PAKISTAN SOCIETY OF CHEMICAL PATHOLOGISTS DISTANCE LEARNING PROGRAMME IN CHEMICAL PATHOLOGY LESSON NO 13 ANALYTICAL TECHNIQUES AND INSTRUMENTATION (SHORT NAME: ATI) BY SURG COMMODORE AAMIR IJAZ MCPS, FCPS, FRCP (EDIN) PROFESSOR OF PATHOLOGY / CONSULTANT CHEMICAL PATHOLOGIST BAHRIA UNIVERSITY MEDICAL &DENTAL COLLEGE / PNS SHIFA KARACHI Q:1: The analytical technique in which optics (Photometry) is NOT used in any form: a. Atomic Absorption b. HPLC c. POCT for glucose d. Radioimmunoassay e. Real Time PCR Best answer: d. Radioimmunoassay Optical Techniques used in Various Instruments Atomic Absorption Photometry : Primarily a Photometric Technique HPLC: Photometry used in detection in many types of HPLC Glucometers: Reflectance technique Real Time PCR: Fluorometry in detection Q: 2. A Chemical Pathology autoanalyser has rejected the blank cuvettes before the start of analysis with the message “Cuvette Check Fail” (Dirty Cuvettes). Which of the following phenomena is mainly prevented by this function of autoanalyser: a. b. c. d. e. Absorbance of light Emission of light Reflectance of light Scattering of Light Transmission of light Best answer: d.Scattering of Light Q:3: Which of the following modifications makes a Liquid Chromatography a High Performance Liquid Chromatography (HPLC): a. Fixed loop injector b. Increasing volatility by sample derivatization c. Length of columns from 50 to 250 nm d. Small-diameter particles as stationary phase e. UV lamp detectors of 190 to 400 nm. Best answer: d. Small-diameter particles as stationary phase Q:4: It is reported that the sensitivity of an Atomic Absorption method is 100 times higher than Flame Emission. The reason for this very high sensitivity is: a. Drastic reduction in background noise b. Most of the ground state atoms absorb light. c. Sample derivatization before analysis d. Use of a hollow cathode lamp made of the material to be analysed. e. Very high temperature is used for excitation of atoms. Best answer: b. Most of the ground state atoms absorb light. Atomic Absorption Photometry Very High Sensitivity : About 95% atoms remain in ground state and are not excited. In AA the light is absorbed by these 95% atoms. So the ability of this technique to measure very small quantity of substances is very high i.e. high analytical sensitivity. Very High Specificity: Use of a hollow cathode lamp made of the material to be analysed is the reason of very high specificity of this technique. Q:5: In an Ion Selective Electrode System glass electrodes with sufficient selectivity are used for the measurement of : a. Carbon Dioxide (PCO2) b. Chloride (Cl-) c. Hydrogen (H+) d. Oxygen (PO2) e. Potassium (K+) Best answer: c. Hydrogen (H+) Q:6: In Clinical Laboratories Conductometry is used for the measurement of : a. Calcium (Ca+2) b. Haematocrit c. Lithium (Li+) d. Magnesium (Mg+2) e. Sodium (Na+) Best answer: b. Haematocrit Q:7: In Clinical Enzymology, Michaelis and Menten Equation provides the basis of quantitative measurement of enzymes. Which of the following is a basic assumption of this equation: a. The effect of product is negligible on the concentration of EnzymeSubstrate Complex. a. b. The enzyme concentration of the enzyme-catalysed reaction is fixed. c. The pH is neutral (7.40). d. The reaction is first order with respect to substrate e. The temperature of the reaction is 370C. Best answer: The effect of product is negligible on the concentration of Enzyme-Substrate Complex. Michaelis and Menten Equation for quantitative measurement of enzymes Michaelis and Menten Equation governs quantitative estimation of enzyme activity. An important assumption of this equation is: ‘The effect of product is negligible on the concentration of Enzyme-Substrate Complex’. Types of Enzyme-Substrate Reaction Zero Order Reaction: When an enzyme activity is to measured, the quantity of substrate is added in excess and the amount is fixed. First Order Reaction: is the reaction in which quantity of substrate is to be determined. So the quantity of enzyme is fixed. Q:8: The Electrophoresis System with high speed automation and miniaturization: a. Capillary electrophoresis