Chapter 6Capillary electrophoresis–mass spectrometry
of proteins at medium pH using
bilayer-coated capillaries
Catai, J. R.; Sastre Toraño, J.; de Jong, G. J.; Somsen, G. W.
to be submitted
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Efficient capillary electrophoresis of peptides and proteins with bilayer-coated capillaries 111
Summary
The feasibility of using noncovalently bilayer-coated capillaries for capillary
electrophoresis–mass spectrometry (CE–MS) of proteins was investigated using background
electrolytes (BGEs) of medium pH. The capillary was coated by successively rinsing the
capillary with solutions of the oppositely charged polymers polybrene (PB) and poly(vinyl
sulfonic acid) (PVS). Volatile BGEs containing ammonium formate and/or N-methyl
morpholine were tested at pH 7.5 and 8.5. Overall, these BGEs provided relatively fast
protein separations (analysis times of ca. 12 min) and showed high efficiencies (70,000–
300,000 plates) when the ionic strength was sufficiently high. Migration-time
reproducibilities were very favorable with RSDs of less than 1.0%. Infusion experiments
showed satisfactory MS responses for studied proteins dissolved in ammonium formate
(pH 8.5), however, high concentrations of N-methyl morpholine appeared to seriously
suppress the MS protein signals. Evaluation of the CE–MS system was performed by
analyzing a mixture of intact proteins yielding efficient separations and good-quality mass
spectra. CE–MS analysis of a reconstituted formulation of the biopharmaceutical
recombinant human growth hormone (rhGH) that was stored for a prolonged time, revealed
one degradation product, which was provisionally identified as desamido rhGH. Based on
the MS responses the amount of degradation was estimated to be ca. 25%.
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Efficient capillary electrophoresis of peptides and proteins with bilayer-coated capillaries112
6.1. Introduction
Capillary electrophoresis (CE) is a powerful separation technique, which shows
attractive characteristics for the analysis of biopolymers such as proteins [1-4]. In CE,
separations are based on differences in electrophoretic mobility, which is a function of
charge and size of the studied ionic species. When a protein undergoes degradation or
binds to other molecules (e.g. drugs), this might induce changes in the protein’s net charge
and/or shape, which may lead to altered electrophoretic migration. Separations in CE are
performed in open tubes without stationary phase and, therefore, analysis of proteins, in
principle, can be carried out under circumstances that do not significantly affect their
conformation. Such ‘nondenaturing’ conditions are difficult or impossible to achieve with
other separation methods like liquid chromatography (LC) and slab-gel electrophoresis.
Furthermore, CE can provide high separation efficiencies, relatively short analysis times
and requires only minute amounts of sample. Due to these characteristics, CE gradually
has become an essential separation technique for proteins [5], with applications in, for
instance, proteomics [6, 7], food analysis [8] and analysis of biopharmaceuticals [9-11].
Its significance is further illustrated by the recent introduction of CE methods in the
European Pharmacopoeia monographs of the pharmaceutical proteins erythropoietin (EPO)
[12] and human growth hormone (hGH, somatropin) [13].
CE analyses are normally performed using fused-silica capillaries. However,
particularly during protein analysis, interactions between the analytes and the inner capillary
surface can occur, leading to band broadening, unstable electroosmotic flow (EOF) and
poor migration-time reproducibilities. Therefore, in CE of proteins the use capillary coatings
is often advocated [1-5]. Recently, we have demonstrated the usefulness of capillaries
coated with a bilayer of the oppositely charged polymers polybrene (PB) and poly(vinyl
sulfonic acid) (PVS) for the analysis of peptides and proteins [14-16]. The PB-PVS coating
shows very stable migration times (RSDs < 1.0%) for these compounds when using BGEs
of various pH (2.5–9). This constancy in migration times is difficult to obtain with bare-
fused silica capillaries even with extensive capillary rinsing. Moreover, better separation
efficiencies (higher plate numbers) could be achieved with bilayer-coated capillaries.
