Anal. Methods Environ. Chem. J. 4 (4) (2021) 20-35
Research Article, Issue 4
Analytical Methods in Environmental Chemistry Journal
Journal home page: www.amecj.com/ir
AMECJ
Separation and determination of lithium and manganese ions
in healthy humans and multiple sclerosis patients based on
nanographene oxide by ultrasound assisted-dispersive -micro
solid-phase extraction
Seyed Majid Nabipour Haghighia and Negar Motakef Kazemi*,a
a Department of Medical Nanotechnology, Faculty of Advanced Sciences and Technology, Tehran Medical Sciences, Islamic
Azad University, Tehran, Iran.
ABSTRACT
Lithium regulates the concentration of nitric oxide in the human
body and a high dose of nitric oxide causes multiple sclerosis (MS).
Also, the amount of manganese in the cerebrospinal uid alters the
metabolic reactions associated with MS. In this study, the mixture of
the ammonium pyrrolidine dithiocarbonate (APDC), the hydrophobic
ionic liquid [HMIM][PF6] and acetone coated on the surface of
graphene oxide nanoparticles (GONPs) and used for separation Li
and Mn in human samples by ultrasound assisted-dispersive-ionic
liquid-micro-solid phase extraction technique (USA-DIL-μ-SPE) at
pH 6.0. After extraction and back-extraction, the amount of lithium
and manganese in the blood, serum and urine samples was determined
by the ame and the graphite furnace atomic absorption spectroscopy
(F-AAS, GF-AAS), respectively. By optimizing parameters, the
LOD, Linear ranges (LR) and preconcentration factor (PF) for Li
and Mn ions were obtained (0.03 mg L-1, 0.25 μg L-1), (0.1-0.4 mg
L-1, 0.08-1.5 μg L-1) and 10, respectively (%RSD<5). The capacity
adsorption of APDC/IL/GONPs and GONPs was achieved (148.5 mg
g-1, 122.3 mg g-1) and (41.3 mg g-1, 33.7 mg g-1) for Li and Mn ions in
a static system, respectively. This method was successfully validated
by spiking samples and certied reference materials (CRM).
Keywords:
Lithium, Manganese,
Human samples,
Multiple sclerosis patients,
Nano graphene oxide,
Ultrasound assisted-dispersive-micro-
solid phase extraction
ARTICLE INFO:
Received 3 Sep 2021
Revised form 6 Nov 2021
Accepted 30 Nov 2021
Available online 29 Dec 2021
*Corresponding Author: Negar Motakef Kazemi
Email: motakef@iaups.ac.ir
------------------------
1. Introduction
Multiple sclerosis (MS) is the most common
chronic inflammatory disease of the central
nervous system (CNS), affecting more than
2 million people worldwide and is currently
incurable. No drug can completely prevent
progressive neurodegeneration, which is usually
diagnosed with impaired movement function,
bladder control, and cognitive processes [1, 2].
Nitric oxide and its metabolites in the human
body may be involved in the pathogenesis of
several neurological disorders such as multiple
sclerosis. Several studies have shown that lithium
regulates NO levels in the central nervous system.
High levels of compounds derived from reactive
oxygen species (ROS) and reactive nitrogen
species (RNS) have been detected in blood
samples from RR-MS patients. In principle,
increased production of NO and its metabolites
in the peripheral blood of these patients has been
shown [3]. Lithium may control NO formation
in MS. There is a significant difference between
https://doi.org/10.24200/amecj.v4.i04.158
21
Nano graphene for determination Li and Mn in MS patients Seyed Majid Nabipour Haghighi et al
serum lithium levels in RR-MS patients and
healthy individuals. Extensive experimental and
clinical studies show that lithium has protective
effects on the pathogenesis of neurological
diseases through several mechanisms (activation
of nerve pathways, regulation of oxidative stress,
anti-inflammatory responses, regulation of
mitochondrial function, etc.). However, the use
of high doses of lithium may lead to toxic effects
[4]. Excessive accumulation of metal in the
CNS stimulates oxidative stress, mitochondrial
dysfunction, dysfunction of enzymes structural,
regulatory, and catalytic functions in a variety of
proteins, receptors, and carriers. Metals can cause
nerve damage in PD, AD, and MS by disrupting
mitochondrial function. The mechanism act
with lower adenosine triphosphate (ATP) and
produces ROS. Through these mechanisms,
metals cause cell death by apoptotic or necrotic
mechanisms [5]. Also, manganese is toxic to the
CNS in excessive amounts. High manganese
value can lead to a disease whose symptoms
are similar to those of Parkinson’s. Manganism
is a type of extrapyramidal movement disorder
of the Parkinson’s type that has impaired
motor and cognitive impairment due to neural
processes [6]. Determination of metal ions in
blood and body fluids can play an effective role
in diagnosing the disease and various treatments.
The characterization of nanomaterials in various
fields, especially in medical science, caused to
use for the determination of metals in human
body fluids. Recently, the nanoparticles such as
graphene oxide and activated carbon were used
to measure the concentration of lead, mercury,
lithium, silver and manganese ions in patients.
For this purpose, a micro-extraction procedure
based on solid-phase or liquid phase coupled to
ultrasound was used to measure ions by atomic
absorption spectroscopy [7]. Due to the toxicity
of Li and Mn in the human body, its concentration
must be determined in blood, serum and urine
samples. Many technologies have been used for
Li and Mn determination in different samples
including, the isotope dilution atomic absorption
spectrometry (ID-ET-AAS) for Li determination
in serum samples. ID-ET-AAS based on the
partially resolved isotope shift was done by
graphite furnace atomic absorption spectrometer
[8]. Also, flame emission(FES), flame atomic
absorption spectroscopy (F-AAS) and ion-
selective electrode (ISE) were used for lithium
determination in human patients [9, 10]. The
concentration of beryllium, copper, chromium,
cobalt, nickel, magnesium and iron in the blood
of MS patients was determined by ICP-MS [11].
Moreover, the inductively coupled plasma sector
field mass spectrometry (ICP-SFMS) and MC-
ICP-MS was used for Li determination in serum
samples [12, 13]. The Li in human samples was
determined by high-resolution atomic absorption
spectrometry (HR-AAS) and machine learning
data(MLD) [14]. In addition, Mn ions in herbal
teas were evaluated by FAAS and ICP-OES [15].
