutions were prepared
daily by appropriate dilutions of aliquots obtained by the stock solutions
2. Experimental in water. Stock solutions were routinely measured to quantify degra­
dation (a 5% difference compared to the original signals was set as
2.1. Reagents and solutions threshold). All glassware was previously washed with water and acetone
in order to avoid carry over effects.
Ciprofloxacin (CIP), norfloxacin (NOR), moxifloxacin (MOX) and
prulifloxacin (PRU) were obtained from commercially available phar­ 2.2. Instrumentation and chromatographic conditions
maceutical formulations Ladinin (CIP solution, 400 mg/200 mL, Phar­
mathen Ltd), Vetamol (NOR, 400 mg/tab, Viofar), Microbiel (MOX All chromatographic separations were performed on a Shimadzu
solution, 400 mg/250 mL, Cooper) and Prixina (PRU, 600 mg/tab, HPLC binary solvent system (Kyoto, Japan) equipped with two LC-20AD
Angelini Pharma Hellas). Nalidixic acid (≥99.0%) used as internal high pressure gradient pumps, an SIL-20AC HT autosampler, a CTO-
standard was purchased from Sigma-Aldrich (St Louis, MO, USA). The 10ASVP column compartment and a RF-535 fluorescence detector.
chemical properties of the analytes are tabulated in Table 1S. Acetoni­ The instrument control and the data handling were carried out via LC
trile, methanol (Riedel-de Haen, Honeywell Chemicals), isopropanol Solutions software (version 1.25 SP4). A reversed phase Hypersil BDS
(VWR Chemicals, Vienna, Austria) and acetone (Sigma-Aldrich, Stein­ C18 column (250 × 4.6 mm, 5 μm, Thermo Scientific) was utilized for the
heim, Germany) were all of analytical grade. Inorganic salts ZnSO4, separation of the analytes using a binary gradient elution program using

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E. Tsanaktsidou et al. Microchemical Journal 172 (2022) 106906

an aqueous solution of 25 mM H3PO4 (pH 3 adjusted with TEA) (mobile retrieved using a glass syringe and transferred to an HPLC vial. The
phase A) and methanol/acetonitrile 15/85 % v/v (mobile phase B). The extractant was then evaporated to dryness using a gentle N2 flow and
initial ratio was 10 % v/v of B for 5 min and linearly increased to 30 % in finally reconstituted in 250 μL of mobile phase prior to analysis. A
15 min, kept constant up to 28 min and then changed to the initial ratio flowchart of the optimum HPLME protocol is illustrated in Fig. 1S.
at 30 min and stated up to 45 min to maintain a stable and reproducible For the establishment of the accuracy profiles, five concentration
separation. The flow rate was set to 1 mL min− 1 and the injection volume levels (m = 5) namely 5, 10, 25, 50 and 100 (for CIP and NOR) and 50,
was 20 μL. The column was thermostated to 45 ◦ C. The analytes were 100, 250, 500 and 1000 ng mL− 1 (for MOX and PRU) were prepared in
detected spectrofluorimetrically at λex/λem = 280/450 nm. triplicate (n = 3) for each series of experiments (k = 5), respectively.
A heating block (Pierce, Reacti-Therm) coupled with a nitrogen gas Independent stock solutions of the analytes were used for the prepara­
generator (Claind) was used for the evaporation of the LPME extractants tion of spiked urine validation samples in order to obtain the desired
to dryness. Glass tight syringes with volumes of 100 μL and 1000 μL concentration level.
(Hamilton, Nevada, USA) were used for measurements of the volumes of
the extraction solvents.
2.4. Accuracy profiles
2.3. Urine sampling and HLPME protocol
The validation of the analytical method was implemented by con­
structing the accuracy profiles. This approach is based on the graphical
Urine samples were collected from healthy volunteers after written
report of i) the acceptability intervals that describe the required per­
informed ethical consent. Prior urine collection, no medication was
formance of the analytical method and ii) the β-expectation tolerance
taken by the volunteers. Following collection, the samples were centri­
intervals (β-ЕΤІ). The latter represents the interval where it is expected
fuged at 3000 g for 5 min and the supernatants were stored in sterilized
that a proportion β of future measurements will be within the acceptance
containers at − 18 ◦ C until their analysis. For method validation, a
limits λ [25]. In should be stated that the accuracy profiles could be also
pooled drug-free urine sample was prepared by mixing equal volumes of
informative for the realistic estimation of the limit of quantitation (LOQ)
six different samples (n = 6). Prior to extraction the sample was spiked
of the method. The mathematical expression of the analytical profile is
with known amounts of the analytes and ISTD (10 μg mL− 1).
given below:
In HLPME procedure, an aliquot of 200 μL of diluted (1:1) urine
[ )√̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅
sample (blank or spiked) was transferred in 1.5 mL Eppendorf tubes. (
1+β 1
500 μL ACN were added and the mixture was vortexed for 10 s. After­ bias(%)j − Qt v;
2
1+
pnB2j
sr,j ; bias(%)j
wards, 200 μL of Na2SO4 solution (2.5 mol L-1) was added in the ( )√̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅ ]
aqueous-acetonitrile homogeneous phase and the mixture was vortexed 1+β 1
+ Qt v; 1+ sr,j
for 10 s and centrifuged at 2000 g for 5 min to promote the phase sep­ 2 pnB2j
aration. The upper analyte-enriched acetonitrile phase (ca 450 μL) was

