6
(17) See e.g., V. Svoboda, R. F. Browner. and J. D. Winefordner, RECEIVED for review June 30, 1975. Accepted October 16, 1975. E. S. Yeung is an Alfred P. Sloan Research Fellow. Development Administration under Contract No. W-7405- eng-82. Specbosc.. 26, 505 (1972). (18) W. H. Rodebush and T. DeVries, J. Am. Chem. SOC., 47, 2488 (1925). This work was prepared for the U.S. Energy Research and (19) D. A. Jennings and R. A Keller, J. Am. Chem. Soc.. 94, 9249 (1972). (20) C. L. Stong, Sci. Am., 222, (2), 116 (1970). Fluorometric Determination of Erythromycin and Erythromycin Propionate in Whole Blood or Plasma and Correlation of Results with Microbiological Assay Kou-Yi Tserng and John G. Wagner*’ College of Pharmacy and Upjohn Center for Clinical Pharmacology, The University of Michigan, Ann Arbor, Mich. 48 104 A method is proposed to determine erythromycin and eryth- romycin propionate in 1-mi samples of whole blood or plas- ma, with about the same precision as the microbiological assay. When plasma spiked with erythromycin is used, re- sults obtained with the proposed method correlate very closely with results obtained in the microbiological assay employing Sarcina lutea. Because of ease and speed of performance, the proposed method is more suitable for clin- ical studies than a previously described paper chromato- graphic method. A study of the kinetics of hydrolysis of erythromycin propionate in whole human blood revealed: a ) a short-lived enzymatic (?) hydrolysis; b) subsequent hy- drolysis, which obeyed first-order kinetics and the Arrhenius relationship; and c) sufficient hydrolysis in the frozen state (-20 “C) that this must be taken Into account when esti- mating concentrations of erythromycin propionate which existed at the time of withdrawal of the blood, before it was stored in the freezer. Erythromycin is administered orally in three main forms: (a) as erythromycin estolate [Ilosone Pulvules (Eli Lilly and Company)] (the lauryl sulfate salt of the ester, erythromycin propionate) in capsule form; (b) as film-coat- ed tablets of the salt, erythromycin stearate [Erythrocin Filmtab Tablets (Abbott Laboratories)]; and (e) as enteric- coated tablets of erythromycin base [E-Mycin Tablets (The Upjohn Company)]. When administered orally as form a, the pro-drug (I), erythromycin estolate, is principally, if not entirely, absorbed as erythromycin propionate. When administered in forms b and c, the species which is ab- sorbed and circulates in the blood is erythromycin itself. The controversy over the relative effectiveness of eryth- romycin estolate vs. erythromycin stearate or erythromycin has been discussed in several reports (2-8). It was claimed by some investigators (7, 8) that erythromycin estolate was superior to erythromycin on the basis of higher (apparent) serum concentrations observed following oral administra- tion of erythromycin propionate than following oral admin- istration of other forms of erythromycin. The microbiologi- cal assay method, employing Sarcina lutea (9, IO), is the commonly-used method to measure serum concentrations Address, Upjohn Center for Clinical Pharmacology, University of Michigan Medical Center, Ann Arbor, Mich. 48104. following administration of different forms of erythromy- cin. There are several factors which must be taken into con- sideration in evaluating serum (plasma or whole blood) concentrations of erythromycin which have been measured by a microbiological assay method. These are as follows. (i) When samples containing erythromycin propionate are subjected to the microbiological procedure, a large, but un- known, percentage of the ester is hydrolyzed to erythromy- cin during the assay. (ii) Stephens et al. (3), using a paper chromatographic method, showed that, following adminis- tration of erythromycin estolate to human volunteers, the major circulating species was erythromycin propionate. In their study, whole blood, serum, plasma, and urine con- tained 20-25% erythromycin and 75-80% erythromycin propionate. (iii) Erythromycin propionate is microbiologi- cally inactive, and must be hydrolyzed to the microbiologi- cally-active erythromycin in order to show activity. (iv) The investigations of Stephens et al. (3), and the data in this report, indicate that propionyl erythromycin continues to hydrolyze during storage of blood samples even at -20 “C. (v) The efficiency of the gastrointestinal absorption of erythromycin propionate is presumably greater than that of erythromycin. (vi) Wiegand and Chun (5) reported that about 10% of erythromycin, but only 1.5% of erythromycin propionate, in serum is free and not bound to protein. Mi- crobiological and chemical methods of assay measure total drug (free + bound). Usually, factor v, above, is given as the cause of higher (apparent) serum (plasma or whole blood) concentrations of “erythromycin” observed fol- lowing oral administration of erythromycin estolate com- pared with those observed following oral administration of the other main forms (Le., forms b and c above). However, factors i, ii, iv, and vi also significantly contribute to the observed differences. Factors i and iv contribute to higher observed concentrations of erythromycin than those which actually existed when the blood samples were withdrawn from the subjects. Several investigators have studied or developed chemical assays for erythromycin. Ultraviolet absorption of erythro- mycin is far too weak to be useful (11). A number of papers have been concerned with increasing ultraviolet or visible absorption via chemical reactions. Chromophores were de- veloped by reacting with sulfuric acid (I2), arsenomol- ybdate reagent (I3), xanthydrol (I4), methyl sulfate (I5), tetrazolium blue (I6), benzaldehyde (171, and by com- 348 ANALYTICAL CHEMISTRY, VOL. 48, NO. 2, FEBRUARY 1976

Fluorometric determination of erythromycin and erythromycin propionate in whole blood or plasma and correlation of results with microbiological assay

  • Upload
    john-g

  • View
    214

  • Download
    1

Embed Size (px)

Citation preview

Page 1: Fluorometric determination of erythromycin and erythromycin propionate in whole blood or plasma and correlation of results with microbiological assay

(17) See e.g., V . Svoboda, R. F. Browner. and J. D. Winefordner, RECEIVED for review June 30, 1975. Accepted October 16, 1975. E. S. Yeung is an Alfred P. Sloan Research Fellow.

