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1.
Drug Test Anal ; 13(6): 1203-1215, 2021 Jun.
Article in English | MEDLINE | ID: mdl-33569900

ABSTRACT

Hypoxia-inducible factor (HIF) stabilizer belongs to a novel class of pharmacologically active substances, which are capable of inducing the endogenous erythropoietic system. The transcriptional activator HIF has been shown to significantly increase blood hemoglobin and is well set for the treatment of anemia resulting from chronic kidney disease. This research work reports a comprehensive study of the most popular HIF stabilizer roxadustat and its metabolites in thoroughbred horse urine after oral administration. The plausible structures of the detected metabolites were postulated using liquid chromatography-high-resolution mass spectrometry. Under the experimental condition 13 metabolites (7 phase I, 1 phase II, and 5 conjugates of phase I metabolism) were positively detected (M1-M13). The major phase I metabolites identified were formed by hydroxylation. Dealkylated and hydrolyzed phase I metabolites were also observed in this study. In phase II, a glucuronic acid conjugate of roxadustat was detected as the major metabolite. The sulfonic acid conjugates were observed to be formed from phase I metabolites. The characterized in vivo metabolites can potentially serve as target analytes for doping control analysis; hence, the result is an important tool for assessing its use and abuse in competitive sport.


Subject(s)
Doping in Sports/prevention & control , Glycine/analogs & derivatives , Isoquinolines/analysis , Substance Abuse Detection/methods , Administration, Oral , Animals , Chromatography, Liquid/methods , Female , Glycine/analysis , Glycine/metabolism , Glycine/urine , Horses , Hypoxia-Inducible Factor-Proline Dioxygenases/antagonists & inhibitors , Isoquinolines/metabolism , Isoquinolines/urine , Male , Tandem Mass Spectrometry/methods
2.
Biomed Chromatogr ; 35(2): e4970, 2021 Feb.
Article in English | MEDLINE | ID: mdl-32840903

ABSTRACT

As hypoxia-inducible factor stabilizers (HIFs) can artificially enhance an athlete's erythropoiesis, the World Anti-Doping Agency prohibits their use at all times. Every urine sample for doping control analysis has to be evaluated for the presence of HIFs and therefore sensitive methods that allow high sample throughput are needed. Samples suspicious for the presence of HIFs need to be confirmed following the identification criteria established by the World Anti-Doping Agency. Previous work has shown the advantages of using turbulent flow online solid-phase extraction (SPE) procedures to reduce matrix effects and retention time shifts. Furthermore, the use of online SPE allows for automation and high sample throughput. Both an initial testing procedure (ITP) and a confirmation method were developed and validated, using online SPE liquid chromatography-tandem mass spectrometry (LC-MS/MS), with limits of detection between 0.1 ng/ml (or possibly lower) and 4 ng/ml (or higher for GSK360a) and limits of identification between 0.1 ng/ml (or possibly lower) and 1.17 ng/ml. The ITP only takes 6.5 min per sample. To the best of our knowledge, these are the first ITP and confirmation methods that include more than three HIFs without the need for manual sample preparation.


Subject(s)
Doping in Sports , Hypoxia-Inducible Factor 1/chemistry , Pyrazoles/urine , Substance Abuse Detection/methods , Triazoles/urine , Chromatography, Liquid/methods , Glycine/analogs & derivatives , Glycine/chemistry , Glycine/urine , Humans , Isoquinolines/chemistry , Isoquinolines/urine , Limit of Detection , Linear Models , Pyrazoles/chemistry , Reproducibility of Results , Solid Phase Extraction/methods , Tandem Mass Spectrometry/methods , Triazoles/chemistry
3.
Drug Test Anal ; 12(11-12): 1614-1619, 2020 Nov.
Article in English | MEDLINE | ID: mdl-32809277

ABSTRACT

Early in 2020, racehorse doping cases revolved around the hypoxia-inducible factor (HIF) activator IOX-2. While the composition of IOX-2 has also been known and monitored in human doping controls for several years, the testing capability of routine sports drug testing methods was revisited for this newly surfaced doping agent. IOX-2 and the analytically well-established HIF activator roxadustat (FG-4592) share identical precursor/product ion pairs, enabling their co-detection in existing initial testing procedures in routine doping controls for the intact unconjugated analytes. In addition, hydroxylated IOX-2 and the corresponding glucuronic acid conjugates were identified as major metabolites in a microdose elimination study, contributing to enhanced initial testing and confirmation procedures.


