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Abstract
A unique extraction procedure leading to the separation of 2 different pharmaceutical classes molecules has been developed and optimised
by chemometric tools. From only one sampling, this analytical method allows the determination of 21 pharmaceuticals from corticosteroids
and -blockers classes. Performing the SPE on Oasis MCX (mixed-mode cation exchange), the sequential elution of each pharmaceutical class
is achievable, allowing a high purity level of extracts as well as high recovery rates. Performing a unique sample preparation results in an
important save of time. The extracts were then analysed by LC/MS/MS, using a Hibar Purospher Star column for -blockers and an X-Bridge
column for corticosteroids with formate buffer (pH 3.8)/AcN and water/AcN mobile phases, respectively. This work also includes a study of the
chromatographic and mass spectrometric parameters in order to increase the analyte signal. The optimised SPE-LC/MS/MS method was then
applied to environmental samples from sewage treatment plant (STP). -Blockers and corticosteroids were detected, respectively, in concentrations
up to 318 ng L1 (sotalol) and 174 ng L1 (cortisone), in STP influents. Moreover, both pharmaceutical classes have also been detected in STP
effluents. As far as we know, this is the first paper reporting the detection of corticosteroids in environmental waters. The developed analytical
method can be used in further studies to investigate the environmental contamination by these drugs.
2007 Elsevier B.V. All rights reserved.
Keywords: Pharmaceuticals; Water analysis; SPE; -Blockers; Steroids; Liquid chromatography; Mass spectrometry
1. Introduction
Quantification of drugs in the environment is a matter of concern since they potentially represent an important environmental
risk [14]. Indeed, these substances have been developed in
order to perform a biological effect and are partially excreted
unchanged by the body. Thus, they can affect non-targeted
organisms and be harmful for the ecosystem.
Human medications reach the environment through sewage
treatment plant (STP). Effectively it was recognised that STP
efficiency is very low for this kind of micropollutants, allowing the passage of these compounds and their release into the
environment. Several authors have reported the environmental occurrence of drugs in surface-, ground- and tap-water,
0039-9140/$ see front matter 2007 Elsevier B.V. All rights reserved.
doi:10.1016/j.talanta.2007.09.038
as well as in STP influents and effluents [512]. Many studies report the quantification of large amounts of non-steroidal
anti-inflammatory drugs (aspirin, paracetamol) [1315], antidepressant (fluoxetine, paroxetine) [15], antibiotics (amoxicillin,
sulfamethoxazole) [1517], steroid sex hormones (estrone,
estriol) [1820] or cardiovascular drugs (atenolol, dilitiazem)
[11,15,16,21]. -Blockers (cardiovascular drugs) have been
reported to contaminate both American and European waters
in a large number of studies [13,2125], with concentrations
up to 2000 ng L1 . The occurrence of steroids in environmental
waters has been confined to the study of the estrogens subclass
[1820]. Few papers report the contamination by other steroid
class molecules, such as cholestanes (cholesterol), progestagens (progesterone, levonorgestrel) or androgens (testosterone)
[2628]. However, no environmental measurements were done
concerning corticosteroids although they are consumed in large
quantities as anti-inflammatory or antiallergenic drugs. Moreover, this pharmaceutical class has been underlined as a potential
1464
LC/MS grade (AcN), formic acid (85%) (FOA) and ammonium formate (99%) were obtained from Fisher Scientific (Val
de Rueil, France). Ammonia solution RP Normapur (28%) was
provided by Prolabo (Fontenay sous Bois, France). Ultra-pure
water was generated by an Elgastat UHQ PS from Elga LabWater
(High Wycombe Bucks, United Kingdom).
Each corticosteroid stock solution was prepared in AcN at
1000 mg L1 , excepted for triamcinolone and triamcinolone
acetonide (250 mg L1 ) which have a lower solubility. Each blocker stock solution was prepared in MeOH at 1000 mg L1 .
A first 50 mg L1 standard working solution (WSc ) containing
the 11 corticosteroids was prepared in AcN. A second 50 mg L1
standard working solution (WS) containing the 10 -blockers
was prepared in MeOH. These solutions were stored at 4 C, in
the dark.
