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Clinical Chemistry 47:4

730 –738 (2001) Automation and


Analytical Techniques

Plasma Protein Contents Determined by


Fourier-Transform Infrared Spectrometry

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Cyril Petibois,1,2 Georges Cazorla,2 André Cassaigne,3 and Gérard Déléris1*

Background: Fourier-transform infrared (FT-IR) spec- Conclusion: FT-IR spectrometry is a useful tool for deter-
trometry has been used to measure small molecules in mining concentrations of several plasma biomolecules.
plasma. We wished to extend this use to measurement of © 2001 American Association for Clinical Chemistry
plasma proteins.
Methods: We analyzed plasma proteins, glucose, lactate, Fourier-transform infrared (FT-IR) spectrometry is a
and urea in 49 blood samples from 35 healthy subjects global, sensitive, and highly reproducible physicochemi-
and 14 patients. For determining the concentration of cal analytical technique that identifies structural moieties
each biomolecule, the method used the following steps: of biomolecules on the basis of their IR absorption (1, 2 ).
(a) The biomolecule was sought for which the correla- Because a biomolecule is determined by its unique struc-
tion between spectral range areas of plasma FT-IR ture, each biomolecule will exhibit a unique FT-IR spec-
trum, representing the vibrations of its structural bonds
spectra and concentrations determined by comparison
(3 ). Furthermore, every biomolecule present in the sample
method was greatest. (b) The IR absorption of the
will exhibit more or less specific FT-IR absorption peaks
biomolecule at the most characteristic spectral range
(4 ). Thus, a plasma FT-IR spectrum will exhibit absorp-
was calculated by analyzing pure samples of known
tion peaks related to its major components. FT-IR analyt-
concentrations. (c) The plasma concentration of the ical applications have allowed determination of blood
biomolecule was determined using the FT-IR absorp- contents using various materials and sample prepara-
tion of the pure compound and the integration value tions. Concentrations of glucose (1, 2, 5, 6 ), total proteins,
obtained for the plasma FT-IR spectra. (d) The spectral creatinine, urea, triglycerides (1 ), and cholesterol (2 ) in
contribution of the biomolecule was subtracted from the blood, plasma, or serum have been determined with
plasma FT-IR spectra, and the resulting spectra were clinical accuracy. However, extensive sample preparation,
saved for further analyses. (e) The same method was manipulation of spectra, and mathematical treatments
then applied to determining the concentrations of other have been necessary to obtain such results. Clinical anal-
biomolecules by sequentially comparing the resulting yses require methods that involve minimal sample ma-
FT-IR spectra. nipulations because every handling step may be a source
Results: Results agreed with those obtained by clinical of quantitative error, affecting the predictive performance
methods for the following biomolecules when analyzed of the method used (7, 8 ).
in the following order: albumin, glucose, fibrinogen, With FT-IR spectrometry, fluctuations in absorption
IgG2, lactate, IgG1, ␣1-antitrypsin, ␣2-macroglobulin, related to water content because of environmental condi-
transferrin, apolipoprotein (Apo)-A1, urea, Apo-B, IgM, tions (e.g., variations in air temperature, humidity, and
Apo-C3, IgA, IgG4, IgG3, IgD, haptoglobin, and ␣1-acid atmospheric pressure) have necessitated manipulation of
glycoprotein. samples and/or spectra (or both) (1, 2, 5, 6, 8 ). Recently,
we described FT-IR analysis of glucose concentrations in
dried serum samples (9 ). By avoiding water absorption in
serum spectra, we obtained results that correlated well
1
with those obtained by the glucose oxidase method (10 );
INSERM U443, Equipe de Chimie Bio-Organique, 2 Faculté des Sciences
du Sport et de l’Education Physique, and 3 Département de Biochimie Médi-
sample manipulations were limited to a precise dilution
cale et Biologie Moléculaire, Laboratoire de Biochimie, CHU Bordeaux, Uni- with water and desiccation under moderately reduced
versité Victor Segalen Bordeaux 2, 146 rue Léo Saignat, 33076 Bordeaux, pressure after deposition of 35 ␮L of this solution onto a
France.
multiple sample holder. No other manipulations of the
*Author for correspondence. Fax 33-5-5757-1002; e-mail gerard.deleris@
bioorga.u-bordeaux2.fr. sample or the spectrum were necessary for obtaining
Received June 5, 2000; accepted January 12, 2001. highly reproducible results. The characteristic IR absorp-

730
Clinical Chemistry 47, No. 4, 2001 731

tion peaks for glucose were determined before those of comparison methods
biomolecules exhibiting more intense absorption contri- Glucose and urea concentrations were measured with an
butions to serum FT-IR spectra (namely, proteins); we accepted enzymatic method on a Dax 48 analyzer and
choose this approach because the glucose absorption using calibrators and controls from Bayer. Lactate was
appears in a specific spectral area, the ␯COO absorption also measured by an enzymatic method (Microzym-L;
region (1300 –900 cm⫺1), in which major protein absorp- SGI). Protein concentrations were determined immuno-
tion is absent. nephelometrically with a BN II apparatus and calibrators
However, this analytical method is rather limited. Only and controls from Dade Behring, except that apolipopro-
⬃80 spectral ranges, i.e., deformations such as peaks, teins A1, B, and C3 (Apo-A1, Apo-B, Apo-C3) and IgD
shoulders, and bands, are found on a FT-IR spectrum, were evaluated by radial immunodiffusion with reagents
whereas plasma contains thousands of biomolecules at from Daiichi Pure Chemicals Co. (for the apolipoproteins)