The cation exchange chromatography coupled to
field ICP-MS was used for Mn determination in
cerebrospinal fluid [16]. As in previous research,
the Li and Mn were determined in metals of
human blood samples by AAS after sample
preparation techniques. Recently, the different
treatments such as; the dispersive liquid-liquid
microextraction (DLLME) [17], the cloud point
extraction procedure (CPE) [18], and the solid-
phase extraction (SPE) [19, 20] were used for
metal analysis in various samples. Among them,
the SPE as low cost, simple and good recovery is
preferred to other methods.
In this research, a new adsorbent based on
APDCIL/GONPs was used for extraction of Li
and Mn in human biological samples by USA-
DIL-μ-SPE procedure. Li and Mn ions were
determined by F-AAS and ET-AAS, respectively
after sample treatment. The method was validated
by spiking real samples and CRM analysis in
human blood, serum and urine samples.
2. Experimental
2.1. Instruments
The different instruments include a magnetic
stirrer (Four E’S Scientific, model MI0102003)
22
with a variable speed made in china, a digital
scale with an accuracy of one-thousandth of a
gram made in Japan, a digital pH meter model
744 made in Switzerland, centrifuge with 3500-
4000 rpm made in Iran (IRANLABXPO),
hematocrit centrifuge with 12,000 rpm(AHN
myLab® hematocrit centrifuge, AHN
Biotechnologie GmbH, Germany), a magnetic
healer, oven (Iran Lab), Austrian microwave
device (Anton Paar, Vienna Austria), the sharp
polyethene pipes and Pyrex glass, the tube and
balloon mixer, and the automatic sampling for
different volumes between 0.01 mL to 1 mL were
used in this research. The Mn and Li concentration
was determined by flame atomic absorption
spectrometer (FAAS, GBC 906, double beam,
Aus.). The air-acetylene (C2H2), the deuterium
lampas was used for Li evaluation. The limit of
detection (LOD) and linear range of F-AAS for Li-
ions in standard solutions was obtained 0.32 mg
L-1 and 1-4 mg L-1, respectively. The light of HCL
for lithium was adjusted by maximum energy at
a wavelength of 670.8 nm, slit of 0.5 nm and 5.0
mA. The ultra-trace analyzer, the electrothermal
atomic absorption spectrophotometer (ET-AAS,
GBC, Aus.) was used for the determination of Mn
in human blood samples. The limit of detection
(LOD) and linear range of Mn ions with ET-
AAS was obtained 0.27 μg L-1 and 2.5-15 μg L-1,
respectively The Avanta software was used for
calculating absorption results by the F-AAS and
ET-AAS.
2.2. Reagents
The ultra-pure reagents were purchased from
the Merck or Sigma Companies (Germany). All
standard solutions and samples were diluted by
ultra-pure distilled water (DW, R≥18MΩ cm-1)
from Millipore (Bedford, USA). The standard
stock solution of lithium (LiCl, CASN: 7447-
41-8) and manganese (MnCl2, CAS N.:189302-
40-7) was purchased from Sigma Aldrich
(1000 mg L-1 in 1% nitric acid 500 mL). The
calibration standard solutions of lithium (0.1,
0.2, 0.3, 0.4 mg L-1) and manganese (0.1-1.5 μg
L-1) were prepared by diluting of stock solution
with DW (1000 mg L-1). Nitric acid (HNO3),
hydrochloric acid (HCl, CAS N.: 7647-01-0),
sodium hydroxide (NaOH, CAS N.; 1310-73-2),
potassium hydroxide (KOH, CAS N.: 1310-58-
3), and all other reagents were purchased from
Merck, Germany. The pH was adjusted by suitable
buffer solutions. The different buffer solutions
such as the sodium phosphate (H3PO4 / NaH2PO4,
0.15 mol L-1) for pH 1.5-3, the ammonium acetate
buffer (CH3COOH / CH3COONa) for pH 4-5.5,
the sodium borate (NaBO2/HCl) for pH 7 and
the ammonium chloride (NH3/NH4Cl) were used
for pH 8-10. Graphene oxide was prepared by
the Petroleum Industry Research Institute (RIPI)
and coated with a mixture of ionic liquid/APDC
(99%, ammonium pyrrolidine dithiocarbonate,
CAS N.: 5108-96-3, EC Number: 225-834-4)
and acetone. Hydrophobic ionic liquid (1-Hexyl-
3-methylimidazolium hexafluorophosphate,
[HMIM][PF6], CAS N.: 304680-35-1) was
prepared from Sigma, Germany.
2.3. Synthesis of APDC-IL coated on graphene
oxide
The graphite oxide was prepared by modified
Hummer technique by oxidation of natural
graphite powder in the laboratory of RIPI.
The GO was prepared by peeling off graphite
oxide. First, 5 g of graphite powder and 2.5 g
of NaNO3 were combined with 120 mL H2SO4
(98%) and shaken vigorously for 30 min in an
ice bath (0-5 °C). Simultaneously with stirring,
15 g of KMnO4 was gradually added, and the
temperature was tuned at below 15 °C. The ice
bath was then removed, and the mixture was
stirred at 35 °C until it gradually turned brown
form and then diluted gently with 250 mL of
water. The reaction temperature rose rapidly
to 98 °C with boiling and its colour changed
to dark brown. Then, 30% H2O2 solution was
added, and the colour of the mixture changed
to a bright yellow colour, indicating complete
oxidation of graphene. The graphene oxide
was washed by rinsing and centrifugation with
Anal. Methods Environ. Chem. J. 4 (4) (2021) 20-35
23
dilute hydrochloride solution and then continued
several times with deionized distilled water to
neutralize the filtered solution. The graphene
oxide suspension was centrifuged and sonicated
for 15 minutes at 3000 rpm to obtain graphene
oxide nanosheets. Finally, the prepared GONPs
was air-dried for two hours in two stages at 55
°C. Ammonium pyrrolidine dithiocarbamate
(APDC) was mixed with ionic liquid 1-hexyl-
3-methylimidazolium hexafluorophosphate
(hydrophobic) in the presence of acetone at 25
°C for 10 minutes. Then an organic mixture
(ionic liquid, acetone, ammonium pyrrolidine
dithiocarbamate) was used at 55 ° C for coating
of graphene oxide (IL /APDC-NGO) [21-23].
