Journal of the Association for Laboratory Automation http://jla.sagepub.com/ Semi-Automated Sample Preparation for Plasma Proteomics Keith Ho, Qing Xiao, Estelle M. Fach, Jeffrey D. Hulmes, Deidra Bethea, Gregory J. Opiteck, Joseph Y. Lu, Paul S. Kayne and Stanley A. Hefta Journal of Laboratory Automation 2004 9: 238 DOI: 10.1016/j.jala.2004.03.003 The online version of this article can be found at: http://jla.sagepub.com/content/9/4/238 Published by: http://www.sagepublications.com On behalf of: Society for Laboratory Automation and Screening Additional services and information for Journal of the Association for Laboratory Automation can be found at: Email Alerts: http://jla.sagepub.com/cgi/alerts Subscriptions: http://jla.sagepub.com/subscriptions Reprints: http://www.sagepub.com/journalsReprints.nav Permissions: http://www.sagepub.com/journalsPermissions.nav >> Version of Record - Aug 1, 2004 What is This? Downloaded from jla.sagepub.com by guest on October 6, 2014 Original Report Semi-Automated Sample Preparation for Plasma Proteomics Keith Ho,1* Qing Xiao,1 Estelle M. Fach,1 Jeffrey D. Hulmes,1 Deidra Bethea,1 Gregory J. Opiteck,1 Joseph Y. Lu,2 Paul S. Kayne,2 and Stanley A. Hefta1 1 Bristol-Myers Squibb, Clinical Discovery, Clinical Discovery Technologies, Hopewell, NJ; 2Bristol-Myers Squibb, Applied Biotechnology, Applied Genomics, Hopewell, NJ Keywords: proteomics, human plasma, gel-free, sample preparation, biomaker discovery, LC/MS he discovery of new biomarkers will be an essential step to enhance our ability to better diagnose and treat human disease. The proteomics research community has recently increased its use of human blood (plasma/serum) as a sample source for these discoveries. However, while blood is fairly non-invasive and readily available as a specimen, it is not easily analyzed by liquid chromatography (LC)/mass spectrometry (MS), because of its complexity. Therefore, sample preparation is a crucial step prior to the analysis of blood. This sample preparation must also be standardized in order to gain the most information from these valuable samples and to ensure reproducibility. We have designed a semiautomated and highly parallel procedure for the preparation of human plasma samples. Our process takes the samples through eight successive steps before analysis by LC/MS: (1) receipt, (2) reformatting, (3) filtration, (4) depletion, (5) concentration determination and normalization, (6) digestion, (7) extraction, and (8) randomization, triplication, and lyophilization. These steps utilize a number of different liquid handlers and liquid chromatography (LC) systems. This process enhances our ability to discover new biomarkers from human plasma. ( JALA 2004;9:238–49) T *Correspondence: Keith Ho, Bristol-Myers Squibb, P.O. Box 5400, Princeton, NJ 08534-5400; Phone: +1.609.818.5339; Fax: +1.609.818.6057; E-mail: [email protected] 1535-5535/$30.00 Copyright c 2004 by The Association for Laboratory Automation doi:10.1016/j.jala.2004.03.003 238 JALA August 2004 INTRODUCTION/BACKGROUND Biomarker discovery has become a driving force in proteomics during the last few years.1 These are biological indicators that correlate with disease, safety, or the treatment paradigm.2 The ability to find these biological indicators is a high priority in the biotech and pharmaceutical industries. It is thought that monitoring the effects of drugs on patients through changes in the level of biomarkers will become routine and will be required for the regulatory approval process.3 Therefore, a biomarker discovery project plan has become one of the crucial determining factors of new drug candidates. In a typical clinical trial (Phases I and II), the average number of patients enrolled is between 50 and 250. In addition to this number of patients, the presence of various time points and doses can expand the sample set to between 250 and 1250. Handling these samples in a standard ‘‘research grade’’ proteomics laboratory is not an easy task. A uniform handling process for these samples is required for comparative analysis. Proteins are also particularly challenging analytes to monitor during clinical trials compared to small drug molecules, in part because they are more easily degraded, precipitated and adsorbed.4 Recently, most biomarker discovery has been moving toward the identification and the analysis of human plasma proteins.5,6 There are several advantages and disadvantages to using