AMINO ACID NITROGEN IN BLOOD AND ITS DETER- MINATION BY IRVIN S. DANIELSON (From the Biochemical Laboratory of Harvard Medical School, Boston) (Received for publication, May 13, 1933) In 1922 Folin (1) proposed a method for the calorimetric deter- mination of the a-amino nitrogen of the amino acids. This method is based on the production of a yellow-orange color by the reaction of the amino acids with P-naphthoquinonesulfonic acid in alkaline solution. The intensity of the color produced is compared with the color produced by a known amount of glycine treated in the same manner. This method was developed mainly for the determination of a-amino acid nitrogen in blood filtrates and urine but is applicable to other fluids containing amino acids. The method has been widely used in the study of amino acids occurring in the blood stream. In general, satisfactory results have been obtained. During the course of a study on the concen- tration of a-amino acid nitrogen in whole blood based on the analy- sis of unlaked blood filtrates, it was noticed that the range of t’rue proportionality over which the color comparisons could be made was relatively small. Upon investigation it was found that this limitation was entirely due to the presence of a strong blank caused by the incomplete bleaching of the excess quinone reagent. Edgar (2) found that by adding varying amounts of alkali to a series of determinations on the same sample of filtrate a variety of results was obtained. Re and Potick (3) reported failure in obtaining satisfactory results by this method. The results of Edgar are easily explained by the variable blank present which thus gave an apparent increase in the amino nitrogen content of the samples analyzed. Undoubtedly the presence of this strong blank was a factor in the unsatisfactory results reported by Re and Potick. However, their results were at such variance with all other published results that some other serious error must have been included in their work also. 505 This is an Open Access article under the CC BY license. 506 Amino Acid Nitrogen in Blood It is the purpose of this paper (1) to describe a modification of the original Folin method; this modification will give determina- tions containing no blank, thereby increasing the range of true proportionality; (2) to present evidence showing that the tungstic acid filtrates prepared from unlaked blood give true values for the free amino acid nitrogen in the blood stream and that the values found in laked blood filtrates are much too high; and (3) to record amino acid nitrogen values found in the blood of normal men and animals when this analysis is based on the unlaked blood filtrate. Description of ModiJication Proposed in Amino Acid Nitrogen Method The principle of the modified procedure is the same as that of the original method, but each solution except the P-naphtho- quinone sulfonic acid has been changed in detail. These changes will be described and the reasonsf or each will be briefly stated. The solutions used were the following. Standard Amino Acid Solution-Two stock solutions are pre- pared; one contains 0.1 mg. of amino nitrogen per cc. as glycine dissolved in 0.07 N HCl plus 0.2 per cent sodium benzoate, and the other contains 0.1 mg. of amino nitrogen per cc. as glutamic acid in 0.07 N HCI plus 0.2 per cent sodium benaoate. The sodium benzoste is used as a preservative. Standards used in the analysis of blood filtrates are prepared from these by mixing equal volumes of the two stock solutions and diluting with 0.07 N HCl containing 0.2 per cent sodium benzoate to a concentration of 0.03 mg. and 0.05 mg. of amino nitrogen per cc. A 0.03 mg. standard is pre- pared by adding 15 cc. each of the glycine stock solution and the glutamic acid stock solution to a 100 cc. volumetric flask. The contents are made up to a volume of 100 cc. with 0.07 N HCI con- taining 0.2 per cent sodium benzoate. The 0.03 mg. standard is used for the analysis of filtrates prepared from normal human unlaked blood. The amino acid concentration in most animal bloods is appreciably greater than that of human blood, therefore the strength of the standard used for such comparisons should be in- creased accordingly. It is not permissible to use 2 cc. of a weaker standard to prepare a standard of double strength due to the fact that the standard is so prepared that 1 cc. contains about the equivalent of acid found in 10 cc. of tungstic acid blood filtrate. I. S. Danielson 507 If a stronger standard is required it is necessary