Development Administration under Contract No. W-7405- eng-82.

Specbosc.. 26, 505 (1972).

(18) W. H. Rodebush and T. DeVries, J. Am. Chem. SOC., 47, 2488 (1925). This work was prepared for the U.S. Energy Research and (19) D. A . Jennings and R. A Keller, J. Am. Chem. Soc.. 94, 9249 (1972).

(20) C. L. Stong, Sci. Am., 222, (2), 116 (1970).

Fluorometric Determination of Erythromycin and Erythromycin Propionate in Whole Blood or Plasma and Correlation of Results with Microbiological Assay

Kou-Yi Tserng and John G. Wagner*’

College of Pharmacy and Upjohn Center for Clinical Pharmacology, The University of Michigan, Ann Arbor, Mich. 48 104

A method is proposed to determine erythromycin and eryth- romycin propionate in 1-mi samples of whole blood or plas- ma, with about the same precision as the microbiological assay. When plasma spiked with erythromycin is used, re- sults obtained with the proposed method correlate very closely with results obtained in the microbiological assay employing Sarcina lutea. Because of ease and speed of performance, the proposed method is more suitable for clin- ical studies than a previously described paper chromato- graphic method. A study of the kinetics of hydrolysis of erythromycin propionate in whole human blood revealed: a ) a short-lived enzymatic (?) hydrolysis; b) subsequent hy- drolysis, which obeyed first-order kinetics and the Arrhenius relationship; and c) sufficient hydrolysis in the frozen state (-20 “C) that this must be taken Into account when esti- mating concentrations of erythromycin propionate which existed at the time of withdrawal of the blood, before it was stored in the freezer.

Erythromycin is administered orally in three main forms: ( a ) as erythromycin estolate [Ilosone Pulvules (Eli Lilly and Company)] (the lauryl sulfate salt of the ester, erythromycin propionate) in capsule form; ( b ) as film-coat- ed tablets of the salt, erythromycin stearate [Erythrocin Filmtab Tablets (Abbott Laboratories)]; and ( e ) as enteric- coated tablets of erythromycin base [E-Mycin Tablets (The Upjohn Company)]. When administered orally as form a , the pro-drug ( I ) , erythromycin estolate, is principally, if not entirely, absorbed as erythromycin propionate. When administered in forms b and c, the species which is ab- sorbed and circulates in the blood is erythromycin itself.

The controversy over the relative effectiveness of eryth- romycin estolate vs. erythromycin stearate or erythromycin has been discussed in several reports (2-8). I t was claimed by some investigators (7, 8 ) that erythromycin estolate was superior to erythromycin on the basis of higher (apparent) serum concentrations observed following oral administra- tion of erythromycin propionate than following oral admin- istration of other forms of erythromycin. The microbiologi- cal assay method, employing Sarcina lutea (9, I O ) , is the commonly-used method to measure serum concentrations

Address, Upjohn Center for Clinical Pharmacology, University of Michigan Medical Center, Ann Arbor, Mich. 48104.

following administration of different forms of erythromy- cin.

There are several factors which must be taken into con- sideration in evaluating serum (plasma or whole blood) concentrations of erythromycin which have been measured by a microbiological assay method. These are as follows. (i) When samples containing erythromycin propionate are subjected to the microbiological procedure, a large, but un- known, percentage of the ester is hydrolyzed to erythromy- cin during the assay. (ii) Stephens et al. ( 3 ) , using a paper chromatographic method, showed that, following adminis- tration of erythromycin estolate to human volunteers, the major circulating species was erythromycin propionate. In their study, whole blood, serum, plasma, and urine con- tained 20-25% erythromycin and 75-80% erythromycin propionate. (iii) Erythromycin propionate is microbiologi- cally inactive, and must be hydrolyzed to the microbiologi- cally-active erythromycin in order to show activity. (iv) The investigations of Stephens et al. ( 3 ) , and the data in this report, indicate that propionyl erythromycin continues to hydrolyze during storage of blood samples even at -20 “C. (v) The efficiency of the gastrointestinal absorption of erythromycin propionate is presumably greater than that of erythromycin. (vi) Wiegand and Chun ( 5 ) reported that about 10% of erythromycin, but only 1.5% of erythromycin propionate, in serum is free and not bound to protein. Mi- crobiological and chemical methods of assay measure total drug (free + bound). Usually, factor v, above, is given as the cause of higher (apparent) serum (plasma or whole blood) concentrations of “erythromycin” observed fol- lowing oral administration of erythromycin estolate com- pared with those observed following oral administration of the other main forms (Le., forms b and c above). However, factors i, ii, iv, and vi also significantly contribute to the observed differences. Factors i and iv contribute to higher observed concentrations of erythromycin than those which actually existed when the blood samples were withdrawn from the subjects.

Several investigators have studied or developed chemical assays for erythromycin. Ultraviolet absorption of erythro- mycin is far too weak to be useful ( 1 1 ) . A number of papers have been concerned with increasing ultraviolet or visible absorption via chemical reactions. Chromophores were de- veloped by reacting with sulfuric acid ( I 2 ) , arsenomol- ybdate reagent ( I 3 ) , xanthydrol ( I 4 ) , methyl sulfate ( I 5 ) , tetrazolium blue ( I 6 ) , benzaldehyde (171, and by com-

348 ANALYTICAL CHEMISTRY, VOL. 48, NO. 2, FEBRUARY 1976

Page 2: Fluorometric determination of erythromycin and erythromycin propionate in whole blood or plasma and correlation of results with microbiological assay

plexing with acidic dyes (18) . Kuzel et al. (19) developed an ultraviolet method involving mild alkaline hydrolysis of erythromycin and reported good correlation of results with the microbiological assay method. A method based on non- aqueous titration was also reported (20).