2.4. General Procedure
By procedure, a sample of lithium was prepared
by diluting 1 ml of blood, urine and serum sample
with DW up to 10 mL. Also, 10 mL of human
biological samples were used for manganese
separation at optimized pH. 25 mg of APDC/IL/
GONPs adsorbent was used to separate lithium
and manganese ions from the blood, serum
and urine of MS patients by the ultrasound
assisted-dispersive-ionic liquid-micro-solid
phase extraction technique (USA-DIL-μ-SPE).
The standard solution of lithium (0.1 - 0.4 mg
L-1) and manganese (0.1 1.5 μg L-1) as the
lower and upper limit of quantification (LLOQ,
ULOQ) were used. After adding adsorbent to
the human samples, it was placed in an ultrasonic
bath for 5 minutes and the lithium and manganese
ions were physically and chemically adsorbed by
a sulfur bond of APDC ligand and the surface of
the graphene oxide, respectively (Mn+2/Li+→NGO;
Mn+2/Li+→: S─IL-NGO). By the proposed
Fig. 1. Determination and separation lithium and manganese ions in human biological samples based
on APDC/IL/GONPs by USA-DIL-μ-SPE procedure
Nano graphene for determination Li and Mn in MS patients Seyed Majid Nabipour Haghighi et al
24
procedure, lithium (Li) and manganese (Mn) ions
are extracted by coordinate covalent bond at pH 5
and 6, respectively (more than 95%). The results
showed us, at high pH, lithium and manganese ions
were precipitated as hydroxide ions (Mn(OH)2 and
LiOH). After the separated phase by centrifuging
(3 min, 3500 rpm), the extracted lithium and
manganese ions were trapped in the bottom of the
conical tube by IL/GONPs. Then, the upper liquid
phase was set aside with an auto-sampler and the
loaded ions on the adsorbent (APDC/IL/GONPs)
were back-extracted by the nitric acid solution (500
μL, 0.3 M) by shaking and centrifuging for 1 minute.
Finally, the concentration of lithium and manganese
ions was determined by the F-AAS and ETAAS,
respectively after diluting eluent up to 1 mL with
0.5 ml of DW. Also, the extraction/separation of
lithium and manganese ions based on GONPs in
human biological samples and the standard solution
was investigated in various pH. For urine analysis,
10 mL of sample was used under similar conditions.
For validation of the method, the standard reference
materials (SRM) and spike samples were used for
standard and human samples. For calibration of
lithium and manganese ions, 10 mL of a standard
aqueous sample containing lithium (0.05, 0.1,
0.2, 0.3 and 0.4 mg L-1) and manganese (0.1, 0.2,
0.4. 0.5, 1.0, 1.5 μgL-1) were prepared from stock
solutions. In addition, the ICP-MS were used to
validate the real samples.
3. Results and Discussion
3.1. Characterization of APDC/IL/graphene
oxide
Fourier transform infrared (FT-IR) spectra were
recorded by a Perkin Elmer spectrophotometer.
The X-ray diffraction (XRD) was obtained based
on a Panalytical X’Pert PRO X-ray diffractometer.
The Bruker (D) FRA-106/S spectrometer was used
for Raman spectra. Scanning electron microscopy
(SEM) images were reported by a Tescan Mira-
3. The transmission electron microscopes images
(TEM, JEM 2100 plus) was achieved by JEOL
Company, Germany.
3.1.1.Electron microscope images
As Figure 2(a, b) and 3(a, b), the scanning electron
microscopy (SEM) and transmission electron
microscope (TEM) images show that the APDC/
IL/GONPs and GONPS has similar multi-layered
with a smooth surface and some with folds.
Wrinkled areas are at the APDC/IL/GONPs and
GONPS level due to the presence of oxygenated
functional groups (such as carboxyl, hydroxyl,
and carbonyl). The APDC/IL/GONPs and GONPS
both consist of randomly accumulated and
wrinkled thin sheets.
Fig. 2a.SEM image of APDC/IL/GONPs Fig. 2b.SEM image of GONPs
Anal. Methods Environ. Chem. J. 4 (4) (2021) 20-35
25
3.1.2.XRD and FT-IR analysis
In the XRD analysis of graphene oxide, a sharp
peak was observed at = 12.267 (d = 0.723)
with the usual GONPs nanoparticle diffraction
peak. The distance d increases from 0.33 to
0.72 nm after the conversion of graphite to
graphene oxide nanoparticles, which may be
due to the formation of abundant oxygenated
functional groups on the graphene oxide
surface. In addition, the peaks at = 12° and
2θ = 42.58o are related to the diffraction planes
of (002) and (100) respectively, which can be
observed in the XRD patterns of both GONPs
and APDC/IL/GONPs. It showed that the
XRD intensity of the peak at = 12° for the
APDC/IL-coated on GONPs was significantly
decreased (Fig.4a and b).
Oxygenated functional groups on the surface of
graphene oxide nanoparticles by FT-IR analysis
can be seen in the following diagram. Accordingly,
the groups C=O and COOH/OH are represented by
the peak of 1728 cm-1 and 3300 cm-1, respectively.
The C-O bonding is shown at peak 1011 cm-1 and
the peak C= C is located at 1590 cm-1 by FTIR. As
physically coated APDC/IL on GONPs any peak
wasn’t added to FTIR of GO (Fig.5).
Fig. 3a.TEM image of APDC/IL/GONPs Fig. 3b.TEM image of GONPs
Fig. 4a. XRD of the GONPS Fig. 4b. XRD of the APDC/IL/GONPS
Nano graphene for determination Li and Mn in MS patients Seyed Majid Nabipour Haghighi et al
26
3.2. Optimization of Method
To achieve optimal conditions in solid-phase
extraction for preconcentration/separation of
lithium and manganese in human biological
samples, the parameters such as pH, the amount of
sorbent, the sample volume, the amount of ionic
liquid, the concentration of APDC ligand, the
shaking and centrifuge time, were investigated.
