The invention relates generally to chromatographic analyses of dried biological fluids. More particularly, the invention relates to the preparation of dried biological fluids, such as dried blood spots, on collection media and the extraction of previously dried samples.
Measuring concentrations of administered drugs and their metabolites in biological fluids, such as whole blood, plasma and serum, is important to understanding the efficacy and toxicological effects of the drugs. Typical clinical studies require handling and processing large numbers of biological fluid samples at low temperature with special care. Dried spot sampling is an alternative to the current practice and is based on collection of small volumes (e.g., several microliters or less) of biological fluids as dried spots. For example, dried blood spot (DBS) sampling involves the collection of small volumes of blood onto a carrier medium. Samples are later reconstituted from the dried spots using suitable solvents during an extraction process. The reconstituted samples can be analyzed, for example, in a liquid chromatography—mass spectrometry (LC-MS) assay. In many instances, this technique fails to deliver a desirable detection sensitivity and ease of use.
In one aspect, the invention features a device for collecting a fluid sample, such as a biological fluid sample. The device includes a planar collection substrate having an absorbent material. The planar collection substrate includes an impermeable region and a sample collection region. The impermeable region is embedded in the planar collection substrate in a spatial pattern and is impermeable to a fluid sample. The sample collection region is in the planar collection substrate in an area excluded from the spatial pattern of the impermeable region. The sample collection region has a shape and a size defined by the spatial pattern and is configured to receive a known volume of the fluid sample based on the size.
In another aspect, the invention features a device for collecting a fluid sample, such as a biological fluid sample, that includes a planar holder comprising a material impermeable to a fluid sample. The device further includes a sample collection element disposed in the planar holder. The sample collection element includes an absorbent material and has a shape configured to receive a known volume of the fluid sample.
In still another aspect, the invention features a device for collecting a fluid sample, such as a biological fluid sample, that includes a tube wall and an absorbent material disposed inside the tube wall. The tube wall is impermeable to a fluid sample. The absorbent material is configured to receive a known volume of the fluid sample applied at an end of the tube wall based on a size of the absorbent material.
The above and further advantages of this invention may be better understood by referring to the following description in conjunction with the accompanying drawings, in which like numerals indicate like structural elements and features in the various figures. For clarity, not every element may be labeled in every figure. The drawings are not necessarily to scale, emphasis instead being placed upon illustrating the principles of the invention.
Reference in the specification to “one embodiment” or “an embodiment” means that a particular, feature, structure or characteristic described in connection with the embodiment is included in at least one embodiment of the teaching. References to a particular embodiment within the specification do not necessarily all refer to the same embodiment.
The present teaching will now be described in more detail with reference to exemplary embodiments thereof as shown in the accompanying drawings. While the present teaching is described in conjunction with various embodiments and examples, it is not intended that the present teaching be limited to such embodiments. On the contrary, the present teaching encompasses various alternatives, modifications and equivalents, as will be appreciated by those of skill in the art. Those of ordinary skill having access to the teaching herein will recognize additional implementations, modifications and embodiments, as well as other fields of use, which are within the scope of the present disclosure as described herein.
Various DBS sampling techniques provide cost-saving benefits in clinical trials when compared to conventional plasma sampling methods. A common protocol for DBS sampling utilizes treated or untreated planar filter paper as the collection medium. A blood sample is drawn from an animal or a human subject. The sample can be drawn by a simple skin prick, or from venous sampling. Typically, a fixed volume of the blood sample is transferred to the planar filter paper using a glass capillary pipette and the resulting blood spot is dried for storage and transport. At an analytical facility, a small disc that includes at least a portion of the DBS is punched from the filter paper and immersed in an extraction solution to liberate compounds of interest. This reconstitution process of punching and extraction typically dilutes the sample by a factor of 150 or more.