Fig. 1. Pareto charts of the main effects of the studied parameters in Plackett-Burman screening design for A) CIP, B) NOR, C) MOX and D) PRU.

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E. Tsanaktsidou et al. Microchemical Journal 172 (2022) 106906

√̅̅̅̅̅̅̅̅̅̅̅̅
√ 2
√ ̂σ B,j +1 resolution of CIP/NOR to > 2.2. The latter value has been selected for
̂μ j − μTj
2 2
̂σ W,j +̂σ B,j
√ 2
√ ̂σ subsequent studies.
where bias (%)j = μ × 100, sr,j = × 100, Bj =√ W,j2 ,ν=
Tj ̂μ j √ ̂σ B,j
n 2 +1
̂σ W,j 3.2. Optimization of the HLPME conditions
(R+1)2
R+n(p−1 1)+1− 1
pn2 In this work HLPME was developed for the extraction of the selected
-̂μ j is the estimate of the mean results of the jth concentration level fluoroquinolones from human urine samples. To achieve the optimal
-̂μ T is the unknown “true value” extraction, scheme several parameters were investigated. The assess­
- p is the number of series ment of the type of extraction solvent and salt were initially performed
- n is the number of the independent replicate per series using one-factor-at-a-time (OFAT) approach following by a two-step
- Qt (ν ;1+β experimental design (screening and optimization) in order to conclude
2 ) is the β quantile of the t-Student distribution with ν de­
grees of freedom to the optimal HLPME experimental conditions. In all related experi­
ments, an artificial spiked urine sample (concentration level of 1 μg
σ 2W,j is the within series variance

mL− 1) was used in order to avoid any potential interference from the
σ 2B,j is the between series variance
-̂ matrix on the performance of HLPME.