In order to measure erythromycin alone or both erythro- mycin and erythromycin propionate in blood, separation must precede quantitation of the two components. Ander- son (21 ) employed thin layer chromatography with spot de- tection by means of phosphomolybdic acid-sulfuric acid re- agent. Benaszek et al. (22) modified this method by use of a different solvent system and a more sensitive developer composed of cerium sulfate and molybdic acid. Radecka e t al. (23, 24) measured the compounds directly on the thin layer plate by densitometry. The sensitivity of these meth- ods is insufficient to apply them to biological samples. The gas-liquid chromatographic method of Tsuji and Robert- son (25,26) and the paper chromatographic method of Ste- phens et al. (3) have sufficient sensitivity and specificity, but require extensive sample manipulation and, hence, are too time-consuming.

This report gives details of a simple solvent extraction method for quantitative separation of erythromycin and erythromycin propionate from whole blood or plasma (also applicable to serum). After separation, each of the com- pounds is quantitatively measured by the fluorometric method. Using “blind” samples of human plasma, spiked with erythromycin, the results attained with the new meth- od correlated very closely ( r = 0.995) with results from the microbiological assay. The stability of erythromycin propi- onate in whole blood stored a t temperatures from -20 to 37 O C , was also investigated. This was necessary, since, if erythromycin propionate hydrolyzes during storage of sam- ples before assay, this would contribute to apparent, but not real, increased blood levels following administration of erythromycin estolate compared with other dosage forms of erythromycin as indicated above.

EXPERIMENTAL Pre l imina ry Investigations. Early attempts to couple erythro-

mycin with a fluorescent moiety failed. I t appears that the erythro- mycin molecule is too unreactive towards acylating agents, such a s dansyl chloride ( 2 7 ) , under conditions that do not destroy the erythromycin itself. Use of fluorescent dyes to form complexes with a basic compound (28-30) and the use of such a dye with erythromycin (18) prompted us to explore this possibility. Various acidic fluorescent dyes including sodium naphthylene sulfonate, DNS (5-dimethylamino-1-naphthalenesulfonic acid), anthracene- 1-sulfonic acid, and Tinopal GS [sodium salt of 2-(stilbyl-4”)-(na- phtho-1’,2’:4,5)-1,2,3-triazole-2”,6’-disulfonic acid] were studied. DNS does not form an extractable dye complex with erythromycin under the conditions studied. Anthracene-1-sulfonic acid, which was reported by Borg and Westlund (30) to be superior to other fluorescent dyes, has a very low solubility in acidic aqueous media. Both sodium naphthylene sulfonate and Tinopal GS gave extract- able dye complexes with erythromycin, bu t the complex made with the former dye had the disadvantage of too close fluorescence and excitation maxima. Tinopal GS was chosen as the fluorescent re- agent.

The extracting solvent was also studied. Chloroform was unsuit- able since the dye-drug complex which was extracted into chloro- form adsorbed onto glass very quickly, resulting in a marked re- duction in fluorescence intensity within a few minutes. Adsorption of this type was much slower with methylene chloride, but signifi- cant loss of fluorescence was observed in several minutes. Addition of 5% n-amyl alcohol to the methylene chloride reduced this ten- dency. Higher proportions of n-amyl alcohol resulted in an in- crease in the blank value. Finally, it was found tha t if the organic extract was mixed with ethanol immediately after separation of the aqueous and organic phases, the resulting solution could be kept for a t least one-half hour without decrease in fluorescence in- tensity.

Erythromycin and erythromycin propionate have pK,’s of 8.6 and 6.9, respectively (31). Several partition coefficients have also been reported (32) . Diethyl ether was an attractive solvent since erythromycin has a limited solubility in it, while erythromycin propionate is quite soluble in it. Morozowich (33) had previously pointed out the feasibility of a separation of erythromycin and erythromycin propionate based on extraction theory. I t was found that if the p H of whole blood or plasma was adjusted to p H 6.0, then two extractions with diethyl ether removed all of the propio- nyl erythromycin. If erythromycin was also present in the aqueous phase (pH 6.0), it was not extracted by the diethyl ether. However, after saturation of the aqueous phase with sodium bicarbonate, and then adjustment to a high p H with saturated aqueous sodium carbonate solution, two extractions with diethyl ether completely extracted the erythromycin.

Reagents. The following reagents were used: erythromycin base USP reference standard (U.S.P., Rockville, Md.), microbiological assay 982 rglmg; erythromycin propionate, microbiological assay 860 pg/mg (Eli Lilly and Co., Indianapolis, Ind.); diethyl ether, glass distilled (Burdick and Jackson Lab., Inc., Muskegon, Mich.); alcohol, dehydrated,U.S.P. (U.S. Industrial Chemical Co., New York, N.Y.); dichloromethane reagent, ACS (Matheson, Coleman and Bell, Norwood, Ohio); n-amyl alcohol, certified (Fisher Scien- tific Co., Fair Lawn, N.J.); sodium carbonate, reagent, ACS (Ma- theson, Coleman and Bell, Norwood, Ohio); sodium bicarbonate, reagent, ACS (Matheson, Coleman and Bell); citric acid monohy- drate ( J . T. Baker Chemical Co., Phillipsburg, N.J.); sodium fluo- ride (J. T . Baker Chemical Co.); acetone (Mallinckrodt, St. Louis, Mo.).