In brief overview, the invention relates to collection devices for dried samples of a biological fluid and extraction methods used with the collection devices. By way of examples, biological fluid samples include blood samples, urine samples, saliva samples, plasma samples, serum samples and cerebrospinal fluid samples. The collection devices offer a number of benefits over conventional collection devices, including an improvement in the sample extraction efficiency achieved by extracting most of or the entire collected sample and utilizing less extraction solvent during the extraction process. Advantageously, the collection devices and extraction methods maintain the benefit of easy sample collection and the handling of dried samples. Optionally, extraction is achieved by direct manipulation of the collection medium using an extraction module. The extraction process can be incorporated in an on-line process in advance of a sample injector or can be adapted for batch processing with automated fluidic controls.
In various embodiments, the collection device includes a collection medium having collection regions into which biological fluids are deposited. Each collection region has a shape and size defined, at least in part, by an impermeable pattern so that each collection region accommodates a known volume of a fluid sample. The impermeable pattern optionally assists a seal, such as a knife seal, on an extraction head so that the extraction volume is completely confined. In some embodiments, the collection regions are chemically modified to offer optimized surface characteristics, or to imbed chemicals for internal standards or in-spot chemical reactions.
Referring to
To reconstitute a fluid sample, the head 26 is applied to the side of the device 32 that allows access to the sample collection region 24 that contains the dried sample spot 14. A seal is formed between the knife edge protrusion 30 and the nearby portion of the impermeable region 22 that surrounds the sample collection region 24. Extraction solvent flowing from the inlet fluid conduit 28A wets the sample collection region 24 while being confined laterally by the knife edge seal or by the impermeable region 22 if the head 26 is pressed against the impermeable region 22. The impermeable layer 34 prevents extraction solvent from exiting the backside of the device. The reconstituted fluid sample exits the head 26 through the outlet fluid conduit 28B and can be provided to analytical equipment for analysis.
The portions of the collection substrate 40 that are not printed (i.e., the four circular openings in the pattern) are collection regions 44 for receiving biological fluid samples. To reconstitute and extract a biological fluid sample, an extraction head with a knife edge seal or similar sealing mechanism is pressed against the printed area 42 in a location that surrounds the respective collection region 44 for improved liquid containment within the extraction volume. Alternatively, a biological fluid sample is reconstituted and extracted by removing a portion of the device 38 that includes an entire collection region 44 and placing the removed portion in a container with an extraction solvent. The removed portion preferably includes some of the impermeable region 42 that surrounds the collection region 44 to ensure that the entire collection region 44 contributes to the reconstituted biological fluid sample. Any part of the impermeable region 42 that is removed with the collection region 44 does not adversely affect the ability to accurately reconstitute the biological fluid sample.
According to another embodiment of a planar collection device, a collection substrate is processed to form one or more impermeable regions and sample collection regions without the need to print with an impermeable ink or to apply a non-porous material to the substrate. In one such embodiment, the planar collection substrate is a porous thermoplastic material that is heated in one or more defined spatial regions. The heated regions are converted into non-porous and impermeable regions by deformation or melting. The impermeable regions may retain a minor porosity; however, the remaining porosity is insufficient to permit significant infiltration of a fluid sample. To extract a reconstituted biological fluid sample, an extraction module featuring a knife edge seal or similar sealing feature is pressed against the impermeable region surrounding a sample collection region for improved fluid containment.
In alternative embodiments, sample collection elements are formed as packed particle structures. For example, silica, hybrid silica or polymer particles are packed into small discs that are secured in the holder. Optionally, various types of particles are packed together in a single disc to impart multiple functionalities. The particles can be glued together to form a single disc-shaped unit. Alternatively, the particles 52 can be sandwiched between retainers 54 as shown in a cross-sectional view in
According to certain embodiments, analytes of interest are not adsorbed by and do not interact with the surface of the particles. The particles can be porous or non-porous. If the particles are non-porous, they form a bed which comprises pores within the interstices of the particles. In this case, the absorbent consists of the interstitial space into which the sample solution can permeate. In other embodiments, the particles are porous, and sample absorbs both in the interstitial space and the pores of the individual particles. The wettability of both the particles and the surface within the pores is important. If the contact angle at the solid/air/liquid interface is less than 90°, the solid material is wetted and liquid inherently penetrates into the pores and interstices. The interstitial and intra-particle pore volumes are accurately defined by accurate control of the amount of particles and the packing density. One benefit is that excess liquid is readily removed by application of a pressure differential. Through constraint of pore size, large molecules such as proteins can be excluded, thus providing a crude separation and removal of such interferences. Collection devices fabricated in this manner yield a high degree of precision and accuracy in the amount of fluid that is contained.