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various concentrations. We previously had shown that and Dade Behring (for IgD).
subtraction of the spectral contribution of a previously
determined metabolite allowed subsequent analysis, e.g., acquisition of ft-ir spectra
subtraction of the glucose spectrum allowed determina- The method for acquiring spectra has been described
tion of lactatemia (11 ). These results for lactate were in elsewhere (9 ). Briefly, after samples returned to room
good agreement with an enzymatic comparison method temperature (⬃15 min at 20 –25 °C), 20-␮L aliquots were
but could not have been obtained before this subtraction diluted with 80 ␮L of water. The diluted samples were
because the glucose absorption partially obscured the homogenized with an agitator (Vortex Reax 2000; Hei-
lactate absorption in the complete serum FT-IR spectra of dolf) at 1000g for 10 s. Thirty-five microliters of each
subjects. Glucose and lactate concentrations could be solution was deposited exactly within the cell limits of a
determined because the broadest protein IR absorption zinc selenide wheel with 15 sample cells (Bruker). The
loaded wheel was subsequently placed in a low-pressure
peaks (for ␯CAO and ␦NOH: 1700 – 400 cm⫺1) were
[266 Pa (2 mmHg)] drier to evaporate the water in the
outside the spectral region in which most characteristic
sample (45 min), after which a KBr cover was attached to
absorption peaks for glucose and lactate were found
protect the wheel. The sample-bearing wheel was then
(␯COO: 1300 –900 cm⫺1). We now apply this methodol-
inserted into the analysis compartment of a Bruker IFS
ogy to the analysis of plasma proteins, the major compo-
28/B spectrometer equipped with a Globar (MIR) source
nent of plasma (accounting for ⬃75 g/L of the 100 g/L of
(7 V), a KBr beam splitter, and a DTGS/B detector
dried matter present in plasma).
(18 –28 °C) from Bruker. Beam diameter at the sample
location was 6 mm. In all experiments, we used a resolu-
Materials and Methods
tion of 2.0 cm⫺1 and performed 32 scans for data acqui-
sample collection
sition. All analyses were performed in triplicate on three
Venous blood samples from 35 anonymous healthy blood
successive wheels.
donors, admitted to hospital for routine analyses, were
used for this study. Although these subjects did not comparison ft-ir spectra of biomolecules
present with pathological situations, several presented FT-IR spectra obtained for pure components (98 –99%
with some protein concentrations outside the physiolog- purity; Sigma-Aldrich) were used as comparison FT-IR
ical range for healthy adults (Table 1). The mean (⫾ SD) spectra. These were the spectra used for all subtractions of
age of these subjects was 35.4 ⫾ 5.1 years (range, 27– 43 biomolecule absorption peaks. The concentration of the
years). Blood was sampled between 0730 and 0830 after dried matter in plasma is ⬃100 g/L. We previously
an overnight fast of 10 h. Blood was drawn into sterile and demonstrated (9, 11 ) that FT-IR analyses of plasma di-
gel-barrier collection tubes (6-mL red-brown top and luted fourfold with water provided a higher signal-to-
7-mL red top Vacutainer Tubes; Becton Dickinson). One noise ratio (determined in the 2100 –2200 cm⫺1 region,
gel-barrier collection tube was used for FT-IR measure- where no absorption attributable to plasma biomolecules
ments. Venous blood was sampled by an antecubital is found) and greater signal reproducibility for successive
venipuncture of the right arm through a Teflon catheter. analyses. Because these fourfold-diluted solutions con-
Samples collected in gel-barrier collection tubes were tained ⬃20 g/L dried matter, we used pure component
centrifuged immediately for 10 min at 4000g; plasma was solutions ranging in concentration from 12 to 28 g/L to
collected in the red-brown top tubes and stored at ⫺20 °C obtain FT-IR spectra that would be comparable in absorp-
before analysis. tion values to those of the plasma FT-IR spectra. Appli-
Venous blood samples from 14 age-matched patients cation of pure component solutions onto the analytical
(37.1 ⫾ 4.4 years; range, 30 – 44 years) admitted to hospital wheel, desiccation, and FT-IR spectrum acquisition were
for severe infection (n ⫽ 4), renal disorder (n ⫽ 4), or performed exactly as described for plasma FT-IR spec-
anemia (n ⫽ 6) were used for validation of the method- trum acquisitions. For every biomolecule, linearity be-
ology implemented for the 35 blood samples from the tween the absorption signals detected and these concen-
relatively healthy subjects. trations was assessed by total area integration over 4000 –
732 Petibois et al.: Plasma Proteins Determined by FT-IR Spectrometry