Mass spectrometry (MS) has become an important technique for the analysis and
characterization of intact proteins and protein complexes [17-21]. Matrix-assisted laser
desorption ionization (MALDI) is frequently used for molecular weight determination of
proteins [22], but it is less suitable for coupling with flow systems. Electrospray ionization
(ESI) of proteins provides multiple charged ions with m/z values that often fall within the
range of conventional mass analyzers as quadrupoles and ion traps. Furthermore, ESI is a
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Efficient capillary electrophoresis of peptides and proteins with bilayer-coated capillaries 113
soft ionization method, which does not induce protein fragmentation and may even leave
the conformation of the analyzed protein unchanged [18, 23], which can be important
when structural integrity has to be probed. The combination of CE with ESI-MS clearly
provides a tool that can be very useful for purity and stability studies of proteins under
mild separation conditions. Until now, however, CE–MS of proteinaceous samples has
mainly been performed using acidic BGEs (pH < 4.5) in combination with bare fused-
silica capillaries or with capillaries coated with a positively-charged or neutral polymer [6,
24, 25]. So far, the use of medium-pH BGEs with coated capillaries for protein analysis by
CE–MS has been quite limited. Simó et al. [26] have used ammonium acetate BGE (pH
5.5) in combination with EPyM-DMA-coated (positively-charged polymer) capillaries for
the analysis of basic proteins in food products. He et al. [27] used Tris acetate (pH 6.0)
with capillaries coated with a neutral polymer for the analysis of degraded cytochrome c.
Quite a number of proteins have isoelectric points lower than 7 and, thus, carry a net
negative charge in medium pH buffers. Such proteins would preferably be analyzed by CE
using a negatively charged coating providing both electrostatic repulsion and a significant
electroosmotic flow (EOF). Hitherto, such CE–MS systems have not been described in
literature.
In this work, the potential of capillaries coated with PB-PVS for the CE–MS
analysis of proteins using volatile BGEs of medium pH was investigated. Recently, we
have demonstrated that PB-PVS coated capillaries can be used for CE–MS of peptides,
yielding highly efficient and reproducible separations [14]. In the present study, the influence
of the type, concentration and pH of the BGE on plate number, migration-time
reproducibility and MS signal intensity of proteins was examined. The performance of the
CE–MS system was evaluated using several test proteins and the biopharmaceutical
recombinant human growth hormone (rhGH). Finally, the usefulness of the system is
illustrated by the analysis of a solution of a commercial rhGH formulation, which had
been stored for a prolonged period of time.
6.2. Experimental
6.2.1. Chemicals
Polybrene (hexadimethrine bromide) and a 25% (m/v) aqueous solution of
poly(vinyl sulfonate) sodium salt (PVS) were from Sigma-Aldrich (Steinheim, Germany).
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Efficient capillary electrophoresis of peptides and proteins with bilayer-coated capillaries114
A 1% (v/v) PVS solution was prepared by diluting the purchased PVS solution with Mili-
Q water (18.2 MÙ). Polybrene was dissolved to a final concentration of 1% (m/v) in Mili-
Q water. Formic acid was from Riedel-de Haën (Seelze, Germany). Ammonium hydroxide
(25%) was from Merck (Darmstadt, Germany) and N-methyl morpholine (99.5%) from
Sigma-Aldrich. The test proteins α-lactalbumin (bovine milk), insulin (porcine), and
carbonic anhydrase were from Sigma-Aldrich. Recombinant human growth hormone
(rhGH) protein (somatropin CRS) was from the European Directorate for the Quality of
Medicines (Strasbourg) and contained unspecified amounts of glycine, mannitol, lactose,
and sodium bicarbonate. Formulated rhGH (Humatrope, Eli Lilly, Houten, The Netherlands)
was reconstituted in water 18 months before the start of this study, and stored at 4 °C. The
resulting solution contained rhGH (1.5 mg/mL), glycine (1.5 mg/mL), mannitol (4.5 mg/
mL), disodium hydrogen phosphate (1 mg/mL), 0.3% metacresol, 0.29% glycerin and
glycerol. Stock solutions of test proteins (3 mg/mL) were weekly prepared in Mili-Q water
and stored at 4 °C. The insulin stock solution contained 0.2% acetic acid. A protein test
sample of insulin, carbonic anhydrase and α-lactalbumin was prepared by diluting aliquots
of stock solutions to the desired concentrations. rhGH CRS was diluted to 1.5 mg/mL with
Mili-Q water. BGEs were prepared by diluting ammonium hydroxide or N-methyl
morpholine to the desired concentration and the pH was adjusted to 7.5 or 8.5 with formic
acid. All BGEs were passed through a 0.22 µ m hydrophilic filter from Sartorius (Göttingen,
Germany) before use.