Tinopal GS solution was prepared by dissolving 100 mg of Tino- pal GS (Ciba-Geigy Co., Ardsley, N.Y.) in 100 ml of 0.1 M citric acid. The resulting solution was extracted several times with meth- ylene chloride and n-amy1 alcohol (19:l) mixture to remove some organic solvent extractable fluorescent impurities. Phosphate buff- ers were prepared according to Sorenson (34). All organic solvents used were pre-equilibrated with water. Methylene chloride solvent mixture was prepared by mixing methylene chloride and n -amyl alcohol in the proportion of 19:1, then equilibrating with water be- fore use.

Instrumentat ion. A Perkin-Elmer fluorescence spectrophotom- eter, model 203, equipped with a xenon power supply, model 150, was used. Instrumental response was calibrated with a dilute aque- ous solution of Tinopal GS or quinine sulfate in 0.1 M sulfuric acid. Readings were made in fluorescence Superasil cells with 10-mm light paths (Lux Scientific Instrument Co., New York, N.Y.). An Adams Dynac centrifuge (Clay-Adams, Inc., Parsippany, N.J.) was used for separating organic and aqueous layers. An Eber- back reciprocating shaker (Eberbach Co., Ann Arbor, Mich.) with two speeds was used for horizontal shaking during extractions. All liquids were dispensed from Repipet (Labindustries, Berkeley, Calif.) except for phosphate buffers, which were dispensed from “tilt-a-pet” repeating pipet (Tech Glass Co., Vineland, N.J.).

Sil iconization of Glassware. The centrifuge tubes used for complexing the erythromycins with the fluorescent dye were sili- conized to prevent adsorption of drug-dye complex. Silicone solu- tion was prepared by diluting 1 ml of Siliclad (Clay-Adams, Inc.) with 100 ml of warm water and adding 2 drops of concentrated am- monium hydroxide. The tubes were then filled with the silicone so- lution and allowed to stand for 3 min. The solution was then poured off, the tubes were rinsed several times with water, and then the coating was cured a t 120 “C for 30 min. After cooling, the tubes were immersed in nitric acid-water (1:2) and heated for 20 min a t 80 OC. The tubes were then rinsed with water, ethanol, and were air-dried. They were stored a t room temperature for a t least 1 day before use.

All other glassware was cleaned with Calgonite (Calgon Co., S t Louis, Mo.) except for the siliconized centrifuge tubes, which were cleaned by rinsing formerly-used tubes with water and ethanol several times, then drying them. In this way, one treatment with silicone lasted for several washing cycles. When the hydrophobici- ty of the silicone coating deteriorated, as evidenced by wetting of t he tube wall by water, the tubes had to be re-coated.

Aqueous S tanda rds . Stock solutions were prepared by dissolv- ing erythromycin in dry acetone in the concentration range 0.1-2.8 mg/ml. Containers were sealed tightly and stored in the refrigera- tor. Prior to preparation of the working standards, the stock solu- tions were allowed to warm up to room temperature. T o prepare working standards, aliquots of 10 pl of the stock solutions were pi- petted into 10-ml volumetric flasks, which were then filled up to

ANALYTICAL CHEMISTRY, VOL. 48, NO. 2 , FEBRUARY 1976 349

Page 3: Fluorometric determination of erythromycin and erythromycin propionate in whole blood or plasma and correlation of results with microbiological assay

1 m l Whole blood (or plasma)

+ 2 ml 0 . 1 IY phosphate .mffer t o pH 6 . 0 f 0 . 1

Blood l a y e r E t h e r e x t r a c t Agueous Ett.er l a y e r

a c i d i c l a y e r ( d i s c a r d e d ) I s a t ’ d With I s a m ,

I 1 E t h e r e x t r a c t Aqueous ( d i s c a r d e d ) a c i d 1 l a y e r

0.5 ml Tinopal G S 1 . 5 ml CH C1 s o l v e n t

r u t a r e 2 Assayed f o r e ry thromycin

Figure 1. Scheme for whole blood or plasma

volume with 0.1 M citric acid. The resulting working standards were in the 0.1-2.8 bg/ml concentration range.

Procedure for Aqueous Standard Curve with Erythromy- cin. One ml of working standard, 0.5 ml of Tinopal GS solution, and 1.5 ml of methylene chloride solvent mixture, respectively, were pipetted into a 5-ml siliconized glass-stoppered centrifuge tube. The tube was sealed tightly by dampening the glass stopper with water, then the tube was shaken horizontally a t high speed on the Eberbach shaker for 5 min. This was followed by centrifuga- tion a t 2000 rpm for 2 min. The upper aqueous layer was aspirated off together with about 0.1 ml of the organic layer. Using a syringe, which was pre-moistened with ethanol to prevent adsorption of the drug-dye complex onto the syringe wall, and a 6-inch long needle, 1.0 ml of the organic layer was transferred to a culture tube (13 X 100 mm) containing 2.2 ml of absolute ethanol. The solution was mixed carefully, then the fluorescence was read at 430 nm with ex- citation at 365 nm.

Procedure for Aqueous Standard Curve with Erythromy- cin Propionate. A standard curve for erythromycin propionate was prepared as described above for erythromycin except that erythromycin propionate was used in place of erythromycin.

Whole Blood Standards. Whole blood standards were prepared by spiking pooled human whole out-dated blood (Blood Bank, University Hospital, The University of Michigan) with acetone stock solutions of erythromycin or erythromycin propionate or both.