to prepare it from the stock solutions. The use of both glycine and glutamic acid in the standard is made necessary because the shades of color produced by the differ- ent amino acids vary somewhat. The standard as recommended produces a color that matches very nearly that produced in the tungstic acid blood filtrates. Borax Solution-. As a source of alkali a 1.5 per cent solution of borax is used. Borax is used instead of the sodium carbonate solution for with its use less blank remains and the results are more satisfactory under the conditions recommended. A definite volume (2 cc.) of borax is added to each determination. Bleaching Reagents-Two solutions are needed for the bleaching of the excess /%naphthoquinonesulfonic acid reagent: (1) a 0.1 M solution of sodium thiosulfate which need not be standardized, and (2) an acid formaldehyde solution prepared by mixing 3 vol- umes of 1.5 N HCl and 1 volume of glacial acetic acid with 4 vol- umes of 0.15 M formaldehyde. The 0.15 M formaldehyde solution may be prepared accurately enough by diluting 11.3 cc. of ordinary 40 per cent formaldehyde to 1000 cc. Sodium thiosulfate in acid solution has the property of destroy- ing the color of p-naphthoquinonesulfonic acid. If acetic acid is used in making this solution acid the bleaching of the quinone is far from complete but if a strong acid like hydrochloric acid is used the color is bleached completely. However, in the presence of a strong acid, sodium thiosulfate immediately decomposes with the liberation of sulfur. The addition of an amount of formaldehyde equivalent to the thiosulfate present will delay this decomposition for many hours. In the solutions as recommended the thiosulfate is present in a slight excess over the formaldehyde, i.e. 2 cc. of 0.1 M thiosulfate and 2 cc. of 0.075 M formaldehyde. Under these conditions the bleaching is more prompt and complete, and the solution remains perfectly clear for several hours. The addition of acetic acid to the acid formaldehyde is made necessary because an amino acid determination made on a solution containing tryptophane will become cloudy in the absence of acetic acid. Tryptophane is the only amino acid we have studied that behaves in this manner. Determinations on unlaked blood filtrates develop a very slight cloud if acetic acid is not included in 508 Amino Acid Nitrogen in Blood the acid formaldehyde solution. This cloud is presumably due to tryptophane present in the filtrate. Sulfate-Tungstate Solution for Addition to Standard-This solu- tion contains 15.0 gm. of NazS04 (anhydrous) and 1.5 gm. of Na2W04.2Hz0 per 1125 cc. of solution. The unlaked blood filtrate contains about 1.5 per cent Na#OA and about 0.15 per cent Na2W04.2Hz0 which remains from the solutions used in the preparation of the filtrate. The presence of these salts in the above concentrations has very little or no effect on the amount of color developed in the determination but sodium tungstate in particular and sodium sulfate to a much smaller degree alter the shade of color produced, making exact color comparisons difficult. The presence of sodium tungstate produces a disturbing greenish shade. 9 cc. of the above solution are, there- fore, added to the standard to balance this effect and to bring the volume of the standard up to that of the unknown. If sodium sulfate is present in concentrations of 3 per cent or more, or sodium tungstate in concentrations of 0.6 per cent or more, an error of 2 per cent or more, depending on the concentrations, will be introduced. /3-NaphthoquinonesuiJonic Acid Solution-We are still using this solution as originally recommended, that is, a freshly dissolved 0.5 per cent solution of @naphthoquinonesulfonic acid in water. The solid reagent is prepared according to the directions given by Folin. Description of Determination The amino acid nitrogen content of a blood filtrate may be determined on either 5 cc. or 10 cc. of filtrate. When 10 cc. of filtrate are used the procedure is as follows: Transfer 10 cc. of the filtrate into a test-tube graduated at the 25 cc. mark. To this add 2 cc. of 1.5 per cent borax solution and 2 cc. of a freshly prepared 0.5 per cent ,!