6.2.2. CE systems
Capillaries with an internal diameter (ID) of 50 µm were from Composite Metal
Services (The Chase, Hallow, UK). CE experiments with UV detection were performed
using a Beckman-Coulter (Fullerton, CA, USA) P/ACE MDQ capillary electrophoresis
instrument equipped with a diode array detector. Capillaries had a total and effective length
of 70 and 60 cm, respectively. Samples were injected for 7 s at 34.5 mbar (injection volume
of ca. 6 nL) and the separation voltage was 30 kV. The capillary was thermostated at 25 ºC
and absorbance detection of proteins was carried out at 214 nm.
CE–MS experiments were conducted using a PrinCE CE system from Prince
Technologies B.V. (Emmen, The Netherlands) applying capillaries with a length of 80 cm.
Samples were injected for 12 s at 35 mbar (ca. 9 nL). Injection conditions were such that
the sample zone was about 0.5% of the capillary volume to window. During sample injection,
the nebulizer gas flow and the electrospray voltage of the CE–MS interface were turned
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Efficient capillary electrophoresis of peptides and proteins with bilayer-coated capillaries 115
off. The separation voltage was 30 kV in all CE–MS experiments. Capillaries were
provisionally thermostated during CE–MS experiments by placing them inside a plastic
tube of ca. 2 mm ID with a length of ca. 60 cm that comprised most of the capillary, but not
the parts inside the auto-injector of the PrinCE and the sheath-liquid interface. In the middle
of the tube a tee piece was placed through which a constant flow of air (approx. 2 L/min)
of ambient temperature was led along the CE capillary in order to achieve effective heat
dissipation. In order to minimize hydrodynamic flow in the CE capillary induced by the
nebulizer gas, a reduced pressure in the range of -10 to -60 mbar was applied at the inlet
vial during CE–MS analysis [14]. MS infusion experiments were carried out by continuously
leading the solution of interest through the CE capillary at ca. 250 nL/min into the interface
and MS ion source with no separation voltage being applied.
6.2.3. Capillary coating procedure
New bare fused-silica capillaries were successively rinsed at 1400 mbar with 20
capillary volumes of water, 30 capillary volumes of 1 M NaOH, and 20 capillary volumes
of water. After this treatment, capillaries were coated by subsequently rinsing with 1.5
capillary volumes of a 1% PB solution at 35 mbar, 10 capillary volumes of water at 1400
mbar, 1.5 capillary volumes of a 1% PVS solution at 35 mbar, and 10 capillary volumes of
water at 1400 mbar. The capillary was then ready for CE analysis with the BGE of choice.
Between runs, coated capillaries were flushed at 1400 mbar with 4 capillary volumes of a
1% PVS solution. During rinses, PVS was prevented from entering the ion source by
opening the spray chamber and turning off the electrospray voltage.
6.2.4. MS system
CE was coupled to an Agilent Technologies 1100 Series LC/MSD XCT ion-trap
mass spectrometer (Waldbronn, Germany) equipped with an electrospray ion source via a
coaxial sheath-flow sprayer (Agilent Technologies). The CE capillary outlet was positioned
at 0.1–0.2 mm from the tip of the interface. Several types of sheath liquid (methanol–
water, isopropanol–water and acetonitrile–water) in several ratios (25:75, 50:50, 75:25)
and with various concentrations of formic acid (0, 0.5, 1, 5, 10%) were tested in order to
find stable spray conditions and optimum MS responses for the tested proteins. The optimal
sheath liquid appeared to be acetonitrile water formic acid (75:25:5, v/v/v) and was used
throughout this study. The sheath liquid was supplied by a syringe pump at 4 µL/min. The
nebulizer-gas pressure was 700 mbar and the flow and temperature of the drying gas were
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Efficient capillary electrophoresis of peptides and proteins with bilayer-coated capillaries116
5 L/min and 200 °C, respectively. The electrospray voltage was 4.5 kV. MS detection was
carried out in the positive ion mode and each spectrum was an average of 2 scans. The ion
charge control (ICC) was set to 100,000 and the scanned mass range was 1000–2000 m/z.
Plate numbers of analyzed proteins were calculated using full width at half height as
measured from peaks observed in extracted-ion electropherograms. The instrument was
controlled by a PC running the LC-MSD data acquisition software from Agilent
Technologies. Charge assignment in the MS spectra was performed with the “Charge
deconvolution” utility available in the DataAnalysis V. 2.1 program of the Agilent software.