500 cm⫺1, representing the whole FT-IR absorption range sults were expressed as the biomolecule concentration
for the biomolecules (with P ⬍0.01). per arbitrary unit of spectral area: g 䡠 L⫺1 䡠 U⫺1.
(5) For each FT-IR plasma spectrum, the concentration of
analyses and calculations the selected biomolecule was then calculated using its
The method for iterative determination of biomolecule absorption value, based on the spectrum of the pure
concentrations (Fig. 1) was assessed as follows: component, and the spectral area integration result
(1) Spectral ranges (peaks, bands, shoulders) were chosen obtained in step 2.
as approximate absorption bands within the plasma (6) The contributing spectrum of the biomolecule, deter-
FT-IR spectra. The precise abscissa limits for the mined from its pure component spectrum and its
spectral ranges were assigned using a subroutine of plasma concentration (as measured with a compari-

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OPUS 3.0 software (Bruker). In brief, once two wave- son method), was subsequently subtracted from the
numbers had been selected outside the absorption plasma FT-IR spectrum.
band, the software found the lowest absorption values (7) The resulting spectrum was then saved and subjected
that allowed the drawing of a line, no other point on to the same iterative method (steps 1 to 6) to deter-
which was in common with the spectrum curve. mine the concentration of the next biomolecule to be
(2) For each defined spectral range common to the 35 analyzed. This process was repeated for each of the
plasma FT-IR spectra of our experiments, the area biomolecules being evaluated.
between the line drawn and the spectrum was inte-
grated by the software and expressed in arbitrary
units (U). statistics
(3) A correlation matrix was used to compare all integra- Data are expressed as the mean ⫾ SD. In each clinical
tion results with the concentrations of all biomolecule reference data series, the dispersion [mean dispersion
measured with the comparison clinical analytical (CV), expressed as a percentage] around the mean value
methods. The spectral range that led to the greatest was calculated. When the CV exceeded 5%, the concen-
correlation between integration values and the results tration values were considered significantly heteroge-
obtained by the comparison method for each of the neous (P ⬍0.05). Linear regressions were performed to
biomolecules considered was selected for subsequent compare the data series. The results obtained by the
use. clinical analytical method and the spectral data were
(4) A series of accurately determined calibration solutions considered comparable when P was ⬍0.05. When the data
of the selected biomolecule allowed us to acquire and were comparable, dispersion data around the regression
integrate the spectral area of the pure compound over lines were estimated by the mean standard error of
the previously determined spectral range. These re- prediction:

Fig. 1. Flow diagram of the steps in the iterative procedure for predicting concentrations of plasma compounds from plasma FT-IR spectra.
Clinical Chemistry 47, No. 4, 2001 733

S xⱍy ⫽ 冑冋 冘 共 x i ⫺ ␮兲 / n
2
册 45 U (integration range, 4000 –500 cm⫺1). Results were
comparable for the set of FT-IR spectra from the plasma
samples from 14 patients, except that the mean plasma
where xi corresponds to the predicted analyte value, ␮ is FT-IR spectrum area for the latter was 461 ⫾ 76 U
the value determined by the comparison method, and n is (integration range, 4000 –500 cm⫺1).
the total number of samples in the prediction data set. For
results to be acceptable, the regression line had to show a ft-ir spectra of biomolecules
slope close to 1 and an intercept close to 0. Differences For each series of pure component solutions, we studied
between methods were tested using a standard t-test for the correlations between the corresponding 4000 –500
paired data. cm⫺1 spectral area and the biomolecule concentration.
The correlations were 0.95– 0.99 for all analytes evaluated

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Results in the concentration range 12–28 g/L (Table 2). The FT-IR
clinical data spectra for the biomolecules presented important IR ab-
The plasma concentrations of glucose, lactate, urea, and sorption dissimilarities, even for biomolecules belonging
proteins for the first set of 35 venous blood samples are to the same families, e.g., apolipoproteins (Fig. 2) and IgG
presented in Table 1. Immunoglobulins, haptoglobin, ␣1- (Fig. 3).
acid glycoprotein, and Apo-C3 exhibited the broadest
distribution of concentrations (CV ⫽ 8 –10%). This heter- analyses
ogeneity in plasma protein content allowed us to assess The iterative procedure for determining the concentra-
the analytical potential of FT-IR spectrometry for deter- tions of biomolecules was tested for the set of 35 venous
mining concentrations of successive biomolecules. blood samples. Table 3 presents, in the order of analysis of
the biomolecules, details on the spectral ranges used for
ft-ir spectrum acquisition integration (left and right abscissa limits), the FT-IR
For the set of 35 plasma FT-IR spectra, the mean signal- absorption data for the pure components in the same
to-noise ratio in the 2100 –2200 cm⫺1 region was 687 ⫾ 19. spectral ranges used to measure the concentrations of the
The baselines between repeated samples were also homo- biomolecules in plasma, the statistical significance of any
geneous, varying by 0.011 ⫾ 0.006 at 4000 cm⫺1. The correlation with results by the comparison methods, and
between-run CV was 1.3% for triplicate FT-IR measure- a summary of the statistical indices for linearity between
ments. The mean plasma FT-IR spectrum area was 472 ⫾ methods. After multiple analyses of the highest statistical

