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Rosendo LM, Rosado T, Zandonai T, Rincon K, Peiró AM, Barroso M, Gallardo E. Opioid Monitoring in Clinical Settings: Strategies and Implications of Tailored Approaches for Therapy. Int J Mol Sci 2024; 25:5925. [PMID: 38892112 PMCID: PMC11173075 DOI: 10.3390/ijms25115925] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2024] [Revised: 05/25/2024] [Accepted: 05/27/2024] [Indexed: 06/21/2024] Open
Abstract
This review emphasises the importance of opioid monitoring in clinical practice and advocates for a personalised approach based on pharmacogenetics. Beyond effectively managing pain, meticulous oversight is required to address concerns about side effects, specially due to opioid-crisis-related abuse and dependence. Various monitoring techniques, along with pharmacogenetic considerations, are critical for personalising treatment and optimising pain relief while reducing misuse and addiction risks. Future perspectives reveal both opportunities and challenges, with advances in analytical technologies holding promise for increasing monitoring efficiency. The integration of pharmacogenetics has the potential to transform pain management by allowing for a precise prediction of drug responses. Nevertheless, challenges such as prominent pharmacogenetic testing and guideline standardisation persist. Collaborative efforts are critical for transforming scientific advances into tangible improvements in patient care. Standardised protocols and interdisciplinary collaboration are required to ensure consistent and evidence-based opioid monitoring. Future research should look into the long-term effects of opioid therapy, as well as the impact of genetic factors on individual responses, to help guide personalised treatment plans and reduce adverse events. Lastly, embracing innovation and collaboration can improve the standard of care in chronic pain management by striking a balance between pain relief and patient safety.
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Affiliation(s)
- Luana M. Rosendo
- Centro de Investigação em Ciências da Saúde, Universidade da Beira Interior (CICS-UBI), 6200-506 Covilhã, Portugal;
- Laboratório de Fármaco-Toxicologia, UBIMedical, Universidade da Beira Interior, EM506, 6200-000 Covilhã, Portugal
| | - Tiago Rosado
- Centro de Investigação em Ciências da Saúde, Universidade da Beira Interior (CICS-UBI), 6200-506 Covilhã, Portugal;
- Laboratório de Fármaco-Toxicologia, UBIMedical, Universidade da Beira Interior, EM506, 6200-000 Covilhã, Portugal
- Centro Académico Clínico das Beiras (CACB), Grupo de Problemas Relacionados com Toxicofilias, 6200-000 Covilhã, Portugal
| | - Thomas Zandonai
- Pharmacogenetic Unit, Clinical Pharmacology Department, Alicante Institute for Health and Biomedical Research (ISABIAL), Dr. Balmis General University Hospital, 03010 Alicante, Spain; (T.Z.); (K.R.); (A.M.P.)
- Addiction Science Lab, Department of Psychology and Cognitive Science, University of Trento, 38060 Trento, Italy
- Department of Pharmacology, Paediatrics and Organic Chemistry, Miguel Hernandez University of Elche, 03550 Alicante, Spain
| | - Karem Rincon
- Pharmacogenetic Unit, Clinical Pharmacology Department, Alicante Institute for Health and Biomedical Research (ISABIAL), Dr. Balmis General University Hospital, 03010 Alicante, Spain; (T.Z.); (K.R.); (A.M.P.)
- Clinical Pharmacology Unit, Department of Health of Alicante, University General Hospital Dr. Balmis, 03010 Alicante, Spain
| | - Ana M. Peiró
- Pharmacogenetic Unit, Clinical Pharmacology Department, Alicante Institute for Health and Biomedical Research (ISABIAL), Dr. Balmis General University Hospital, 03010 Alicante, Spain; (T.Z.); (K.R.); (A.M.P.)