6.3. Results and discussion
6.3.1. Influence of BGE on separation and MS detection performance
In a previous study, we have demonstrated the suitability of PB-PVS coated
capillaries for reproducible and efficient analysis of proteins by CE–UV using BGEs of
Tris-phosphate (pH 7–8.5) [16]. In order to allow electrospray-mass spectrometric (ESI-
MS) detection of proteins, we investigated the performance of PB-PVS coated capillaries
in combination with volatile BGEs of medium pH. For this purpose, a test mixture of
insulin (50 µg/mL), α-lactalbumin, and carbonic anhydrase (200 µg/mL each) was analyzed
by CE–UV with various concentrations (25–150 mM) of ammonium formate (pH 7.5). An
improvement of separation efficiency (plate numbers) was observed with the increase of
the BGE concentration. However, repeated analyses with each BGE showed that the
migration times of the proteins consecutively decreased. This was most probably caused
by the lack of buffer capacity of the ammonium formate BGE at pH 7.5, as it was also
indicated by a significant pH difference between the BGEs present in the inlet and outlet
vial after only three runs.
The possibility of using a BGE of ammonium formate at pH 8.5 was then
investigated in the concentration range of 25–150 mM. CE–UV of the protein test sample
using the PB-PVS coated capillary showed an increase in plate numbers as the BGE
concentration was raised, reaching a maximum at 75 mM as it is depicted for α-lactalbumin
in Figure 6.1. Above this concentration, a decrease in plate numbers was observed for all
proteins. This decrease was possibly caused by an excess of Joule heating at high BGE
concentrations. This was further evidenced by repeated analysis (n = 5) of the test sample
at each BGE, which showed that migration-time RSDs increased from ca. 0.8% (BGE
concentration of 25–75 mM) to about 3% when higher BGE concentrations (100–150
mM) were used.
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Efficient capillary electrophoresis of peptides and proteins with bilayer-coated capillaries 117
Figure 6.1. Effect of the concentration of ammonium formate (pH 8.5) on the plate number of α-lactalbuminobtained by CE-UV using a PB-PVS coated capillary.
Next, the effect of the BGE concentration on the MS-signal intensity of the studied
proteins was examined. The test proteins α-lactalbumin, insulin and carbonic anhydrase
were each dissolved in water and in various concentrations of ammonium formate (pH
8.5). These solutions were infused into the sheath-liquid interface through a PB-PVS coated
capillary. Upon increasing the BGE concentration, a decrease in MS signal intensity of all
proteins was observed. This trend is illustrated for α-lactalbumin in Figure 6.2. For CE–
MS analysis at pH 8.5, a BGE of 75 mM ammonium formate was selected as a compromise
between plate number, migration-time reproducibility and MS response for the studied
proteins.
Figure 6.2. Effect of the concentration of ammonium formate (pH 8.5) on the MS signal intensity of α-lactalbumin obtained during infusion experiments.
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Efficient capillary electrophoresis of peptides and proteins with bilayer-coated capillaries118
In order to be able to perform CE–MS of proteins with a buffering BGE at physiological
pH, the possibility of using of N-methyl morpholine (pKa 7.4) instead of ammonium
formate was examined. The protein test mixture was analyzed by CE–UV using bilayer-
coated capillaries with various concentrations (25–200 mM) of N-methyl morpholine
adjusted to pH 7.5 with formic acid. Plate numbers for the proteins were quite
unsatisfactory at 25 mM N-methyl morpholine, but increased for higher concentrations
reaching a plateau of about 150,000 at 100 mM. Migration-time reproducibilities were
quite favorable (RSDs < 1.0%), especially in the 25–100 mM range. However, MS
infusion experiments revealed that the N-methyl morpholine caused serious suppression
of the protein ionization. A decrease in MS signal intensity of 25–80% was observed as
N-methyl morpholine concentrations were raised from 25 to 200 mM. In order to come
to a BGE at pH 7.5 with sufficient ionic strength and buffer capacity, but still acceptable
MS sensitivity, the feasibility of a BGE comprising a low concentration of N-methyl
morpholine (20 mM) and a high concentration of ammonium formate (75 mM) was
investigated. CE–UV of the protein test sample revealed plate numbers of 100,000–
300,000 for the proteins and excellent migration-time reproducibilities (RSDs < 1.0%).