b. Capillary zone electrophoresis c. High performance gel electrophoresis d. Isoelectric focusing e. Microchip-based electrophoresis Best answer: e. Microchip-based electrophoresis Q:9: An autoanalyser which can perform different tests sequentially on a batch of specimen is a called : a. Batch analyser b. Centrifugal analyser c. Continuous flow analyser d. Discrete analyser e. Random access analyser Best answer: e. Random access analyser Q:10: Point of Care Testing (POCT) employing immunoassay is used for the detection of: a. Bilirubin b. Electrolytes c. Glucose d. Troponins e. Urine Albumin Best answer: d. Troponins Q:11: Immunoassays have passed through an evolutionary process of development with decreasing Limit of Detection (Increasing Analytical Sensitivity) and ease of automation. a. List the labelled immunoassays in the order of ascending Analytical Sensitivity. b. Name TWO labelled immunoassays with very high sensitivity widely used in Hormone and Tumour Marker auto-analysers these days. What is the range of their lower detection limit? c. What are the TWO technical advancements which have resulted into such remarkable sensitivity of these immunoassays? Suggested Answer to Q.11a List the labelled immunoassays in the order of ascending Analytical Sensitivity. (Please see next slide) Immunoassays (In the order of Sensitivity) • Radioimmunoassay (RIA) • Immunoradiometric assay (IRMA) • Enzyme linked immunosorbent (ELISA) • Enzyme multiplied immunoassay technique (EMIT) • Cloned enzyme donor immunoassay (CEDIA) • Florescent immunoassay (FIA) • Florescent polarized immunoassay (FPIA) • Electrochemiluminescence immunoassay • Chemiluminescence immunoassay (Note: This is an approximate list. Some techniques may have better sensitivity than mentioned here) Suggested Answer to Q.11b Name TWO labelled immunoassays with very high sensitivity widely used in Hormone and Tumour Marker auto-analysers these days. What is the range of their lower detection limit? 1. Chemiluminiscence immunoassay Range of their lower detection limit is 1 zeptomole 1. Electrochemiluminescence immunoassay Range of their lower detection limit is 20 zeptomole Suggested Answer to Q.11c What are the TWO technical advancements which have resulted into such remarkable sensitivity of these immunoassays? 1. Enzymatic amplification of substrate to product also improve sensitivity of immunoassay 2. Use of Luminescence material Chemiluminescent Immunoassays • Large number of molecules capable of chemiluminescence • Luminol • Acridium esters • Ruthenium derivatives • Nitrophenyl oxalates • Use sodium hydroxide as a catalyst • Light emission ranges from quick burst or flash to light which remains for a longer time. • Different types of instruments are required based on emission. Chemiluminescent Immunoassays (Con) • Can be used for heterogeneous or homogeneous assays. • Can attach label to antigen or antibody. • Heterogeneous assays use competitive and sandwich assay. • Competitive assays used to measure smaller analytes. • Sandwich assays are used to measure larger analytes. Chemiluminescent Immunoassay (cont) • Many applications. • Can measure antigen or antibody. • Add chemiluminescently tagged analyte. • Measure light which is emitted which is directly related to concentration although competitive binding assays are available. Chemiluminescent Immunoassays (cont) • Best known application of chemiluminescense is luminol • Luminol reacts with the iron in blood hemoglobin. Q:12 Chromatography is an important component of any Analytical Chemical Pathology Laboratory. A Chemical Pathologist should have a broad knowledge base upon which detailed technical knowhow can be built. So please answer following questions regarding Chromatography: a. Give basic characteristics of Chromatography. Give ONE feature of Electrophoresis which differentiates it from Chromatography. b. Name two basic forms of chromatography with sub-classification of each form. c. What are the various separation mechanisms used in chromatography? Please write one line for each of these mechanisms. d. Name components of a column chromatograph. Suggested Answer to Q.12a Give