human plasma from clinical trials patients for biomarker discovery experiments. Plasma is readily available and its collection is considerably less invasive when compared with procedures such as biopsies. Furthermore, because plasma has high protein Downloaded from jla.sagepub.com by guest on October 6, 2014 Original Report concentrations, it is a rich sample source. However, the two most abundant proteins, human serum albumin (HSA) and Immunoglobulin G (IgG),7 together account for approximately 73% of the total protein concentration in human plasma8 making the discovery of lower abundance proteins difficult.9 Therefore, by depleting HSA and IgG, one would anticipate being able to detect low abundance proteins more easily and, in turn, discover useful human plasma protein biomarkers. The traditional proteomics approach has been to use twodimensional polyacrylamide gel electrophoresis (2D-PAGE) for the detection of up and down regulated proteins, followed by mass spectrometry (MS) for their targeted identification.10 However, the 2D-PAGE process is laborintensive and difficult to reproduce across hundreds of samples.11,12 2D-PAGE is also limited in its dynamic range, sensitivity and speed.13 As an alternative to 2D-PAGE, we have developed a gelfree LC/MS technology for the analysis of human plasmabased proteins.14 To ensure the reproducibility of the LC/MS data and the integrity of the LC/MS system, the plasma samples must be clean and easy to analyze before their introduction to the LC/MS instrument. Therefore, this gelfree LC/MS technology relies on an 8-step sample preparation procedure in which a plasma sample is passed through sample clean up and volume reduction prior to LC/MS analysis. The 8 steps to this sample preparation process are as follows: (1) receipt, (2) reformatting, (3) filtration, (4) depletion, (5) concentration determination and normalization, (6) digestion, (7) extraction, (8) randomization, triplication and lyophilization. MATERIALS AND INSTRUMENTATION Receipt A sample tracking system called SampleTracker, which was developed internally, is used for the receipt and input of samples into the freezer. A ÿ70 C freezer (Ultima II, Revco, Asheville, NC, USA) is used for sample storage. Reformatting Cryovials (P/N 5000_0050, Nalgene Company, Rochester, NY, USA) are 1 ml in capacity. The liquid handler (Model 215), the custom-made cryovial rack (Rack 708), and the custom-made refrigerated racks (Rack 714) are all from the same manufacturer (Gilson Incorporated, Middleton, MA, USA). The 96-well plates (P/N 40002-020, VWR, West Chester, PA, USA) have a capacity of 2 ml per well. Filtration The filter plates are 10–12 lm (P/N 7700-7217) and 0.25 lm in porosity (P/N 7700-7206) and are both purchased from the same manufacturer (Whatman, Clifton, NJ, USA). The vacuum manifold (P/N 610, 3M, St. Paul, MN, USA) accepts both filter plates and solid phase extraction plates. Depletion HSA and IgG are depleted by affinity chromatography (HiTrap Blue HP, P/N 17-0412-01 and HiTrap Protein G HP P/N 07-0405-01, Amersham, Piscataway, NJ, USA). An analytical HPLC system is used (Model 1100, Agilent, Palo Alto, CA, USA). Signals are detected and monitored at 280 nm. The autosampler (Model 215, Gilson) is purchased as part of the HPLC system. Mobile phase A, 100 mM Tris, 10% glycerol, pH 8.0 and elution buffer B, 100 mM Tris, 10% glycerol, 500 mM NaCl, pH 2.5 are made in-house. All the steps are controlled by software (ChemStation, CCMode, Agilent). Concentration, Determination, and Normalization A 4-tip liquid handler (MultiPROBE II HT Expanded System, P/N AMP8E00, Perkin Elmer, Boston, MA, USA) using 1.0 ml syringes is used for sample normalization. The dilution buffer for this step is mobile phase A (100 mM Tris buffer, 10% glycerol, pH 8) from the previous step. Digestion Digestion buffers are dispensed with a 96-channel pipettor (EDR-384S/96S, Union City, CA, USA). Samples are mixed and incubated with a benchtop shaker (P/N 4628, Lab-Line, Barnstead International, Dubuque, Iowa, USA). A detergent (RapidGest SF, P/N 186002118, Waters Technologies Corporation, Millford, MA, USA) is used to denature proteins. Dithiothreitol (P/N D-9163), is used as a reducing agent, and iodoacetamide (P/N I-1149), as the alkylating agent, are both purchased from the same manufacturer (Sigma-Aldrich, St. Louis, MA, USA). Trypsin (P/N V511X, Promega, Madison, WI, USA) is used for digestion. Extraction A