1
|
Durazzo A, Sorkin BC, Lucarini M, Gusev PA, Kuszak AJ, Crawford C, Boyd C, Deuster PA, Saldanha LG, Gurley BJ, Pehrsson PR, Harnly JM, Turrini A, Andrews KW, Lindsey AT, Heinrich M, Dwyer JT. Analytical Challenges and Metrological Approaches to Ensuring Dietary Supplement Quality: International Perspectives. Front Pharmacol 2022; 12:714434. [PMID: 35087401 PMCID: PMC8787362 DOI: 10.3389/fphar.2021.714434] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2021] [Accepted: 12/16/2021] [Indexed: 12/23/2022] Open
Abstract
The increased utilization of metrology resources and expanded application of its' approaches in the development of internationally agreed upon measurements can lay the basis for regulatory harmonization, support reproducible research, and advance scientific understanding, especially of dietary supplements and herbal medicines. Yet, metrology is often underappreciated and underutilized in dealing with the many challenges presented by these chemically complex preparations. This article discusses the utility of applying rigorous analytical techniques and adopting metrological principles more widely in studying dietary supplement products and ingredients, particularly medicinal plants and other botanicals. An assessment of current and emerging dietary supplement characterization methods is provided, including targeted and non-targeted techniques, as well as data analysis and evaluation approaches, with a focus on chemometrics, toxicity, dosage form performance, and data management. Quality assessment, statistical methods, and optimized methods for data management are also discussed. Case studies provide examples of applying metrological principles in thorough analytical characterization of supplement composition to clarify their health effects. A new frontier for metrology in dietary supplement science is described, including opportunities to improve methods for analysis and data management, development of relevant standards and good practices, and communication of these developments to researchers and analysts, as well as to regulatory and policy decision makers in the public and private sectors. The promotion of closer interactions between analytical, clinical, and pharmaceutical scientists who are involved in research and product development with metrologists who develop standards and methodological guidelines is critical to advance research on dietary supplement characterization and health effects.
Collapse
Affiliation(s)
| | - Barbara C Sorkin
- Office of Dietary Supplements, National Institutes of Health, US Department of Health and Human Services, Bethesda, MD, United States
| | | | - Pavel A Gusev
- Beltsville Human Nutrition Research Center, Agricultural Research Service, US Department of Agriculture, Bethesda, MD, United States
| | - Adam J Kuszak
- Office of Dietary Supplements, National Institutes of Health, US Department of Health and Human Services, Bethesda, MD, United States
| | - Cindy Crawford
- Consortium for Health and Military Performance, Department of Military & Emergency Medicine, F. Edward Hebert School of Medicine, Uniformed Services University, Bethesda, MD, United States
- Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD, United States
| | - Courtney Boyd
- Consortium for Health and Military Performance, Department of Military & Emergency Medicine, F. Edward Hebert School of Medicine, Uniformed Services University, Bethesda, MD, United States
- Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD, United States
| | - Patricia A Deuster
- Consortium for Health and Military Performance, Department of Military & Emergency Medicine, F. Edward Hebert School of Medicine, Uniformed Services University, Bethesda, MD, United States
- Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD, United States
| | - Leila G Saldanha
- Office of Dietary Supplements, National Institutes of Health, US Department of Health and Human Services, Bethesda, MD, United States
| | - Bill J Gurley
- National Center for Natural Products Research, University of Mississippi, Bethesda, MD, United States
| | - Pamela R Pehrsson
- Beltsville Human Nutrition Research Center, Agricultural Research Service, US Department of Agriculture, Bethesda, MD, United States
| | - James M Harnly
- Beltsville Human Nutrition Research Center, Agricultural Research Service, US Department of Agriculture, Bethesda, MD, United States
| | - Aida Turrini
- CREA - Research Centre for Food and Nutrition, Rome, Italy
| | - Karen W Andrews
- Beltsville Human Nutrition Research Center, Agricultural Research Service, US Department of Agriculture, Bethesda, MD, United States
| | - Andrea T Lindsey
- Consortium for Health and Military Performance, Department of Military & Emergency Medicine, F. Edward Hebert School of Medicine, Uniformed Services University, Bethesda, MD, United States
- Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD, United States
| | - Michael Heinrich