3.2.1. Type of the hydrophilic organic solvent and phase-forming agent


2.5. Calculation of extraction recovery The mechanism of the proposed HLPME is based on two consecutive
steps. The first step includes the addition of a hydrophilic organic sol­
The extraction recovery (ER %) was employed for the evaluation of vent to the aqueous biological sample solution forming a homogeneous
the extraction efficiency of the proposed analytical scheme. This term phase. The second step, the phase separation and analyte extraction take
was estimated using the following expression: place after the addition of a phase-forming agent (salt). Selecting the
Corg × Vorg appropriate solvent is essential since it affects the overall extraction
ER% = × 100 (1) performance [21,29]. In aqueous biphasic systems the hydrophilic
Caq × Vaq
organic solvent should have some general characteristics: i) high
where Corg and Caq are the concentrations of the analyte in the extraction efficiency, ii) good chromatographic behaviour and iii) to
organic and aqueous phase (1000 ng mL− 1), and Vorg and Vaq are the form a consistent clear layer after phase separation. Additionally, the
volume of upper organic and aqueous layer, respectively. The calcula­ phase-forming agents should have negligible solubility in the hydro­
tion of Corg was performed by external standardization by direct injec­ philic organic solvent and high solubility in water. In the case of a salt, it
tion of standard solutions in the range of 100 – 2000 ng mL− 1 prepared should have high hydration enthalpy and its concentration should be
in water. close to saturation [30].
Preliminary experiments were conducted to evaluate the appropri­
3. Results and discussion ateness of four hydrophilic organic solvents (logP indicated in the
parenthesis) namely acetone (5.1), acetonitrile (5.8), isopropanol (3.9)
3.1. Optimization of the chromatographic conditions and methanol (5.1) and six phase-forming agents (ZnSO4, MgSO4, NaCl,
NH4Cl, (NH4)2SO4 and Na2SO4). The HLPME procedure involved the
From a HPLC point of view, due to the similarity of the chemical mixing of 500 μL of artificial urine (1:1 diluted) with equal volume of
structures of the analytes, (especially for the CIP/NOR pair) the each hydrophilic solvent followed by the addition of 200 μL of each salt
achievement of sufficient/acceptable resolution (Rs > 1.5) is chal­ at concentration of 2 mol L-1.
lenging. Based on the reported literature, initial experimentation was In all trials, methanol could not be separated from the aqueous so­
involved using a reversed phase C18 column [26,27]. The knowledge of lution. On the contrary, phase separation was promoted with the rest
pKa values is particularly important. The studied FQs are amphoteric organic solvents (acetonitrile, isopropanol and acetone) in combination
which contain both carboxylic and amino groups with pKa1 and pKa2 with sulfated salts such as MgSO4, Na2SO4 and ZnSO4. When using
values in the range of 5.69 – 6.34 and 5.16 – 9.42, respectively MgSO4 and ZnSO4 as phase-forming agents the volume of the upper
(Table 1S). On this basis, the pH of the acetonitrile-containing mobile organic layer was much higher than the remaining aqueous phase at the
phase was lowered below the pKa1 of the drugs by the addition of an acid end of the extraction. Analogous phenomena have also been reported in
(H3PO4, TFA both 0.1% v/v). Both acids resulted in more symmetrical the literature [31,32]. It should be noted that such a behavior may be
peaks due to the minimization of the secondary interactions of the problematic in analysis of biological matrixes since it may lead to co-
analytes with the residual silanol groups of the stationary phase. Phos­ extraction of polar potential interferences from the urine matrix. For
phoric acid exhibited slightly better resolution between the analytes and this reason, both MgSO4 and ZnSO4 salts were excluded. Quite similar
higher fluorescence intensities and therefore was adopted for subse­ behavior was also observed when either isopropanol or acetone was
quent experiments. To further improve the peak symmetry of the com­ employed in combination with Na2SO4. Better results in terms of
pounds, TEA was employed as mobile phase additive for silanol group extraction performance and sample cleanup was obtained by using
masking. Enhanced peak symmetry and separation efficiency (almost 20 acetonitrile / Na2SO4 resulting in an upper organic layer with low water
% increase) were obtained by using an aqueous solution H3PO4 (25 mM) content (450 μL ± 10%). Furthermore, acetonitrile offers better
adjusted to pH 3.0 with TEA in combination with acetonitrile. Under the compatibility with the acetonitrile-based HPLC mobile phase and was
above conditions and despite the fact that the shape of the peaks was therefore chosen throughout this study.
acceptable, we were not able to achieve baseline separation of the
structurally similar CIP and NOR (Rs less than 1.5). The incorporation of 3.2.2. Screening of parameters using Plackett-Burman design (PBD)
methanol in the mobile phase B (15 % v/v methanol) offered better A Plackett-Burman experimental design was applied in order to find
control of its eluotropic strength in the first isocratic step but the reso­ out the experimental parameters having significant effect on the
lution of CIP/NOR pair still remained less than 1.5. extraction efficiency of the analytes. On this basis, a two-level factorial
The above-mentioned selectivity issue was addressed by studying the design was built to screen five plus two dummy factors including volume
effect of the column temperature [28]. The effect of the column tem­ of acetonitrile (X1), sample volume (X2), sample pH (X3), centrifugation
perature was therefore investigated in the range of 25 – 50 ◦ C. Favor­ time (X4), salt concentration (X5). Eleven runs (including three exper­
ably, increased column temperature at > 45 ◦ C resulted in enhanced iments at the center point) were conducted in a random manner to