solid phase extraction plate (P/N 6315, 3M) and vacuum manifold (3M) is used to desalt and concentrate the sample. A 4-tip liquid handler (MultiPROBE II HT Expanded System, Perkin Elmer) is used for sample handling. Washing buffer, 0.1% TFA (Trifluoroacetic acid) and elution buffer, 90% acetonitrile in 0.1% TFA, are both made in-house from HPLC grade reagents. Randomization, Triplication, and Lyophilization A small liquid handler (Model 215) and the custom-made refrigerated racks (Rack 714) are both purchased from the same manufacturer (Gilson). The samples are replicated into 500 ll volume 2D bar-coded vials (CAT# MTMP0301, Micronics, Lelystad, The Netherlands). A flatbed scanner (P/N 7400C, Hewlett-Packard, Palo Alto, CA, USA) is used for reading the 2D barcodes.15 Samples are lyophilized in a unit (P/N AES2010, Thermo Savant, Holbrook, NY, USA) that is capable of holding 496-well plates. Downloaded from jla.sagepub.com by guest on October 6, 2014 JALA August 2004 239 Original Report RESULTS AND DISCUSSION Receipt Human plasma samples are collected as described elsewhere16 at various clinical trial sites. The samples are shipped on dry-ice and delivered at our central laboratory by overnight courier in pre-defined bar-coded cryovials with necessary documentation. Each cryovial contains 1.0 ml of human plasma. The barcodes are in alpha numerical format and are used randomly in the trial clinics. Each barcode is relayed to the central laboratory database, along with the trial number, sample donor, demographics, disease type, and/or treatment information (dose, time point). Once requisitioned to our proteomics laboratory, the samples are traced into our laboratory sample banking system by our in-house web-based tracking system, called SampleTracker. SampleTracker allows users to upload sample information, which is provided in hard-copy by the central laboratory, to the database by entering the information provided in a spreadsheet (Fig. 1). SampleTracker also has a function for users to ‘‘batch load’’ samples to the database. For example, if 4 different samples arrive at the laboratory, a user can enter the information for all 4 samples into the spreadsheet template simultaneously. The spreadsheet template is highlighted with all of the required fields, such as ‘‘Sample Provider,’’ ‘‘Notebook #,’’ ‘‘Project,’’ ‘‘Sample Receipt Date,’’ ‘‘Sample Location,’’ ‘‘Sample Type,’’ ‘‘Disease Status.’’ These required fields provide the minimum information necessary for SampleTracker to generate the unique identifiers for each sample. Samples are transferred and stored in a ÿ70 C freezer upon receipt, and users are required to enter the sample location within the storage freezer. Sample location is a complex numeric field of shelves, decks, levels of deck, depths of decks, Figure 1. A screenshot of the in-house developed sample tracking system (SampleTracker). Users can use this system as a tool to browse samples in the sample bank and add samples to the database after sample receipts, all of which are done in the intranet setting. 240 JALA August 2004 Downloaded from jla.sagepub.com by guest on October 6, 2014 Original Report Figure 2. A Revco ÿ70 C freezer with freezer racks. Each slot inside the freezer rack has a unique identifier which is assigned by the level of shelves, number of decks, level of decks and depth of decks. This unique identifier is also required by the SampleTracker for tracking the sample location. and location of each 1 ml sample in the freezer box (Fig. 2). A sample placed in the second shelf from the top, third deck from the left, first level of the deck, second deepest deck from the front, and location number 48 in the freezer box would be recorded as location 2-3-1-2-48 in SampleTracker. Additional sample information can be entered into SampleTracker. Patient demographics, such as gender, race, age, can be also entered into the spreadsheet template. Demographic information is sometimes blocked/blinded for statistical and patient protection purposes, so these fields are not required in SampleTracker. Once each sample is uploaded into the SampleTracker database without error, a unique SampleTracker ID is generated and linked to the clinical trial external ID. If an error occurred, such as sample locations, SampleTracker ID would not be generated and an error page will prompt user to re-enter the sample information. Error monitoring is automatically done by a system