After five runs, no significant alteration of the pH values of the BGE solutions in the
inlet and outlet vial was observed. These results show that the tested BGE had the required
ionic strength and a good buffer capacity. MS infusion experiments with this BGE showed
that the MS signals for the studied proteins were ca. 20% lower than the signal intensities
obtained with a BGE of 75 mM ammonium formate (pH 8.5).
Finally, CE–MS of proteins using PB-PVS coated capillaries was evaluated
with an ammonium formate BGE (pH 8.5) of 75 mM as it provided optimum signal
intensity for proteins. A test sample of insulin (50 µg/mL), carbonic anhydrase (400 µg/
mL) and α-lactalbumin (1 mg/mL) was analyzed with the CE-MS system (Figure 6.3).
Plate numbers ranged from 70,000 to 100,000, which is quite favorable for CE–MS of
proteins. Still, especially the plate numbers obtained for carbonic anhydrase and α-
lactalbumin were lower than those obtained with CE-UV. These lower plate numbers
were found to be caused by the relatively high protein concentrations in the sample,
which induced some extra band broadening. The higher concentrations were necessary
due to the limited detection sensitivity of the ion-trap mass spectrometer obtained for
these proteins. Actually, CE–UV analysis of the same sample revealed similar plate
numbers for the proteins. Migration times of the proteins with CE–MS were very
reproducible with RSDs of less than 1.0% obtained for five consecutive runs. From the
acquired mass spectra (Figure 6.3B-D) the molecular masses of the analyzed proteins
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Efficient capillary electrophoresis of peptides and proteins with bilayer-coated capillaries 119
were determined to be 29022, 5807 and 14187 Da for carbonic anhydrase, insulin and α-
lactalbumin, respectively, which nicely matches the expected values. These results
demonstrate that PB-PVS coated capillaries can be used for the CE–MS of intact proteins,
yielding efficient and reproducible separations. Furthermore, it can be concluded that
the sheath-liquid interface does not cause significant broadening of the protein peaks
produced by the CE system. This is in line with our previous work in which plate numbers
for peptides analyzed by CE–MS were similar to those obtained with CE–UV [14].
6.3.2. CE–MS of human growth hormone
The potential of the bilayer capillary coating for CE–MS of proteins at medium
pH, was further tested by the analysis of the protein recombinant human growth hormone
(rhGH). rhGH is a biopharmaceutical that is used in the treatment of retarded growth
and dwarfism caused by the inadequate production of the hormone during the growth
period. Recently, the European Pharmacopoeia (Ph. Eur.) introduced a method for the
analysis of this protein by CE with UV detection using bare fused-silica capillaries [12].
This method, however, is not MS compatible as it uses high concentrations of non-
volatile phosphate buffer as BGE. Meanwhile, we have also demonstrated that faster
and more reproducible CE analysis of rhGH can be achieved with bilayer-coated
capillaries. These results will be published elsewhere [28].
First, a sample containing 1.5 mg/mL of rhGH (somatropin CRS) was analyzed by
CE–MS using a PB-PVS coated capillary with a BGE of 75 mM ammonium formate (pH 8.5).
The sample yielded one symmetric peak at ca. 10.8 min with a plate number of about 90,000.
Deconvolution of the acquired mass spectrum resulted in an estimated molecular mass for
rhGH of 22124 Da, which is in line with reference data. Subsequently, in order to test the
feasibility of the CE–MS system for protein degradation studies, a reconstituted commercial
rhGH formulation was analyzed. The rhGH solution had been stored for 18 months at 4 °C.
Notably, this time is far beyond the storage period (14 days at 2-8 °C) for reconstituted rhGH
recommended by the supplier. Figure 6.4 depicts the CE–MS result, which clearly shows a
degradation product. Deconvolution of the mass spectra of the main and minor peaks shows
that both constituents have virtually identical masses, i.e., 22124 Da. This is an indication that
the protein may have undergone deamidation. This degradation route involves the transition of
an asparagine residue into an aspartic acid residue leading the protein to a gain of one negative
charge at neutral pH. CE is particularly useful to reveal charge modifications, as the
electrophoretic mobility depends on the charge-to-size ratio of a protein. The change of only
one charge already leads to a clear shift in migration time. However, upon deamidation the
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Efficient capillary electrophoresis of peptides and proteins with bilayer-coated capillaries120
Figure 6.3. CE–MS of a protein test mixture using a PB-PVS coated capillary and a BGE of 75 mMammonium formate (pH 8.5). (A) sum of extracted-ion electropherograms obtained at m/z 1383.3,1452.7 and 1419.5; (B), (C) and (D) average mass spectra of peaks 1 (carbonic anhydrase), 2(insulin) and 3 (α-lactalbumin), respectively.
