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LC/MS/MS and GC/MS Applications in Testing Illicit Substances Dr. Darcie Wallace Duckworth Assistant Director of Training Aegis Sciences Corporation March 17, 2009 What is forensic toxicology? • ABFT defines as “the study and practice of the application of toxicology to the purposes of the law” • Purpose – Obtain analytical data on poisons – Apply information to understanding of episode of intoxication • Toxicology – Study of toxic or harmful effects of chemicals – Concerned with how toxins act, when effects happen, and what are the symptoms and treatments Worked is performed in the interest of TRUTH – Accuracy – Honesty – Agreement with fact or reality Worked is performed in the interest of JUSTICE – Concept of rightness based on law, fairness, and equity Worked is performed in the interest of PUBLIC GOOD Brief History of Toxicology • Greeks-hemlock for state sponsored execution • Middle Ages-opium, arsenic, and hydrocyanic acid poisonings • 1836 James Marsh developed the Marsh Test to detect arsenic trioxide • 1840 Mathieu Orfila involvement in LaFarge case • 1851Jean Servais Stas development of alkaloid extraction method • Beginning of 20th century Dr. Alexander Gettler, lab director for New York City medical examiner What is the Marsh Test? • Arsenic trioxide, As2O3, was a favored poison • Treat sample with H2SO4 and As free Zn, zinc • Zn reduces the trivalent As As2O3 + 6 Zn + 6H+ → 2 As 3- + 6 Zn 2+ + 3 H2O Mathieu Orfila • Father of toxicology • In 1840, Marie LaFarge case – Marie was tried for murdering her husband by Arsenic poisoning – Court asked Orfila to investigate – Discovered the initial Marsh test improperly done – Found Arsenic in the body – Convicted largely on the work of Orfila Biological Aspects of Toxicology • Chemicals usually cause effects by interacting with cells to change their function • Damage to cells – Explosive or corrosive – Irritation – Sensitization – Toxicity Factors that Influence Toxicity • • • • How Much? How Long? How Often? Routes of exposure-oral, dermal, inhalation • Other factors-species, sex, age, nutrition, state of health, sensitivity, presence of other chemicals How Much? The Dose • All substances have the capability of being toxic, depends on the dose • Dose-response relationship – As dose increases, the effect increases How Long? • Duration of the exposure How Often? • Frequency the exposure occurs • Dose-time relationship • Acute versus chronic toxicity – Acute • Local damage or systematic change as result of ONE exposure to a relatively large amount of substance – Chronic • Damage as result of repeated exposure to relatively small amounts over a prolonged time period • What is – A matrix? • Biological specimen such as body fluid or solid tissue – Agent of interest? • Exists in matrix in a simple solution or may be bound to protein or other cellular constituents Our challenge….. Separate toxic agent in sufficient purity and quantity to permit it to be characterized and quantified Metabolism • Terms – Metabolism • Aggregate of all physical and chemical changes that occur within the living substance of an organism – Xenobiotic metabolism » metabolism of substances that are foreign to the body of an organism » Results in detoxification and elimination from the body, toxification and distribution to receptors, chemically unmodified and distributed to receptors » Many are lipophilic, increase water solubility, and facilitates excretion – Metabolite • Product of metabolism Parent Drug versus Metabolites Common Characteristics of Analytical Assays • S/N – compares the level of a desired signal to the level of background noise – High S/N lower LOD and LOQ • LOQ – Limit of Quantitation – limit at which we can reasonably tell the difference between two different values • ULOQ – Upper limit of Quantitation Accuracy – how close a measurement is to the accepted value • Precision – how close together or how repeatable the results are LOD – Limit of Detection – lowest quantity