3.2.1.The pH optimization
The pH effects on the extraction of Li and Mn ions
by APDC/IL/GONPs. So, the various pH between
2-11 was studied for Li and Mn extraction in human
biological matrixes. The results showed, the sulfur
group on the surface of GONPs adsorbent was
caused to extraction Li and Mn ions at pH of 5-7.
Due to the mechanism, the extraction was reduced
at pH < 5 and pH > 7. Therefore, we used pH=6 for
Li and Mn extraction in human biological samples
(blood, serum, urine). The mechanism of absorption
of Li and Mn ions was obtained based on the sulfur
group (SH) on the surface of APDC/IL/GONPs. By
a sulfur group of APDC, the coordinate covalent
bond with Li and Mn ions in human liquid samples
was achieved (Mn+2/Li + →: S─IL-NGO). At pH<
pHPZC, the adsorbent had a positive charge and
due to similarity charges between Li and Mn and
adsorbent, the extraction was decreased. Also, in
pH 5 for Li and pH 6 for Mn, the surface of APDC/
IL/GONPS based on negatively charged (HS─)
coordinated with a positive charge of Li and Mn. At
pH more than 7, Li and Mn ions have participated
as hydroxyl forms (Li OH, Mn(OH)2). Therefore,
we used pH=6 for further studies (Fig. 6).
3.2.2.Optimization of adsorbent amount
The efcient extraction of Li and Mn ions in
human samples were studied by different amount
of APDC/IL/GONPs. For this purpose, the various
mass of APDC/IL/GONPs was evaluated at pH=6.
For Li and Mn extraction, 2-40 mg of APDC/IL/
GONPs in blood, serum, urine and standard solution
were studied and optimized by the USA-DIL-μ-
SPE procedure. Based on the results, the efcient
extractions for Li and Mn ions were obtained by 20
mg of adsorbent in human biological samples. So,
25 mg of APDC/IL/GONPs was used for further
study (Fig. 7).
Fig.5. FT-IR analysis of the APDC/IL/GONPs
Anal. Methods Environ. Chem. J. 4 (4) (2021) 20-35
27
3.2.3.Optimization of sample volume and eluent
The effect of eluent on extraction Li and Mn
ions based on APDC/IL/GONPs were studied
at optimized pH. At low pH, the covalent bond
between the metal and sulfur group was dissociated
and the Li and Mn ions released into liquid
phase. Therefore, the inorganic acid solutions
with different concentrations and volumes (HCl,
HNO3, H3PO4, H2SO4) were used to evaluate the
recovery of the back-extraction process for Li and
Mn ions in human biological samples. The eluent
concentrations between 0.2-2.0 mol L-1 was studied.
The efcient extraction was obtained by HNO3 (0.5
M, 0.25 mL) (Fig. 8). Also, the volume of human
samples and the standard solution was evaluated
from 2.0 mL to 20 mL for Li and Mn concentration
(0.1-0.4 mg L-1, 0.1-1.5 µg L-1). As result, the high
recovery occurred for 10 mL of human biological
samples at pH 5-7 (Fig.9).
Nano graphene for determination Li and Mn in MS patients Seyed Majid Nabipour Haghighi et al
Fig.6. The effect of pH on Li/Mn extraction Fig.7. The effect of adsorbent mass on Li /Mn extraction
2 3 4 5 6 7 8 9 10 2 5 10 15 20 25 30 40 50 60
Fig.8. The effect of eluents
on Li/Mn back-extraction
Fig.9. The effect of sample volume
on Li /Mn extraction
2 5 8 10 12 15 20
0.2 0.3 0.5 1 2
28
3.2.4.Optimization of APDC ligand on adsorbent
The concentration of APDC is one of the
important parameters which should be optimized
by the USA-DIL-μ-SPE procedure method.
For optimizing, 0.1 × 10−6-1.0 × 10−6 mol L−6 of
APDC ligand was used in the human biological
sample. The results showed that, by increasing
ligand concentration up to 0.5 × 10−6 mol L−1, the
recoveries are also increased. Figure 10 shows that
0.35 × 10−6 mol L−1 of APDC was necessary to
obtain the maximum extraction efciency. So, the
amount of chelating agent (APDC) between 0.1-1
μmol L-1 was investigated and 0.35 μmol L-1 was
found the best amount for Li and Mn extraction.
3.2.5.Optimization of time, reusability and
absorption capacity
The dispersion of APDC/IL/GONPs in human
blood, serum, urine or standard solution had a
critical role for extraction Li(I) and Mn(II). The
time extraction depended on chemical adsorption
between the sulfur group with metals at pH 5-7. By
the USA-DIL-μ-SPE procedure, the shaking time
was examined between 1- 10 min. It has occurred
that the shaking of 5.0 min was the favourite time for
ions extraction in samples. In this study, the time of
shaking and centrifuging process were investigated
and 5 min was found suitable for the shaking and
3 min for centrifuging process (3500 rpm). After
sonication for 5 min, the APDC/IL/GONPs was
trapped at the end of the conical tube and then the
upper liquid phase was put out by auto-sampler. The
reusability of APDC/IL/GONPs was obtained with
many cycles extraction/back-extraction process.
The results showed the adsorbent can be used for
12 cycles. The absorption capacities for cadmium
depended on the characterization of APDC/IL/
GONPs and surface area. The absorption capacities
of APDC/IL/GONPs for Li and Mn was achieved
at 148.5 mg g-1, 122.3 mg g-1, respectively.
3.2.6.Interference cations and anions
The effect of interference of ions on Li and Mn
extraction in human biological samples were
studied by the USA-DIL-μ-SPE procedure. The
concentrations of ions were added to the standard
solution and human samples with lithium (0.1
- 0.4 mg L-1) and manganese (0.1 1.5 μgL-1) at
optimized conditions. The results showed the
interference of ions couldn’t decrease the efcient
extraction of Li and Mn ions at pH=6. (Table 1).
