INSTRUMENTS AND PRINCIPLES USE IN BIOCHEMICAL ASSAYS DR. APPIAH MICHAEL SPECTROPHOTOMETRY • Assay of a substance in solution by spectrophotometry is done by measuring the amount of light absorbed by that solution after appropriate treatment. • The more light absorbed the higher the concentration of the analyte in consideration. • Colorimetry is an associated procedure used to describe the same technique, the only difference being the sophistication of the instrument used. • A colorimeter is a simpler instrument usually with less variable wavelengths and of limited variability. DR. APPIAH'S LECTURE SERIES 2 Spectrophotometry instrumentation • A light source provides the incident ray for the system. • The wavelength of the incident ray is usually within the visible range (400-800) and can use a tungsten lamp. • The light required is to be of a single wavelength but the light source emits light of several wavelengths. • The proper wavelength is selected by a prism or a grating system (a monochromator). DR. APPIAH'S LECTURE SERIES 3 • The incident light passes through the cuvette holding the analyte with minimal absorption. • The transmitted light falls on a detector, which is a phototube that responds to light striking it. • This transmitted light falling on the detector generates an electric signal to a read out device to indicate the amount of light passing through the sample. DR. APPIAH'S LECTURE SERIES 4 DR. APPIAH'S LECTURE SERIES 5 Three Types of Spectrophotometric Methods • Three examples of common types of chemical reactions that are measured by the spectrophotometer are endpoint colorimetric, endpoint enzymatic, and kinetic reactions. • The Jaffe reaction for creatinine is an example of an endpoint colorimetric reaction. • The hexokinase reaction with glucose is an example of an endpoint enzymatic reaction in which enzymes catalyze the reaction to measure the analyte. • An example of a kinetic method, which employs substrates and coenzymes to measure the activity of the enzyme, is that of measurement of alanine transaminase (ALT) using alanine, alpha-ketoglutarate, and pyridoxyl-5’phosphate. DR. APPIAH'S LECTURE SERIES 6 Common Types of Chemical Reaction Measured With Spectrophotometry Chemical Reaction Type What Is Measured How Absorbance Is Measured* Endpoint colorimetric Chromogen One reading Endpoint enzymatic Colorless coenzyme One reading Kinetic Colorless coenzyme Multiple absorbance readings *Spectrophotometer is first set to 100% T/zero absorbance with a reference solution. DR. APPIAH'S LECTURE SERIES 7 Atomic Absorption Spectrophotometry • Measures light to determine the concentration of an analyte. However, this is a more complex type of spectrophotometry. • Only metals such as divalent or some trivalent cations can be atomized easily, so this is a common method of analysis for metals such as lead. • The element of interest is separated from the molecular state and placed in its unexcited, ground state. • In the ground state, the element absorbs radiation at a narrow bandwidth of spectrum that is specific to the element. DR. APPIAH'S LECTURE SERIES 8 • The excitation source emits the same wavelength of light that the atoms can easily absorb. • Absorption of radiant energy follows Beer’s law, such that concentration of the number of atoms present in the sample is proportional to the amount of absorption of the specific wavelength of radiation. DR. APPIAH'S LECTURE SERIES 9 • AAS uses a high-energy hollow cathode lamp (HCL) containing a filament of the same metal to be tested and a rare gas. • • Electrical discharge produced by the power source ionizes the rare gas atoms, causing collisions of the gas atoms with the metal atoms. • The metal atoms emit radiant energy when they return to ground state. • A rotating beam splitter, also known as a rotary chopper, generates a reference beam that bypasses the sample in the flame and, alternatively, a sample beam. • The ratio between both paths is determined. DR. APPIAH'S LECTURE SERIES 10 DR. APPIAH'S LECTURE SERIES 11 • Essentially, the decrease in radiant energy coming from the sample beam as compared to the reference beam is detected by the photodetector. • The difference in energy between the two beams is due to the amount of energy absorbed. • The placement of the monochromator is after the cuvette, unlike in simple spectrophotometry. • A monochromator between the flame and the photodetector eliminates extra wavelengths of light emitted by the flame before it reaches the photodetector. • This helps to ensure that only light emitted by the lamp and not absorbed by the sample is detected. DR. APPIAH'S LECTURE SERIES 12 • AAS is highly sensitive for quantification of trace and toxic metals. • It is not suitable for metals found in