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Efficient capillary electrophoresis of peptides and proteins with bilayer-coated capillaries 121
overall mass change of the protein is only 1 Da, which explains the detected masses of both
compounds to be practically the same. The limited mass resolution of the ion-trap mass
spectrometer does not permit the detection of such a small mass difference. For that, a mass
analyzer with higher mass resolution such as time-of-flight (TOF) should be used. Based on the
MS responses the percentage of degradation of the rhGH product was estimated to be ca. 25%.
Figure 6.4. CE–MS of a formulation of rhGH which after reconstitution was stored for 18 months at 4 °C. APB-PVS coated capillary was used with a BGE of 75 mM ammonium formate (pH 8.5). (A) sumof extracted-ion electropherograms obtained at m/z 1476.0 and 1581.2; (B) and (C) averagemass spectra of peaks 1 (intact rhGH) and 2 (degradation product), respectively.
The possibility of using 20 mM N-methyl morpholine with 75 mM ammonium
formate (pH 7.5) as BGE for the CE–MS analysis of the degraded rhGH formulation was
also examined. The resulting separation profile (Figure 6.5) and plate numbers were
comparable to those obtained with the BGE with pH 8.5. The analysis time showed to be
slightly longer at pH 7.5, which was probably caused by the somewhat higher ionic strength
of the morpholine-ammonium formate BGE. As expected, CE–MS using the morpholine-
ammonium formate BGE presented a lower signal-to-noise ratio for rhGH due to increased
ionization suppression and a higher background noise caused by N-methyl morpholine.
However, significant signals were still obtained allowing the effective profiling of the
sample at pH 7.5. Deconvolution of the mass spectra of each acquired peak, once more
revealed the same molecular mass (22124 Da), suggesting that peaks corresponded to
intact and desamido rhGH.
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Efficient capillary electrophoresis of peptides and proteins with bilayer-coated capillaries122
Figure 6.5. CE–MS of a formulation of rhGH which after reconstitution was stored for 18 monthsat 4 °C. A PB-PVS coated capillary was used with a BGE of 20 mM N-methylmorpholine with 75 mM ammonium formate (pH 7.5). The depicted trace is the sumof extracted-ion electropherograms obtained at m/z 1476.0 and 1581.2. Peaks: 1, intactrhGH; 2, degradation product.
6.4. Conclusion
The usefulness of PB-PVS coated capillaries for CE–MS analysis of proteins
using volatile BGEs of medium pH is demonstrated. Favorable plate numbers and very
good migration-time reproducibilities were achieved for the studied proteins in relatively
short analysis times. The use of BGEs with sufficient buffer capacity and relatively high
ionic strength were important in order to obtain good separation performance. A BGE of
ammonium formate alone appeared to be suitable for analysis at pH 8.5. However, the
addition of N-methyl morpholine to the BGE was required in order to achieve both
appropriate buffering and MS compatibility at pH 7.5. The potential of the PB-PVS system
for protein CE–MS was indicated by the analysis a degraded formulation of rhGH using
the BGEs at pH 7.5 and 8.5. The obtained CE and MS data suggests that the rhGH has
undergone deamidation. The favorable migration-time reproducibilities induced by the
bilayer coating can be of great importance for the comparison of CE–MS profiles obtained
in time, e.g., during stability studies of pharmaceutical protein. Further characterization of
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Efficient capillary electrophoresis of peptides and proteins with bilayer-coated capillaries 123
proteins by CE–MS would profit from the use of mass spectrometers, such as TOF as they
can yield higher mass resolution than the used ion-trap mass spectrometer.
Acknowledgement
The authors thank Peter M.J.M. Jongen from the Center for Biological Medicines
and Medical Technology of the National Institute for Public Health and the Environment
(Bilthoven, The Netherlands) for useful advice and stimulating discussions.
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