For devices having sample collection elements based on the packed particle structure, the particle surfaces can interact with or adsorb either analytes of interest or key contaminants. For example, the particles provide sites for ion exchange, hydrophobic adsorption or other types of adsorption so that analytes can readily be separated from matrix interferences.
In other embodiments, a planar collection device according to the invention includes a paper-based substrate having an impermeable pattern configured to impart certain functionalities. In one such embodiment shown in
The sample collection regions 60 absorb a portion of the fluid sample applied to the sample inlet site by capillary force. The liquid volume capacity is a function of several physical parameters, such as absorbent surface areas, pore diameters and liquid densities. The collection volumes of the sample collection regions 60 are determined by controllable parameters at the time of sample collection and not by environmental factors such as drying rates and the speed at which the fluid sample is applied to the device 56.
In other embodiments, collection devices are based on non-planar collection media. For example,
One significant advantage of the tube-shaped collection device 68 over a planar collection device is the lack of a need for a separate extraction module. For example, the illustrated collection device 68 can be adapted for coupling to a fluidic path using conventional fittings, such as ferrule-nut assemblies.
In other embodiments, a tube-shaped collection device includes a bed of particles bound together, for example, by sintering or gluing. Alternatively, the tube-shaped collection device can contain a porous monolithic structure. As described above, if the bed of particles or monolithic structure includes pore volume, a pressure differential applied across the tube results in the capture of a specific volume of fluid.
In view of the above description, one of skill will understand that alternative device shapes and combinations of device components are within the scope of the invention. In one such embodiment, the collection and storage of replicate samples utilizes multiple tubes that are bundled together side-by-side, for example in a 12×8 arrangement (96-well) format, to be easily adapted to automated sample handling at the analysis stage. Alternatively, samples may be acquired using individual tubes and bundling occurs at the analysis site. In another embodiment, an extended tube is used to collect a fluid sample. The extended tube is scored or otherwise marked to enable easy separation of a known length and volume for subsequent analysis.
In various embodiments, including the embodiments illustrated in the figures and described above, the collection devices optionally further include sample-tracking features. For example, sample-tracking features include machine-readable optical codes such as bar codes, two-dimensional bar codes, matrix codes and the like, and electronic tracking components such as embedded or attached radio frequency identification (RFID) tags.
Various embodiments of the invention, such as the examples described above, can be implemented with any suitable analytical apparatus. For example, some embodiments entail modified liquid-chromatography and/or mass-spectrometry apparatus, such as an ACQUITY® or TRIZAIC® LC/MS system (available from Waters Corporation, Milford, Mass.)
In some embodiments, collection devices are provided as part of a kit that also includes drying units such as evacuable pouches. For example, after deposition of a fluid sample on a collection device, the collection device is placed in an evacuable pouch, the pouch is sealed, and air is removed from the pouch to promote drying of the sample. Air is removed, for example, through use of a syringe that communicates with an interior of the pouch.
While the invention has been shown and described with reference to specific embodiments, it should be understood by those skilled in the art that various changes in form and detail may be made therein without departing from the spirit and scope of the invention as recited in the accompanying claims.
This application claims the benefit of the earlier filing date of U.S. Provisional Patent Application Ser. No. 61/350,176, filed Jun. 1, 2010 and titled “Apparatus and Methods for Preparation and Analysis of Dried Small-Volume Samples of a Biological Fluid,” the entirety of which is incorporated herein by reference.
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/US11/38494 | 5/31/2011 | WO | 00 | 11/15/2012 |
Number | Date | Country | |
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61350175 | Jun 2010 | US |