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Mancini R, Fernadez-Lopez L, Falcon M, Pellegrini M, Luna A, Rotolo M. Postmortem Analysis of Benzodiazepines in Human Bone by Gas Chromatography-Mass Spectrometry. J Anal Toxicol 2021; 44:985-992. [PMID: 32453428 DOI: 10.1093/jat/bkaa020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2019] [Revised: 11/06/2019] [Accepted: 11/29/2019] [Indexed: 11/12/2022] Open
Abstract
A procedure based on gas chromatography-mass spectrometry was developed for the analysis of benzodiazepines (nordiazepam, oxazepam, lormetazepam, lorazepam, clonazepam, bromazepam and alprazolam) in postmortem human ribs. Powdered bone samples, including marrow remains inside, with the internal standard diazepam-d5 were subjected to enzymatic hydrolysis with 100 μL of β-glucoronidase and were incubated in sodium hydroxide for 1 h in a 70°C oven. Samples underwent liquid phase extraction and ethyl acetate was used as eluent. Chromatography was performed on a fused silica capillary column and the selected-ion-monitoring mode was used for analytes determination. The method was validated in the range 0.1-0.5 ng/mg (depending on the benzodiazepine) to 100 ng/mg with average values of recovery, matrix effect and process efficiency ranged from 83.2 to 94.3%, from 97.3 to 102.1% and from 80.5 to 91.2%, respectively. The intra- and inter-day accuracy was <15%. The procedure was tested in rib specimens obtained during routine autopsies from 20 cases where these benzodiazepines were found in blood. Benzodiazepines were detected in the combined bone and marrow samples in 60% of cases. Lorazepam was detected in bone in the range of 0.3-0.7 ng/mg, nordiazepam at 1.3-4.2 ng/mg and oxazepam at 1.1-1.2 ng/mg. To our knowledge, this protocol for the simultaneous analysis of these benzodiazepines is the first performed and validated using human ribs.
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Affiliation(s)
- Rosanna Mancini
- Istituto Superiore di Sanità, Analytical Pharmacotoxicology, Viale Regina Elena, 299, 00161 Roma, Italy
| | - Lucia Fernadez-Lopez
- University of Murcia, Department of Legal and Forensic Medicine, Calle Campus Universitario, 11, 30100 Murcia, Spain
| | - Maria Falcon
- University of Murcia, Department of Legal and Forensic Medicine, Calle Campus Universitario, 11, 30100 Murcia, Spain
| | - Manuela Pellegrini
- Istituto Superiore di Sanità, Analytical Pharmacotoxicology, Viale Regina Elena, 299, 00161 Roma, Italy
| | - Aurelio Luna
- University of Murcia, Department of Legal and Forensic Medicine, Calle Campus Universitario, 11, 30100 Murcia, Spain
| | - Maria Rotolo
- Istituto Superiore di Sanità, Analytical Pharmacotoxicology, Viale Regina Elena, 299, 00161 Roma, Italy
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Silva AR, Dinis-Oliveira RJ. Pharmacokinetics and pharmacodynamics of dextromethorphan: clinical and forensic aspects. Drug Metab Rev 2020; 52:258-282. [DOI: 10.1080/03602532.2020.1758712] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Affiliation(s)
- Ana Rita Silva
- Department of Public Health and Forensic Sciences, and Medical Education, Faculty of Medicine, University of Porto, Porto, Portugal
| | - Ricardo Jorge Dinis-Oliveira
- Department of Public Health and Forensic Sciences, and Medical Education, Faculty of Medicine, University of Porto, Porto, Portugal
- Department of Sciences, IINFACTS – Institute of Research and Advanced Training in Health Sciences and Technologies, University Institute of Health Sciences (IUCS), CESPU, CRL, Gandra, Portugal
- Department of Biological Sciences, Faculty of Pharmacy, Laboratory of Toxicology, UCIBIO, REQUIMTE, University of Porto, Porto, Portugal
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Cornthwaite HM, McDonald CS, Watterson JH. Analysis of Dextromethorphan and Three Metabolites in Decomposed Skeletal Tissues by UPLC-QToF-MS: Comparison of Acute and Repeated Drug Exposures. J Anal Toxicol 2019; 43:726-733. [PMID: 31504591 DOI: 10.1093/jat/bkz074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2019] [Revised: 05/31/2019] [Accepted: 06/06/2019] [Indexed: 11/14/2022] Open
Abstract
