Development and Validation of an ICP-MS Method and its Application to Determine Multiple Trace Elements in Small Volumes of Whole Blood and Plasma.

Essential and non-essential element concentrations in human blood provide important information on the nutritional status of individuals, and can assist in the screening or diagnosis of certain disorders and their association with other causative factors. A simple and sensitive method, suitable for use with small sample volumes, for quantification of multiple trace element concentrations in whole blood and plasma has been developed using inductively coupled plasma-mass spectrometry (ICP-MS). Method validation was performed using standard reference materials of whole blood and serum using varying sample treatments with nitric acid, water and hydrogen peroxide. The method was applied to quantify the trace element concentrations in whole blood and plasma samples (0.1 mL) from 50 adult blood donors in Queensland. The whole blood sample (5 mL) was collected in Vacutainer tubes with K2EDTA as anticoagulant. The developed method was able to quantify, in blood and plasma samples over a wide range of concentrations, several essential elements: cobalt, copper, zinc, iron, manganese and selenium; the nutritionally probably-essential elements vanadium and strontium; and non-essential elements including lead, cadmium, arsenic, caesium, barium, thallium and uranium. Significant differences (p < 0.0001) were observed between whole blood and plasma concentrations for thirteen elements; five of the measured elements cobalt (0.49 vs. 0.36 μg/L), copper (1.0 vs. 0.75 mg/L), strontium (28 vs. 16 μg/L), barium (1.5 vs. 0.64 μg/L) and thallium (0.06 vs. 0.03 μg/L) had higher mean concentrations in plasma than in blood. Whole blood concentrations of nine trace elements were significantly correlated (p < 0.0001) with plasma concentrations. The distribution of the trace elements between human blood and plasma varied considerably for the different elements. These results indicate that, using a small sample volume, this assay is suitable for the evaluation of nutritional status as well as in monitoring human toxic elemental exposures.