- Department of Pharmacology, Paediatrics and Organic Chemistry, Miguel Hernandez University of Elche, 03550 Alicante, Spain
- Clinical Pharmacology Unit, Department of Health of Alicante, University General Hospital Dr. Balmis, 03010 Alicante, Spain
| | - Mário Barroso
- Serviço de Química e Toxicologia Forenses, Instituto Nacional de Medicina Legal e Ciências Forenses-Delegação do Sul, 1169-201 Lisboa, Portugal;
| | - Eugenia Gallardo
- Centro de Investigação em Ciências da Saúde, Universidade da Beira Interior (CICS-UBI), 6200-506 Covilhã, Portugal;
- Laboratório de Fármaco-Toxicologia, UBIMedical, Universidade da Beira Interior, EM506, 6200-000 Covilhã, Portugal
- Centro Académico Clínico das Beiras (CACB), Grupo de Problemas Relacionados com Toxicofilias, 6200-000 Covilhã, Portugal
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Zheng J, Kuang Y, Zhou S, Gong X, Ouyang G. Latest Improvements and Expanding Applications of Solid-Phase Microextraction. Anal Chem 2023; 95:218-237. [PMID: 36625125 DOI: 10.1021/acs.analchem.2c03246] [Citation(s) in RCA: 24] [Impact Index Per Article: 24.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Affiliation(s)
- Juan Zheng
- Ministry of Education (MOE) Key Laboratory of Bioinorganic and Synthetic Chemistry, School of Chemistry/School of Chemistry and Chemical Engineering, Sun Yat-sen University, Guangzhou 510006, China
| | - Yixin Kuang
- Ministry of Education (MOE) Key Laboratory of Bioinorganic and Synthetic Chemistry, School of Chemistry/School of Chemistry and Chemical Engineering, Sun Yat-sen University, Guangzhou 510006, China
| | - Suxin Zhou
- Ministry of Education (MOE) Key Laboratory of Bioinorganic and Synthetic Chemistry, School of Chemistry/School of Chemistry and Chemical Engineering, Sun Yat-sen University, Guangzhou 510006, China
| | - Xinying Gong
- Ministry of Education (MOE) Key Laboratory of Bioinorganic and Synthetic Chemistry, School of Chemistry/School of Chemistry and Chemical Engineering, Sun Yat-sen University, Guangzhou 510006, China
| | - Gangfeng Ouyang
- Ministry of Education (MOE) Key Laboratory of Bioinorganic and Synthetic Chemistry, School of Chemistry/School of Chemistry and Chemical Engineering, Sun Yat-sen University, Guangzhou 510006, China
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Bagheri AR, Aramesh N, Lee HK. Chitosan- and/or cellulose-based materials in analytical extraction processes: A review. Trends Analyt Chem 2022. [DOI: 10.1016/j.trac.2022.116770] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
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Shan X, Cao C, Yang B. Analytical Approaches for the Determination of Buprenorphine, Methadone and Their Metabolites in Biological Matrices. Molecules 2022; 27:molecules27165211. [PMID: 36014451 PMCID: PMC9415157 DOI: 10.3390/molecules27165211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2022] [Revised: 08/08/2022] [Accepted: 08/08/2022] [Indexed: 11/16/2022] Open
Abstract
The abuse of buprenorphine and methadone has grown into a rising worldwide issue. After their consumption, buprenorphine, methadone and their metabolites can be found in the human organism. Due to the difficulty in the assessment of these compounds by routine drug screening, the importance of developing highly sensitive analytical approaches is undeniable. Liquid chromatography tandem mass spectrometry is the preferable technique for the determination of buprenorphine, methadone and their metabolites in biological matrices including urine, plasma, nails or oral fluids. This research aims to review a critical discussion of the latest trends for the monitoring of buprenorphine, methadone and their metabolites in various biological specimens.