administrator or WebMaster of SampleTracker on a monthly basis. Users also have an opportunity to review the entered sample information on a review page before submitting to the database to ensure the accuracy of the information. When the samples are needed for analysis, they are traced out and deleted by the user. Reformatting The samples are reformatted from cryovials to 96-well plates for ease of handling and more reproducible processing. Once the samples are traced out from SampleTracker, they are immediately thawed on wet ice for 1 hour, mixed by vortexing and centrifuged at 12,000g for 10 minutes to remove large particulates. The cryovials are then manually uncapped and placed into a custom-made rack. In addition, a pre-defined number of commercially available pooled plasma samples (controls) are placed in the same rack for tracking the accuracies of pipetting and liquid chromatography runs in the later steps. The samples and the controls are transferred to the 96-well-plate format by the liquid handler with clot detector and liquid sensing activated. The plates are held in a custom-made refrigerated rack to prevent degradation of the sample. Each sample/cryovial is divided into two sets of 96-well plates. Therefore, the two 96-well plates, with 450 ll of sample per well, are generated, forming a primary plate and a secondary plate. The primary plate is a 96-well 10–12 lm filter plate which is then carried forward for the remaining steps of the sample preparation protocol. The secondary plate is a 96-well deepwell plate which is returned to the ÿ70 C freezer for future use, such as ELISA, Western blots, protein identification, etc. The liquid handler draws 960 ll of sample from each cryovial. The primary plate and the secondary plate both receive 450 ll of plasma. The remaining sample, which is 60 ll, is discarded during the needle wash step. The time required for each sample is about 30 seconds, which includes time for needle washes. Therefore, the reformatting of 96 samples from cryovials to two separate 96-well plates requires approximately 48 minutes. Filtration Samples from the primary plate are filtered immediately after the reformatting step. The size of particulates varies greatly in plasma, so some smaller debris still persists in the samples even after the centrifugation to remove the larger particulates,. During the freeze/thaw process, plasma proteins can form aggregates that could plug the auto-injector of the HPLC system, the HPLC columns, and other automated liquid-transfer systems.17. Therefore, the samples are filtered after the reformatting of the samples from cryovials to 96well plates. This step is critical to maintain the integrity of the HPLC system, and the reproducibility of the data. During the filtration process, a 1:1 mapping is maintained for the well positions on the 96-well plates to prevent any mix-up of samples. Since this process should be as high throughput as possible, traditional ‘‘spin’’ filters for individual samples are not a viable option. The 96-well format minimizes the time required and the errors propagated during the sample preparation process. A deepwell (2 ml) 10–12 lm high throughput 96-well filter plate is used first to prevent the clogging of the 0.45 lm filter frits in the HPLC system. Vacuum at ÿ30 inch Hg is used to pull samples through the filter. The resulting filtered samples are then pipetted into a deepwell (2 ml) 0.45 lm high throughput 96-well filter plate by a hand-held 8-channel automatic pipettor. Again, the same vacuum manifold is used to pull samples through the filter at ÿ30 in. Hg. After collecting the samples into a new 96-well deepwell plate from this step, they are ready for human serum albumin (HSA) and immunoglobulin G (IgG) depletion. Downloaded from jla.sagepub.com by guest on October 6, 2014 JALA August 2004 241 Original Report Depletion HSA and IgG are the two most abundant proteins in human plasma.8 HSA accounts for about 55% and IgG accounts for about 18% of the total protein. Therefore, together, the HSA and IgG represent approximately 73% of the total plasma protein profile and removal of these proteins is thought to be important to discover lower abundance proteins. When low abundance proteins are present with high abundance proteins, the low abundance proteins tend to go undetected because of ion suppression effects, limited instrumental dynamic range, and chemical noise interference.18 Theoretically, when a depleted sample is loaded onto LC/MS, the lower abundance proteins gain a maximum 3.7-fold increase over a non-depleted sample (Fig. 3). There is evidence that the removal of albumin and IgG may remove other albumin- and IgG-bound proteins as well. However, Figure 3. A graphical illustration of the benefit of HSA and IgG depletion. The signal to noise ratio of lower abundance proteins, such as PSA (prostate serum antigen), increases a maximum of 3.7-fold after depletion. 