Subject(s)
Doping in Sports/prevention & control , Hypoxia-Inducible Factor 1/agonists , Hypoxia-Inducible Factor 1/metabolism , Hypoxia-Inducible Factor-Proline Dioxygenases/urine , Isoquinolines/urine , Substance Abuse Detection/standards , Doping in Sports/methods , Glycine/administration & dosage , Glycine/analogs & derivatives , Glycine/urine , Humans , Hypoxia-Inducible Factor-Proline Dioxygenases/administration & dosage , Isoquinolines/administration & dosage , Male , Middle Aged , Pilot Projects , Retrospective Studies , Substance Abuse Detection/methods
4.
Biopharm Drug Dispos ; 41(4-5): 166-183, 2020 Apr.
Article in English | MEDLINE | ID: mdl-32190910

ABSTRACT

EMA401, (the S-enantiomer of 5-(benzyloxy)-2-(2,2-diphenylacetyl)-6-methoxy-1,2,3,4-tetrahydroisoquinoline-3-carboxylic acid), also known as Olodanrigan, is an orally active selective angiotensin II type 2 receptor (AT2 R) antagonist that is in Phase IIb clinical development as a novel analgesic for the relief of chronic pain. The main purpose of the present work was to investigate the disposition of a single 14 C- labeled EMA401 in non-clinical studies. The in vitro metabolism studies of EMA401 were undertaken to understand the hepatic biotransformation pathways in animal species used in toxicology studies and how they compare to human. Furthermore, investigation of EMA401's PK was carried out in vivo in rats. The study demonstrates the rapid absorption and distribution of drug-related material mainly to the tissues associated with absorption and elimination (GI tract, liver, and kidney). EMA401was then readily eliminated metabolically via the bile (95% of dose) predominantly in the form of the direct acylglucuronide (40% of dose), which was further hydrolysed by the intestinal flora to the active parent drug. Other metabolic pathways such as dealkylations and hydroxylation were also involved in the elimination of EMA401 to a lesser extent. EMA401 was metabolically unstable in hepatocytes of all species investigated and the key metabolites produced in the in vitro model were also detected in vivo. Independent of the dosing route, the S-enantiomer EMA401 showed a good in vivo chiral stability. Overall, the present study provides the first full characterization of the disposition of EMA401 in preclinical species.


Subject(s)
Analgesics/pharmacokinetics , Angiotensin II Type 2 Receptor Blockers/pharmacokinetics , Benzhydryl Compounds/pharmacokinetics , Isoquinolines/pharmacokinetics , Analgesics/blood , Analgesics/chemistry , Analgesics/urine , Angiotensin II Type 2 Receptor Blockers/blood , Angiotensin II Type 2 Receptor Blockers/chemistry , Angiotensin II Type 2 Receptor Blockers/urine , Animals , Benzhydryl Compounds/blood , Benzhydryl Compounds/chemistry , Benzhydryl Compounds/urine , Biotransformation , Blood Proteins/metabolism , Cells, Cultured , Dogs , Feces/chemistry , Female , Hepatocytes/metabolism , Humans , Isoquinolines/blood , Isoquinolines/chemistry , Isoquinolines/urine , Macaca fascicularis , Male , Mice, Inbred ICR , Microsomes, Liver/metabolism , Rats, Long-Evans , Rats, Sprague-Dawley , Stereoisomerism
5.
Rapid Commun Mass Spectrom ; 33(20): 1578-1588, 2019 Oct 30.
Article in English | MEDLINE | ID: mdl-31240795