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reduce the error. The investigated parameters, their levels and experi­ “lack-of-fit” (LOF) was higher than 0.05 and therefore non-significant
mental results are shown in Table 2S and Table 3S. The extraction re­ associated to the pure error. Diagnostic plots (i.e normal probability
covery (ER %) was obtained as the response in all cases. Pareto ranking plot of residuals, plot of residuals against to the predicted values) are
plots (Fig. 1) were derived from multivariate regression analysis. The shown in Fig. 2S (supplementary material). The data were monoto­
bar length is proportional to the absolute value of the estimated stan­ nously dispersed around the line; thus, there is a good correlation be­
dardized effects while the vertical red line judges the effects that are tween the predicted and actual responses. A representative set of
statistically significant at the 95% confidence level. As it illustrated in response surface plots of MOX were illustrated in Fig. 2.
Fig. 1 the sample volume (Vs), the volume of acetonitrile (VACN) and the In order to find the optimum experimental conditions Derringer’s
Na2SO4 concentration (Csalt) were found statistically significant (p less desirability function (D) was applied scaled in the range of 0 to 1 as a
than 0.05) for all analytes except from PRU where the sample pH had fully desirable response. The prediction profiles and the desirability
significant effect. Based on these findings and for the sake of simplicity graphs are illustrated in Fig. 3. The optimum response for a single factor
and uniformity, we decided to exclude the sample pH factor from the at levels 0, 0.5 and 1 can be predicted by keeping the rest factors con­
optimization step leading to a smaller 3-factors Box-Behnken experi­ stant at their center values of 0.5. The optimum values were found to be
mental design. Additionally, the pH adjustment of the samples - prior to 200 μL for Vs, 500 μL for VACN and 2.5 mol L-1 for Csalt. Finally, to
their extraction – is a laborious procedure lowering sample throughput. confirm the optimum set of conditions, six repetitive extractions were
The centrifugation time was non-significant in the examined range (i.e. carried out. The differences between the obtained experimental values
1–5 min) and its value was set according to the sign on the Pareto charts. with the predicted values were less than 8 %.
Lastly, the three significant parameters (Vs, VACN and Csalt) were selected
for the optimization experiments. 3.3. Method validation

3.2.3. Optimization of parameters using response surface methodology The proposed method was validated using the accuracy profiles
The subsequent step includes the optimization of the three signifi­ based on tolerance intervals (section 2.4). The accuracy profiles are
cant parameters using response surface methodology through the Box- represented in Fig. 4. The peak area ratio of each analyte to ISTD was
Behnken design (BBD). BBD is an efficient tool widely used in the used in all cases. Due to the different responses of the analytes the
optimization of microextraction techniques [33]. In our case a total of linearity was assessed in the range of 5 – 100 ng mL− 1 for CIP and NOR
20 experiments (5 runs in the center points) were performed keeping the and 50 – 1000 ng mL− 1 for MOX and PRU, respectively. The red and the
same experimental domain investigated at the screening test. The dashed blue lines symbolize the relative bias and the β-expectation
factorial design points are tabulated in Table 4S and all the experiments tolerance limits at 95% probability level, respectively. The β-expectation
were randomized to minimize the systematic errors. By applying tolerance intervals are estimated for each concentration level of the
multivariate regression analysis (the model is given in our previous validation standards. In the case of the dashed blue lines are comprised
study [32]), a fitted second-order polynomial quadratic model was within the black dotted lines the (predefined acceptance limits of 15%
constructed. for bioanalytical methods), the method can be considered as valid. All
The experimental designs and statistical data analysis were accom­ validation results are presented in Table 1 and Table 9S-11S.
plished using TIBCO Statistica software v. 13.3.0 (TIBCO software Inc.,
Palo Alto, CA, USA). The most important effects and interactions were 3.3.1. Selectivity and carryover
evaluated by ANOVA and the results are tabulated in Table 5S-8S. The The selectivity of the developed method was assessed by analyzing a
calculated R2 of the models were higher than 0.8517 indicating that the pooled blank FQ-free (n = 6) and spiked human urine samples in order to
predicted models can explain adequately the responses. The p-value of investigate the presence of potential interferences. No interfering peaks