larger concentrations in plasma, such as sodium or potassium. • Interferences in AAS include chemical,ionization, and matrix interference. DR. APPIAH'S LECTURE SERIES 13 BEER-LAMBERT LAW • Beer-Lambert law states that the concentration of the sample and path length is directly proportional to the absorbance of the light. • By comparing the amount of incident light entering a solution with the amount of transmitted light, we can calculate the concentration of analyte in solution. • The difference between the amounts of incident light and transmitted light can be expressed mathematically and is referred to as absorbance of the solution. DR. APPIAH'S LECTURE SERIES 14 • A simple expression of Beer-Lambert law is as follows: A = c e l • Where ➢A is the measured absorbance, ➢c is the concentration of the analyte in solution, ➢e is the coefficient of absorptivity (and is specific for each compound), and ➢l is the length of the light path i.e the length of the cuvette • A simple interpretation of the law is that within certain limits concentration of analyte is directly proportional to the absorbance DR. APPIAH'S LECTURE SERIES 15 Why does Beer-Lambert law fails at higher concentrations? ❑Beer-Lambert law fails at higher concentrations because; ✓The linearity of the law is limited to chemical and instrumental factors. When the solution has higher concentrations, the proximity between the molecules of the solution is so close that there are deviations in the absorptivity. ✓Also, when the concentration is high, the refractive index changes. DR. APPIAH'S LECTURE SERIES 16 FLUOROMETRY • The Nature of Fluorescence: There are several types of luminescence phenomena including ; ➢Fluorescence ➢phosphorescence and ➢chemiluminescence. • These 3 phenomena occur when radiant energy is absorbed by a molecule. DR. APPIAH'S LECTURE SERIES 17 • Fluorescence occurs when excited electrons give off light as they drop from the excited state back to their ground state. • It has the property that the emitted fluorescence light is of a less energy or has a longer wavelength than the excitation light. • Phosphorescence, shows a larger shift in emitted light wavelength than does fluorescence. • Chemiluminescence and bioluminescence differ from the other luminescence phenomena (fluorescence and phosphorescence) in that the excitation event is caused by a chemical reaction and not by photolumination. DR. APPIAH'S LECTURE SERIES 18 • The physical event of the light emission in chemiluminescence and bioluminescence is similar to fluorescence in that it occurs from an excited singlet state and the light is emitted when the electron returns to the ground state. • For all practical purposes, fluorescence and phosphorescence differ only in the exact route the electron takes in returning to the ground state. • An increasingly useful tool in the analytical field is the use of fluorescence in chemical assays because in many instances it is more sensitive than spectrophotometry in that it allows smaller samples and fewer reagents to be used in a shorter time. • Other advantages include elimination of interference seen in spectrophotometry DR. APPIAH'S LECTURE SERIES 19 Basic Concepts of Fluorescence: • As with spectrophotometry, fluorescence measurements involve the interaction of light with a chemical compound. • The difference, however, in fluorescence is that the compound emits light, usually of a longer wavelength, in response to the light striking it. • This emitted light is detected by a phototube that determines the intensity. • The amount of light the compound emits is propotional to concentration of the compound. DR. APPIAH'S LECTURE SERIES 20 Fluorescence Instrumentation • In a fluorometer, light passes through an entrance slit and interacts with a wavelength selector (filter or grating) before striking a sample in cuvette. • The emitted light radiates out of the cuvette in all directions. • A wavelength selector and detector systems are located at 90 degree to the path of the incident ray to avoid detection of light coming into the sample. • Emitted light from the sample passes through the wavelength selector and strikes the phototube of the detector. • An electronic signal is sent to the read out system to indicate the intensity of the fluorescence detected. DR. APPIAH'S LECTURE SERIES 21 DR. APPIAH'S LECTURE SERIES 22 Nephelometry • Nephelometry is defined as the detection of light energy scattered or reflected toward a detector that is not in the direct path of the transmitted light. • Common nephelometers measure scattered light at right angles to the incident light. • The design principle of a nephelometer is similar to the design principle applied in fluorescence measurements. • The major operational difference between the