Measurements of total arsenic in maternal breast milk, saliva, and erythrocytes were performed by inductively coupled plasma mass spectrometry (ICPMS;
Agilent 7500ce series) with an integrated sample introduction system (Agilent Technologies, Waldbronn, Germany). Before the ICPMS analysis, breast milk and erythrocytes were acid digested with 65% concentrated
suprapur nitric acid (Merck, Darmstadt, Germany) in microwave-assisted autoclave (UltraClave; EMLS, Leutkirch, Germany). For quality control, reference material (Seronom Trace Elements Whole Blood L-1, Lot MR4206; L-2, Lot 0503109; SERO AS, Billingstad, Norway) with a reference value of 1.8 ± 0.40 μg/L and 13.2 ± 1.3 μg/L, respectively. We obtained an average at 2.2 μg/L and 14 μg/L, respectively (
n = 17).
We measured the sum of iAs and the methylated metabolites, here referred to as urinary arsenic (U-As), in maternal urine by hydride generation–atomic absorption spectroscopy (HG-AAS) (Vahter et al. 2006 (
link)). Separation of the different As metabolites [As(III), As(V), MA, and DMA] in urine was performed by a high performance liquid chromatography (HPLC) system (
Agilent 1100 series system; Agilent Technologies), equipped with a Hamilton PRP-X100 anion-exchange column 4.1 × 250 mm (Reno, NV, USA) and coupled to hydride generation (HG) and ICPMS. HG is commonly coupled to the detector to discriminate for organic arsenic species like arsenobetaine in the urine, because these species do not form volatile arsines as iAs and its metabolites do. The method and the equipment have been described in detail elsewhere (Lindberg et al. 2007 (
link)). For quality control, a reference urine (NIES CRM no. 18; National Institute for Environmental Studies, Ibaraki, Japan) with a certified DMA concentration of 36 ± 9 μg/L was analyzed together with the collected urine samples. The obtained average (± SD) DMA concentration was 37 ± 1.7 μg/L (
n = 5). The correlation between measured U-As by HG-AAS and calculated U-As by adding the different metabolites measured by HPLC–HG–ICPMS was 0.98 (
n = 87), demonstrating good column recovery.
To determine the arsenic compounds in breast milk, we added 10 μL of concentrated formic acid (Fluka, Buchs, Switzerland) to an aliquot of 500 μL breast milk to precipitate the proteins. Thereafter, the samples were centrifuged for 15 min at 15,000 rpm (Microliter centrifuge; Hettich, Tuttlingen, Germany) to separate fat, proteins, and whey. For the arsenic measurements, the fat layer was removed and the whey was carefully transferred into the polypropylene vials sealed with rubber caps (both from Agilent, Waldbronn, Germany). The arsenic compounds were determined with an HPLC system (
Agilent 1100 series system; Agilent Technologies) coupled to an ICPMS (7500c; Agilent) equipped with a Babington type nebulizer. The metabolites were separated on a Hamilton PRP-X100 anion-exchange column, 4.1 × 250 mm with 20 mM aqueous ammonium phosphate (NH
4H
2PO
4) solution at pH 6 [adjusted with ammonium hydroxide (NH
4OH)] at a flow rate of 1.5 mL/min and a column temperature of 40°C. The injection volume was set to 20 μL. For signal enhancement, methanol (MeOH) was pumped to the ICPMS spray chamber as described elsewhere (Kovaãeviã and Goessler 2005 ). The signal was recorded at
m/z 75 (
75As) and
m/z 77 (
40Ar
37Cl,
77Se). To evaluate the data, we used the ICPMS chromatographic software version C.01.00 (Agilent). The limit of detection was < 0.01 μg/L for both blood and saliva. For breast milk and urine it was 0.2 μg/L for As(V) and 0.1 μg/L for As(III), MA, and DMA.
To compensate for variations in urine dilution, we adjusted the arsenic concentrations to the average specific gravity (SG), measured by a digital refractometer (EUROMEX RD 712 clinical refractometer; EUROMEX, Arnhem, Holland). U-As was adjusted to the overall mean SG value of 1.003 g/mL in the infant urine and 1.012 g/mL in maternal urine, according to U-As × [(1.003 – 1) or (1.012 –1)]/(measured SG – 1). SG adjustment is shown to be less influenced by body size, age, and arsenic exposure than is creatinine adjustment (Nermell et al. 2008 (
link)). The SG of saliva was about the same (1.003–1.004 g/mL) in all samples, so we did not adjust arsenic concentrations in saliva.
Fängström B., Moore S., Nermell B., Kuenstl L., Goessler W., Grandér M., Kabir I., Palm B., Arifeen S.E, & Vahter M. (2008). Breast-feeding Protects against Arsenic Exposure in Bangladeshi Infants. Environmental Health Perspectives, 116(7), 963-969.