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Microchemical Journal
journal homepage: www.elsevier.com/locate/microc
Quantifcation of rifampicin and rifabutin in plasma of tuberculosis patients
by micellar liquid chromatography
Maria Ángeles Goberna Bravo
a
, Abhilasha Durgbanshi
b
, Devasish Bose
c
, Pooja Mishra
b
,
Jaume Albiol-Chiva
d
, Josep Esteve-Romero
d
, Juan Peris-Vicente
a,⁎∗
a
Department of Analytical Chemistry, Faculty of Chemistry, Universitat de València, Burjassot, 46100, Spain
b
Department of Chemistry, Doctor Harisingh Gour Vishwavidyalaya (A Central University), Madhya Pradesh, 470003, India
c
Department of Criminology and Forensic Science, Doctor Harisingh Gour Vishwavidyalaya (A Central University), Madhya Pradesh, 470003, India
d
Bioanalytical Chemistry, Department of Physical and Analytical Chemistry, ESTCE, Universitat Jaume I, Castelló, 12071, Spain
ARTICLE INFO
Keywords:
Antituberculosis
Drug
Micellar
Optimization
Plasma
Patients
ABSTRACT
A Micellar Liquid Chromatographic method is described to determine Rifampicin and Rifabutin in plasma from
Tuberculosis patients. Samples were diluted in mobile phase and then directly injected, avoiding long and te-
dious extraction steps. The analytes were resolved from the matrix without interferences from endogenous
compounds using a mobile phase of sodium dodecyl sulfate 0.15 mol L-1–6%(v/v) 1-pentanol and phosphate
bufer at pH 3, running at 1 mL min
−1
through a C18 column at 25 °C. Detection was carried out by UV
absorbance at 270 nm. Under these conditions, the fnal chromatographic analysis time was 22 min. The ana-
lytical methodology was validated following the FDA 2018 Bioanalytical Method Validation Guidance for
Industry. The response of the drugs in plasma was linear in the 0.05–5 μg/mL range, with r
2
> 0.9993. Trueness
and precision were <14% for both substances. Carry over and matrix efects were negligible. Dilution integrity,
robustness and stability were also investigated. Method was reliable, economic, eco-friendly, safe, easy-to-
conduct, and with a high sample throughput, thus useful for routine analysis. Finally, the analytical method was
used to determine both antituberculosis drugs in incurred plasma samples of Tuberculosis patients.
1. Introduction
Tuberculosis remains a leading health issue worldwide and
Rifampicin is the preferred frst-line drug for its treatment [1–3]. Al-
though it is quite well tolerated in a usual dose regime, adverse efects
could be developed including gastrointestinal reactions, exanthema,
hepatotoxicity and immunological reactions, as thrombocytopenia,
leukopenia, eosinophilia, hemolytic anemia, agranulocytosis, vasculitis,
acute interstitial nephritis and septic shock [4,5]. While some adverse
efects may be resolved with symptomatic treatment or spontaneously,
others may require regimen changes because they are dose-dependent
[6]. On the other hand, Rifabutin has activity against Mycobacterium
tuberculosis similar to Rifampicin, in fact in most of the cases may be
more efective [7]. Main diference between them is that rifabutin has
lower incidence of severe adverse efects [8,10]. This point makes Ri-
fabutin more attractive as a substitute in situations where Rifampicin
might cause adverse efects or is not well tolerated. Furthermore, Ri-
fampicin has more drug interactions than Rifabutin due to it is a potent
inducer of the CYP450 system [11]. Due to this fact rifabutin has been
used in patients coinfected with tuberculosis and HIV [12], trying to
avoid possible difculties with drug interactions and avoiding the dis-
ease spreading between susceptible people [13]. On the other hand,
Rifabutin is the only frontline antituberculosis drug that has activity
against an emergent disease as Mycobacterium Abcessus, an opportu-
nistic pathogen causing dangerous pulmonary infections because are
intrinsically multidrug resistant [14].
Rifampicin (Fig. 1; log Po/w = 2.7 [15]) is the principal anti-
tuberculosis chemotherapy tool. However, Mycobacterium Tubercu-
losis develop resistance to this drug with high frequency restricting the
utility of its use for treatment. Tuberculosis strains classifed as multi-
drug-resistant (MDR) are those resistant at least to the two most potent
frst-line antituberculosis drugs, i.e. isoniazid and rifampicin [16–18].
The clinically signifcant resistance mechanism is mutation within a
defned region of the rpoB gene, which encodes the target of RIF, the β
subunit of bacterial RNA polymerase [19,20]. Most rifampicin-resistant
Mycobacterium tuberculosis isolates are also resistant to rifapentine,
while approximately 15-20% of them are susceptible to rifabutin [21].
Although that confers a signifcant advantage, Rifabutin (Fig. 1; log Po/
https://doi.org/10.1016/j.microc.2020.104865
Received 3 March 2020; Received in revised form 19 March 2020; Accepted 23 March 2020
⁎
Corresponding author.
E-mail address: juan.peris@uv.es (J. Peris-Vicente).
Microchemical Journal 157 (2020) 104865
Available online 24 April 2020
0026-265X/ © 2020 Elsevier B.V. All rights reserved.
T