- UCL School of Pharmacy, Pharmacognosy and Phytotherapy, London, United Kingdom
| | - Johanna T Dwyer
- Office of Dietary Supplements, National Institutes of Health, US Department of Health and Human Services, Bethesda, MD, United States
| |
Collapse
|
2
|
Hosbas Coskun S, Wise SA, Kuszak AJ. The Importance of Reference Materials and Method Validation for Advancing Research on the Health Effects of Dietary Supplements and Other Natural Products. Front Nutr 2021; 8:786261. [PMID: 34970578 PMCID: PMC8713974 DOI: 10.3389/fnut.2021.786261] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Accepted: 11/17/2021] [Indexed: 01/21/2023] Open
Abstract
Insufficient assessment of the identity and chemical composition of complex natural products, including botanicals, herbal remedies, and dietary supplements, hinders reproducible research and limits understanding mechanism(s) of action and health outcomes, which in turn impede improvements in clinical practice and advances in public health. This review describes available analytical resources and good methodological practices that support natural product characterization and strengthen the knowledge gained for designing and interpreting safety and efficacy investigations. The practice of validating analytical methods demonstrates that measurements of constituents of interest are reproducible and appropriate for the sample (e.g., plant material, phytochemical extract, and biological specimen). In particular, the utilization of matrix-based reference materials enables researchers to assess the accuracy, precision, and sensitivity of analytical measurements of natural product constituents, including dietary ingredients and their metabolites. Select case studies are presented where the careful application of these resources and practices has enhanced experimental rigor and benefited research on dietary supplement health effects.
Collapse
Affiliation(s)
| | | | - Adam J. Kuszak
- Office of Dietary Supplements, National Institutes of Health, Bethesda, MD, United States
| |
Collapse
|
3
|
Schantz MM, Powers CD, Schleicher RL, Betz JM, Wise SA. Interlaboratory analytical comparison of fatty acid concentrations in serum or plasma. Clin Chim Acta 2016; 462:148-152. [PMID: 27662814 DOI: 10.1016/j.cca.2016.09.013] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2016] [Revised: 08/24/2016] [Accepted: 09/19/2016] [Indexed: 01/11/2023]
Abstract
BACKGROUND There are a large number of clinical studies focusing on the measurement of individual fatty acids in serum or plasma; however, few studies have focused on the interlaboratory comparisons of these measurements. The National Institutes of Standards and Technology (NIST), in collaboration with the National Institutes of Health Office of Dietary Supplements (NIH-ODS) and the Centers for Disease Control and Prevention (CDC), has initiated a quality assurance program for assessing and improving the comparability of individual fatty acid measurements in serum and plasma. METHODS This is a performance-based study so participants are encouraged to use their laboratory's methods for the quantification of the individual fatty acids that they typically measure in the unknown serum or plasma samples along with a control material. The control materials used to date are SRM 1950 Metabolites in Human Plasma and SRM 2378 Fatty Acids in Frozen Human Serum. RESULTS To date, two studies of the Fatty Acid Quality Assurance Program (FAQAP) have been completed with 11 and 14 participants, respectively. The agreement among the laboratories for individual fatty acids was within 20% for 70% of the data submitted. Laboratories were also requested to run triplicate analyses for each unknown sample. The precision of the individual laboratory data was generally good, with relative standard deviations <20%. CONCLUSIONS The results from the first two exercises indicate the need for additional assessment of the comparability among laboratories doing these measurements. Future studies will be conducted with the goals of increasing the number of participating laboratories, increasing awareness of the need to use control materials, and improving the comparability among laboratories.
Collapse
Affiliation(s)
- Michele M Schantz
- Chemical Sciences Division, National Institute of Standards and Technology, Gaithersburg, MD 20899, USA.
| | - Carissa D Powers
- Nutritional Biomarkers Branch/Division of Laboratory Sciences, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA
| | - Rosemary L Schleicher
- Nutritional Biomarkers Branch/Division of Laboratory Sciences, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA
| | - Joseph M Betz
- Office of Dietary Supplements, National Institutes of Health, Bethesda, MD 20892, USA
| | - Stephen A Wise
- Chemical Sciences Division, National Institute of Standards and Technology, Gaithersburg, MD 20899, USA; Office of Dietary Supplements, National Institutes of Health, Bethesda, MD 20892, USA
| |
Collapse
|