Table 1. Plasma concentrations of glucose, lactate, urea, Table 2. Relationships between concentrations and
and various proteins as determined by corresponding 4000 –500 cmⴚ1 total spectral areas
comparison methods. obtained from series of pure component solutions.
Concentration,a g/L Biomoleculea r Slope Intercept
Albumin 0.97 18.8 0.22
Biomolecule Mean ⴞ SD Min Max CV, %
␣1-Acid glycoprotein 0.98 19.8 ⫺0.41
Glucose 5.20 ⫾ 0.16 5.0 5.6 0.84 ␣1-Antitrypsin 0.99 22.2 ⫺0.30
Lactate 1.72 ⫾ 0.31 1.11 2.23 2.4 ␣2-Macroglobulin 0.99 19.9 0.28
Urea 6.07 ⫾ 1.26 4.13 9.33 7.7 Apo-A1 0.96 19.5 0.17
Albumin 40.9 ⫾ 3.8 36.8 50.5 5.6 Apo-B 0.95 24.7 ⫺0.02
Fibrinogen 3.37 ⫾ 0.43 2.34 4.15 2.4 Apo-C3 0.98 20.4 0.11
Transferrin 2.44 ⫾ 0.30 1.8 3.0 7.4 Fibrinogen 0.99 22.1 0.21
Haptoglobin 0.94 ⫾ 0.45 0.16 2.02 20 Glucose 0.97 28.5 0.19
␣1-Acid glycoprotein 0.79 ⫾ 0.22 0.48 1.47 13 Haptoglobin 0.95 18.7 ⫺0.22
␣1-Antitrypsin 2.89 ⫾ 0.63 1.7 4.0 6.7 IgA 0.96 21.5 ⫺0.37
␣2-Macroglobulin 2.05 ⫾ 0.50 1.1 3.3 8.4 IgD 0.99 18.5 ⫺0.39
IgA 1.88 ⫾ 0.69 0.26 2.99 11 IgG1 0.97 20.0 ⫺0.13
IgD 0.37 ⫾ 0.13 0.18 0.71 12 IgG2 0.99 18.5 ⫺0.10
IgG1 7.51 ⫾ 1.91 4.1 13.2 8.7 IgG3 0.96 21.4 0.28
IgG2 2.53 ⫾ 0.54 1.1 3.4 9.6 IgG4 0.96 24.4 0.31
IgG3 0.61 ⫾ 0.21 0.2 1.2 12 IgM 0.97 19.7 ⫺0.12
IgG4 0.53 ⫾ 0.25 0.1 1.2 21 Lactate 0.94 29.4 ⫺0.44
IgM 1.20 ⫾ 0.66 0.20 2.69 14 Transferrin 0.96 21.9 0.19
Apo-A1 1.52 ⫾ 0.21 1.2 2.1 6.8 Urea 0.99 30.5 ⫺0.23
Apo-B 0.93 ⫾ 0.17 0.55 1.27 4.7 a
n ⫽ 15 analyses per biomolecule concentration. For each biomolecule, the
Apo-C3 0.48 ⫾ 0.17 0.17 0.81 9.1 mean of the spectra for the 20 g/L solution was used as the comparison
a
Concentrations for glucose, lactate, and urea given as mmol/L. spectrum for spectra subtractions.
734 Petibois et al.: Plasma Proteins Determined by FT-IR Spectrometry

analysis of the two methods showed a slope of 1.00 with


an intercept of 0.17 g/L (Fig. 4). The spectral contribution
of albumin (4000 –500 cm⫺1) represented 39.9% of the total
plasma FT-IR spectral area. Subtracting the albumin ab-
sorption left a spectral area of 230 ⫾ 21 U (Fig. 5).
Evaluation of the remaining area showed that glucose
was the second biomolecule whose concentration closely
correlated with absorption area integration values (5.2 ⫾
0.4 mmol/L; ␯ COOOC absorption at 1033–997 cm⫺1 ⫽ 7.27
mmol 䡠 L⫺1 䡠 U⫺1; plasma spectral area at 1033–997 cm⫺1
⫽ 0.71 ⫾ 0.05 U). The glucose concentration measured by