242 JALA August 2004 Downloaded from jla.sagepub.com by guest on October 6, 2014 Original Report the increase in sensitivity of 3.7-fold outweighs the potential loss of other proteins. The increased signal to noise can make it easier to detect lower abundance proteins. Similarly, the peptides are easier to integrate than the non-depleted samples because of the increased signal to noise ratios. There is a variety of depletion methods available. The price ranges from very expensive, such as antibody-based Sepharose,19 to cheaper method, such as Cibacron Blue F3GA Sepharose and Protein G Sepharose. Sepharosecoupled antibodies are used for affinity chromatography because of their perceived higher specificity.20 However, the antibody-based purification approach is expensive. For a 3.7fold increase in signal to noise level, a research facility would spend an estimated $3,000 in materials per sample (Fig. 4a). Also, there is a reduction of binding capacity of the antibody-coupled Sepharose over time after several Figure 4. (A) The cost of using antibody for the depletion of HSA and IgG per sample is illustrated. Each milliliter of Sepharose requires a minimum of 5–10 milligram of antibody. However, the efficiency of 1 ml of antibody coupled sepharose only has a capacity of 2 mg of HSA. Therefore, for a 200 ll of plasma sample, 4.4 ml of sepharose is needed for a total cost of $3,000 per sample. (B) The cost of using Cibacron blue and Protein G for the depletion of HSA and IgG per sample is illustrated. The efficiency of 1 ml of Cibacron Blue and Protein G Sepharose has a capacity of 20 mg of HSA and 25 mg of IgG. Therefore, for a 200 ll of plasma sample, only 1 ml of each Sepharose is needed for a total cost of $95 per sample. Downloaded from jla.sagepub.com by guest on October 6, 2014 JALA August 2004 243 Original Report washings, elutions, and regeneration. Therefore, the cost of using antibody-coupled Sepharose for the depletion of high abundant proteins would increase. In addition, large lot-tolot variations of antibodies and low binding capacity are also disadvantageous. A typical anti-HSA antibody coupled Sepharose has a capacity of 2 mg/ml. This results in a large dilution of the samples. The combination of Cibacron Blue and Protein G presents an alternative method for the depletion of HSA and IgG. They are both commercially available as pre-packed HPLC columns. Therefore, methods which use these materials can be easily scaled-up and automated on a HPLC system. Cibacron Blue and Protein G are widely accepted in the industry21–23 for their inexpensive material price, durability and reproducibility. The combination of Cibacron Blue and Protein G columns can deplete more than 100200 ll samples of plasma. Each Cibacron Blue column has a binding capacity of 20 mg of human albumin per 1 ml of gel; a Protein G column has a binding capacity of 25 mg of IgG per 1 ml of gel. Depleting human plasma by this method is more than 30 times less expensive than using the traditional antibodycoupled Sepharose method (Fig. 4b) and much less susceptible to lot-to-lot variations. Furthermore, samples are diluted only 22 fold in Cibacron Blue and Protein G depletion, instead of 55-fold in antibody-coupled Sepharose depletion. For all of these reasons, we opt for using the Cibacron Blue and Protein G method. The depletion step is straightforward. Cibacron Blue and Protein G columns are placed in-line of an HPLC system. The 96-well plate from the previous filtration step is placed in a custom refrigerated rack on a liquid handler. The temperature of the rack is set to 40 C to prevent evaporation of buffer and degradation of plasma proteins. The flow rate on the HPLC is set to 0.5 ml/min during the binding step and 1.0 ml/min during the washing and elution steps. To reduce the non-specific and protein-protein binding of other proteins in the plasma to the affinity columns, 10% glycerol and 100 mM Tris are added to the mobile phase. The