Procedure for Whole Blood Standard Curve with Erythro- mycin Propionate. Into a screw-capped (Teflon-lined) culture tube (13 X 100 mm) was pipetted 1.0 ml of blood standard, fol- lowed by 2 ml of phosphate buffer (0.1 M, usually pH 5.7) to a final pH of 6.0, then 2 ml of diethyl ether. The tube was shaken horizontally for 5 min a t slow speed on the Eberbach shaker. The tube had to be oriented on the test-tube rack on the Eberbach shaker so that the tube inclined a t an angle of about 30’ with the cap end down to avoid emulsion formation. The culture tube was transferred to the centrifuge, and was centrifuged a t 2000 rpm for 2 min. As much as possible of the upper ether layer was transferred with a syringe, equipped with a 2-inch flat-tip needle, to a 5-ml glass-stoppered centrifuge tube. None of the aqueous phase should be transferred. To the ether layer was added 1.0 ml of 0.1 M citric acid and to the blood layer was added 2 ml of fresh diethyl ether. Both were shaken for 5 min a t slow speed on the Eberbach shaker with the same tube orientation as described above, then both were

centrifuged for 2 min a t 2000 rpm. The ether layer from the citric acid solution was pipetted off and discarded. The ether layer from the blood was added to the citric acid solution and the tube was shaken on the Eberbach shaker as before, followed by centrifuga- tion as before. The citric acid solution, which had to be free from any emulsion, was transferred to another clean 5-ml siliconized centrifuge tube quantitatively with a syringe; then 0.5 ml of Tino- pal GS solution and 1.5 ml of methylene chloride solvent mixture were added. The same procedure was then followed as described above under “Procedure for Aqueous Standard Curve with Eryth- romycin”, starting with “The tube was sealed. . .”. However, if the resulting mixture, after shaking and centrifuging, gives evidence of a precipitate between the two phases, the contents of the tube should be discarded; such a precipitate indicates that some of the blood solution was accidentally transferred to the ether phase; since the protein in blood would absorb or adsorb the drug-dye complex, a rerun is necessary.

Procedure for Whole Blood Standard Curve with Erythro- mycin. The 1.0-ml blood sample, spiked with erythromycin, was diluted with 2 ml of phosphate buffer to pH 6.0 as above, followed by saturation of the aqueous mixture with solid sodium bicarbon- ate, then addition of 3 drops of saturated sodium carbonate aque- ous solution. The alkaline solution was then extracted with 2 ml of diethyl ether by shaking on the Eberbach shaker, using the same tube orientation as described above, followed by centrifugation as described above. The ether layer was transferred to a 5-ml glass- stoppered centrifuge tube. The rest of the procedure was the same as described above under “Procedure for Whole Blood Standard Curve with Erythromycin Propionate” starting with “To the ether layer was added . . .”, except that 3 additional drops of saturated sodium carbonate solution was added to the blood before the sec- ond extraction with diethyl ether.

Separation of Erythromycin and Erythromycin Propionate. Aqueous Solutions. T o 1.0 ml of aqueous solution which has been spiked with both erythromycin and erythromycin propionate, was added 2 ml of phosphate buffer (0.1 M , pH 6.0). The solution was then extracted twice with diethyl ether as described above under “Procedure for Whole Blood Standard Curve with Erythromycin Propionate”, starting with “The tube was shaken . . .”. The aque- ous solution, after being twice extracted with diethyl ether, was saturated with solid sodium bicarbonate, then 3 drops of aqueous saturated sodium carbonate solution was added. The procedure described under “Procedure for Whole Blood Standard Curve with Erythromycin” starting with “The alkaline solution was extracted . . .”, was then carried out.

Whole Blood or Plasma. The procedure was the same as de- scribed above for aqueous solutions, except that a spiked whole blood or plasma sample was used in place of the aqueous solution containing erythromycin and erythromycin propionate. Figure 1 summarizes the steps involved.

Correlation of Results with the Microbiological Assay. Whole blood samples were spiked with erythromycin to final con- centrations in the range 0.1-2.8 bg/ml. The plasma was then sepa- rated by centrifugation and aliquots were assayed both by the new extraction-fluorescent method and by the standard microbiological method. The latter assays were carried out in the Clinical Research Laboratory of The Upjohn Company with all samples being under blind label.

Kinetics of Hydrolysis of Erythromycin Propionate in Whole Blood. Whole blood was pre-equilibrated a t 5, 25, 30, and 37 OC. This blood had been spiked with erythromycin propionate to a final concentration of 2.2-2.7 pg/ml. After the spike solution was mixed with the blood well, the spiked blood was maintained at the specified temperature. Aliquots of 1.0 ml of blood were with- drawn a t various times and assayed for propionyl erythromycin.

RESULTS

Standard Curves. The aqueous s t a n d a r d curves , resul t - ing f rom both ery thromycin and e ry th romyc in p rop iona te , a r e shown i n F igure 2. T h e standard curves p r e p a r e d w i t h e ry th romyc in p rop iona te had g rea t e r slopes t h a n standard curves p repa red wi th e ry thromycin ; thus, the ester has a grea te r specific fluorescence t h a n the free base.

S t a n d a r d curves p repa red f rom whole blood and p la sma were ident ica l t o the aqueous standard curves , ind ica t ing comple t e ex t rac t ion of t h e two c o m p o u n d s f rom whole blood or p lasma. The recovery of both e ry th romyc in and

350 ANALYTICAL CHEMISTRY, VOL. 48, NO. 2, FEBRUARY 1976

Page 4: Fluorometric determination of erythromycin and erythromycin propionate in whole blood or plasma and correlation of results with microbiological assay

__ Table I . Recovery of Erythromycin and Erythromycin Propionate from Blood

Sample No.

A B C D E F G H I J K

Erythromycin added , a / m l

- PEa Eb

1.94 1.53 1.94 1.53 1.36 1.53 0 1.53 0 1.53 1.36 1.07 1.36 1.07 1.36 0 1.36 0.54 1.36 0 1.36 0.27

Erythromycins recovered Percentage recovery

PE

1.80 1.84 1.43 . . . . . .

1.36 1.40 1.30 1.36 1.32 1.30

E

1.56 1.52 1.58 1.52 1.62 1.07 1.07

0.48

0.30

. . .