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FT-IR spectrometry was 5.22 ⫾ 0.17 mmol/L (correlation
with the comparison method, r ⫽ 0.97; P ⬍0.001; regres-
sion slope ⫽ 0.99; intercept ⫽ 0.04 mmol/L). Regardless
of whether the albumin absorption was subtracted before
Fig. 2. FT-IR spectra (1850 –500 cm⫺1) of IgG1–IgG4 in 20 g/L
or after glucose concentration analysis in the resulting
solutions. spectra, the results for glucose were in accord with those
Several absorption peaks differ among these biomolecules: 802 cm⫺1 for IgG1, from our previous study (9 ).
1087 and 982 cm⫺1 for IgG2, 1185 cm⫺1 for IgG3, and 893 cm⫺1 for IgG4. For subsequent spectra obtained after the spectral
contributions of specific biomolecules were subtracted,
values found in the correlation matrices, only one se- the greatest correlations were found between the concen-
quence of biomolecule analysis was found to give results trations measured by the comparison method and the
that provided sufficient agreement with the 35 results results obtained by spectral integration in the following
obtained with the clinically used comparison methods. descending order: fibrinogen, IgG2, lactate, IgG1, ␣1-anti-
The closest relationship between integration results trypsin, ␣2-macroglobulin, transferrin, Apo-A1, urea,
and the values obtained by the clinical comparison meth- Apo-B, IgM, Apo-C3, IgA, IgG4, IgG3, IgD, haptoglobin,
ods was for albumin, the biomolecule present in the and ␣1-acid glycoprotein (Tables 2 and 3). Urea was
highest concentration in plasma. This relationship in- included in this analysis because it exhibits strong absorp-
volved the spectral area located between 1600 and 1488 tion bands between 1800 and 1100 cm⫺1, a spectral range
cm⫺1 (␦NOH region; 23.3 ⫾ 0.3 U vs 40.9 ⫾ 3.8 g/L; r ⫽ in which IgM, IgG3, and IgG4 are also examined. In the
0.99; P ⬍0.001). Albumin represents 65% of plasma pro- 1500 –1300 cm⫺1 region, several of the spectral ranges
teins and 45% of the total plasma mass. The FT-IR used for determining biomolecule concentrations were
absorption of albumin between 1600 and 1488 cm⫺1 was very similar, i.e., those for fibrinogen, haptoglobin, IgG1,
1.76 g 䡠 L⫺1 䡠 U⫺1. The albumin concentration measured by IgA, and IgM. Utilization of these ranges was possible,
FT-IR spectrometry was 41.0 ⫾ 3.9 g/L (correlation with however, because the absorption bands for the pure
the comparison method, r ⫽ 0.99; P ⬍0.001). Regression compounds were not found in exactly the same locations
(␭max and ⑀) on the spectrum for each of the other pure
components (Fig. 6).
Haptoglobin was one the last biomolecules analyzed in
our sequence and presented important concentration vari-
ations among subjects. Nevertheless, although fibrinogen,
IgG1, IgA, and IgM concentrations were determined be-
fore those of haptoglobin, we obtained very good rela-
tionships between spectral and clinical reference values
for these five biomolecules. Finally, after subtraction for
20 biomolecules, which corresponded to 69 ⫾ 4 g/L of the
dried matter in plasma, the mean total spectral area of the
remaining spectrum was 114.5 ⫾ 11.2 U, i.e., 24.2% of the
initial plasma FT-IR spectral area (Fig. 7).

validation with plasma samples from 14 patients


The results obtained for plasma samples from the 14
patients are presented in Table 4. Patients presented with
Fig. 3. FT-IR spectra (1850 –500 cm⫺1) of Apo-A1, -B, and -C3 in 20 g/L
solutions.
broad concentration heterogeneities for albumin, IgA,
Several absorption peaks are highly specific for these biomolecules: 1466 and
IgD, IgG1, IgG2, IgG3, IgG4, IgM, urea, Apo-B, Apo-C3,
1164 cm⫺1 for Apo-A1, 1218 and 984 cm⫺1 for Apo-B, and 997 cm⫺1 for Apo-C3. and haptoglobin. By comparing these differences in
Clinical Chemistry 47, No. 4, 2001 735

Table 3. Statistical indices between comparison method values and FT-IR spectrometry values.
FT-IR spectrometry data Statistics

Abscissa
(wavenumber)
limits, cmⴚ1 Mean ⴞ SD

Absorptivity, Concentration,
Biomoleculea Left Right g 䡠 Lⴚ1 䡠 Uⴚ1 Area, U g/L rb Sxⱍy Slope Intercept
Albumin 1600 1488 1.76 23.3 ⫾ 0.3 41.0 ⫾ 3.9 0.98 0.67 1.00 0.67
Glucose 1062 997 7.27c 0.71 ⫾ 0.05 5.22 ⫾ 0.17d 0.95 0.05c 0.99 0.04d
Fibrinogen 1428 1363 2.42 1.38 ⫾ 0.17 3.36 ⫾ 0.46 0.97 0.10 1.04 ⫺0.16
0.74 ⫾ 0.11 2.57 ⫾ 0.57

