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Mashal MS, Guitton J, Sallet P, Bourguignon L, Machon C. Quantitative analysis of nonsteroidal anti-inflammatory drugs in dried blood spot from mountain ultra-trail runners. Contribution of pharmacokinetic models for the interpretation of the results. Drug Test Anal 2024. [PMID: 39148281 DOI: 10.1002/dta.3781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2024] [Revised: 07/02/2024] [Accepted: 07/18/2024] [Indexed: 08/17/2024]
Abstract
Monitoring of drug use in athletes is of interest both for health and competition-related issues. Considering the advantages of Dried Blood Sampling (low invasiveness, easy sampling, long term storage), we have validated a quantitative LC-MS/HRMS method for the screening of 16 nonsteroidal anti-inflammatory drugs. For all drugs, accuracy and imprecision were within 15% for the 3 levels of quality control and lower than 20% for the lower limit of quantification. Application was performed from samples obtained for Ultra-Trail du Mont-Blanc® 2021 and 2022. A focus on ibuprofen and its metabolites (hydroxyibuprofen, carboxyibuprofen, ibuprofen glucuronide and hydroxyibuprofen glucuronide) was made because the results showed that it was the most detected nonsteroidal anti-inflammatory drug. Further, an interpretation of the ibuprofen concentrations was proposed either from experimental data obtained after an intake of ibuprofen by 10 control subjects, or from a pharmacokinetic modelling and simulations. Depending on the analytical performances of the method, we proposed possible detection windows for ibuprofen in runners. The pharmacokinetic model made it possible to consider two scenarios with and without modification of the total clearance of ibuprofen linked to a modification of the pharmacokinetics of the drugs due to the practice of a long and intense physical activity.
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Affiliation(s)
- Mohammad Shafiq Mashal
- Biochemistry and Pharmacology-Toxicology Laboratory, Lyon Sud Hospital, University Hospital of Lyon, Pierre-Bénite, France
- Toxicology Department, Pharmacy Faculty of Kabul University, Kabul, Afghanistan
| | - Jérôme Guitton
- Biochemistry and Pharmacology-Toxicology Laboratory, Lyon Sud Hospital, University Hospital of Lyon, Pierre-Bénite, France
- Pharmacology-Physiology-Toxicology Department, ISPB Pharmacy Faculty of Lyon, University of Lyon, Lyon, France
| | | | - Laurent Bourguignon
- Pharmacology-Physiology-Toxicology Department, ISPB Pharmacy Faculty of Lyon, University of Lyon, Lyon, France
- Pharmacy Department, University Hospital of Lyon, GH Nord, Lyon, France
| | - Christelle Machon
- Biochemistry and Pharmacology-Toxicology Laboratory, Lyon Sud Hospital, University Hospital of Lyon, Pierre-Bénite, France
- Analytical chemistry laboratory, ISPB Pharmacy Faculty of Lyon, University of Lyon, France
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Mashal MS, Bevalot F, Citterio-Quentin A, Sallet P, Nazari QA, Guitton J, Machon C. Comparative study between direct analysis in whole blood, oral fluid, and declaration of consumption for the prevalence of nonsteroidal anti-inflammatory drugs and acetaminophen in ultratrail runners. Drug Test Anal 2023; 15:97-103. [PMID: 36165210 PMCID: PMC10091786 DOI: 10.1002/dta.3374] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2022] [Revised: 09/15/2022] [Accepted: 09/23/2022] [Indexed: 01/26/2023]
Abstract
Ultratrail running is a sport with growing number of adherents. To complete ultratrail despite physical issues such as joint and muscle pain, many runners use nonsteroidal anti-inflammatory drugs (NSAIDs) and acetaminophen. Studies asking participants about their consumption of drugs during ultratrail revealed a prevalence of NSAIDs and acetaminophen up to 70% and 25%, respectively. The aims of the present study were to determine the prevalence of NSAIDs and acetaminophen for 81 runners during the 2021 Ultratrail du Mont Blanc® (UTMB®) using direct analysis of dried blood spots (DBS) and oral fluid (OF) and to compare results with the declaration of consumption by runners; this is to identify the most relevant method to study the prevalence of drugs. Our results show a prevalence of NSAIDs of 46.6% using DBS, 18.5% using OF, and 13.8% based on a questionnaire. Prevalence of acetaminophen were 30.1%, 30.9%, and 22.5% using DBS, OF, and questionnaire, respectively. From this study, we conclude that the analysis of drugs directly in DBS is the most relevant tool to determine the prevalence in ultratrail events.
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Affiliation(s)
- Mohammad Shafiq Mashal
- Biochemistry and Pharmaco-toxicology Laboratory, Lyon Sud Hospital, University Hospital of Lyon, Lyon, France.,Pharmacology Department, Pharmacy Faculty, Kabul University, Kabul, Afghanistan
| | | | - Antony Citterio-Quentin
- Biochemistry and Pharmaco-toxicology Laboratory, Lyon Sud Hospital, University Hospital of Lyon, Lyon, France
| | | | - Qand Agha Nazari
- Pharmacology Department, Pharmacy Faculty, Kabul University, Kabul, Afghanistan
| | - Jérôme Guitton
- Biochemistry and Pharmaco-toxicology Laboratory, Lyon Sud Hospital, University Hospital of Lyon, Lyon, France.,Toxicology Laboratory, ISPB Pharmacy Faculty of Lyon, University of Lyon, Lyon, France
| | - Christelle Machon
- Biochemistry and Pharmaco-toxicology Laboratory, Lyon Sud Hospital, University Hospital of Lyon, Lyon, France.,Analytical Chemistry Laboratory, ISPB Pharmacy Faculty of Lyon, University of Lyon, Lyon, France
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Determination of IQZ23 in rat plasma using LC-MS/MS: consideration for matrix effect and internal standard interference. Bioanalysis 2022; 14:455-465. [PMID: 35484959 DOI: 10.4155/bio-2022-0040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Aim: IQZ23, a novel β-indoloquinazoline derivative, is a potential therapeutic agent for obesity and related metabolic disorders. To assist pharmacokinetics evaluation, a quantitative method for IQZ23 in rat plasma is required. Methods & Results: An LC-MS/MS assay for the determination of IQZ23 in rat plasma was developed and validated for the first time. Chromatographic conditions were optimized to ameliorate matrix effect with direct monitoring of typical phospholipids, including phosphatidylcholine and lysophosphatidylcholine. The structural analog internal standard (SYSU-3d) was set at a proper concentration to avoid analyte sensitivity loss caused by internal standard interference. The well-validated method was employed in the pharmacokinetics study of IQZ23 in Sprague-Dawley rats. Conclusion: This study provided valuable references for the further preclinical study of IQZ23.
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