. . .

PE

93 95

105 . . . . . .

100 103

96 100

97 96

E

102 99

103 99

106 100 100

89

111

. " .

. . .

99.0 i 3.6 a PE = propionyl erythromycin. b E = erythromycin.

101 ? 6.0

100

60

8 60

0

j d C

2c

- 4 c e 1 2 6 2 0 i 4 28 3 2

ERY-HaOMVi Ih MCG N

Figure 2. Typical calibration curves: (+ ) erythromycin propionate, ( 0 ) erythromycin

erythromycin propionate is shown in Table I. Recovery of both compounds was essentially complete. The blood or plasma blank is equivalent to about 0.1 pg erythromycin per ml. The water blank is equivalent to about 0.05 pg erythromycin per ml.

Effect of Time on Intensity of Fluorescence. It was found tha t the fluorescence intensity was essentially con- stant for both erythromycin and erythromycin propionate from 0.5 to 2 hr after dissolving in 0.1 M citric acid solu- tion. The pH of the citric acid solution (ca. 2.2) is the same as that reported (30) for facile conversion of an erythromy- cin to its corresponding anhydroerythromycin. Thus, three possibilities exist: (a) the conversion to the corresponding anhydroerythromycin is complete within the 0.5 hr under assay conditions and the anhydroerythromycin is the reac- tive species; (b) there is no conversion in the 2-hr period and erythromycin or erythromycin propionate is the reac- tive species; or (c) the conversion is partial, but conversion does not change the fluorescence intensity. No attempt was made to determine which of the three possibilities was cor- rect. I t would be expected tha t the anhydroerythromycins respond in the assay. Since the molar intensity of fluores- cence of erythromycin propionate is higher than tha t of erythromycin, the above result also indicated tha t the hy-

Table 11. Correlation of Chemical Assay Results with Microbiological Assay Results for Erythromycin Base in Plasma

Microbiological Assay of Plasma Chemical Assay of Plasma

Sample No. of No. de tn

A 6 B 5 C 6 D 6 E 6 F 6 G 6

Av, %!ml

3.72 2.75 1.99 1.38 0.75 0.36 0.16

Re1 s t d dev. %

6.1 5.0 8.2 6.5 9.5

14.3 12.0

No. of de tn

5 5 6 6 6 3 4

AV, i.lg/ml

3.92 2.56 1.86 1.39 0.78 0.40 0.20

Re1 s t d dev, 9

2.6 3.6 6.3 5.8

10.5 21.8 15.1

drolysis of erythromycin propionate to erythromycin in 0.1 M citric acid is negligible within 2 hr. However, when the same erythromycin propionate in 0.1 M citric acid solution was kept a t 25 "C for 3 days, the fluorescence intensity of the solution dropped to the value for the same concentra- tion of erythromycin. This indicated the complete hydroly- sis in 3 days.

Correlation of Fluorescence Assay Results with the Microbiological Assay. Correlation of the results ob- tained with the extraction-fluorescence assay with those obtained by microbiological assay is shown in Table 11. The least squares line (Equation 1) was obtained from 7 points each of which was the average of 3-6 determinations (Table 11).

Y = 1.00 X - 0.003 (1)

In Equation 1, Y is the average chemical assay and X is the average microbiological assay. The correlation coefficient was 0.995 ( p << 0.001). The intercept of -0.003 was not sig- nificantly different from zero. The slope of unity and es- sentially negligible intercept indicated lack of bias. The av- erage coefficient of variation for the chemical assay, name- ly, 9.5%, is of the same order of magnitude as the average coefficient of variation for the microbiological assay, name- ly, 8.8%.

Kinetics of Hydrolysis of Erythromycin Propionate in Whole Blood. The stability data are shown in Table 111. An initial sharp drop in concentration was observed a t 37 "C when sodium fluoride was absent, but not when it was present; such a sharp drop was also observed by Stephens et al. (3) . The kinetics of hydrolysis are apparently compli- cated and may involve a plasma esterase (at 37 "C) initially

ANALYTICAL CHEMISTRY, VOL. 48, NO. 2, FEBRUARY 1976 351

Page 5: Fluorometric determination of erythromycin and erythromycin propionate in whole blood or plasma and correlation of results with microbiological assay

c 4 8 12 16 20 2 4 28

T,ME 'SECS x IC?

Figure 3. First-order plots of hydrolysis of erythromycin propionate in whole human blood. Key: (0) 5 OC; (A) 25 OC: (m) 30 OC: and (0 ) 37 OC (all without sodium fluoride): (A) 37 OC (with sodium fluoride).

The concentrations utilized to prepare these plots are the numbers not in pa- rentheses listed under C, in Table 111. The concentrations and times inTable 111 were converted to molll. and seconds, respectively. The ordinate has the natural logarithm of the concentrations

as well as the usual chemical hydrolysis. However, even a t 37 O C , the enzymatic (?) hydrolysis appears to cease after a short time; from that time on, disappearance of ester is ap- parent first order over the ranges measured. The first-order plots are shown in Figure 3. The natural logarithms of the first-order rate constants plotted vs. the reciprocal of the absolute temperature (the Arrhenius plot) is reasonably linear and has been evaluated in the usual fashion. The line drawn through the points has the equation:

Ink = 10.76 - 6447 - (2) (3 The standard error of the slope (6447) is 319. The correla- tion coefficient was 0.995 ( p < 0.001). From the slope and the gas constant (1.987 cal/K/mol) an activation energy of 12.8 kcal/mol was calculated. This is the same order of magnitude as reported for other esters.