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IgG2 1652 1622 3.72 0.97 0.18 1.01 0.02
Lactate 1134 1115 65.46c 0.026 ⫾ 0.007 1.80 ⫾ 0.36d 0.94 0.11c 1.09 ⫺0.08d
IgG1 1419 1361 9.07 0.83 ⫾ 0.23 7.66 ⫾ 2.08 0.98 0.35 1.07 ⫺0.35
␣1-Antitrypsin 712 691 48.4 0.059 ⫾ 0.015 2.89 ⫾ 0.68 0.96 0.18 1.04 ⫺0.14
␣2-Macroglobulin 1116 983 1.98 1.05 ⫾ 0.26 2.11 ⫾ 0.51 0.98 0.22 1.01 0.03
Transferrin 1338 1292 12.39 0.19 ⫾ 0.02 2.45 ⫾ 0.31 0.97 0.08 0.99 0.02
Apo-A1 1484 1427 1.81 0.91 ⫾ 0.11 1.55 ⫾ 0.22 0.97 0.05 1.06 ⫺0.06
Urea 1652 1632 35.01c 0.17 ⫾ 0.04 6.25 ⫾ 1.39d 0.97 0.33c 1.07 ⫺0.25d
Apo-B 2862 2835 6.95 0.13 ⫾ 0.01 0.96 ⫾ 0.17 0.96 0.05 0.96 0.07
IgM 1428 1360 1.96 0.61 ⫾ 0.25 1.27 ⫾ 0.65 0.98 0.13 0.97 0.11
Apo-C3 1676 1660 8.09 0.062 ⫾ 0.028 0.52 ⫾ 0.19 0.97 0.04 1.06 0.004
IgA 1418 1372 5.31 0.36 ⫾ 0.11 1.88 ⫾ 0.70 0.97 0.16 0.99 ⫺0.003
IgG4 1538 1505 6.89 0.075 ⫾ 0.031 0.54 ⫾ 0.26 0.95 0.08 0.93 0.08
IgG3 1652 1628 4.29 0.14 ⫾ 0.05 0.63 ⫾ 0.23 0.95 0.07 1.03 0.01
IgD 1479 1464 21.8 0.019 ⫾ 0.006 0.38 ⫾ 0.16 0.92 0.05 1.11 ⫺0.03
Haptoglobin 1428 1378 3.35 0.29 ⫾ 0.14 0.98 ⫾ 0.47 0.99 0.08 1.04 0.01
␣1-Acid glycoprotein 1337 1279 2.77 0.33 ⫾ 0.08 0.82 ⫾ 0.23 0.96 0.07 0.99 0.02
a
Data are presented in order of analysis of the biomolecules in the iterative method.
b
P ⬍0.001 if r ⬎0.99; P ⬍0.005 if r ⬎0.95.
c
mmol 䡠 L⫺1 䡠 U⫺1.
d
mmol/L.

plasma contents with the results obtained for the first set analyses of 35 plasma samples. As shown in Table 4, all
of plasma samples, we could test the validity of the concentration values obtained correlated well with the
sequence used for biomolecule analysis. For this set of 14 concentrations determined by the comparison methods.
plasma samples, we used exactly the same spectral ranges
and sequence order that were used for the previous

Fig. 5. Subtraction of IgG1 absorption spectrum (for 7.66 g/L IgG1


Fig. 4. Relationship between albumin concentration measured by the sample) from plasma FT-IR spectrum.
comparison method and by FT-IR spectrometry in plasma samples from The mean spectra (1500 –500 cm⫺1) for samples from 35 healthy subjects
35 healthy subjects. before (plasma) and after (resulting) subtraction are shown.
736 Petibois et al.: Plasma Proteins Determined by FT-IR Spectrometry

spectra. These methods looked for a strong relationship


between a wide spectral region (500 cm⫺1 or higher) that
contains several absorption bands for a biomolecule and
the concentration of the molecule in the analyzed sample
(1, 2 ). The aim of multivariate regression methods is to
correlate variations in blood FT-IR absorption spectra
with the known changes in the absorption spectrum of a
pure component when the concentration of the pure
component varies within samples. Such methods have
been used to determine the plasma concentrations of total
proteins (1 ) and cholesterol (2 ). However, a strong limi-

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tation of these methods is that a direct analysis, i.e., one
showing any characteristic absorption of the biomolecules
in the spectrum, has been unavailable. Indeed, defined
concentrations of biomolecules could not be determined
as had been done for glucose or lactate. In the FT-IR
Fig. 6. FT-IR spectra of 20 g/L fibrinogen, haptoglobin, IgG1, IgA, and spectra of complex biological samples, such as plasma, the
IgM in the 1500 –1300 cm⫺1 spectral region. absorption spectra of some biomolecules may first be
In each spectrum, vertical bars give abscissa limits and top of spectral ranges
used for determination of biomolecule concentrations. The upper limits of the
subtracted to uncover other absorption patterns. This has
spectral ranges were 1398 cm⫺1 for fibrinogen, 1401 cm⫺1 for haptoglobin, been clearly shown for the absorption pattern of lactate in
1405 cm⫺1 for IgG1, 1411 cm⫺1 for IgM, and 1408 cm⫺1 for IgA (see Table 3 the 1300 –900 cm⫺1 spectral region, which is obscured by
for abscissa limits).
glucose absorption (11 ). Lactate absorption in this spectral
region could be exploited only after the absorption attrib-
Discussion utable to glucose had been subtracted.
We previously demonstrated that FT-IR spectrometry Our aim in this study was to determine the concentra-
could determine glucose and lactate concentrations with tions of various proteins in plasma on the basis of their
clinical accuracy in the 1300 –900 cm⫺1 absorption region most characteristic IR absorption peaks. For albumin, the
(9, 11 ). These measurements were facilitated by the ab- best correlation with results obtained by a comparison
sence of marked absorption by proteins, mainly albumin, method was found using the ␦NOH absorption region
within this spectral region. This opportunity has to be (1600 –1480 cm⫺1) common to all plasma proteins. How-
related to the absence of glycosylation of albumin, this ever, the physiological concentration of albumin is 37– 45
protein being by far the most abundant compound in g/L, and the biomolecule that contributes the most in-
plasma. However, until now, no more than a few charac- tense absorption to plasma FT-IR spectra after albumin is
teristic absorption peaks have been used successfully for IgG1, the concentration of which usually is 6 – 8 g/L. We
measuring the individual concentrations of several bi- found a high correlation between IgG1 concentrations
omolecules in a sample. Only statistical methods, such as measured by the comparison method and spectral data
multivariate regression, allowed determination of concen- for the 1419 –1361 cm⫺1 absorption region, which is out-
trations of other biomolecules in plasma, using FT-IR side of the spectral region used for determining the
albumin concentration.
We determined an absorption-related sequence for the
biomolecules to be subtracted from plasma FT-IR spectra;
that is, the concentrations of several biomolecules could
be determined only after the absorption spectra of other
biomolecules had been subtracted, even when the absorp-
tion contributed to the plasma FT-IR spectrum by the
molecules subtracted earlier was several-fold less intense
than the absorption contributed by the remaining biomol-
ecules. This was clearly illustrated by the plasma concen-
trations of the biomolecules determined in the following
order: glucose (⬃1 g/L), fibrinogen (⬃3 g/L), lactate
(⬃0.3 g/L), and IgG1 (⬃8 g/L). Despite its high concen-
tration, IgG1 could not be determined before the glucose,
fibrinogen, and lactate IR absorption peaks were sub-
tracted. Glucose absorbs strongly in the 1419 –1361 cm⫺1
Fig. 7. Plasma FT-IR spectrum (4000 –500 cm⫺1) after subtraction of spectral region, which is also the most specific region for
absorption spectra of 20 biomolecules. IgG1 absorption in plasma. Similarly, fibrinogen exhibits a
The FT-IR spectrum is the mean for samples from 35 healthy subjects. strong absorption centered at 1395 cm⫺1, and lactate
Clinical Chemistry 47, No. 4, 2001 737

