Reliable ammonia quantification assays are essential for monitoring ammonemia in patients with liver diseases. In this study, we describe the development process of a microplate-based assay for accurate, precise, and robust ammonia quantification in biological fluids, following regulatory guidelines on bioanalytical method validation. The assay is based on transmembrane pH-gradient polymersomes that encapsulate a pH-sensitive ratiometric fluorophore, the fluorescence signal of which correlates with the ammonia concentration in the sample. Using four-parameter logistic regression, the assay had a large quantification range (30–800 µM ammonia). As for selectivity, the presence of amino acids or pyruvate (up to clinically relevant concentrations) showed no assay interference. In samples with low bilirubin levels, polymersomes containing the fluorophore pyranine provided accurate ammonia quantification. In samples with high bilirubin concentrations, billirubin’s optical interference was alleviated when replacing pyranine with a close to near-infrared hemicyanine fluorophore. Finally, the assay could correctly retrieve the ammonia concentration in ammonia-spiked human plasma samples, which was confirmed by comparing our measurements with the data obtained using a commercially available point-of-care device for ammonia.

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The full text of this article is available to read as a PDF.
Competing interest reported. JCL is a cofounder and shareholder of Versantis AG. LH is now an employee of Versantis AG. All other coauthors do not have any conflict of interest.
This is a list of supplementary files associated with this preprint. Click to download.
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Posted 26 May, 2021
On 28 Sep, 2021
Received 25 Sep, 2021
Received 17 Jul, 2021
On 04 Jul, 2021
On 04 Jul, 2021
Invitations sent on 04 Jul, 2021
On 28 Jun, 2021
On 20 May, 2021
On 20 May, 2021
On 19 May, 2021
Posted 26 May, 2021
On 28 Sep, 2021
Received 25 Sep, 2021
Received 17 Jul, 2021
On 04 Jul, 2021
On 04 Jul, 2021
Invitations sent on 04 Jul, 2021
On 28 Jun, 2021
On 20 May, 2021
On 20 May, 2021
On 19 May, 2021
Reliable ammonia quantification assays are essential for monitoring ammonemia in patients with liver diseases. In this study, we describe the development process of a microplate-based assay for accurate, precise, and robust ammonia quantification in biological fluids, following regulatory guidelines on bioanalytical method validation. The assay is based on transmembrane pH-gradient polymersomes that encapsulate a pH-sensitive ratiometric fluorophore, the fluorescence signal of which correlates with the ammonia concentration in the sample. Using four-parameter logistic regression, the assay had a large quantification range (30–800 µM ammonia). As for selectivity, the presence of amino acids or pyruvate (up to clinically relevant concentrations) showed no assay interference. In samples with low bilirubin levels, polymersomes containing the fluorophore pyranine provided accurate ammonia quantification. In samples with high bilirubin concentrations, billirubin’s optical interference was alleviated when replacing pyranine with a close to near-infrared hemicyanine fluorophore. Finally, the assay could correctly retrieve the ammonia concentration in ammonia-spiked human plasma samples, which was confirmed by comparing our measurements with the data obtained using a commercially available point-of-care device for ammonia.

Figure 1

Figure 2

Figure 3

Figure 4

Figure 5

Figure 6

Figure 7

Figure 8
The full text of this article is available to read as a PDF.
Competing interest reported. JCL is a cofounder and shareholder of Versantis AG. LH is now an employee of Versantis AG. All other coauthors do not have any conflict of interest.
This is a list of supplementary files associated with this preprint. Click to download.
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