Table 2
Overview of recent microextraction-based methods for the HPLC determination of FQs in biological samples.
Analytes Sample Sample Extraction procedure Detection LOD (ng Recovery Ref
type volume (μL) mL− 1) %

Ciprofloxacin, Ofloxacin, Norfloxacin, Enrofloxacin Serum/ 500 DMSPE1 HRMS 0.02 – 85 – 113 [12]
urine 0.03
2
Ciprofloxacin, Moxifloxacin Blood 1500 MIP-SPME MS/MS 0.13 – 65 – 83 [35]
0.20
Ciprofloxacin, ofloxacin, norfloxacin, levofloxacin Serum/ 2500 MIP-SPME UV 0.023 – 98–101 [36]
plasma 0.033
Ciprofloxacin, enrofloxacin, marbofloxacin, norfloxacin Urine Not PT-MIP-SPE3 UV 39 42–96 [37]
mentioned
4
Ofloxacin, ciprofloxacin, norfloxacin, enrofloxacin, fleroxacin Plasma/ 1000 Salt-induced LLME FLD 0.12 – 93 – 111 [17]
urine 0.66
Ciprofloxacin, norfloxacin, marbofloxacin, danofloxacin Urine 8.1 LPME on microchip UV 90 – 110 35 – 62 [14]
Flerofloxacin, ciprofloxacin Urine 8000 IL-LPME5 UV 3.12 – 82.3 – [16]
4.97 106.8
Danofloxacin, enrofloxacin, ciprofloxacin, sarafloxacin, Urine 5000 SALLE FLD 0.14 – 58 74.7 – [18]
difloxacin, flumequine, enoxacin, oxolinic acid, moxifloxacin, 102.2
lomefloxacin, marbofloxacin, pipemidic acid, norfloxacin
Ofloxacin Urine 1000 Effervescence-assisted FLD 3.6 94 – 99 [19]
SALLE with switchable
solvent
Ciprofloxacin, norfloxacin, moxifloxacin, prulifloxacin Urine 200 HLPME FLD 3 – 11 97.2 – Present
107.7 method
1
DMSPE: dispersive micro solid phase extraction
2
MIP-SPME: molecularly imprinted polymer solid phase microextraction
3
PT-MIP-SPE: pipette-tip molecularly imprinted polymers solid phase extraction
4
LLME: liquid liquid microextraction
5
IL-LPME: ionic-liquid liquid phase microextraction

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Fig. 2. Response surface (3D) plots indicating the effects of A) VACN and Vsample, B) Csalt and Vsample and C) Csalt and VACN on the ER% of MOX.