Table 4. Results obtained for the plasma samples from 14 patients.


Concentration, g/L

Comparison method FT-IR spectrometry data Statistics

Biomoleculea Mean ⴞ SD Min Max Mean ⴞ SD Min Max rb Sxⱍy


Albumin 43.1 ⫾ 8.5 32 61 42.8 ⫾ 8.6 31.4 61.3 0.98 1.66
Glucose 5.06 ⫾ 1.26c 3.6c 8.4c 4.93 ⫾ 1.21c 3.18c 7.99c 0.98 0.22c
Fibrinogen 2.61 ⫾ 0.84 1.4 4.2 2.59 ⫾ 0.80 1.51 4.01 0.97 0.19
IgG2 2.91 ⫾ 2.31 0.5 8.0 2.82 ⫾ 2.27 0.47 7.46 1.00 0.21
Lactate 1.24 ⫾ 0.60c 0.5c 2.8c 1.18 ⫾ 0.57c 0.45c 2.61c 0.97 0.15c
IgG1 7.16 ⫾ 5.19 1.8 22.0 7.40 ⫾ 5.60 1.61 23.6 0.96 0.56

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␣1-Antitrypsin 1.69 ⫾ 0.37 1.09 2.90 1.67 ⫾ 0.57 0.89 2.61 0.94 0.20
␣2-Macroglobulin 1.79 ⫾ 0.59 0.83 2.94 1.79 ⫾ 0.63 0.86 3.05 0.98 0.12
Transferrin 1.87 ⫾ 0.49 0.81 2.58 1.91 ⫾ 0.51 0.81 2.67 0.94 0.14
Apo-A1 1.17 ⫾ 0.49 0.3 2.18 1.17 ⫾ 0.52 0.24 2.33 0.99 0.08
Urea 11.7 ⫾ 7.9c 1.7c 25.5c 11.7 ⫾ 7.8c 1.54c 25.4c 0.97 0.78c
Apo-B 0.90 ⫾ 0.44 0.19 1.87 0.90 ⫾ 0.43 0.22 1.71 0.96 0.13
IgM 2.73 ⫾ 3.10 0.31 10.40 2.64 ⫾ 3.16 0.33 11.1 0.93 0.35
Apo-C3 0.16 ⫾ 0.10 0.03 0.33 0.16 ⫾ 0.10 0.02 0.37 0.96 0.03
IgA 3.41 ⫾ 1.95 0.69 6.06 3.23 ⫾ 1.90 0.56 6.04 0.94 0.23
IgG4 0.24 ⫾ 0.23 0.01 0.80 0.23 ⫾ 0.23 0.01 0.86 0.97 0.05
IgG3 1.07 ⫾ 0.60 0.22 2.00 1.08 ⫾ 0.65 0.3 2.21 0.95 0.13
IgD 0.67 ⫾ 0.37 0.13 1.11 0.69 ⫾ 0.42 0.11 1.23 0.94 0.15
Haptoglobin 1.79 ⫾ 1.26 0.49 4.35 1.73 ⫾ 0.30 0.45 4.89 0.97 0.23
␣1-Acid glycoprotein 1.48 ⫾ 0.48 0.80 2.31 1.44 ⫾ 0.49 0.61 2.19 0.95 0.16
a
Data are presented in order of analysis of the biomolecules in the iterative method.
b
P ⬍0.01 if r ⬎0.98; P ⬍0.05 if r ⬎0.92.
c
mmol/L.