ABSTRACT

RATIONALE: Retroactive analysis of previously tested urine samples has become an important sports anti-doping tool. Retroactive reprocessing of old data files acquired from a generic screening procedure can reveal detection of initially unknown substances, like illegal drugs and newly identified metabolites. METHODS: To be able to efficiently search through hundreds to thousands of liquid chromatography high-resolution full-scan Orbitrap mass spectrometry data files of anti-doping samples, a combination of MetAlign and HR_MS_Search software has been developed. MetAlign reduced the data size ca 100-fold making possible local storage of a massive volume of data. RESULTS: The newly developed HR_MS_Search module can search through the reduced data files for new compounds (mass or isotope pattern) defined by mass windows and retention time windows. A search for 33 analytes in 940 reduced data files lasted 10 s. The output of the automatic search was compared to the standard manual routine evaluation. The results of searching were evaluated in terms of false negatives and false positives. The newly banned b2-agonist higenamine and its metabolite coclaurine were successfully searched in reduced data files originating from a testing period for which these substances were not banned, as an example of retroactive analysis. CONCLUSIONS: The freeware MetAlign software and its automatic searching module HR_MS_Search facilitated the retroactive reprocessing of reduced full-scan high-resolution liquid chromatography/mass spectrometry screening data files and created a new tool in anti-doping laboratories' network.


Subject(s)
Adrenergic beta-Agonists/urine , Alkaloids/urine , Chromatography, Liquid/methods , Mass Spectrometry/methods , Tetrahydroisoquinolines/urine , Adrenergic beta-Agonists/metabolism , Alkaloids/metabolism , Doping in Sports/prevention & control , Humans , Isoquinolines/urine , Substance Abuse Detection , Tetrahydroisoquinolines/metabolism , Urinalysis
6.
Drugs R D ; 16(2): 205-16, 2016 Jun.
Article in English | MEDLINE | ID: mdl-27028751

ABSTRACT

BACKGROUND: YM758 monophosphate is a novel If channel inhibitor that has an inhibitory action for If current and shows a strong and specific activity, selectively lowering the heart rate and decreasing oxygen consumption by heart muscle. OBJECTIVES: The objectives of the current study were to investigate the in vivo metabolic profiles of YM758 in mice, rats, rabbits, dogs, and monkeys and to elucidate the structures of YM758 metabolites. METHODS: Biological samples were analyzed by liquid chromatography hyphenated with a radiometric detection system and liquid chromatography coupled with a mass spectrometer to clarify their metabolic patterns. To elucidate their structures, metabolites were isolated and analyzed by mass spectrometry and nuclear magnetic resonance spectroscopy. RESULTS: Our results from in vivo metabolic profiling in humans and animals indicated there is no significant species difference in the metabolism of YM758, and the metabolic pathways of YM758 are considered to be oxidation, hydration, and demethylation followed by sulfate or glucuronide conjugation.


Subject(s)
Benzamides/metabolism , Hyperpolarization-Activated Cyclic Nucleotide-Gated Channels/antagonists & inhibitors , Isoquinolines/metabolism , Sodium Channel Blockers/metabolism , Animals , Benzamides/blood , Benzamides/urine , Bile , Chromatography, High Pressure Liquid , Chromatography, Liquid , Dogs , Haplorhini , Humans , Isoquinolines/blood , Isoquinolines/urine , Magnetic Resonance Spectroscopy , Mass Spectrometry , Metabolic Networks and Pathways , Metabolome , Mice , Rabbits , Rats , Sodium Channel Blockers/analysis , Sodium Channel Blockers/blood , Sodium Channel Blockers/urine , Species Specificity
7.
J Pharm Biomed Anal ; 121: 181-187, 2016 Mar 20.
Article in English | MEDLINE | ID: mdl-26808067

ABSTRACT

Stabilizing the labile factor HIF (hypoxia inducible factor) for therapeutic use has led to the development of various molecules by pharmaceutical companies. These HIF stabilizers show promising erythropoiesis stimulating capacities and are of great interest for patients with chronical kidney disease and anemia. Amongst them FG-4592 from FibroGen is now under phase 3 of clinical studies. While this drug is still under investigation, a parallel market already allows to buy this product, which could be tempting for some athletes willing to increase their performances. To avoid such a use for doping purpose, WADA has listed HIF stabilizers and FG-4592 in particular as prohibited substances since 2011 and some anti-doping laboratories have developed a technique of identification of FG-4592 in urine. Here, we described the first case ever identified by an anti-doping laboratory of an athlete using FG-4592. Detection and confirmation in urinary samples was performed by LC-MS/MS. In addition, potential indirect markers erythropoietin (EPO) and hematological parameters followed in the Athlete Biological Passport (ABP) were analyzed during and after the period of use but showed no profound alterations. Only ABPS (abnormal blood profile score) reached (but did not exceed) the upper limit proposed by the ABP adaptive model just after the period of use of FG-4592. Altogether this case sends a warning for anti-doping laboratories which now must strengthen surveillance on HIF stabilizers and develop sensitive methods of detection for this new class of drugs.


