A NEW TECHNIQUE FOR SWEAT CHLORIDE DETERMINATION USING MOHR’S SILVER METHOD: DEVELOPEMENT AND ANALYTICAL VALIDATION

Authors

  • Nardjess Rim Laoufi Toxicology laboratory. Central Hospital of the Army. Algiers, Algeria
  • Farida Bouchenak Toxicology laboratory. Central Hospital of the Army. Algiers, Algeria
  • Amina Zouakh Department of Pharmacy. Faculty of Pharmacy. Algiers. Algeria
  • Mouna Abdelaziz Department of Pharmacy. Faculty of Pharmacy. Algiers. Algeria
  • Abdelhakim Zerrouk Toxicology laboratory. Central Hospital of the Army. Algiers, Algeria
  • Djamel Sadouki Department of Pharmacy. Faculty of Pharmacy. Algiers. Algeria
  • Khaled Sobhi Toxicology laboratory. Central Hospital of the Army. Algiers, Algeria

DOI:

https://doi.org/10.4314/jfas.1316

Keywords:

cystic fibrosis, sweat test, Mohr’s method, analytical validation, sweat chlorides

Abstract

This study presents a new technique for determining chloride ions in the sweat test for the diagnosis of cystic fibrosis. The technique developed is based on Mohr’s silver titrimetric method. The analytical development was performed on three quality control levels (C1, C2 and C3 at 25, 45 and 65 mmol/L respectively) and validated according to the requirements of ISO15189. Repeatability was estimated by the coefficient of variation (CV) at 2.45%, 3.12% and 2.21% for C1, C2 and C3. The CV estimated the intermediate precision at 4.12%, 4.51% and 2.63% for C1, C2, C3. The bias estimated the accuracy at 0.99% for C1, 2.76% for C2 and 2.55% for C3. The assays were performed following a linear calibration curve (equation: Y=0.0001 X + (3 x 10-5) with R2 =0.9995) between 0 and 150 mmol/L. This new technique is a simple and fast alternative using stable and less toxic reagents than the mercurimetric technique.

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References

Lebecque P, Proesmans O, Leal M, Teresinha J., Mucoviscidose-2019: mise en place du

dépistage néonatal en Belgique. Louvain médical, 2019. 138(09): p. 509.

Boukari R, Smati L, Benhalla K-N , Radoui K, Kaddache C, Touri S, Bioud B et al., Cystic

fibrosis: course of management in Algeria. Archives de pediatrie: organe officiel de la Societe

francaise de pediatrie, 2015. 22(5 Suppl 1): p. 5-6.

Giannantonio M, Transfert de la pédiatrie a l’adulte de patients atteints de mucoviscidose: le vécu des partients et des équipes de CHU de Nice. Médecine humaine et pathologie., 2013

Farrell P, White T, Ren C, Hempstead S, Accurso F, Derichs N et al., Diagnosis of cystic

fibrosis: consensus guidelines from the Cystic Fibrosis Foundation. The Journal of pediatrics,

181: p. S4-S15. e1.

Charles E, Muhlebach M, Ehre C, Hill D, Wolfgang M, Kesimer M et al., Mucus

accumulation in the lungs precedes structural changes and infection in children with cystic

fibrosis. Science translational medicine, 2019. 11(486).

Radoui A, La mucoviscidose de l’enfant, in Faculté de médecine ;Oran. 2012.

Dehillotte C, Lemmonier L, Vaincre la mucoviscidose: Bilan des données 2019.

Registre français de la mucoviscidose, 2019. 52

Mucoviscidose des pistes thérapeutiques encourageantes. 2017; Available from:

www.inserm.fr/dossier/mucoviscidose/.

Welsh M, Smith A., Molecular mechanisms of CFTR chloride channel dysfunction in cystic

fibrosis. Cell, 1993. 73(7): p. 1251-1254.

Durupt S , M.S., Reix P . , La mucoviscidose en 2014: actualités thérapeutiques. Revue de

Pneumologie Clinique, 2016. 72(1): p. 77-86.

Centre de Référence Mucoviscidose de Lyon. Protocole National de Diagnostic et de Soins

(PNDS) Mucoviscidose 2017.

C., F. La mucoviscidose: du gène CFTR au conseil génétique. 2010-2011. 18.

LeGrys V, Sweat testing for the diagnosis of cystic fibrosis: practical considerations. The

Journal of pediatrics, 1996. 129(6): p. 892-897.

LeGrys V, Yankaskas J, Quittell L, Marshall B, Mogayzel P, Diagnostic sweat testing: the

Cystic Fibrosis Foundation guidelines. The Journal of pediatrics, 2007. 151(1): p. 85-89.

Mishra A, Greaves R, Massie J, The relevance of sweat testing for the diagnosis of cystic

fibrosis in the genomic era. The Clinical biochemist. Reviews/Australian Association of

Clinical Biochemists., 2005. 26(4): p. 135.

Heeley M, Woolf D, Heeley A Indirect measurements of sweat electrolyte concentration in

the laboratory diagnosis of cystic fibrosis. Archives of disease in childhood, 2000. 82(5): p.

-424.

Sermet-Gaudelus I, Munck A, Rota M, Roussey M, Feldmann D Recommandations françaises

pour la réalisation et l’interprétation du test de la sueur dans le cadre du dépistage néonatal

de la mucoviscidose. Archives de pédiatrie, 2010. 17(9): p. 1349-1358.

ISO15189: Laboratoires de biologie médicale–Exigences concernant la qualité et

la compétence. 2012; Available from: www.iso.org.

Vassault A, Hulin A, Chapuzet E, Arnaud J, Giroud C, Vérification/validation des

performances d’une méthode d’analyse. Annales de Biologie Clinique, 2010. 68(1): p. 247-

ICH Guideline M10 on Bioanalytical Method Validation. 2019; Available from:

www.ema.europa.eu/en/ich-m10-bioanalytical-method-validation.

LeGrys V, Applequist R, Briscoe D, Farrell P, Hickstein R, Lo S, et al., Sweat testing: sample

collection, quantitative chloride analysis; approved guideline- Third edition. Clin Lab Stand

Ins, 2009. 29 - number 27.

Mayell S, Munck A, Craig J, Sermet I, Brownlee K, Schwarz M et al., A European consensus

for the evaluation and management of infants with an equivocal diagnosis following newborn

screening for cystic fibrosis. Journal of Cystic Fibrosis, 2009. 8(1): p. 71-78.

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Published

2023-04-02

How to Cite

LAOUFI, N. R.; BOUCHENAK, F.; ZOUAKH, A.; ABDELAZIZ, M.; ZERROUK, A.; SADOUKI, D.; SOBHI, K. A NEW TECHNIQUE FOR SWEAT CHLORIDE DETERMINATION USING MOHR’S SILVER METHOD: DEVELOPEMENT AND ANALYTICAL VALIDATION . Journal of Fundamental and Applied Sciences, [S. l.], v. 15, n. 2, p. 127–137, 2023. DOI: 10.4314/jfas.1316. Disponível em: https://jfas.info/index.php/JFAS/article/view/1316. Acesso em: 31 jan. 2025.

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