Anal. Methods Environ. Chem. J. 4 (4) (2021) 20-35
Fig.10. The effect of APDC concentration on Li /Mn extraction by the USA-DIL-μ-SPE procedure
0.1 0.2 0.3 0.35 0.4 0.5 0.6 0.8 0.9 1
29
3.2.7.Method validation
The concentration of Li and Mn in human blood
and standard samples was determined by the USA-
DIL-μ-SPE procedure. The results were obtained
based on the average of three analyses in blood
samples. The rate of recovery showed that the
proposed method has good accuracy and precision
in the blood matrix. The recovery of spiked blood
samples and the standard solution was more than
95%. This method was satisfactory for the analysis
of analytes in the human blood samples. Lithium
and manganese concentrations were studied in
MS patients (40, subject) and healthy people (40,
control) by the USA-DIL-μ-SPE procedure. Mean
lithium and manganese concentrations in control
groups were signicantly lower than MS patients.
In addition, for the validation of the method,
standard reference materials (SRM) for Li and
Mn were examined by the adsorbent. The results
of blood samples in standard reference samples
(SRM) was satisfactorily conrmed the accurate
concentration of Li and Mn ions. The following
table shows the validation of the USA-DIL-μ-SPE
procedure based on APDC/IL/GONPs by spiking
Table 1. Interference cations and anions for Li and Mn extraction based
on APDC/IL/GONPs by the USA-DIL-μ-SPE procedure
Interfering Ions(A)
Mean ratio
(CA /C Li(I))
Mean ratio
(CA /C Mn(II))Recovery (%) Recovery (%)
Li Mn Li Mn
Ni2+, Co2+, Se2- 700 850 98.3 97.9
Cr3+, Al3+, Ag+ 600 700 97.1 97.3
I-, Br-, F-, Cl-1000 1100 97.8 98.4
Na+, K+, Ca2+, Mg2+ 1200 1300 98.8 99.1
CO3
2-, PO4
3-,NO3
-800 900 96.6 97.0
Zn2+, Cu2+ 500 750 97.5 98.5
Pb2+, Mo2+, Fe2+ 850 650 98.2 97.3
Hg2+ 100 80 96.2 98.5
Table 2. Validation of Mn determination in serum, blood and urine of MS patients by spiking
samples with the standard solution by the USA-DIL-μ-SPE procedure coupled to ET-AAS
Sample Added (μg L-1) Mn aFound (μg L-1) Mn (%) Recovery
Blood
--- 0.052 ± 1.244 ---
0.5 0.117 ± 1.729 97.0
1.0 0.135 ± 2.251 100.7
Serum
--- 0.063 ± 1.036 ---
0.5 0.072 ± 1.531 99.0
1.0 0.203 ± 1.984 94.8
Urine
--- 0.033 ± 0.784 ---
0.5 0.065 ± 1.293 101.8
1.0 0.084 ± 1.781 99.7
aMean of three determinations of samples ± condence interval (P = 0.95, n =8)
Nano graphene for determination Li and Mn in MS patients Seyed Majid Nabipour Haghighi et al
30
real samples and standard reference materials.
ICP-MS was used to prepare standard reference
samples (SRM) for validation of methodology. In
this study, the method was validated by spiking
real samples with a standard Li and Mn solution
in blood, serum and urine samples (Table 2
and 3). Also, the Li and Mn were validated by
ICP-MS. Validation of Mn and Li extraction in
human samples was obtained based on APDC/Il/
GONPs and standard reference materials (ICP-
MS analysis) by the USA-DIL-μ-SPE procedure
(Table 4 and 5). The results demonstrated the high
extraction and recovery for Li and Mn in human
blood matrixes. As intra and inter-day analysis, the
40 MS patients were compared to healthy people
by the USA-DIL-μ-SPE procedure (40 Men, 25-55
age, Iran) (Table 6). As Table 6, the concentration
of lithium and manganese ions in the human body
uids for MS patients is signicantly higher than
the concentration of healthy people.
3.2.8.Discussion
The analysis of biological uids is one of the most
appropriate forms of evaluating environmental
Table 3. Validation of Li determination in serum, blood and urine of MS patients
by spiking samples with the standard solution by the USA-DIL-μ-SPE procedure coupled to F-AAS
Sample Added (mg L-1) Li aFound (mg L-1) Li (%) Recovery
Blood
--- 0.07 ± 1.56 ---
1.0 0.12 ± 2.61 105.0
1.5 0.14 3.02± 97.3
Serum
--- 0.12 ± 2.16 ---
1.0 0.15 ± 3.11 95.0
1.5 0.18 ± 3.63 98.0
Urine
--- 0.033 ± 1.88 ---
1.0 0.065 ± 2.92 104.0
1.5 0.084 ± 3.33 96.6
aMean of three determinations of samples ± condence interval (P = 0.95, n =8)
Table 4. Validation methodology for Mn determination in human samples based on APDC/Il/
GONPs and standard reference materials (ICP-MS analysis) by the USA-DIL-μ-SPE procedure
(%) Recovery
Found a
µg L-1
Certied b
µg L-1
Added
µg L-1
Samples b
98.40.06 ± 1.210.02 ± 1.23------Serum
97.00.12 ± 2.18------1.0
102.50.04 ± 0.810.01 ± 0.79-----Blood
96.00.05 ± 1.29------0.5
97.10.06 ± 0.980.02 ± 1.01------Urine
101.00.09 ± 1.99------1.0
aMean of three determinations of samples ± condence interval (P = 0.95, n =8)
bICP-MS analyzer for blood, serum and urine as CRM (µgL-1)
Anal. Methods Environ. Chem. J. 4 (4) (2021) 20-35
31
exposure to pollutants such as toxic metals.