of a substance that can be distinguished from the absence of that substance • • • Interference • Robustness GC/MS in Testing Illicit Substance • Analytes must be chemically extracted from matrix – Matrices • • • • Urine Blood Oral Fluid Hair, tissue, etc. • Most cases should be derivatized – Why derivatize? • Affect volatility, improve chromatography, enhance MS pattern • Used to identify and quantify DOA and licit pharmaceuticals • Typical LOQ 1-10 ng/mL • ULOQ limited by IS concentration – IS chemically similar to analytes of interest – Addition of constant amount to specimens, standards, controls and calibrators • Operated in SIM – Determines presence of selected ions that are present in specific ratios and quantifies by determining ion abundances compared to IS abundances – IR abundances are unique for given compound – Use 3 to 2 ion ratios Cannabinoids • • • • Mostly widely used illicit drug in US Carboxy THC major urine metabolite of THC Highly lipophilic, readily soluble in nonpolar organic solvents, and slightly soluble in water Carboxy THC excreted as ester-linked glucuronide conjugate – Hydrolyzed after addition of 6 M NaOH, 15 min at 25ºC or 5 min at 50ºC – Neutral and basic compounds removed by adding hexane and agitating – After centrifugation, hexane layer is removed, aqueous layer is acidified and extracted with hexane:ethyl acetate – Followed by derivatization • Alkylation with tetrahexylammonium hydroxide and iodomethane in toluene • Silylation with BSTFA GC/MS of Cannabinoids 1. 2. 3. 4. 5. cannabidiol Δ8-tetrahydrocannabinol Δ9-tetrahydrocannabinol cannabinol 11-hydroxy-Δ9tetrahydrocannabinol 6. 11-nor-Δ9-tetrahydrocannabinol carboxylic acid http://www.restek.com/aoi_forensics_A006.asp Amphetamines • Methamphetamine-most commonly abused class of drugs • Amphetamine • MDA-Adam • MDMA-Ecstasy • MDEA-Eve Amphetamine Methamphetamine Interferences in Analysis • Labs reported methamphetamine in samples which were actually negative • Shown to contain high concentrations of ephedrine or pseudoephedrine – Urine can undergo periodate oxidation which converts ephedrine and pseudoephedrine to compounds that do not interfere – Test for presence of amphetamine GC/MS of Amphetamines Peak List: Tailing Factor: 1. amphetamine 1.109 2. methamphetamine 0.992 3. MDA 1.106 4. MDMA 1.068 5. MDEA 1.113 http://www.restek.com/aoi_forensics_A012.asp Cocaine Norcocaine Cocaine Ecgonine methyl ester benzoylecgonine ecgonine Metabolite results in the presence of Ethanol cocaethylene LC/MS/MS in testing Illicit Substances Sample Preparation Alprazolam-Xanax Clonazepam Diazepam-Valium 7-aminoclazepam 3.3 min Oxazepam 4.2 min Lorazepam 4.3 min Clonazepam 4.7 min Alprazolam 4.8 min Diazepam 5.5 min Nordiazepam 5.0 min Doping • Doping (sports) is the use of drugs or other substances to improve athletic performance • Androgenic- from the Greek word andros “man” and genein “to produce” androgens are responsible for development and maintenance of male sex characteristics • Anabolic- from the Greek word anabole “to build up” constructive metabolism aka anabolism Doping Effects In Men • Acne • Sleep apnea • Gynecomastia • Azoospermia • Decreased testicle size • Stimulate renal EPO secretion • Serum lipid changes In Women • • • • • • Hirsutism Acne Amenorrhea Deepening of the voice Clitoral enlargement Serum lipid changes LC/MS/MS of Steroids • Anabolic agents are banned by IOC and WADA • Difficult to detect, so have set low detection limits Diuretics Methylphenidate Salmeterol Albuterol, bronchodilator drugs, anabolic side effects at high concentrations References JAT, June 2007, v31, n5, 237-253. JAT, May/June 2005, v29, n4, 217-222. JAT, May/June 2005, v29, n4, 234-239. JAT, Jan/Feb 2003, v21, n1, 15. JAT March 2003, v27, n2, 106-109. JAT April 2007, v31, n3, 125-131. http://chromatographyonline.findanalytichem.com/lcgc/article/articleDetail.jsp?id=51260& pageID=1&sk=&date= Yinon, J. Forensic Applications of Mass Spectrometry, 1995, p. 1-59. The Dope on Doping, Dr. Mindy Shelby, 2008.