fluorometer and the nephelometer is that the excitation and detection wavelength will be set to the same value in the nephelometer. DR. APPIAH'S LECTURE SERIES 23 DR. APPIAH'S LECTURE SERIES 24 FLAME EMISSION SPECTROPHOTOMETRY (FES) • Energy for excitation electrons comes from a flame. The energy produces electron transitions within the atom/ion. • As the electrons drop back to the ground state, light energy of specific wavelength is emitted. • This light is detected and measured by specific optical systems. • Only Na+ & K+ are run routinely as electrolytes whilst Lithium levels in serum are determined by flame photometry for manic-depressive patients on lithium therapy. DR. APPIAH'S LECTURE SERIES 25 Principle of Instrumentation • FES requires a sample handling system, a burner and a light detecting system. • The sample is burned by diluting it and presenting it to the flame in the form of spray. • The sample enters the aspirator by suction and passes through the atomizer, which disperses the sample in a fine mist. • The mist then interacts with the flame for excitation of the ions in solution. For most commonly used flame photometers, a mixture of propane and compressed air is used for the flame. DR. APPIAH'S LECTURE SERIES 26 • As the excited electrons drop back to a lower energy level, the light generated passes through a mechanism to eliminate stray radiation and collimate the beam to some extent. • Interaction with a monochromator determines the wavelengths that impinge on the phototube in the detector system. • The signal generated by the phototube is proportional to the concentration of the ion of interest in the sample. DR. APPIAH'S LECTURE SERIES 27 DR. APPIAH'S LECTURE SERIES 28 Precautions • Haemolysed blood should be avoided. • Avoid using anti-coagulant tubes and plain tubes should be used. Heparin is the only anti-coagulant that may be used if necessary. • High lipid or protein concentrations produce lower values of Na+ K+ DR. APPIAH'S LECTURE SERIES 29 ION SELECTIVE ELECTRODES (ISE) • This method uses a different principle for the determination of electrolytes. • Most chemical analysers are fitted with ISEs, which usually contain Na+ with glass membranes and K+ electrodes with liquid ionexchange membranes. • High selectivity is one its advantages. DR. APPIAH'S LECTURE SERIES 30 Principle • The ion-selective electrode works based on the principle of a galvanic cell. It consists of a reference electrode, ion-selective membrane, and voltmeter. • The transport of ions from an area of high concentration to low concentration, through the selective binding of ions with the specific sites of the membrane, creates a potential difference. • This potential is measured with respect to a stable reference electrode having a constant potential, and a net charge is determined. The difference in potential between the electrode and the membrane depends on the activity of the specific ion in solution. • The strength of the net charge measured is directly proportional to the concentration of the selected ion. DR. APPIAH'S LECTURE SERIES 31 DR. APPIAH'S LECTURE SERIES 32 AUTOMATION • Automation is the process of using a machine to perform steps in laboratory testing with only minimal involvement by the analyst. • Steps needed to produce laboratory results from a given sample includes: specimen identification, specimen volume measuring, sample pretreatment, reagent volume measuring, sample and reagent mixing, incubation, reaction timing and reaction analysis and calculations, and result presentation on a visual screen and/or in print. • Automation can handle all or some of these steps. DR. APPIAH'S LECTURE SERIES 33 Terms to describe automations • these terms are used in operating manuals and manufacturer’s literature. ✓single-channel or multichannel ✓discrete analysis ✓continuous flow analysis ✓random access ✓batch analysis ✓sequential analysis and ✓centrifugal analysis. DR. APPIAH'S LECTURE SERIES 34 DR. APPIAH'S LECTURE SERIES 35 Centrifugal Analyzers • Centrifugal analyzers were developed as a result of space-aged technology. • Samples and reagents were mixed together, reacted, and flowed by centrifugal force into separate cuvettes in which spectrophotometric analysis could occur. • These analyzers were capable of performing a batch of one type of test to completion. • Then, after a washing out phase and setting up phase, a new batch of a different test could be performed. • All patient test results were reported out at once for a particular batch. DR. APPIAH'S LECTURE SERIES 36 Continuous Flow Analyzers • The process is a rapid way of introducing samples to the ion-selective electrodes. • Carryover is minimized since the products of electrochemistry are ions of low concentrations rather than a