depleted samples are collected into a new deepwell 96-well plate with 1:1 well mapping. The combined effect of high salt and low pH in the elution buffer displaces the HSA and IgG through changes in their conformation. Columns are regenerated and equilibrated at the end of each 30-minute run by a 10-minute flush of 100% mobile phase A. A one dimensional gel shows the efficacy of the depletion columns (Fig. 5). The time required is 40 minutes per sample; therefore, a run of 96 samples takes 64 hours or 2.7 days. Normalization To ensure the efficacy of the tryptic digestion of the proteins for each sample on the 96-well plate, all samples must have the same total protein and sample volume. If the concentrations of the samples vary, the digestion efficiency might vary proportionally. As a result, samples would not be 244 JALA August 2004 Figure 5. This one-dimensional gel shows the efficiency of the depletion process. Clearly, HSA and IgG (both heavy and light chains) are depleted. Elution step shows the bound materials. comparable across a plate. Therefore, each sample must be normalized to the same amount of total protein in the same total volume. There are three steps in this normalization process. First, the concentrations of the depleted samples are each obtained. The Area under the curves (AUCs) are obtained from the chromatograms of each depletion based on the 280 nm absorbance peak of the proteins. Second, the values of the AUCs from the first peak/depleted peak are calculated by the HPLC software system (built-in auto-integration). Third, the value of the AUC from the depleted peak is plotted against a standard curve previously generated with serial dilutions of a pooled plasma and the concentration of the peak is calculated. Samples are next normalized by a liquid handler. The protein concentration data are input to the liquid handler system software via an EXCEL macro. Each probe of the liquid handler draws the appropriate volumes directed by the macro values, so that each new well will have a total load of 1.5 mg total protein. Each sample is then mixed with various volumes of dilution buffer and dispensed into a new 96deepwell plate in order to achieve a final well volume of 1 ml. Thus, the final concentration of each sample is 1.5 mg/ml. The normalization step reduces the variation in concentration from sample to sample. As a result of normalization, the coefficients of variation for total protein concentration in Downloaded from jla.sagepub.com by guest on October 6, 2014 Original Report Figure 6. (A) Protein concentrations before and after Normalization are plotted on a graph for 27 different depleted samples. CV before normalization is larger than 6.781%. CV after normalization is less than 2.654%. (B) A table listing the values of average, standard deviation and coefficient of variation for the data before and after normalization. each well drop from 6.781% to 2.654% (Fig. 6a and b) as measured by flow injection assay. The time required for normalization is 40 seconds per sample. Since the liquid handling system can manipulate four samples simultaneously, the normalization of 96 samples requires 16 minutes. Digestion Peptide samples, when lyophilized, are more stable for both short and long term storage than intact protein samples. Peptides are also easier to separate and ionize. Further, peptide spectra do not develop envelops of peaks, such as the ones found in intact protein spectra. Therefore, the plasma proteins are proteolyzed prior to LC/MS analysis. A 96channel pipettor is used to ensure the consistency of the reagents added to each well for the digestion process. The pipettor accommodates 296-deepwell plates and it provides a 10–300 ll module to accurately aspirate and dispense the buffers. Moreover, independent disposable tips are used to prevent cross contamination between experiments. The plates retain their 1:1 well mapping from the previous processing steps. The standard procedure is to denature, reduce, alkylate and digest the proteins. A mild detergent (RapiGest SF) is used to solublize and unfold the plasma proteins. The detergent slightly dilutes the volume of each sample. For a standard 1 ml of normalized sample, 100 ll of a stock solution of 10% (w/v) detergent is used, which give a final detergent concentration of 1%. The reduction of the disulfide bonds is performed by adding 20 ll of 500 mM of dithiothreitol to each well and mixing the