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Lee CW, Su H, Hsu YW, Su LZ, Wu YH, Hou CY, Shih SY, Shiea J. Rapid Characterization of Undeclared Pharmaceuticals in Herbal Preparations by Ambient Ionization Mass Spectrometry for Emergency Care. JOURNAL OF THE AMERICAN SOCIETY FOR MASS SPECTROMETRY 2024; 35:960-971. [PMID: 38616559 PMCID: PMC11066970 DOI: 10.1021/jasms.4c00016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/13/2024] [Revised: 03/12/2024] [Accepted: 04/09/2024] [Indexed: 04/16/2024]
Abstract
In Asia, some herbal preparations have been found to be adulterated with undeclared synthetic medicines to increase their therapeutic efficiency. Many of these adulterants were found to be toxic when overdosed and have been documented to bring about severe, even life-threatening acute poisoning events. The objective of this study is to develop a rapid and sensitive ambient ionization mass spectrometric platform to characterize the undeclared toxic adulterated ingredients in herbal preparations. Several common adulterants were spiked into different herbal preparations and human sera to simulate the clinical conditions of acute poisoning. They were then sampled with a metallic probe and analyzed by the thermal desorption-electrospray ionization mass spectrometry. The experimental parameters including sensitivity, specificity, accuracy, and turnaround time were prudently optimized in this study. Since tedious and time-consuming pretreatment of the sample is unnecessary, the toxic adulterants could be characterized within 60 s. The results can help emergency physicians to make clinical judgments and prescribe appropriate antidotes or supportive treatment in a time-sensitive manner.
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Affiliation(s)
- Chi-Wei Lee
- Institute
of Medical Science and Technology, National
Sun Yat-Sen University, Kaohsiung 804201, Taiwan, ROC
- Rapid
Screening Research Center for Toxicology and Biomedicine, National Sun Yat-Sen University, Kaohsiung 804201, Taiwan, ROC
- Research
Center for Environmental Medicine, Kaohsiung
Medical University, Kaohsiung 80756, Taiwan, ROC
| | - Hung Su
- Department
of Chemistry, National Sun Yat-Sen University, Kaohsiung 804201, Taiwan, ROC
| | - Yi-Wen Hsu
- Institute
of Medical Science and Technology, National
Sun Yat-Sen University, Kaohsiung 804201, Taiwan, ROC
| | - Lin-Zhen Su
- Institute
of Medical Science and Technology, National
Sun Yat-Sen University, Kaohsiung 804201, Taiwan, ROC
| | - Yen-Hung Wu
- Department
of Emergency Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 80756, Taiwan, ROC
| | - Chia-Yi Hou
- Department
of Clinical Pathology, Chi-Mei Medical Center, Liouying 73659, Taiwan, ROC
| | - Shu-Yu Shih
- Department
of Emergency Medicine, Chi-Mei Medical Center, Liouying 73659, Taiwan, ROC
| | - Jentaie Shiea
- Department
of Chemistry, National Sun Yat-Sen University, Kaohsiung 804201, Taiwan, ROC
- Department
of Medicinal and Applied Chemistry, Kaohsiung
Medical University, Kaohsiung 80756, Taiwan, ROC
- Rapid
Screening Research Center for Toxicology and Biomedicine, National Sun Yat-Sen University, Kaohsiung 804201, Taiwan, ROC
- Research
Center for Environmental Medicine, Kaohsiung
Medical University, Kaohsiung 80756, Taiwan, ROC
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Yaghoobian R, Sharifi M, Rezaee M, Vahidi H, Salehi N, Hosseini K. Caffeine Drug Interactions and its Clinical Implication After Acute Coronary Syndrome: A Literature Review. Crit Pathw Cardiol 2023; 22:95-99. [PMID: 37216418 DOI: 10.1097/hpc.0000000000000322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
The hemodynamic and cardiovascular impacts of coffee and caffeine have long been controversial. However, due to the worldwide popularity of coffee and caffeinated beverages, it is essential to understand how they affect the cardiovascular system, specifically in patients with a history of acute coronary syndrome. This literature review was conducted to explore the cardiovascular effects of coffee and caffeine and their interactions with common drugs after acute coronary syndrome and percutaneous coronary intervention. The evidence suggests that moderate coffee and caffeine consumption is not associated with cardiovascular disease in healthy individuals and patients with a history of acute coronary syndrome. The interactions of coffee or caffeine with common medications after acute coronary syndrome or percutaneous coronary intervention are less studied. However, based on the current human studies in this field, the only interaction is with the protective effect of statins on cardiac ischemia.
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Affiliation(s)
- Ramin Yaghoobian
- From the Tehran Heart Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Mohammad Sharifi
- From the Tehran Heart Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Malihe Rezaee
- From the Tehran Heart Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Hamed Vahidi
- Cardiology Department of Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Negin Salehi
- School of Pharmacy and Pharmaceutical Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Kaveh Hosseini
- From the Tehran Heart Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
- Cardiac Primary Prevention Research Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
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Wicht CA, De Pretto M, Mouthon M, Spierer L. Neural correlates of expectations-induced effects of caffeine intake on executive functions. Cortex 2022; 150:61-84. [DOI: 10.1016/j.cortex.2022.02.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2021] [Revised: 01/25/2022] [Accepted: 02/18/2022] [Indexed: 11/29/2022]
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