basic characteristics of Chromatography. Give ONE feature of Electrophoresis which differentiates it from Chromatography. • In electrophoresis migration of charged solutes or particles in a liquid medium under the influence of an electric field • Chromatography is a physical process where the component of a sample mixture are separated as a result of their differential distribution between stationary and mobile phase. Suggested Answer to Q.12b Name two basic forms of chromatography with sub-classification of each form. Planer • Paper • Thin layer chromatography (TLC) • High performance thin layer chromatography(HPTLC Column • Gas (GC) • Liquid (LC) • HPLC Suggested Answer to Q.12c What are the various separation mechanisms used in chromatography? Please write one line for each of these mechanisms. (Plz see next slide) Separation Mechanisms Used in Chromatography 1.Ion Exchange Chromatography : Ion exchange chromatography is based on an exchange of ions between a charged stationary surface and ions of the opposite charge in a mobile phase. 2.Partition Chromatography The differential distribution of solutes between two immiscible liquids is the basis for sepration by partition chromatography. 3.Adsorption Chrpmatography The basis of sepration by adsorption chromatography is the difference between adsorption and desorption of solutes at the surface of a solid particles. Separation Mechanisms Used in Chromatography (Contd) 4.Size- Exclusion Chromatography In this technique, solutes are separated on the basis of their molecular size, shape and hydration. 5.Affinity Chromatography In affinity chromatography, the unique and specific biological interaction of the analyte and ligand is used for separation. Suggested Answer to Q.12d Name components of a column chromatograph. • Mobile phase supply • Flow controller (GC) or pump (LC) • Injector • Computer/controller • Integrator/ recorder • Column (s) • Detector (s) • Waste Q:13 Mass Spectrometry (MS) can be regarded as one of the most important technical advances in the field of Analytical Chemistry in recent times. It has enhanced identification and quantification of small quantities to a greatest degree. Please answer following questions regarding Mass Spectrometry: a. What is a Mass Spectrometer and on which principle Mass Analysis is carried by these instruments? b. What is the technical innovation in MS which has led to the development of definite methods of various routine analytes? c. Name various instruments in which MS is used as a primary technique or used as a coupled component to greatly enhance the specificity and sensitivity. Suggested Answer to Q.13 a What is a Mass Spectrometer and on which principle Mass Analysis is carried by these instruments? Mass spectrometer (MS) is an instrument in which ionized molecules are separated and measured according to their mass-to-charge ratio. Principle of Mass analysis: Mass analysis is the process by which a mixture of ionic species is identified according to the mass-to-charge (m/z) ratios (ions). Mass spectrometer (universal detector) is a powerful qualitative and quantitative analytical instrument that first ionizes a target molecules and then separates and measures the mass of a molecule or its fragments. Suggested Answer to Q.13 b What is the technical innovation in MS which has led to the development of definite methods of various routine analytes? Isotope dilution mass spectrometry (IDMS) Ability of MS to quantify a compound relative to an isotope species of known or fixed concentration is called IDMS. The IDMS technique has been used to develop definitive methods for various routine analytes Suggested Answer to Q.13 c Name various instruments in which MS is used as a primary technique or used as a coupled component to greatly enhance the specificity and sensitivity. (Please see next slide) . Instruments in Which MS is Used • Primary Technique • • • • • MS/MS (Tandem MS) Time of Flight (TOF) MS MALDI Mass spectrometry SELDI Mass spectrometry ICP Mass Spectrometry • Coupled Technique • Liquid Chromatography - Mass Spectrometry • Gas Chromatography Mass Spectrometry Thank You and Best Of Luck