large amount of chromagen. • However, air bubbles and wash fluids are used to remove remnants of sample before the next one flows in. • Continuous flow is also used in some spectrophotometric instruments in which the chemical reaction occurs in one reaction channel and then is rinsed out and reused for the next sample, which may be an entirely different chemical reaction. DR. APPIAH'S LECTURE SERIES 37 • Since disposable reaction cells are not used and liquid reagents are used, cost is low per test. • Sample carryover is minimized by the use of air bubbles and an inert coating substance that forms a reaction capsule. DR. APPIAH'S LECTURE SERIES 38 Discrete Analyzers • Sample reactions are kept discrete through the use of separate reaction cuvettes, cells, slides, or wells that are disposed of following chemical analysis. • This keeps sample and reaction carryover to a minimum but increases the cost per test due to disposable products. • One system uses multiple layers of dry reagent embedded into gel layers compiled onto a plastic slide the size of a postage stamp. • This dry slide system only introduces liquid from the patient sample and, although is more costly due to the disposable components, generates only dry waste. DR. APPIAH'S LECTURE SERIES 39 • Some discrete systems reuse the reaction cuvette by thoroughly washing, rinsing with pure water, and drying it between patient samples. • This technique helps to minimize cost by limiting disposable components as well as minimizing sample and test carryover. DR. APPIAH'S LECTURE SERIES 40 Specimen Identification • The sample container, whether it is a cup or the original tube, are properly labeled to trace back to the original patient sample and matched to the patient identification information and test requisition form. • Barcode labels are applied to sample tubes that fit onto analyzers to make identification and pairing of the sample with the results easier. DR. APPIAH'S LECTURE SERIES 41 Sample Pretreatment • Proteins are present in large concentrations in serum (e.g., albumin at 35 g/L) and may interfere with some analyses. The effect of protein interference can be lessened by sample pretreatment. • This is achieved usually by adding a large amount of diluent to dilute out interfering substances such as protein. • Instead of diluting the sample, one analyzer system has a topspreading layer of film that traps proteins and prevents them from reaching the chemical reaction layer. DR. APPIAH'S LECTURE SERIES 42 Reagent Handling and Pipetting • Reagents are stored by automated analyzers in room-temperature and refrigerated compartments. • Small refrigeration compartments with computerized sensors monitoring the temperature and inventory of reagents are used to store labile reagents. • Reagent containers often contain barcode labels for ease of identification by the instrument and help in maintaining inventory. • Specimen volume and reagent measuring is usually done by positive displacement pipettes and tubing, with pumps generating suction to aspirate the sample and reagent volumes and deliver them to a reaction cell. DR. APPIAH'S LECTURE SERIES 43 The Chemical Reaction • Sample and reagent mixing is performed by a variety of techniques, including centrifugal force, sound waves, vibration, stirring paddles, and a physical beater. • Incubating in a carefully controlled heating block is necessary for enzyme-catalyzed reactions and is required by many testing methods. • Reaction timing is carefully controlled by computerized timing devices that may control pumps or chains or other physical steps to move the reaction cell through the system. DR. APPIAH'S LECTURE SERIES 44 Reaction Analysis • Reaction analysis is achieved at the end of the incubation phase by endpoint or continuous monitoring of light transmittance using spectrophotometry for most analytes. • Ions are commonly measured by changes in potentiometry using ionselective electrodes. • A microprocessor performs calculations to convert absorbance or other measurements into units of concentration based on a standard curve. DR. APPIAH'S LECTURE SERIES 45 Result Reporting • Patient and quality control results are presented on a visual screen and printed on paper. • Results can be sent to the electronic patient chart that is stored in the database of the hospital computer system. • Sophisticated sensors send signals to the computer system to warn the operator of errors or problems of analysis. • Warning sounds alert the operator to indicate technical problems; error flags on the laboratory report indicate results that must be verified. • These cautionary activities provide continuous quality assurance of the technical process. DR. APPIAH'S LECTURE SERIES 46 Thank you DR. APPIAH'S LECTURE SERIES 47