%naphthoquinonesulfonic acid solution and mix thoroughly. The standard is prepared by introducing 1 cc. of the standard solution of desired strength into a test-tube similar to that used for the filtrate. To the standard that is to be used in the comparison of an unlaked blood filtrate or plasma filtrate add 9 cc. of the sulfate-tungstate solution prepared for this purpose. If the filtrate to be analyzed contains no tungstic I. S. Danielson 509 acid and very little sodium sulfate (laked blood filtrate), add 9 cc. of wat,er. Then add to the standard 2 cc. of the 1.5 per cent borax solution and 2 cc. of the 0.5 per cent P-naphthoquinonesulfonic acid solution and mix well. Both standard and unknown are then set in a dark closet for 18 to 24 hours. After this period of standing add 2 cc. of the acid formaldehyde solution and 2 cc. of the 0.1 M sodium thiosulfate solution. Dilute the contents of each tube to a volume of 25 cc. with distilled water and then mix thor- oughly. After standing for 4 to 5 minut’es to allow for the complete bleaching of the excess quinone reagent, the unknown is compared wit,h the standard by the use of a calorimeter. If 5 cc. of the blood filtrate are used for the determination, add 1 cc. of the borax solution and 1 cc. of the 0.5 per cent quinone solution t,o t.he filtrate. The standard is prepared as described above. After the 18 to 24 hour period of standing add 1 cc. of each t,he acid formaldehyde and the thiosulfate solutions to the un- known, dilute to 15 cc., and mix. To the standard add 2 cc. portions of the acid formaldehyde and thiosulfate solutions, dilute t,o 30 cc., and mix. Color comparisons are made as directed above. The calculation in either case is made by the use of the following formula, 20/R X 0.03 X 100 = mg. per cent or 20/R X 3 = mg. per cent when the calorimeter setting for the standard is 20. R is the reading of the unknown and 0.03 mg. is the concentration of t,he amino nitrogen in the standard. When the amino acid nitrogen of fluids other than blood filtrates is to be det.ermined, the sample taken should contain between 0.03 and 0.15 mg. of amino nitrogen and should be neutralized with sodium hydroxide or hydrochloric acid depending on whether the sample is acidic or basic, phenolphthalein being used as indicat,or. In order to balance the acidity of the unknown with the standard add 1 cc. of 0.07 N HCl. The determination is then carried out in the same manner as described for blood filtrates. Amount of Color Developed by Various Amino Acids-The amount of color developed by the various samples of pure amino acids which we had on hand was compared with that produced by two of the amino acids (i.e. glycine and glutamic acid) taken as standards. In Table I are tabulated t,he results found. The 510 Amino Acid Nitrogen in Blood shade of color developed by some of the amino acids is somewhat djfferent from that produced by others. In the last column of Table I an attempt is made to indicate how these shades appear in the calorimeter when compared with the standard. In comparing the color produced by two amino acids, which show a difference in shade, the criterion for the comparison should be the matching of TABLE I Values Obtained from Different Amino Acids Compared with Glycine and with Glutamic Acid As Standards N&-N Ixperi. Aver- Shade compared with Standard merit Amino acid age standard NO. Added Found error j mg. 1 VW. ( ,“,“,‘t Glycine 1 Alanine 0.075 0.0754 0.5 Shades good 2 Cystine 0.075 0.073 2.7 Greenish yellow 3 Lysine 0.03750.0355 5.3 Much yellower 4 Tyrosine 0.075 0.0741 1.2 Yellower ‘I 5 Histidine 0.075 0.0746 0.5 6 Aspartic acid 0.075 0.0743 0.9: “ “ 7 Glutamic “ 0.075 0.0748 0.2( 8 Leucine 0.075 0.0748 0.2( Shades good 9 Tryptophane 0.075 0.075 0.0 Little grayish 10 Serine 0.07 0.07 0.0 Shades good Glutamic Alanine 0.075 0.0765 2.0 Purplish tan tinge acid Cystine 0.075 0.0721 3.8 Gray tinge Lysine 0.03750.0365 2.7 Much yellower Tyrosine 0.075 0.0748 0.21 Little “ Histidine 0.075 0.0761 1.4 Shades good ‘I “ Aspartic acid 0.075 0.0745 0.6 Glycine 0.07 0.0706 0.81 Purplish tan tinge Leucine 0.075 0.076 1.3 Shades good the amount of yellow color in each and not the intensity of light allowed to pass through the solutions. While this difference in the shade of color developed by two different amino acids may be quite disturbing when viewed in a calorimeter, it should not be stressed unduly for it is not great. No difference in shade can be noted when two determinations in test-tubes are compared with the naked eye. However, it, is I. S. Danielson 511 well in analyzing for amino acid nitrogen to choose a standard which matches exactly with the unknown. This will make color comparisons easier and the error introduced in judging the exact comparison by different individuals will be reduced. It is because the shade of color developed by a blood filtrate is