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Jiao P, Li B, Zhang F, Tang C. Chitosan-based matrix solid-phase dispersion extraction assisted cell membrane magnetic bead ligand-affinity assay for screening active compounds from Fructus Cnidii. J Sep Sci 2022; 45:3725-3734. [PMID: 35906749 DOI: 10.1002/jssc.202200286] [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: 04/07/2022] [Revised: 07/20/2022] [Accepted: 07/25/2022] [Indexed: 11/09/2022]
Abstract
Cell membrane ligand-affinity assay is a useful tool for screening the active compounds from natural products. However, in traditional cell membrane ligand-affinity assays, natural products need to be refluxed, before being analyzed. This process consumes considerable time and energy and cannot be used for screening natural products that contain thermally unstable compounds. Therefore, an efficient analytical method is required. In this study, chitosan-based matrix solid-phase dispersion extraction was combined with cell membrane magnetic bead ligand-affinity assay to form a novel method for identifying the active compounds in Fructus Cnidii such as osthole and imperatorin. When compared with traditional cell membrane ligand-affinity assays, this assay requires less energy, extraction time (7 min), solvent volume (1.2 mL) and fewer natural products (40 mg). This indicates that the chitosan-based matrix solid-phase dispersion extraction assisted cell membrane magnetic beads ligand-affinity assay is an alternative analytical method for studying natural products. This article is protected by copyright. All rights reserved.
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Affiliation(s)
- Pan Jiao
- Tianjin Key Laboratory on Technologies Enabling Development of Clinical Therapeutics and Diagnostics, School of Pharmacy, Tianjin Medical University, Tianjin, 300070, China
| | - Bing Li
- Tianjin Key Laboratory on Technologies Enabling Development of Clinical Therapeutics and Diagnostics, School of Pharmacy, Tianjin Medical University, Tianjin, 300070, China
| | - Fan Zhang
- Tianjin Key Laboratory on Technologies Enabling Development of Clinical Therapeutics and Diagnostics, School of Pharmacy, Tianjin Medical University, Tianjin, 300070, China
| | - Cheng Tang
- Tianjin Key Laboratory on Technologies Enabling Development of Clinical Therapeutics and Diagnostics, School of Pharmacy, Tianjin Medical University, Tianjin, 300070, China
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Pang B, Jiang Y. Progress in pretreatment of methadone: an update since 2015. Prep Biochem Biotechnol 2022; 53:109-119. [PMID: 35369846 DOI: 10.1080/10826068.2022.2056900] [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: 10/18/2022]
Abstract
Methadone, a µ-opioid receptor agonist, is widely used in pain-relieving and treating opioid dependence. If not strictly controlled, as an opioid substitute, it can lead to abuse and cause more severe withdrawal responses than heroin. Also, overdose or abuse of this drug in clinical use may provide severe side effects such as apnea, circulatory collapse, cardiac arrest, and even death. For these reasons, simple, rapid, and efficient methods have been developed for the pretreatment of methadone. This review presents a comprehensive conclusion of the pretreatment methods used for methadone in various sample matrices, focusing on the developments since 2015. Traditionally used pretreatment methods like solid-phase extraction and liquid-liquid extraction are discussed and newly developed methods like solid-phase microextraction and liquid-liquid microextraction along with new materials applied are focused.
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Affiliation(s)
- Bo Pang
- China Medical University-The Queen's University of Belfast Joint College, China Medical University, Shen Yang, China
| | - Yinru Jiang
- China Medical University-The Queen's University of Belfast Joint College, China Medical University, Shen Yang, China
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Sheibani E, Hosseini A, Sobhani Nasab A, Adib K, Ganjali MR, Pourmortazavi SM, Ahmadi F, Marzi Khosrowshahi E, Mirsadeghi S, Rahimi-Nasrabadi M, Ehrlich H. Application of polysaccharide biopolymers as natural adsorbent in sample preparation. Crit Rev Food Sci Nutr 2021; 63:2626-2653. [PMID: 34554043 DOI: 10.1080/10408398.2021.1978385] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/07/2022]
Abstract
Preparing samples for analyses is perhaps the most important part to analyses. The varied functional groups present on the surface of biopolymers bestow them appropriate adsorption properties. Properties like biocompatibility, biodegradability, presence of different surface functional group, high porosity, considerable absorption capacity for water, the potential for modification, etc. turn biopolymers to promising candidates for varied applications. In addition, one of the most important parts of determination of an analyte in a matrix is sample preparation step and the efficiency of this step in solid phase extraction methods is largely dependent on the type of adsorbent used. Due to the unique properties of biopolymers they are considered an appropriate choice for using as sorbent in sample preparation methods that use from a solid adsorbent. Many review articles have been published on the application of diverse adsorbents in sample preparation methods, however despite the numerous advantages of biopolymers mentioned; review articles in this field are very few. Thus, in this paper we review the reports in different areas of sample preparation that use polysaccharides-based biopolymers as sorbents for extraction and determination of diverse organic and inorganic analytes.