4, 2 and 1 mg L1 working solutions were prepared
by dilution of WSc in water/AcN/FOA (75:25:0.1, v/v/v).
Corticosteroids calibration standards were then prepared in
water/AcN/FOA (75:25:0.1, v/v/v) by consecutive dilution of
these solutions. A similar procedure has been performed for the
preparation of -blockers calibration standards from WS.
2.2. Sampling
Environmental matrices samples were collected from Pierre
Benite STP (downstream from Lyon, France). This STP receives
mainly urban and hospital wastewaters. For environmental
analysis, 24 h average samples were collected, whereas direct
samplings were used as matrix for method development. Both
influent and effluent samples were filtered up to 0.45 m on
membrane filters provided by Millipore (Molsheim, France) and
stored at 4 C. Samples were extracted within a maximum of 3
days after the collect.
2.3. Sample preparation
Samples were extracted on Oasis MCX cartridges (60 mg,
3 cc) from Waters (Saint Quentin en Yvelines, France). The solid
phase extraction was performed on an Aspec XL4 equipped with
a 404 syringe pump and an 8 position valve mate from Gilson
(Villiers le Sec, France), controlled by the 735 sampler Gilson
software.
Each 400 mL environmental sample was acidified with
400 L of FOA (85%), then spiked by the volume needed
(<50 L) of calibration standard for the standard addition
method. The sample was then loaded at a flow rate of
15 mL min1 using Aspec XL4 onto an Oasis MCX extraction
cartridge preconditioned with 3 mL of MeOH and 3 mL of water
acidified with 0.1% of FOA (85%). The cartridge was then rinsed
with 1.5 mL of MeOH/water/FOA (10:90:0.1, v/v/v) mixture.
Corticosteroids were eluted with 1 mL of MeOH/water/FOA
(70:30:0.1, v/v/v). A second wash with 1 mL of MeOH/FOA
(100:0.1, v/v) was performed. Finally, -blockers were eluted
with MeOH/ammonia solution (95:5, v/v). Consequently, 2
extracts were collected separately: the first one containing corticosteroids and the second one containing -blockers. Each wash
and elution step were performed at a flow rate of 0.3 mL min1 .
Table 1
Structures and mass spectrometric parameters used for the analysis of corticosteroids
Product ion
(m/z)
393.0
373.1
431.0
Structure
Orifice voltage
(V)
Ring voltage
(V)
Collision energy
(eV)
Retention time
(min)
41
240
13
6.3
413.3
140
15
11.0
362.9
327.2
31
200
29
3.8
361.0
163.1
26
160
31
4.1
393.0
373.1
41
240
13
6.5
[M + H]+
(m/z)
Molecule [CAS]
1465
1466
435.0
321.1
150
19
7.9
453.1
413.2
11
160
17
8.7
360.9
343.1
11
140
15
3.6
358.9
313.0
21
180
17
3.8
391.2
375.0
46
270
15
2.4
435.0
415.1
150
15
7.6
1467
Table 2
Structures and mass spectrometric parameters used for the analysis of -blockers
[M + H]+
(m/z)
Product
ion (m/z)
Orifice
voltage (V)
Ring
voltage (V)
Collision
energy (eV)
Retention
time (min)
337.0
116.2
21
150
29
7.9
249.9
116.2
16
140
23
9.2
267.0
145.1
21
150
33
3.8
326.1
116.2
21
140
25
8.7
268.0
116.3
21
150
23
8.1
310.1
254.1
21
140
23
6.6
248.9
116.2
16
130
23
7.5
259.9
116.3
16
140
23
9.1
272.9
255.1
120
17
3.9
317.0
261.1
16
140
23
7.8
Molecule [CAS]
Structure
1468
Table 3
HPLC solvent gradient for the separation of (a) -blockers and (b) corticosteroids
(a)
(b)
Flow rate
0
2
5
10
1
1
1
1
a
b
c
A1 = formate buffer.
B = can.
A2 = ultra-pure water.