somewhat differ- ent from glycine or any other amino acid easily obtained in the pure state, that we are recommending the use of a standard con- taining one-half of its nitrogen as glycine and one-half as glutamic acid. This standard matches exactly a blood filtrate when used as recommended. A solution containing equal amounts of amino nitrogen of the amino acids tested in Table I produces a shade of color that matches very well with that produced by the standard recom- mended for blood analysis and the proportionality is perfect. In this connection it should be mentioned that ammonia reacts with p-naphthoquinonesulfonic acid under the conditions recom- mended and must therefore be removed from a solution to be analyzed for amino acid nitrogen. The color produced by am- monia has a decidedly purplish tint when compared with the color produced by any of the amino acids. It is impossible to get a good color comparison between ammonia and an amino acid but ammonia seems to develop from 65 to 75 per cent of the color developed by an equivalent amount of glycine. Amino Acid Nitrogen in Whole Blood In 1930, Folin (4) proposed the use of a filtrate prepared from whole blood without hemolyzing the red corpuscles, as the basis for the study of food products and waste products occurring in the blood stream. The preparation of such a filtrate was accomplished by simply diluting the blood with a slightly hypertonic solution (1.5 per cent) of anhydrous sodium sulfate instead of distilled water. The amino acid nitrogen found in a filtrate prepared in this manner is much less than that found in a filtrate prepared by laking the red corpuscles; i.e., the Folin-Wu tungstic acid filtrate. In 1931, Simon (5) reported a study of the amino acid nitrogen content of whole blood based on the analysis of both laked and unlaked blood filtrates. He came to the conclusion that the value found in the unlaked blood filtrate was too low and that for this 512 Amino Acid Nitrogen in Blood determination, at least, the unlaked blood filtrate cannot be used to give accurate results. Simon presents two very plausible arguments along with experi- mental data which apparent,ly seem to uphold his conclusions. First, he makes the very reasonable suggestion that if in the prep- aration of an unlaked blood filtrate the free amino acids are freely diffusible to the extent characteristic of the blood, then on the addition of amino acids to the whole blood it should be expected that the increase in the amino nitrogen content of the red cor- puscles, above that present before the addition of the extra amino acid, should be the same whether this value is calculated from data obtained from the analysis of filtrates prepared from laked blood or from unlaked blood. His experimental data show that this, apparently, is not the case. In the seven experiment’s reported, he always found a greater increase in the corpuscle value calculated on the laked blood analysis. He found that the increase in the corpuscle values calculated on the unlaked blood filtrate data was 40.2, 17.7, 74.3, 94.0, 32.7, 66.0, and 18.5 per cent respectively of the increase in the value based on laked blood data. In only one case did he find increases that were comparable; i.e., the increase found in the unlaked corpuscles was 94 per cent of that found in the laked corpuscles. Although Simon does not state exactly how much amino acid was added in each experiment, it can be seen from his tables t’hat complete recovery of the added amino acids was not obta*ined in the majority of these experiments for in only one case is the increase in the whole blood nearly the same in both the laked and unlaked blood filtrates. This one case is the experiment in which nearly equivalent increases in the amino nitrogen content of the cor- puscles were found. We have repeated these experiments, using our modified amino acid nitrogen method, and in every case where the recovery of the added amino acids to the whole blood was nearly complete we found comparable increases in the corpuscle amino nitrogen by calculating this value from data obtained from the analysis of both laked and unlaked blood filtrates. The experimental data will be presented later. The second argument which Simon presents which tends to show that the free amino acids of the corpuscles are not permitted I. S. Danielson 513 to diffuse out of the cell into the sulfate-tungstate diluting fluid in the preparation of an unlaked blood filtrate is simply that this extra amino nitrogen can be washed