contents by pipetting five times into the same well. The plate is then incubated at 50 C for 30 minutes with gentle shaking. The alkylating step is performed by adding 40 ll of 500 mM of iodoacetamide to each well and mixing the contents by pipetting five times into the same well. The plate is then incubated at 25 C for 10 minutes with gentle shaking. The Downloaded from jla.sagepub.com by guest on October 6, 2014 JALA August 2004 245 Original Report protein is next digested with sequencing grade trypsin by adding 28.30 ll of trypsin (0.53 mg/ml) to each well, so that the enzyme to substrate ratio is 1:100. The plate is incubated at 37 C for 16 hours with gentle shaking. After digestion, the pipettor adds 60 ll of 500 mM HCl into each well to stop the reaction. The resulting plate is either taken to solid phase extraction (SPE) or to a ÿ80 C freezer for later processing. This part of the process requires 30 seconds for each pipetting step plus 16 hours of incubation time, for a total of 18 hours per plate. Extraction The digested plasma samples must be desalted and concentrated prior to LC/MS analysis. This ensures LC/ MS reproducibility and allows for smaller injection volumes, which increases throughput. A C18-based solid phase extraction plate in a 96-well format is used to reduce the sample handling error and to maintain the 1:1 well mapping. The extraction step uses the same instrumentation as in the previous steps. Samples and buffers are both pipetted into the SPE plate by a 4-channel liquid handler. The plate is used with the same vacuum manifold as in the previously described sample filtration step. The resulting extracted products maintain 1:1 well mapping. This SPE process requires a series of four steps and each is performed by a liquid handler. First, the SPE plate is washed with 250 ll of 90% acetonitrile (ACN) in 0.1% TFA, then equilibrated with 250 ll 0.1% TFA. Second, the samples are diluted 1:1 with 0.1% TFA and are loaded onto the 96-well SPE plate using the liquid handler. The total volume of sample loaded onto the SPE plate is 2 ml of the 0.60 mg/ml sample. Third, following binding of peptides to the stationary phase, the wells are washed 2500 ll using 0.1% TFA. Fourth, the samples are eluted 2300 ll using 90% ACN in 0.1% TFA. This buffer is volatile, mass spectrometer compatible, and easily evaporated by lyophilization. The final elution volume is 600 ll and the final concentration is 0.65 mg/ml after elution, which was determined by flow injection assay (data not shown). Analysis by RPLC/UV shows an average recovery of 50% (by area) in the SPE process and the product profile is unchanged (Fig. 7a and b). The quantity of un-retained species, such as salts, buffers, detergent fragments), are reduced. The processing time for an entire 96-well plate is 30 minutes. Randomization, Triplication, and Lyophilization A randomization and triplication step is included before LC/MS (Fig. 8) to account for any statistical errors during LC/MS data acquisition. This serves to blind operators from the identification of the samples in the LC/MS facility and eliminates ‘‘sample sequence’’ errors, such as falling sensitivity as a function of mass spectrometer fouling. Lyophilization also promotes more stable sample storage. 246 JALA August 2004 Figure 7. (A) RPLC-UV (C18 column) of the tryptic digest samples before SPE. Four different concentrations are loaded and the corresponding chromatograms are overlaid. Note the first major peak is the salt front. (B) RPLC-UV (C18 column) separation of the tryptic digested samples after SPE. The same 4 overlaid chromatograms as in (A) are shown. Note the salt front from the starting material is removed and washed away by the SPE matrix. Also, the number of peaks between the starting material and the SPE samples are similar. The estimated concentration before and after the SPE step is done by the addition of the AUC’s (area under curves) of all the peaks in the chromatogram. The estimated material lost during this SPE step is 50%. Randomization and triplication are performed computationally by a spreadsheet macro and mechanically by a liquid handler. The macro is written to randomize the well numbers and this information is exported to the liquid handler software. By following this sample table, the liquid handler aspirates 500 ll of sample and dispenses 150 ll into each of three randomized locations. The receiving plates contain factory pre-labeled 