exhibits a weak absorption centered at 1399 cm⫺1. Fur- were used, representing the different FT-IR absorption
thermore, we were unable to find another specific IgG1 spectra of these biomolecules.
absorption peak in any other spectral region. Indeed, Another important finding of this study is that the
before we could ascertain which absorption region could concentrations of several biomolecules, notably those for
be used for determining the IgG1 concentration in plasma, fibrinogen, haptoglobin, IgG1, IgA, and IgM, could be
the glucose, fibrinogen, and lactate absorption spectra had determined using spectral ranges that were very close to
to be subtracted. The sequence we found for determining one another, i.e., 1500 –1300 cm⫺1, but that differed as to
biomolecule concentrations was the one yielding the best the exact locations and intensities of the absorption peaks.
correlation with the spectral range areas calculated with Even when haptoglobin concentrations exhibited several-
respect to the resulting spectra for the other biomolecules. fold variations between subjects, we were able to deter-
Multivariate calibration methods, such as partial least mine the concentrations of the other biomolecules with
squares and principal component regression, effectively
clinical accuracy in the previous steps. Indeed, the spec-
remove the spectral features of each determined analyte
tral ranges we used exhibited slight but sufficiently char-
sequentially, similar to the method we have proposed.
acteristic differences in the 1500 –1300 cm⫺1 absorption
However, by subtracting the spectral contribution of each
region, leading to determination of the concentrations of
biomolecule determined from the complete FT-IR spec-
these biomolecules. For the last biomolecule determined
trum for plasma, we were able to determine the concen-
trations of many more biomolecules than could be mea- in this series, ␣1-acid glycoprotein, the results correlated
sured by other FT-IR spectrometry methods. well (r ⫽ 0.96) with the values obtained by the compari-
Importantly, the FT-IR spectra of biomolecules belong- son method.
ing to the same families contained important differences, We tested the sequence order we found for determin-
as was observed for the IgGs. This reflects structural ing biomolecule concentrations by assaying plasma sam-
specificities for these biomolecules; e.g., between 1300 and ples from 14 patients in which the concentrations of
900 cm⫺1 (␯COO region), spectral differences reflect dif- several proteins varied widely. We also assayed these
ferences in the sugar content. Thus, we were able to samples with the comparison methods for all biomol-
determine the concentration of each IgG form in plasma ecules determined by the FT-IR method. The results
according to the FT-IR spectrum. This was also true for demonstrated that the spectral ranges we used to deter-
apolipoproteins, for which three different spectral regions mine biomolecule concentrations reflected structural ab-
738 Petibois et al.: Plasma Proteins Determined by FT-IR Spectrometry

sorption peaks sufficiently characteristic of these biomol- copy in the mid-infrared region to the determination of glucose and
ecules. cholesterol in whole blood and in blood serum. Appl Spectrosc
Moreover, the FT-IR absorption spectra of the biomol- 1997;51:631–5.
3. Gremlich HU. Infrared and Raman spectroscopy. In: Ullmann’s
ecules analyzed on the basis of sequential plasma spectra
encyclopedia of industrial chemistry, Vol. B5. Weinheim, Switzer-
were not altered by successive subtractions of absorption. land: VCH, 1994:429 – 69.
After the individual absorption peaks for 20 biomolecules 4. Sockalingum GD, Bouhedja W, Pina P, Allouch P, Bloy C, Manfait
were subtracted from the complete FT-IR spectrum of M. FT-IR spectroscopy as an emerging method for rapid character-
plasma, the resulting spectra were not noise. We therefore ization of microorganisms. Cell Mol Biol 1998;44:261–9.
consider it possible to continue to use this method to 5. Ward KJ, Haaland DM, Robinson MR, Eaton RP. Quantitative
determine the concentrations of additional biomolecules, infrared spectroscopy of glucose in blood using partial least-
square analyses. Proc SPIE Int Soc Opt Eng 1989;1145:607– 8.
namely, triglycerides, cholesterol esters, amino acids, and

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6. Werner GH, Böcker D, Haar H-P, Kuhr H-J, Mischler R. Multicom-
fatty acids. ponent assay for blood substrate in human sera and haemolysed
blood by mid-infrared spectroscopy; in Infrared spectroscopy: new
In conclusion, the present study has demonstrated that tools in medicine. Proc SPIE Int Soc Opt Eng 1998;3257:91–100.
FT-IR spectrometry is a useful tool for determining con- 7. Ward KJ, Haaland DM, Robinson MR, Eaton RP. Post-prandial
centrations of multiple biomolecules in microsamples of blood glucose determination by quantitative mid-infrared spectros-
copy. Appl Spectrosc 1992;46:959 – 65.
plasma.
8. Heise HM, Bittner A. Investigation of experimental errors in the
quantitative analysis of glucose in human blood plasma by ATR-IR
spectroscopy. J Mol Struct 1995;348:21– 4.
We are indebted to the Conseil Régional d’Aquitaine and 9. Petibois C, Rigalleau V, Melin A-M, Perromat A, Cazorla G, Gin H,
the Fédération Française de Rubgy for financial support Déléris G. Determination of glucose in dried serum samples by
and technical assistance. Fourier-transform infrared spectroscopy. Clin Chem 1999;45:
1530 –5.
10. Bergmeyer HU. Methods of enzymatic analysis. New York: Aca-
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