Development of a push-pull microdialysis sampling technique for the quantitative determination of proteins

Utilizing transmembrane convection to enhance solute sampling and delivery by microdialysis: theory and in vitro validation

Microdialysis is a well-developed membrane-based tool relying on diffusion to sample diffusible constituents of complex media, such as biological tissue. The objective of this research is to expand the utility of microdialysis by combining transmembrane convection with diffusion to enhance solute exchange between microdialysis probes and the surrounding medium. We have developed a mathematical model to describe probe performance and performed validation experiments utilizing tracer solutes and commercially available probes with 100-kDa molecular weight cutoff membranes. Diffusive and fluid permeabilities of the probe membranes are evaluated for probes immersed in well-stirred bathing media in vitro. Transmembrane convection alters the solute extraction fraction, i.e., the fractional loss of a solute from the probe perfusate during delivery and the fractional gain by the perfusate during sampling. The extraction fraction change depends upon the magnitude and direction (inward or outward) of fluid movement across the membrane. However, for solutes with zero reflection coefficients, equality is maintained between these delivery and sampling extraction fractions. This equality is a prerequisite for probe calibration approaches that rely on analyte delivery from the perfusate. Thus, we have provided the theoretical and experimental basis for exploiting convection in a quantitative manner to enhance solute delivery and sampling in microdialysis applications.

Droplet-based microdialysis-Concept, theory, and design considerations

The capability of continuously sampling the extracellular fluid opens up a wide range of applications of microdialysis in biological, pharmaceutical, and clinical studies. Existing microdialysis, however, faces challenges in sampling analytes with fast clearance and limited diffusivity because sampling resolution is limited by device size. Size reduction in probes and interconnected cannulae is a promising solution to improve temporal and spatial resolution. But the back pressure produced by resistance to laminar flows will be magnified in smaller channels, raising a concern as to whether it is feasible to operate continuous perfusion for miniaturized microdialysis. We demonstrate that a 10-fold smaller channel will exhibit 100-fold larger back pressure in response to the increase in the flow rate to maintain the relative recovery. In order to overcome the foreseen back pressure issue, this paper discusses a new concept using discrete droplets instead of continuous flows to operate dialysis in a miniaturized probe. This conceptual design is referred to as droplet-based digital microdialysis, in which droplets are produced, controlled and advanced within microchannels at a rate that in theory should allow for analytes to equilibrate with the extracellular fluid under no flow conditions. Expecting that a digital droplet design will entirely eliminate back pressure by introducing air between droplets, we numerically compare the equilibration kinematics of droplets to that of continuous flow. Results suggest equilibration of low molecular weight analytes between intermittently stationary droplets and the extracellular fluid in a few seconds. Considerations in design, prototyping, calibration and quantification, and the integration with other devices are suggested.

In vitro and in vivo protein sampling by combined microdialysis and ultrafiltration

Cytokines, chemokines and growth factors regulate inflammation, resistance to infection and tissue repair. Understanding their function within tissues is a priority in evolving therapy for a number of disease processes. Yet, the existence of complex networks of these factors in the tissue microenvironment has made understanding of their interactions difficult. We demonstrate the capability of microdialysis probes to recover small proteins efficiently in vitro. Further we show that microdialysis of human tissues allows for protein recovery from tissue interstitial fluid. This technology, combined with a multiplexed immunoassay, facilitates the simultaneous measurement of cytokines and chemokines in response to injury in the oral mucosa of human subjects in vivo.

Microdialysis of proteins: performance of the CMA/20 probe

Unlike all other currently available sampling techniques, microdialysis allows the continuous recovery of dialysed fluid from the interstitial space of living tissue. Microdialysis has been extensively used to study small molecules such as neurotransmitters, metabolites and drugs in the brain and other tissues. There has been increasing interest in measuring proteins using microdialysis. Optimizing protein recovery requires slow buffer flow rates, large pore membranes and osmotic balancing. An examination of a widely used commercially available large pore (100kDa MWCO) polymeric microdialysis probe, the CMA/20 (polyethersulfone) over 6 days of continuous microdialysis showed that: (1) published molecular weight cut-off values may not predict the size of proteins that can be recovered. This membrane had an effective molecular weight cut-off values (MWCO) of about 29kDa, (2) protein recoveries decrease over time, (3) small proteins are much less affected than larger ones and (4) there can be significant differences in the recovery of proteins similar in size perhaps due to reaching of a critical size, protein aggregation, shape, surface charge or hydrophobicity.