Metals are important constituents widely used in
different industrial processes and can be present in
biological uids, namely urine, as a consequence
of occupational exposure. Although atomic
absorption spectrometric techniques, (ame or
graphite furnace mode; FAAS and GFAAS) are
a powerful analytical tool for the determination
of trace metals. Determination of metals in urine,
serum and blood samples is very difcult due to
various factors, particularly low metal content and
high salt content of the sample matrix. The use
of a separation and preconcentration technique in
the analytical process can solve these problems
and lead to easy determination of trace metals in
urine, serum and blood samples. There are many
methods for preconcentration/separation of trace
heavy metals from human biological samples
[24]. Komatsu et al reported determination of Li
in whole blood by using colorimetric determination
of lithium ions with a low limit of detection about
0.054 mM, and the coefcient of variance below
6.1%. A portion of whole blood has been placed on
the end of the separation unit, plasma in the sample
is automatically transported to the detection unit,
which displays a diagnostic color [25]. This method
has higher LOD and RSD% as compared to the USA-
DIL-μ-SPE procedure. Also, a wide linear range
Table 5. Validation methodology for Li determination in human samples based on APDC/Il/
GONPs and standard reference materials (ICP-MS analysis) by the USA-DIL-μ-SPE procedure
(%) Recovery
Founda
mg L-1
Certied
mg L-1
Added
mg L-1
Samples b
97.20.15 ± 3.140.05 ± 3.23------ Serum
97.50.24 ± 5.09------2.0
99.30.13 ± 2.860.02 ± 2.88-----Blood
100.80.24 ± 5.38------2.5
102.10.11 ± 2.020.01 ± 1.98------Urine
98.50.09 ± 3.99------2.0
aMean of three determinations of samples ± condence interval (P = 0.95, n =8)
bICP analyzer for blood, serum and urine as CRM (mgL-1)
Table 6. The comparing of Li and Mn concentration in MS patients with healthy people by the
USA-DIL-μ-SPE procedure
**Sample
*Patients MS * Control Patients MS
Li
(mgL-1)
Mn
(µgL-1)
Li (mgL-1) Mn
(µgL-1)
r Li P value r Mn P value
Blood 6.19 ±
0.29
14.24 ±
0.65**
3.42 ± 0.15 3.12 ±
2.11**
0.202 <0.001 0.115 <0.001
Urine 4.35 ±
0.22
6.83 ±
0.31**
1.75 ± 0.07 2.42 ±
0.90
0.196 <0.001 0.076 <0.001
Serum 7.47 ±
0.33
1.34 ±
0.06
2.58 ± 0.12 0.63 ±
3.92
0.221 <0.001 0.109 <0.001
*Mean of three determinations of samples ± condence interval (P = 0.95, n =40)
** Sample dilution (1:10) over a linear range of Mn
Nano graphene for determination Li and Mn in MS patients Seyed Majid Nabipour Haghighi et al
32
between 0.1-0.4 mg L-1 was used based on APDC/
IL/GONPs. Suherman et al reported electrochemical
detection and quantication of lithium ions in
authentic human saliva using LiMn2O4-modied
electrodes. The sensing strategy is based on an
initial galvanostatic delithiation of LMO followed
by linear stripping voltammetry (LSV) to detect
the re-insertion Li+ in the analyte. The process was
investigated using powder X-ray diffraction (PXRD)
and voltammetry. LSV measurements reveal a
measurable lower limit of 50.0 µM in both LiClO4
aqueous solutions and synthetic saliva samples [26].
Filippini et al showed that the determinants of serum
manganese levels in an Italian population. They
employed an inductively coupled plasmasector eld
mass spectrometry (ICP-SFMS) instrument for Mn
determination in medium resolution mode. The LOD
for Mn-peaks in SEC-ICP-DRC-MS was calculated
as 3 σ-criterion and found between 28-35 ng L-1 [27].
This method is expensive and sample preparation
needs before analysis. On the other hand, as normal
level Mn in serum or blood (µgL-1), the USA-DIL-
μ-SPE procedure has a sufcient rate. Zabłocka et al
reported an applied method for evaluation Zn, Cu and
Mn in serum /whole blood samples and their relation
to redox status in lung cancer patients. In their study
for whole blood preparation, 0.5 ml was performed
twice by microwave −technique wet mineralization
in a closed system using MLS 1200 Mega, with
mixture 1:5 of H2O2(30%) and HNO3(69–70%)
and graphite furnace atomization was used for the
determination of Mn. They reported analytical
values of Zn, Mn and Cu were: 8.97 mg L-1, 47.3
μg L-1 and 2.47 mg L-1, respectively. Mean accuracy
(n = 6) was as follows: 98,3% (Zn), 105.9% (Mn)
and 91.6% (Cu) which was comparable to the USA-
DIL-μ-SPE procedure for Mn determination [28].
In this study, we used the USA-D-μ-SPE procedure
based on APDC/IL/GONPs for micro-extraction
and determination of lithium and manganese
concentration in human biological samples. The
surface charge of GONPs is negative so, the
electrostatic attraction between negatively charged
of adsorbent and positive charge of Li+ and Mn2+
ions have occurred at optimized pH=6. In addition,
quantitative extraction of more than 95% was
observed in the optimized sample volume. It was
also noticed that higher sample volumes, partially
solubilized the ionic liquid phase, leading to non-
reproducible results and increased the amount of
GONPs. It was also observed that the extraction
efciency was remarkably affected by GONPs and
IL amount, so they were examined within the range
of 2 to 60 mg and 10 to 100 mg for GONPs and IL,
respectively. Quantitative extraction was observed at
25 mg of GONPs for Li and Mn which was lower or
similar amount as compared to other methods. The
USA-DIL-μ-SPE method was applied to determine
Li+ and Mn2+ for 1 mL and 10 ml in human biological
samples, respectively. The spiked serum and blood
were prepared to demonstrate the reliability of the
method for extraction and determination of Mn and
Li. At optimized condition, the LOD of the method
was found 0.03 mg L-1 for Li and 0.026 μgL-1 for
Mn2+ and working ranges was found 0.3-1.0 mg L-1
for Li and 0.08-5 μgL-1 for Mn. The mean of Mn2+
and Li+ concentration in blood, urine and serum of
MS patients and healthy people were determined
by the USA-DIL-μ-SPE procedure which was near
to recently reported. The results showed that the
concentration of Li+ and Mn2+ ions in the blood,
urine and serum of MS patients were higher than
healthy people, (6.19±0.29 μgL-1 vs 3.42±0.15 μgL-
1, P<0.05 for Li in the blood and 6.83±0.31 mgL-1
vs 2.42±0.90 mgL-1, P<0.05 for Mn in urine). The
adsorption capacity of APDC/IL/GONPs for Li+ and
Mn2+ ions were found at 148.5 mg g-1, 122.3 mg g-1,
respectively. This study showed that the application
of APDC/IL/GONPs as the SPE procedure is a fast
and low-cost separation route without nonabsorbent
loss. Therefore, APDC/IL/GONPs is considered
to be excellent and potential adsorbent for the
extraction of Li+ and Mn2+ ions in human biological
uids.
