# A Simultaneous Determination of the B1 and B6 Vitamers Reveals Their Loss During a Single Peritoneal Dialysis Session: Chromatographic and Chemometric Approach

## TL;DR

This study shows that peritoneal dialysis causes significant losses of B1 and B6 vitamins, especially ThDP and PL, which may require personalized vitamin supplementation for patients.

## Contribution

The study introduces a combined chromatographic and chemometric approach to quantify B1 and B6 vitamer losses during a single dialysis session.

## Key findings

- ThDP showed the highest B1 loss (0.05–0.57 mg/24 h), and PL showed the highest B6 loss (0.01–0.19 mg/24 h) during dialysis.
- Vitamin losses varied by dialysis type (CAPD vs. APD) and peritoneal transport category.
- Body weight, haemoglobin, and haematocrit were significant predictors of ThDP washout (R2 = 0.58).

## Abstract

This study aimed to assess the extent of vitamin B1 and B6 vitamer loss during a single peritoneal dialysis (PD) session using a combination of chromatographic techniques and chemometric analysis. Dialysis effluent samples were collected from 41 PD patients (22 on continuous ambulatory peritoneal dialysis (CAPD) and 19 on automated peritoneal dialysis (APD)) during a standardised peritoneal equilibration test. Concentrations of thiamine monophosphate, thiamine diphosphate (ThDP), pyridoxine, pyridoxal (PL), and pyridoxamine were determined using high-performance liquid chromatography with a fluorescence detector. The analytical method was validated in terms of sensitivity, linearity, accuracy, and recovery. Multiple regression analysis was employed to identify potential clinical and demographic predictors of vitamin washout. All vitamers except pyridoxal 5-phosphate (PLP) were detectable in dialysis effluents. ThDP exhibited the greatest loss among the B1 forms (ca. 0.05–0.57 mg/24 h), while PL exhibited the most significant loss among the B6 forms (ca. 0.01–0.19 mg/24 h). Vitamin losses varied depending on the dialysis modality (continuous ambulatory peritoneal dialysis, or CAPD, versus automated peritoneal dialysis, or APD) and the peritoneal transport category. Regression analysis identified body weight, haemoglobin, and haematocrit as independent predictors of ThDP washout (R2 = 0.58). No statistically robust models were established for the other vitamers. Even short medical procedures (such as single PD) can result in measurable losses of water-soluble vitamins, particularly ThDP and PL. The results emphasise the importance of personalised vitamin supplementation for PD patients and suggest that body composition and haematological parameters significantly influence the loss of thiamine.