Repurposing dried blood spot device technology to examine bile acid profiles in human dried fecal spot samples

Dried blood spot (DBS) analysis has existed for >50 years, but application of this technique to fecal analysis remains limited. To address whether dried fecal spots (DFS) could be used to measure fecal bile acids, we collected feces from five subjects for each of the following cohorts: 1) healthy individuals, 2) individuals with diarrhea, and 3) Clostridioides difficile-infected patients. Homogenized fecal extracts were loaded onto quantitative DBS (qDBS) devices, dried overnight, and shipped to the bioanalytical lab at ambient temperature. For comparison, source fecal extracts were shipped on dry ice and stored frozen. After 4 mo, frozen fecal extracts and ambient DFS samples were processed and subjected to targeted liquid chromatography-tandem mass spectrometry (LC-MS/MS)-based metabolomics with stable isotope-labeled standards. We observed no differences in the bile acid levels measured between the traditional extraction and the qDBS-based DFS methods. This pilot data demonstrates that DFS-based analysis is feasible and warrants further development for fecal compounds and microbiome applications.NEW & NOTEWORTHY Stool analysis in remote settings can be challenging, as the samples must be stored at -80°C and transported on dry ice for downstream processing. Our work indicates that dried fecal spots (DFS) on Capitainer quantitative DBS (qDBS) devices can be stored and shipped at ambient temperature and yields the same bile acid profiles as traditional samples. This approach has broad applications for patient home testing and sample collection in rural communities or resource-limited countries.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:326

Enthalten in:

American journal of physiology. Gastrointestinal and liver physiology - 326(2024), 2 vom: 01. Feb., Seite G95-G106

Sprache:

Englisch

Beteiligte Personen:

Engevik, Melinda A [VerfasserIn]
Thapa, Santosh [VerfasserIn]
Lillie, Ian M [VerfasserIn]
Yacyshyn, Mary Beth [VerfasserIn]
Yacyshyn, Bruce [VerfasserIn]
Percy, Andrew J [VerfasserIn]
Chace, Donald [VerfasserIn]
Horvath, Thomas D [VerfasserIn]

Links:

Volltext

Themen:

Bile Acids and Salts
Bile acids
Dried blood spot
Dried fecal spot
Dry Ice
Feces
Journal Article
LC-MS/MS
Research Support, N.I.H., Extramural

Anmerkungen:

Date Completed 18.01.2024

Date Revised 08.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1152/ajpgi.00188.2023

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM365056499