4. Conclusions
A novel APDC/IL/GONPs was used for separation/
extraction and determination of Li and Mn ions
in human blood, serum and urine samples by the
USA-DIL-μ-SPE procedure. The IL ([HMIM]
Anal. Methods Environ. Chem. J. 4 (4) (2021) 20-35
33
[PF6]) property was helped to collect the GONPs
phase from the liquid phase in the bottom of the
conical tube. By the proposed procedure, a fast and
simple, efcient extraction and perfect separation
were achieved at pH 5-7 (RSD 5%). The APDC
ligand coated on nanoparticles of GONPs enhanced
the Li and Mn extraction in blood samples. By the
USA-DIL-μ-SPE procedure many advantages such
as good reusability, perfect separation, low cost, and
high recovery (more than 95%) were achieved
as compared to ICP-MS and other techniques.
Therefore, the separation and determination of
Li and Mn ions in human samples were achieved
in optimized conditions. The results showed the
detection limits (LOD), pre-concentration factor
and the linear range of the method for Li and Mn
were obtained (0.03 mg L-1 and 0.025 μg L-1), (9.72,
10.2) and (0.1-0.4 mg L-1 and 0.08-1.5 mg L-1),
respectively. The adsorption capacity of graphene
oxide for lithium and manganese was achieved
at 148.5 mg g-1 and 122.3 mg g-1, respectively.
Validation of the method was performed by spiking
samples and standard reference materials (SRM) in
the human blood, serum and urine.
5. Acknowledgement
The Ethical Committee of Azad University
(E.C.: R.IAU.PS.REC.1398.272) was obtained
for blood sample project by the world medical
association declaration of Helsinki (WMADH)
based on guiding physicians in human body
research.
6. References
[1] V.L. Feigin, A.A. Abajobir, K.H.Abate,
F. Abd-Allah, A.M. Abdulle, S.F. Abera,
Global regional and national burden of
neurological disorders during 1990–2015:
a systematic analysis for the Global Burden
of disease study 2015, Lancet Neurol.,16
(2017) 877-897. https://doi.org/10.1016/
S1474-4422(17)30299-5
[2] M.D. Napier, Heavy metals, organic solvents,
and multiple sclerosis: an exploratory look at
gene-environment interactions, Arch. Environ.
Occup. Health, 71 (2016) 26-34. https://
doi.org/10.1080/19338244.2014.937381
[3] A. Karimi, K. Bahrampour, M.A.M.
Moghaddam, G. Asadikaram, G. Ebrahimi,
M. Torkzadeh-Mahani, Evaluation of lithium
serum level in multiple sclerosis patients:
A neuroprotective element, Mult. Scler.
Relat. Disord., 17 (2017) 244-48. https://doi.
org/10.1016/j.msard.2017.08.019
[4] D.F.D. Mota, B. D. Leverson, J. L. Goossens,
Lithium in medicine: mechanisms of
action, Met. Ions Life Sci., 16 (2016) 557-584.
https://doi.org/10.1007/978-3-319-21756-7_15
[5] C. Garza-Lombó, Y. Posadas, L. Quintanar,
M. E. Gonsebatt, R. Franco, Neurotoxicity
linked to dysfunctional metal ion homeostasis
and xenobiotic metal exposure: redox
signaling and oxidative stress, Antioxid.
Redox Signal, 28 (2018) 1669-1703.
https://doi.org/10.1089/ars.2017.7272
[6] P. Chen, S. Chakraborty, S. Mukhopadhyay,
E. Lee, M. M.B. Paoliello, A. B. Bowman,
M. Aschner, Manganese homeostasis in the
nervous system, J. Neurochem., 134 (2015)
601-610. https://doi.org/10.1111/jnc.13170
[7] R. Nicholas, R. Waqar, Multiple sclerosis, Am.
Fam. Physician, 87 (2013) 712-714. https://
pubmed.ncbi.nlm.nih.gov/23939450/
[8] A. Winckelmann, D. Morcillo, S. Richter, S.
Recknagel, J. Riedel, J. Vogl, U. Panne, C.
Abad, Determination of lithium in human
serum by isotope dilution atomic absorption
spectrometry, ChemRxiv, (2021). https://doi.
org/10.26434/chemrxiv.14130080.v1
[9] M. Aliasgharpour, H. Hagani, Evaluation
of lithium determination in three analyzers:
ame emission, FAAS and ion-selective
electrode, Am. J. Med., 1 (2009) 244-246.
https://dx.doi.org/10.4297%2Fnajms.2009.5244
[10] M. Aliomrani, M. A. Sahraian, H. Shirkhanloo,
M. Sharifzadeh, M. R. Khoshayand, M.
H. Ghahremani, Blood concentrations of
cadmium and lead in multiple sclerosis
patients from Iran, Iran. J. Pharm. Sci., 15
(2016) 825-833. https://www.ncbi.nlm.nih.
gov/pubmed/28243279
Nano graphene for determination Li and Mn in MS patients Seyed Majid Nabipour Haghighi et al
34
[11] M. de Oliveira, T.M. Gianeti, F.C. da Rocha,
P.N. Lisboa-Filho, M. Piacenti-Silva, A
preliminary study of the concentration of
metallic elements in the blood of patients
with multiple sclerosis as measured by ICP-
MS, Sci. Rep., 10 (2020) 13112. https://doi.
org/10.1038/s41598-020-69979-9
[12] U. Kramer, M. Kress, H. Reinauer, M.
Spannagl, P. Kaiser, Candidate reference
measurement procedures for chloride,
potassium, sodium, calcium, magnesium, and
lithium by inductively coupled plasma (isotope
dilution) sector eld mass spectrometry
(ICP-(ID) SFMS) in serum, Clin. Lab., 59
(2013) 1017-1029. https://doi.org/10.7754/
clin.lab.2012.120902
[13] J. Lin, Y. Liu, Z. Hu, L. Yang, K. Chen, H. Chen,
K. Zong, S. Gao, Accurate determination of
lithium isotope ratios by MC-ICP-MS without
strict matrix-matching by using a novel
washing method, J. Anal. At. Spectrom., 31
(2016) 390-397. https://doi.org/10.1039/
C5JA00231A
[14] A. Winckelmann, S. Nowak, S. Richter, S.