500 ll 2D bar-coded vials. Custom refrigerated racks are used to minimize the evaporation of the samples, which are in 90% acetonitrile buffer from the SPE steps. The plates with the 2D bar-coded vials are scanned as described elsewhere.24 Locations of the randomized samples are recorded and saved in a laboratory information management system. The randomized samples are lyophilized immediately following randomization. This prevents inconsistencies and degradation of peptides before LC/MS. There are three main reasons for the lyophilzation of the samples. First, samples may not be stable in solution during storage. Second, acetonitrile is a volatile reagent that may evaporate inconsistently across plate wells over time. Third, 150 ll of sample is too large for the autosampler in the LC/MS Downloaded from jla.sagepub.com by guest on October 6, 2014 Original Report Figure 8. A schematic view of the triplication and randomization step. After the SPE step, an autosampler is used to triplicate and randomize the samples. It redistributes the samples to 396-well plates. Randomization is performed by a macro on an EXCEL spreadsheet. analysis. By drying a larger volume and resuspending the samples in a smaller volume, throughput and sample concentration are both increased. The samples are lyophilized without heat for 16 hours to remove both the ACN and TFA buffer. After the samples are dried, they are transferred to a ÿ80 C freezer and logged into SampleTracker. This system informs the LC/MS laboratory personnel that the samples are ready for analysis. Data generated from samples prepared using this process showed good reproducibility. Two samples were analyzed by LC/MS. These were pooled human plasma samples taken through the entire process. Plotting the data from duplicate experiments (Fig. 9a and b) showed R2 values of 0.9883. Note that the high CV’s (CV>0.5) is due to the artificial noises generated by the LC/MS and can be neglected. CONCLUSION The automated sample preparation procedure described here is a semi-automated and highly parallel procedure for sample preparation in a industrial proteomics laboratory. As shown in the LC/MS data, the sample preparation procedure generated highly reproducible data. Data quality is similar to that of commercially available Affymetrix microarray chips.25,26 There appears to be no reason why this system could not be used for the profiling of human plasma. Although this semi-automated process is certainly expensive (Fig. 10) compared to manual processing, the investment will eventually be returned due to the more effective use of time of the researchers, and a reduction of ‘‘re-run’’ samples because of sample handling errors. Since all data points, such as chromatograms and concentration data files, are readily Figure 9. (A) A histogram demonstrating the reproducibility of two samples that are prepared by this sample preparation step. Yaxis is the number of unique masses matched between the two samples. X-axis is the CV. The range of CV from 0.1 to 0.3 represents 60% of the data. Note that the high CV’s (CV > 0.5) is due to the artificial noises generated by the LC/MS and can be neglected. (B) The reproducibility of the sample preparation process is demonstrated here in a x-y plot by EXCEL. Two samples are prepared by this sample preparation step and are analyzed by LC/MS. The intensities of the peaks is recorded. An x-y plot is generated by plotting the matched intensities of both runs. The resulting data points showed R2 of 0.9883 at CV valued at less than or equal to 0.3%. available and stored, they are easily input and exported into any laboratory information management system (LIMS). This sample preparation process was designed only for human plasma samples in order to facilitate biomarker discoveries. It would be feasible to develop a similar process for other non-plasma proteomics projects. Examples may include urine, cell culture or biopsy samples, all of which Downloaded from jla.sagepub.com by guest on October 6, 2014 JALA August 2004 247 Original Report Figure 10. The cost of this sample preparation is demonstrated here in a pie chart. The total cost per sample is $1,882.17. This cost includes labor, instrumentation, supplies and materials. have different biological and physical properties, and therefore present their own unique challenges. by high performance liquid chromatography. 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