Using Equation 1, the predicted k for -20 "C is 4.09 X see-l. The observed k (estimated from the -20 OC

data in Table 111) was 7.74 X sec-l. Hence, the ob- served k a t -20 "C was 19% of the h predicted from solu- tion-state data; thus, hydrolysis proceeds appreciably slow- er in the frozen state than in the solution state, but rapidly enough that corrections must be made in the apparent blood concentrations of erythromycin propionate if sam- ples of blood drawn in clinical studies are stored before being assayed.

CONCLUSIONS

In clinical studies in which whole blood or plasma con- centrations are to be compared following oral administra- tion of erythromycin estolate (Ilosone Pulvules) and one or both of two other forms (Erythrocin Filmtab Tablets and E-Mycin Tablets) an appropriate comparison can only be made if (a) erythromycin base is separated from erythro- mycin propionate before quantitation; and (b) zero-hour plasma (or whole blood) samples are spiked with propionyl erythromycin and the stability of the ester is followed so

~~ ~~~

Table 111. Stability Data for Erythromycin Propionate in Whole Human Blood

-20 'C (wi thout N a F )

CP t , hr W m l

0 2.29 336 2.22 816 1.81

1392 !..60

30 'C (wi thout NaF)

25'C (wi thout NaF)

t , hr pg/ml t , hr pglrnl

0 2.22 0 2.22 1 2.20 1 2.10 4 2.12 2 1.97 6 2.03 4 1.76

37 " C (wi thout NaF)

5 O C (wi thout NaF)

CP 1 CP >

t . hr

0.17 2.27 1 2 18 2 1.88 3.17 1.82 4.83 1.50

37 "C (wi thout N a F )

C , Ce * t , hr pigf'ml iiglmlb

0 (2.72)C 0 0.25 (2.10) 0.33 0.5 (2.07) 0.63 1. 1.40 1.07 2. 1.18 1.56 4. 0.86 1.83 6.5 (0.36) 2.04

37 'C (w i th 5 mg/ml NaF)

C? t , hr i(g/ mi

0 (2.59) 0.13 (2.29) 0.53 1.98 1. 2.05 2.2 1.60 3.8 1.34 4.3 1.16

CP, t , hr W m l

0 2.59 2 1.85 3 1.59 4.1 1.32

a Cp is the concentration of erythromycin propionate. b C, is the concentration of erythromycin. C Concentrations within parentheses were not used in estimating the regres- sion lines shown in Figure 2.

tha t corrections may be made to compensate for erythro- mycin produced by hydrolysis of the ester during storage of the samples in the freezer before assay. This report pro- vides the needed methodology to allow comparison of erythromycin base concentrations which existed at the time the blood samples were drawn from the subjects.

ACKNOWLEDGMENT

The authors are grateful to William L. Lummis, The Up- john Company, for the microbiological assays and to Rob- ert J. Hasley, The Eli Lilly Research Laboratories, for the supply of erythromycin propionate.

LITERATURE CITED

(1) A. A. Sinkula and S. H. Yalkowsky, J. Pharm. Sci., 64, 181 (1975). (2) P. L. Tardrew, J. C. H. Mao, and D. Kenney. APPL/Microbio/., 18, 159

(3) V. C. Stephens, C. T. Pugh. N. E. Davis, M. M. Hoehn, R. Ralston, M. C.

(4) W. E. Wick and G. E. Maliett, Antimicrob. Agents Chemother., 410,

( 5 ) R. G. Wiegand and A. H. C. Chun, J. Pharm. Sci., 61, 425 (1972). (6) M. A. Neaverson, Med. J. Aust., 1, 741 (1968). (7) R. S. Griffith and H. R . Black, Am. J. Med. Sci., 247, 69 (1964). (8) R. C. Anderson, C. C. Lee, H. M. Worth, and P. N. Harris, J. Am. Pharm.

Assoc., 48, 623 (1959). (9) F. Kavanagh and L. J. Dennin, in "Analytical Microbiology", F. Kavan-

agh, Ed., Academic Press, New York, N.Y., 1963, p 289. (10) D. C. Grove and W. A. Randall, "Assay Methods of Antibiotics, A Labo-

ratory Manual", Medical Encyclopedia, Inc., New York, N.Y., 1955. (11) The Merck Index, Merck and Co., Inc.. Rahway, N.J., Eighth ed., 1968. p

419. (12) J. H. Ford, G. C. Prescott, J. W. Hinman. and E. L. Caron, Anal. Chem..

25, 1195 (1953). (13) D. Perlman, Antibiot. Chemofher., 4, 859 (1954). (14) S. Ochab, D. Maiysz, and B. Borowiaka. Chem. Anal., 8, 597 (1963). (15) M. Pesez. Ann. Pharm. f r . , 13, 513 (1955). (16) P. E. Manni and J. E. Sinesheimer. Anal. Chem., 33, 1900 (1961). (17) N. M. Sanghari and A. V. Katdare, lndian J. Pharm., 35, 87 (1973).

(1969).

Sparks, and L. Thompkins, J. Antibiot., 22, 551 (1969).

(1969).

352 ANALYTICAL CHEMISTRY, VOL. 48, NO. 2, FEBRUARY 1976

Page 6: Fluorometric determination of erythromycin and erythromycin propionate in whole blood or plasma and correlation of results with microbiological assay

(18) E. A. Ibrahim, Y. A. Beitagy, and A. S. Issa, Pbarmazie, 27, 651 (1972). (19) N. R. Kuzei. J. M. Woodside, J. P. Comer, and E. E. Kennedy, Antibiot.