Ultra-performance liquid chromatography quadrupole time-of-flight mass spectrometry (UPLC-QToF-MS) analysis of dextromethorphan (DXM) and its metabolites-dextrorphan, 3-methoxymorphinan (3-MEM) and 3-hydroxymorphinan-in skeletal remains of rats exposed to DXM under different dosing patterns is described. Rats (n = 20) received DXM in one of four dosing patterns: acute (ACU1 or ACU2-100 or 200 mg/kg, i.p.; n = 5, respectively) or repeated (REP1 or REP2-3 doses of 25 or 50 mg/kg, i.p., 30 min apart; n = 5, respectively). Drug-free animals (n = 5) served as negative controls. Following euthanasia, the animals decomposed to skeleton outdoors. Bones were sorted by animal and skeletal element (vertebra, femur, pelvis, tibia, rib and skull), washed, air-dried and pulverized prior to dynamic methanolic drug extraction, filtration/pass-through extraction and analysis by UPLC-QToF-MS in positive electrospray ionization mode. Analyte levels (expressed as mass-normalized response ratios, RR/m) differed significantly between ACU1 and ACU2 (Mann-Whitney (MW), P < 0.05) in all skeletal elements for all analytes investigated, and between REP1 and REP2 in most skeletal elements for 3-MEM and 3-HOM, but in all skeletal elements for DXM. Between ACU1 and ACU2, and between REP1 and REP2, analyte level ratios (RRi/RRj) differed significantly (MW, P < 0.05) in 3/6 to 6/6 skeletal elements, depending on the ratios concerned, with no analyte level ratio differing significantly between both ACU1 vs ACU2 and REP1 vs REP2. Kruskal-Wallis (KW) analysis showed skeletal element to be a main effect for all analyte levels and analyte level ratios in all ACU and REP groups examined (P < 0.05). For data pooled only according to exposure pattern, KW analysis showed dose pattern to be a main effect for both analyte levels and analyte level ratios (P < 0.05). These data illustrate a dependence of these measures on dose, dose pattern and skeletal element, suggesting that some exposure patterns may be distinguished by toxicological analysis of bone.
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Affiliation(s)
- Heather M Cornthwaite
- Department of Chemistry and Biochemistry, Laurentian University, 935 Ramsey Lake Rd, Sudbury, Ontario P3E 2C6, Canada
| | - Claire S McDonald
- Department of Forensic Science, Laurentian University, 935 Ramsey Lake Rd, Sudbury, Ontario P3E 2C6, Canada
| | - James H Watterson
- Department of Chemistry and Biochemistry, Laurentian University, 935 Ramsey Lake Rd, Sudbury, Ontario P3E 2C6, Canada.,Department of Forensic Science, Laurentian University, 935 Ramsey Lake Rd, Sudbury, Ontario P3E 2C6, Canada
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Fernandez-Lopez L, Pellegrini M, Rotolo MC, Luna A, Falcon M, Mancini R. Development and Validation of a Method for the Analysis of Bisoprolol and Atenolol in Human Bone. Molecules 2019; 24:E2400. [PMID: 31261852 PMCID: PMC6651798 DOI: 10.3390/molecules24132400] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2019] [Accepted: 06/24/2019] [Indexed: 11/24/2022] Open
Abstract
A method based on gas chromatography-mass spectrometry (GC-MS) is described for the determination of bisoprolol and atenolol in human bone. After the addition of lobivolol as internal standard, pulverized samples were incubated in acetonitrile for 1 h under ultrasounds. After adjusting the pH of the samples to 6, they were centrifuged, and the supernatants were subjected to solid phase extraction. Elution was achieved by using 3 mL of 2% ammonium hydroxide in 80:20 dichloromethane:isopropanol solution. Eluted samples were evaporated and derivatized. Chromatography was performed on a fused silica capillary column and analytes were determined in the selected-ion-monitoring (SIM) mode. The assay was validated in the range 0.1-0.3 ng/mg (depending on the drug) to 150 ng/mg, the mean absolute recoveries were 60% for bisoprolol and 106% for atenolol, the matrix effect was 69% for bisoprolol and 70% for atenolol and process efficiency was 41% for bisoprolol and 80% for atenolol. The intra- and inter-assay accuracy values were always better than 12%. The validated method was then applied to bone samples from two real forensic cases in which toxicological analysis in blood were positive for atenolol in the first case (0.65 µg/mL) and bisoprolol in the second case (0.06 µg/mL). Atenolol was found in bone samples from the corresponding case at the approximate concentration of 148 ng/mg and bisoprolol was found at 8 ng/mg.