(mL min1 )
%A1a
%Bb
%A2c
%Bb
85
85
55
55
15
15
45
45
0
6
9
20
0.3
0.3
0.3
0.3
70
60
0
0
30
40
100
100
1469
Fig. 1. Mass spectrometric responses of 2 representatives corticosteroids: betamethasone (Be) and cortisone (C), and 2 representatives -blockers: propranolol (Pr)
and sotalol (S).
1470
Fig. 2. LC/MS/MS chromatogram of a 5 ng injected corticosteroids solution (see abbreviations in Table 1).
1471
Fig. 3. LC/MS/MS chromatogram of a 100 pg -blocker solution (see abbreviations in Table 2).
ume loaded, the eluant volume and methanol percentage for the
corticosteroids wash step, the eluant volume and methanol percentage for the corticosteroids elution step, the acidified MeOH
volume used to wash the -blockers fraction, the eluant volume used to eluate -blockers and its percentage of ammonia.
This study, which would not be detailed in this paper, allowed
to fix 5 critical parameters. The flow rate for loading (from 5 to
15 mL min1 ) did not influence neither the retention of target
analytes nor interferences and was then fixed to 15 mL min1 in
order to shorter the sample preparation time. The sample volume percolated was studied from 100 to 1000 mL and did not
affect the extraction yield of target molecules. It was then fixed
to 400 mL (leading to a 400 L extract) in order to perform
until 4 chromatographic injections per sample. The increase
of the volume percolated to clean up the -blockers fraction
(15 mL) did not increase the purification, and subsequently it
was maintained to 1 mL of MeOH acidified with 0.1% FOA.
This wash permits to eluate the remaining apolar interferents
from the cartridge, allowing to achieve a high purification status
for -blockers extracts. The best extraction yields for -blockers
were obtained by eluting with 1.5 mL MeOH/ammonia solution
28% (95:5, v/v), when 0.51.5 mL of MeOH/ammonia solutions
(98:295:5, v/v) were tested. These conditions gave satisfactory
purifications.
Step
1st wash
1
2
3
4
5
6
7
8
1st elution
V (mL)
%MeOH
V (mL)
%MeOH
0.5
1.5
0.5
1.5
0.5
1.5
0.5
1.5
10
10
15
15
10
10
15
15
0.5
1.5
1.5
0.5
1.5
0.5
0.5
1.5
65
65
65
65
70
70
70
70
1472
Table 5
Corticosteroids extraction yields measured for the design of experiments (%)
Exp.
Pl
Fc
Be-D
Hy
Bu
Fs
TA
1
2
3
4
5
6
7
8
6
82
16
1
79
74
7
61
5
70
13
1
75
69
5
44
5
70
8
1
91
86
12
72
3
66
15
1
81
73
6
75
13
84
23
7
79
84
10
65
7
74
16
1
86
77
6
61
8
82
19
1
92
73
8
104
2
38
10
6
129
52
18
19
8
52
10
3
81
90
7
48
6
59
14
4
92
90
5
57
AreaA
100
AreaB
(1)
Fig. 4. Influence of the tested parameter on the extraction yield. b1 : volume used for the first wash; b2 : % MeOH used for the first wash; b3 : volume used for the first
elution; b4 : % MeOH used for the first elution.
Linearity range
(g L1 )
1473
IDL
(pg)
1400
1100
4400
1400
1100
1100
1400
1400
1100
1100
0.999
0.999
0.993
0.998
0.999
0.999
0.992
1.000
0.996
0.998
32.0
0.7
7.7
1.3
2.5
0.6
9.1
6.7
77.3
0.5
0.1400
0.1100
0.1400
0.1100
0.1400
0.1400
0.1400
0.1100
0.1400
0.1400
0.992
0.995
0.993
0.985
0.990
0.991
0.992
0.990
0.991
0.989
0.3
1.0
0.4
0.1
0.5
0.3
0.3
0.2
2.0
0.9
Calibration plots were obtained by standard solution analysis at eight concentrations for each analyte. The linearity of the
method was evaluated between 1 and 400 g L1 . To determine
the best weighting factor, concentrations were back-calculated
and the residual plot examined. The model with the lowest
bias and the most constant variance across the concentration
range was considered the best suited. A linear regression (1/x2
weighted for -blockers and 1/x for corticosteroids) gave the best
fit for the concentration/detector response with R2 values above
0.99 and residues less than 15% for each analyte in the concentration range tested (Table 6). As no blank matrix was found
out within the tested samples, it was not possible to evaluate
the method sensibility on environmental samples. Instrumental detection limits (IDL) were thus calculated as the minimum
injected mass giving a signal to noise ratio 3. The IDLs ranged
0.1 and 77.3 pg analyte injected, as shown in Table 6.