(20) R. Cegtarski and A. Regosz, Farm. Pol., 23, 437 (1967). (21) T. T. Anderson, J. Cbromatogr., 14, 127 (1964). (22) A. Banaszek, K. Krowicki. and A. Zamojski, J. Chromatogr., 32, 581

(23) C. Radecka, W. L. Wilson, and D. W. Hughes, J. Pharm. Sci., 61, 430

(24) C. Radecka, W. L. Wilson, and D. W. Hughes, Can. J. Pharm. Sci.. 8.27

(25) K. Tsjui and J. H. Robertson, Anal. Chem., 43, 818 (1971). (26) J. H. Robertson and K. Tsuji, J. Pharm. Sci., 61, 2697 (1972). (27) P. N. Kaul, M. W. Conway, M. L. Clark, and J. Huffine, J. Pharm. Sci.,

(28) E. N. Cohen, J. Lab. Clin. Med., 62, 979 (1963).

Chemother., 4, 1234 (1954).

(1968).

(1972).

(1973).

59, 1745 (1970).

(29) A. J. Glazko. D. W. Dill, and R. L. Fransway. Fed. Proc.. Fed. Am. SOC.

(30) K. 0. Borg and 6. Westiund, Z. Anal. Chem.. 252, 275 (1970). (31) V. C. Stephens and J. W. Conine, Antibiot. Ann., 349 (1958-1959). (32) A. Leo, C. Hansch, and D. Elkins, Chem. Rev., 71, 525 (1971) (33) W. Morozowich, "The Design of Orally Absorbed Drugs", presented at

the 13th Annual National Industrial Pharmaceutical Research Confer- ence, Land O'Lakes, Wis., June 24, 1971.

(34) "Methods in Enzymology", S. P. Colowick and N. 0. Kapian, Ed., Aca- demic Press, New York, N.Y., 1955, p 143.

Exp. Biol., 21, 269 (1962).

RECEIVED for review June 11, 1975. Accepted October 29, 1975. This research was supported by a Contract from The Upjohn Company, Kalamazoo, Mich. 49001.

Inexpensive Laser Luminescence Decay Time Apparatus

J. N. Demas* and C. M. Flynn, Jr.

Chemistry Department, University of Virginia, Cbarlottesville, Va. 2290 1

Construction and performance of an inexpensive, easily fabricated luminescence decay time apparatus are dis- cussed. The system is especially well-suited for studying the weak red to near infrared emissions of many transition metal complexes in fluid solutions and in quenching studies. The commercially available pulsed nitrogen laser yields 1 kW at 337 nm and efficiently excites many luminescent ma- terials. Decay times greater than -50 nsec are easily mea- sured, and a sampling oscilloscope and deconvolution should make low nanosecond measurements feasible. Decay time data on several chromium(lll), osmium(ll), and ruthenium( II) complexes in fluid solutions and several solid complexes are reported.

Transition metal complex photochemistry has recently been revolutionized by studies of complexes which emit under conditions where luminescence and photochemistry compete (1-7). Such work is still greatly hampered, be- cause there is available no inexpensive decay time appara- tus for measuring the lifetimes of the weak, frequently short lived (<1 ksec) luminescences of many complexes.

Most decay time measurements with complexes have used multijoule high pressure flash lamps (8), expensive multikilowatt pulsed Nz lasers (9, I O ) , even more expensive frequency doubled Q-switched ruby lasers (11 ), pulsed electron accelerators (12) , or single photon counting equip- ment (13) . The flash lamps require considerable machining and glass blowing for their construction, have poorer time resolution than the lasers, and may give unreliable results (9, I O ) .

We describe a simple high sensitivity luminescence decay time system suitable for measuring weak, near-in- frared luminescences of many metal complexes in room temperature fluid solutions or as solids. Rise times of many metal complexes can also be measured. In fact, most emit- ting compounds which absorb at 337 nm and have a decay time > -50 nsec, can be easily measured in this apparatus. Cost is relatively low (ca. $1000 excluding oscilloscope, camera, phototube power supplies, and vacuum system), construction using an inexpensive commercial Nn-laser is simple, and performance is remarkably good.

The system consists of a 337-nm, 1-kW pulsed N2 laser, a spark gap triggering module to improve pulse reproducibil- ity, an extended red response 2-inch diameter photomulti- plier with dynode string optimized for linear performance a t high peak currents, a readily interchangeable set of load resistors, and a memory oscilloscope to average out noise and simplify data collection. These components, their in- terconnections, and typical perfcrmance are described.

DECAY TIME APPARATUS

Laser and Trigger Generators. A Phase R N-21K N? laser supplies -1-kW, 4-nsec 337-nm pulses (14 ) Cost is about $700 complete with power supply or about $400 if a 15-20 kV 500-kA power supply is available.

The energy storage capacitor, the pressurized triggerable spark gap discharge switch, and the laser discharge channel are located in a compact epoxy laser head which is con- nected by coaxial cable to the power supply. The laser head is equipped with two high vacuum stopcocks, one a t each end of the laser channel, which permits operation with flowing NP. The laser may he used either as a free running relaxation oscillator with discharge occurring when the sparkgap breaks down spontaneously or in an externally triggered mode.

Laser reproducibility is claimed a t f5%. We find, how- ever, that f10% is probably more realistic using the triggered spark gap mode, which yields a significpntly more stable repetition rate and intensity than the relaxation mode. A suitable high voltage pulse generator for the spark gap is shown in Figure 1. The pulse transformer was one we had available, but less expensive units should work equally well. Pulse rates of -0.5-10 Hz are obtained for S1 in the "LOW" position and 10-100 Hz for "HI".

Laser peak power and reproducibility are sensitive to spark gap pressure and fouling, power supply voltage, Nn pressure in the discharge channel, and repetition rate. We find the most stable operation at -15 Torr of Ni in the dis- charge channel, -10-20 psi (gauge) of Nc in the spark gap. a repetition rate of -5-20 Hz and a high voltage of -13-18 kV before discharging. Optimum conditions may vary among different units, however, and should be set by ex- periment.

ANALYTICAL CHEMISTRY, VOL. 48, NO. 2, FEBRUARY 1976 353