out by resuspending the cor- puscles in a second portion of sulfate-tungstate solution. Simon found by this process of washing the cells, that the amino acid nitrogen content of the t,wo washings was very nearly the same as that found in a whole blood filtrate prepared by laking the red corpuscles. We have repeated these experiments also and in no case have we found the amino acid nitrogen content of such washings to be anywhere nearly as great as that found in a laked blood filtrate. On the contrary the values found were very nearly the same as t,hose of the unlaked blood filtrate. Our data are given in Table III. We can, therefore, see no justification in Simon’s conclusion that in the preparation of the unlaked blood filtrate the free amino acids do not diffuse out into the diluting fluid to the extent charac- teristic of the blood. Further evidence based on the study of the distribution of amino acids between the corpuscles and plasma is presented supporting this view. EXPERIMENTAL Preparation of Blood Filtrates-The laked blood filtrates were prepared according to the well known Folin-Wu procedure. The unlaked blood filtrates were prepared according to the directions published by Folin (4) in 1930 with the one exception that the precipitated proteins were filtered off instead of centri- fuged. To be able to filter the precipitated proteins is a distinct advantage when a series of blood filtrates is prepared simultane- ously. For this filtration it is necessary to use a good grade of filter paper,’ folded (fluted) so as to expose a large filtering surface. It is essential that the tip of the folded paper should fit tightly into the stem of the funnel. Under these conditions filtration is rapid and a maximum yield of water-clear filtrate (37 to 38 cc. from 5 cc. of blood) is obtained in about 15 minutes. The filtration of f We have found Schleicher and Schiill No. 597 filter paper very satis- factory. Whatman No. 41 filter paper permits rapid filtration but we have found that this paper contains enough ammonia to become a dis- turbing factor in the amino acid nitrogen determination. 514 Amino Acid Nitrogen in Blood the unlaked blood should not be continued for more than 20 min- utes, for on longer standing the red corpuscles begin to disintegrate due to the excess acid present. The filtering of the precipitated proteins from laked blood is not as rapid nor is the yield of filtrate as large, usually 25 to 28 cc. from 5 cc. of blood. Experiments on Addition of Amino Acids to Whole Blood in Vitro-The amino a,cids were added to the whole blood by two methods: (1) by adding to the blood a small volume of an isotonic salt solution containing the equivalent of 10 mg. per cent of amino nitrogen, and (2) by adding a weighed amount of solid amino acid equivalent to 10 mg. per cent. Both methods gave equally good results. 1 cc. of the amino acid solution containing 10 mg. per cent of amino nitrogen or the weighed amount of solid amino acid was introduced into a 250 cc. beaker. Into a second 250 cc. beaker were measured 100 cc. of blood.2 The blood was then poured rapidly but gently into the beaker containing the amino acid. After the blood was gently poured back and fourth between the two beakers a number of times to insure complete mixing, it was poured into a 300 cc. Erlenmeyer flask. The flask was stoppered and placed in a warm water bath (37’) for 1 hour and gently shaken at intervals during this period. The amino nitrogen content of the plasma and of the whole blood in both laked and unlaked blood filtrates was determined by the modified calorimetric method. From these data the content of amino nitrogen in the red corpuscles was calculated. Table II gives a summary of the values found. It is seen from these values that in all but three cases the re- covery of the added amino nitrogen was better than 96 per cent, the poorest was 91.7 per cent. The increase in the amino nitrogen content of the red corpuscles, calculated from both laked and unlaked blood filtrate analysis, is comparable in each experiment except one. In this case the amino nitrogen recovered in the 2 Samples of sheep, dog, and chicken blood were used. The blood samples from sheep and chicken were obtained fresh from the abattoir and were generally about 45 minutes to an hour old before they reached the laboratory and work upon them started. The dog blood was obtained in large quantities from the femoral artery in conjunction with other ex- periments.
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