Recknagel, J. Riedel, J. Vogl, U. Panne, C.
Abad, High-Resolution atomic absorption
apectrometry aombined withmachine learning
data processing for isotope amount ratio
analysis of lithium, ChemRxiv, (2021). https://
doi.org/10.26434/chemrxiv.13583024.v1
[15] E. Marguí, R. Dalipi, E. Sangiorgi, M. B.
Štefan, K. Sladonja, V. Rogga, J. Jablan,
Determination of essential elements (Mn, Fe,
Cu and Zn) in herbal teas by TXRF, FAAS
and ICPOES, Xray Spectrom., (2021)1-10.
https://doi.org/10.1002/xrs.3241
[16] N. Solovyev, M. Vinceti, P. Grill, J. Mandrioli,
B. Michalke, Redox speciation of iron,
manganese, and copper in cerebrospinal uid
by strong cation exchange hromatography–
sector eld inductively coupled plasma
mass spectrometry, Anal. Chim. Acta, 973
(2017) 25-33. https://doi.org/10.1016/j.
aca.2017.03.040
[17] H. Shirkhanloo, M. Ghazaghi, M. M. Eskandari,
Cloud point assisted dispersive ionic liquid-
liquid microextraction for chromium speciation
in human blood samples based on isopropyl
2-[(isopropoxycarbothiolyl) disulfanyl] ethane
thioate, Anal. Chem. Res., 10 (2016) 18-27.
https://doi.org/10.1016/j.ancr.2016.10.002
[18] D. Zou, Y. Qing, Y. Li, M. Liu, Y. Yang,
Determination of manganese (VII),
chromium (VI) and nickel (II) in medicinal
herb samples by cloud point extraction and
high-performance liquid chromatography, J.
Iran. Chem. Soc., 11 (2014) 415-422.
https://doi.org/10.1007/s13738-013-0313-6
[19] K. M. Diniz, C. R. T. Tarley, Speciation
analysis of chromium in water samples through
sequential combination of dispersive magnetic
solid-phase extraction using mesoporous
amino-functionalized Fe3O4/SiO2 nanoparticles
and cloud point extraction, Microchem. J.,
123 (2015) 185-195. https://doi.org/10.1016/j.
microc.2015.06.011
[20] M. Rezvani, AA. Asgharinezhad, H.
Ebrahimzadeh, N. Shekari, A polyaniline-
magnetite nanocomposite as an anion
exchange sorbent for solid-phase extraction
of chromium (VI) ions, Microchim. Acta, 181
(2014) 1887-1895. https://doi.org/10.1007/
s00604-014-1262-1
[21] M. K. Abbasabadi, A. Rashidi, S.
Khodabakhshi, Benzenesulfonic acid-grafted
graphene as a new and green nanoadsorbent
in hydrogen sulde removal, J. Nat. Gas
Sci. Eng., 28 (2016) 87-94. https://doi.
org/10.1016/j.jngse.2015.11.043
[22] J. Hummers, S. William, R. E.
Offeman, Preparation of graphitic
oxide, J. Am. Chem. Soc., 80 (1958) 1339.
https://doi.org/10.1021/ja01539a017
[23] M. K. Abbasabadi, D. Azarifar,
Magnetic Fe3O4-supported sulfonic acid-
functionalized graphene oxide (Fe3O4@
GO-naphthalene-SO3 H): a novel and
recyclable nanocatalyst for green one-
pot synthesis of 5-oxo-dihydropyrano [3,
2-c] chromenes and 2-amino-3-cyano-1,
Anal. Methods Environ. Chem. J. 4 (4) (2021) 20-35
35
4, 5, 6-tetrahydropyrano [3, 2-c] quinolin-
5-ones, Res. Chem. Intermed., 45 (2019)
2095-2118. https://doi.org/10.1007/s11164-
018-03722-y
[24] R. M. Cespón-Romero, M. C. Yebra-Biurrun,
Determination of trace metals in urine with
an on-line ultrasound-assisted digestion
system combined with a ow-injection
preconcentration manifold coupled to ame
atomic absorption spectrometry, Anal.
Chim. Acta, 609 (2008) 184-191. https://doi.
org/10.1016/j.aca.2008.01.002
[25] T. Komatsu, M. Maeki, A. Ishida, H. Tani,
M. Tokeshi, Based device for the facile
colorimetric determination of lithium
ions in human whole blood, ACS Sens., 5
(2020) 1287-1294. https://doi.org/10.1021/
acssensors.9b02218
[26] A. L. Suherman, B. Rasche, B. Godlewska, P.
Nicholas, S. Herlihy, N. Caiger, P. J. Cowen,
R. G. Compton, Electrochemical detection
and quantication of lithium ions in authentic
human saliva using LiMn2O4-modied
electrodes, ACS sens., 4 (2019) 2497-2506.
https://doi.org/10.1021/acssensors.9b01176
[27] T. Filippini, B. Michalke, P. Grill, C. Malagoli,
M. Malavolti, L. Vescovi, S. Sieri, V. Krogh,
A. Cherubini, G. Maffeis, R. Lucchini,
Determinants of serum manganese levels in
an Italian population, Mol. Med. Rep., 15
(2017) 3340-3349. https://doi.org/10.3892/
mmr.2017.6379
[28] K. Zabłocka-Słowińska, S. Płaczkowska,
A. Prescha, K. Pawełczyk, I. Porębska, M.
Kosacka, L. Pawlik-Sobecka, H. Grajeta,
Serum and whole blood Zn, Cu and Mn
proles and their relation to redox status
in lung cancer patients, J. Trace Elem.
Med. Biol., 45 (2018) 78-84. https://doi.
org/10.1016/j.jtemb.2017.09.024
Nano graphene for determination Li and Mn in MS patients Seyed Majid Nabipour Haghighi et al