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Affiliation(s)
- Lucia Fernandez-Lopez
- Legal and Forensic Medicine, School of Medicine, University of Murcia,30100 Murcia, Spain
| | - Manuela Pellegrini
- National Centre on Drug Addiction and Doping, Istituto Superiore di Sanità, 00161 Rome, Italy
| | - Maria Concetta Rotolo
- National Centre on Drug Addiction and Doping, Istituto Superiore di Sanità, 00161 Rome, Italy
| | - Aurelio Luna
- Legal and Forensic Medicine, School of Medicine, University of Murcia,30100 Murcia, Spain
| | - Maria Falcon
- Legal and Forensic Medicine, School of Medicine, University of Murcia,30100 Murcia, Spain.
| | - Rosanna Mancini
- National Centre on Drug Addiction and Doping, Istituto Superiore di Sanità, 00161 Rome, Italy
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Fernandez-Lopez L, Pellegrini M, Rotolo MC, Luna Maldonado A, Falcon M, Mancini R. Development and validation of a method for analysing of duloxetine, venlafaxine and amitriptyline in human bone. Forensic Sci Int 2019; 299:154-160. [DOI: 10.1016/j.forsciint.2019.04.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2019] [Revised: 03/18/2019] [Accepted: 04/01/2019] [Indexed: 10/27/2022]
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Fernandez-Lopez L, Luna-Maldonado A, Falcon M, Mastrobattista L, Navarro-Zaragoza J, Mancini R. Development and validation of a gas chromatography–mass spectrometry method for opiates and cocaine in human bone. J Pharm Biomed Anal 2019; 164:636-641. [DOI: 10.1016/j.jpba.2018.11.015] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2018] [Revised: 10/25/2018] [Accepted: 11/05/2018] [Indexed: 10/27/2022]
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The current state and future directions of skeletal toxicology: Forensic and humanitarian implications of a proposed model for the in vivo incorporation of drugs into the human skeleton. Forensic Sci Int 2018; 289:419-428. [DOI: 10.1016/j.forsciint.2018.06.024] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2018] [Revised: 06/04/2018] [Accepted: 06/17/2018] [Indexed: 11/19/2022]
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Cornthwaite HM, Labine L, Watterson JH. Semi-quantitative analysis of tramadol, dextromethorphan, and metabolites in decomposed skeletal tissues by ultra performance liquid chromatography quadrupole time of flight mass spectrometry. Drug Test Anal 2017; 10:961-967. [PMID: 29055108 DOI: 10.1002/dta.2327] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2017] [Revised: 10/08/2017] [Accepted: 10/10/2017] [Indexed: 11/08/2022]
Abstract
The use of filtration/pass-through extraction (FPTE) and ultra-performance liquid chromatography quadrupole time-of-flight mass spectrometry (UPLC-qTOF-MS) to detect tramadol (TRAM), dextromethorphan (DXM), and metabolites from skeletal remains is described. Rats (n=5) received 50 mg/kg tramadol and were euthanized by CO2 asphyxiation approximately 30 minutes post-dose. Rats (n=4) received 75 mg/kg dextromethorphan and were euthanized by CO2 asphyxiation approximately 45 minutes post-dose. Remains decomposed to skeleton outdoors and vertebral bones were collected. Bones were cleaned, dried, and pulverized to a fine powder. Bones underwent dynamic methanolic extraction followed by FPTE before analysis using UPLC-qTOF-MS. Recovery was at least 90% of maximal value within the first 10 minutes of methanolic extraction for all samples assayed. Analytical response was measured over the concentration range of 1-500 ng/mL, with precision and bias <20% in triplicate analyses of all calibrators, and a limit of detection of 1 ng/mL for TRAM, DXM, and all metabolites. The vertebral bone analyzed using this method detected TRAM, DXM, and their respective metabolites in all samples analyzed.
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Affiliation(s)
- H M Cornthwaite
- Department of Chemistry & Biochemistry, Laurentian University, Sudbury, Ontario, Canada
| | - L Labine
- Department of Forensic Science, Laurentian University, Sudbury, Ontario, Canada
| | - J H Watterson
- Department of Chemistry & Biochemistry, Laurentian University, Sudbury, Ontario, Canada.,Department of Forensic Science, Laurentian University, Sudbury, Ontario, Canada
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Morrison LM, Unger KA, Watterson JH. Analysis of Dextromethorphan and Dextrorphan in Skeletal Remains Following Differential Microclimate Exposure: Comparison of Acute vs. Repeated Drug Exposure. J Anal Toxicol 2017; 41:566-572. [DOI: 10.1093/jat/bkx040] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2017] [Accepted: 06/01/2017] [Indexed: 11/14/2022] Open
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