Capillary electrophoresis coupled to mass spectrometry to establish polypeptide patterns in dialysis fluids

Combination of capillary electrophoresis with mass spectrometry (CE–MS) allows generation of polypeptide patterns of body fluids. In a single CE–MS (45 min) run more than 600 polypeptides were analyzed in hemodialysis fluids obtained with different membranes (high-flux/low-flux). Larger polypeptides (Mr>10 000) were almost exclusively present in high-flux dialysates only, while in low-flux dialysates additional small polypeptides were detected. Comparison to the normal urine pattern yielded a surprisingly low consensus: a number of polypeptides present in urine were missing. We established a fast and sensitive technique, easily applicable to the monitoring of different modalities of dialyzers.