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Affiliation(s)
| | - Asieh Hosseini
- Razi Drug Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Ali Sobhani Nasab
- Autoimmune Diseases Research Center, Kashan University of Medical Sciences, Kashan, Iran.,Core Research Lab, Kashan University of Medical Sciences, Kashan, Iran
| | - Kourosh Adib
- Department of Chemistry, Faculty of Basic Sciences, Imam Hossein University, Tehran, Iran
| | - Mohammad Reza Ganjali
- Center of Excellence in Electrochemistry, School of Chemistry, College of Science, University of Tehran, Tehran, Iran.,Biosensor Research Center, Endocrinology and Metabolism Molecular Cellular Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | | | - Farhad Ahmadi
- Physiology Research Center, Iran University of Medical Sciences, Tehran, Iran.,Department of Medicinal Chemistry, School of Pharmacy-International Campus, Iran University of Medical Sciences, Tehran Iran
| | | | - Somayeh Mirsadeghi
- Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Mehdi Rahimi-Nasrabadi
- Molecular Biology Research Center, Systems Biology and Poisonings Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.,Faculty of Pharmacy, Baqiyatallah University of Medical Sciences, Tehran, Iran.,Institute of Electronic and Sensor Materials, TU Bergakademie, Freiberg, Germany
| | - Hermann Ehrlich
- Institute of Electronic and Sensor Materials, TU Bergakademie, Freiberg, Germany.,Centre for Climate Change Research, Toronto, Ontario, Canada.,A.R. Environmental Solutions, ICUBE-University of Toronto Mississauga, Mississauga, Ontario, Canada.,Center for Advanced Technology, Adam Mickiewicz University, Poznan, Poland
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Baheri T, Yamini Y, Shamsayei M, Tabibpour M. Application of HKUST-1 metal-organic framework as coating for headspace solid-phase microextraction of some addictive drugs. J Sep Sci 2021; 44:2814-2823. [PMID: 33945224 DOI: 10.1002/jssc.202100070] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2021] [Revised: 04/28/2021] [Accepted: 04/29/2021] [Indexed: 01/31/2023]
Abstract
In the present study, a copper-based metal-organic framework (HKUST-1) was used first time for preconcentration trace amounts of addictive drugs in biological samples. HKUST-1 was synthesized and coated onto the surface of stainless steel wire. The prepared coating was used in headspace solid-phase microextraction method coupled with gas chromatography-mass spectrometry for preconcentration and determination of some addictive drugs in biological fluids. Prepared coating shows good extraction efficiency due to large surface area, and π-π stacking interaction with selected analytes. Under optimum conditions, the method was validated with a reasonable determination coefficient (R2 > 0.9961) and suitable linear dynamic range (0.5-1000 μg L-1 ). Also, the limits of detections were obtained in the range of 0.1-0.4, 0.2-0.6, and 0.4-0.7 μg L-1 for water, urine, and plasma samples, respectively. The limits of quantification of present method were obtained in the range 0.5-1.3, 0.7-1.5, and 1.0-1.9 μg L-1 in water, urine, and plasma samples, respectively. The intra-day and inter-dye single fiber and fiber to fiber relative standard deviations were observed in the range 3.0-13.9% and 3.5-12.3%, respectively. Finally, the present method was applied for the determination of the drugs in biological samples.
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Affiliation(s)
- Tahmine Baheri
- Department of Chemistry, Tarbiat Modares University, Tehran, Iran
| | - Yadollah Yamini
- Department of Chemistry, Tarbiat Modares University, Tehran, Iran
| | - Maryam Shamsayei
- Department of Chemistry, Tarbiat Modares University, Tehran, Iran
| | - Mahmoud Tabibpour
- Chemistry & Chemical Engineering Research Center of Iran, Tehran, Iran
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