Instrumental precision was assessed by replicate injection
(n = 5) of the calibration solution in the same day. The intraday variance, expressed as relative standard deviation (R.S.D.%)
for each analyte peak area was usually below 15%. The
accuracy of the method was determined by recovery studies
conducted on spiked environmental samples (STP influents) at
500 ng L1 . Extraction yields and their R.S.D. are presented in
Table 7.
The analytical protocol was not fully validated since the aim
of this work was to develop an extraction procedure and test
it on environmental samples, in order to investigate if target
molecules were found in the environment.
3.4. Environmental analysis
Influent samples from Pierre Benite STP have been extracted
and analysed as described above, by the standard addition
method. With this protocol, the environmental sample is divided
in 4 aliquots of 400 mL. Each aliquot was spiked with a relevant
quantity of standard (up to twice the suspected environmental
concentration). The linearity of standard addition was verified
and allowed a reliable environmental quantitation. The quantities measured are reported in Table 8. The studied -blockers
have been detected with concentrations up to 318 ng L1 for
Table 7
Extraction yields and relative standard deviation in this study, on STP influents (n = 5)
Corticosteroid
Yield (%)
R.S.D. (%)
-Blocker
Yield (%)
R.S.D. (%)
Betamethasone
Budesonide
Cortisone
Cortisol
Dexamethasone
Flunisolide
Fluocinolone acetonide
Prednisolone
Prednisone
Triamcinolone
Triamcinolone acetonide
67
86
71
70
75
54
84
62
55
63
70
10
12
10
22
11
19
24
16
13
11
10
Acebutolol
Alprenolol
Atenolol
Bisoprolol
Metoprolol
Nadolol
Pindolol
Propranolol
Sotalol
Timolol
68
61
68
60
62
60
10
66
68
62
4
6
24
7
7
9
24
7
9
9
1474
Table 8
Measured concentration in Pierre Benite influents/effluents STP
Compound
Influents (ng L1 )
Effluents (ng L1 )
Corticosteroids
Betamethasone + dexamethasone
Budesonide
Cortisone
Cortisol
Flunisolide
Fluocinolone acetonide
Triamcinolone
Triamcinolone acetonide
15
n.d.
174
53
7
0.3
31
40
7
3
229
63
5
11
30
3
-Blockers
Acebutolol
Atenolol
Bisoprolol
Metoprolol
Nadolol
Pindolol
Propranolol
Sotalol
Timolol
66
170
73
111
10
2
92
318
32
0.4
1.8
1
1
0.1
0.4
2
65
58
sotalol. The measured -blockers concentrations are in accordance with the amounts reported in literature [13,2125]. All
the studied corticosteroids were detected, excepted budesonide.
Concentrations reach 174 ng L1 for cortisone. Cortisone and
cortisol which are not only prescription drugs but also endogenous steroids are continuously discharged in sewages. So it is
not surprising these 2 compounds were present to higher concentrations than other corticosteroids.
Then, the developed protocol was applied, to Pierre Benite STP effluent samples (results shown in Table 8). Our aim
was to have a first estimation on the quantities discharged by
STP effluents in environmental waters, i.e. to know if the treatment was able to totally remove corticosteroids from water. All
the target compounds have been detected, including budesonide
which had not been detected in influent samples. This can be
due to the hydrolysis of budesonide conjugates during the STP
treatment. This study demonstrates that corticosteroids reach
STPs and are continuously discharged by them in environmental
waters.
To our knowledge, this is the first study that demonstrates
contamination of environmental waters by corticosteroids.
4. Conclusions
[22]
[23]
[24]
[25]
[26]
[27]
[28]
1475