from the biological matrix were observed in the elution region of the The linearity of the method was examined by fitting least squares
analytes the ISTD considering the sufficient selectivity of the method. regression lines on the back-calculated concentrations of the validation
Representative chromatograms of blank and spiked urine samples are standards as a function of the introduced analyte concentration. Cali­
depicted in Fig. 5. bration parameters (slope, intercept, correlation coefficient, etc) are
The potential carry-over effect of HPLC system was studied by sub­ shown in Table 1 and Table 9S-11S. The linearity of the HLPME method
sequently analyzing a blank and a spiked urine sample at the highest was also verified since the absolute β-expectation tolerance limits were
calibration level. No influence on the signal was recorded indicating that within the absolute acceptance limits (Fig. 3S supplementary material).
the “between-injection” washing procedures of the autosampler and the
column were satisfactory. 3.3.3. Trueness, accuracy and precision
Trueness is expressed as the mean bias (%) between the measure­
3.3.2. Linearity, LOD, LOQ ments and the target concentrations. As reported in Table 1 and
The linearity of the results expresses the ability of the analytical Table 9S-11S the relative biases ranged between ─ 2.8 and 7.7 % for all
method to provide results directly proportional to the concentrations. In compounds indicating the good trueness of the method. Precision was
order to simplify the future calculations, simple linear unweighted expressed as the RSD of repeatability (sr, %) and time-dependent inter­
regression models were adopted for all analytes. With this calibration mediate precision (sR, %) for each concentration level. In all cases, both
model all concentrations gave results within the acceptance limits apart sr and sR values were lower than 6.6 %, demonstrating the adequate
from CIP and NOR (Fig. 5A and 5B). The high biases observed at the precision of the proposed method. The upper and lower β-ETIs for each
lowest calibration level of 5 ng mL− 1 lead to β-expectation profiles above level for FQs are completely included inside the acceptance limits of ±
the upper and lower acceptance limits (15%). Based on these results, the 15%. Therefore, the proposed analytical scheme can be considered as
lower limit of quantitation (LLOQ) level was set to 10 ng mL− 1 for CIP accurate in the examined range.
and NOR considering that this level can provide accurate and repro­
ducible results. For the rest of compounds, the LLOQ level was fixed at 3.3.4. Robustness using Monte-Carlo simulations and capability analysis
50 ng mL− 1 which is adequately low for bioanalytical applications. The The robustness of the HLPME method was examined using Monte-
limit of detection (LOD) of the drugs were estimated as YLOD = intercept Carlo simulations and capability analysis. Based on this, 100,000 iter­
+ 3 × residual SD obtained by ANOVA [34]. The back-calculation ations were performed using Monte-Carlo simulations experiments and
provides XLOD for each series. The mean value of XLOD were 3, 3, 11 the simulated data were utilized to estimate the Cpk values. The
and 9 ng/mL for CIP, NOR, MOX and PRU, respectively. acceptance criteria of the ER of each analyte were fixed to ± 10 % of the

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E. Tsanaktsidou et al. Microchemical Journal 172 (2022) 106906

Fig. 3. Profiles for predicted values and desirability function (red colored lines designate the optimum value).

Fig. 4. Accuracy profiles for the FQs determination in human urine using a linear unweighted regression model for A) CIP, B) NOR, C) MOX and D) PRU. The red
plain, blue dashed and blank dotted lines correspond to the relative error (%), the accuracy profile and the acceptance limits λ (±15%), respectively.

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E. Tsanaktsidou et al. Microchemical Journal 172 (2022) 106906

1
Fig. 5. Representative chromatogram of the analysis of blank (black line) and spiked urine sample with ISTD (fuchsia line) and FQ standard mixture at 100 ng mL−
after HLPME.

predicted value obtained from the optimization step (section 3.2.3). The 3.3.5. Sample stability
set of simulations were conducted considering the mean value of 200, The stability of FQ in unprocessed urine samples was assessed at
500 and 2.5 mol L-1 for the Vs, VACN, Csalt with SD of, 5, 5 and 0.1, ambient temperature, 4 ◦ C and –18 ◦ C up to 24 h. The experiments shown
respectively. Fig. 6 illustrates the histograms from the capability anal­ that FQ were stable up to 24 h when the urine samples were stored at 4 ◦ C
ysis of the studied response for each drug. The results from the capability and –18 ◦ C (the recoveries were > 90 % for each analyte). However, the
analysis led to CpK values of higher than 2.286 which are much higher sample storage at ambient temperature resulted in significant degrada­
than the acceptance limit of 1.33. tion of all compounds up to 8 h (e.g PRU recovery was 18 %).

Fig. 6. Probabilistic distribution of the extraction recoveries of the A) CIP, B) NOR, C) PRU and D) MOX during Monte-Carlo simulation experiments.

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3.4. Comparison with other reported methods by Microextraction by a Packed Sorbent Coupled to Ultra-High Performance Liquid
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