Subject(s)
Chromatography, Liquid/methods , Glycine/analogs & derivatives , Hypoxia-Inducible Factor 1/metabolism , Isoquinolines/chemistry , Performance-Enhancing Substances/chemistry , Substance Abuse Detection/methods , Tandem Mass Spectrometry/methods , Athletes , Biomarkers/chemistry , Biomarkers/urine , Doping in Sports/methods , Erythropoietin/metabolism , Glycine/chemistry , Glycine/urine , Humans , Isoquinolines/urine , Male , Performance-Enhancing Substances/urine
8.
Article in English | MEDLINE | ID: mdl-22465199

ABSTRACT

The new analytical method for the determination of palonosetron in human plasma and urine has been developed based on liquid chromatography-mass spectrometry. The method utilized tramadol as the internal standard (IS). Separation was carried out on a Zorbax Eclipse TC-C(18) column using methanol-1mM ammonium formate in water (containing 0.1% formic acid, v/v, pH=2.8) as mobile phase for gradient elution. Detection is carried out by multiple reaction monitoring (MRM) on 3200 Qtrap mass spectrometry. The method has a chromatographic run time of 5.5 min and is linear within the concentration range 0.01-5.00 ng/mL for plasma and 0.10-30.00 ng/mL for urine both with a LOD of 0.003 ng/mL. Intra- and inter-day RSD of the concentration was 3.66-6.60%, 1.29-7.71% for plasma and 2.39-5.76%, 2.06-7.13% for urine. The relative error (RE) was -4.58% to 3.26% for plasma and -1.47% to 2.53% for urine. The recovery rates of palonosetron and IS both for plasma and urine were more than 90%. Palonosetron was stable under all the conditions tested. The method was successfully used to analyze palonosetron in human plasma and urine over a period of 168 h after intravenously pumping a single dose of 0.25mg to volunteers. No significant differences were found between the pharmacokinetic parameters and urine accumulated excretory rate for male and female volunteers (P>0.05). A two-compartment model was obtained after administrations. Palonosetron was eliminated at a slow rate in volunteers. The mean urine accumulated excretory rate was 25.97 ± 12.87%. Inter-individual differences could not be neglected due to the high coefficient of variety in several pharmacokinetic parameters and the urine accumulated excretion.


Subject(s)
Chromatography, Liquid/methods , Isoquinolines/pharmacokinetics , Quinuclidines/pharmacokinetics , Spectrometry, Mass, Electrospray Ionization/methods , Drug Stability , Female , Humans , Isoquinolines/blood , Isoquinolines/urine , Least-Squares Analysis , Male , Palonosetron , Quinuclidines/blood , Quinuclidines/urine , Reproducibility of Results , Tandem Mass Spectrometry/methods
9.
Talanta ; 85(1): 787-93, 2011 Jul 15.
Article in English | MEDLINE | ID: mdl-21645774

ABSTRACT

The fluorescence spectra of berberine, palmatine, jatrorrhizine, and coptisine in ionic liquids were studied and found to increase significantly in ionic liquids, with [C(8)MIM][PF(6)] having the greatest increase. Further studies showed that these drugs could be extracted from an aqueous solution by [C(8)MIM][PF(6)] using the temperature-assisted ionic liquid dispersive liquid phase microextraction method. The enrichment factors were 81.8-82.3, and the extraction recovery was 98.5%, 98.1%, 98.3%, and 98.8% for berberine, palmatine, jatrorrhizine, and coptisine, respectively. Based on the [C(8)MIM][PF(6)] preconcentration, separation, and sensitized fluorescence for these drugs, a new selective and sensitive method for the determination of concentration of these four drugs in aqueous samples was presented. At optimum conditions, the linear relationship was obtained in the ranges of 0.8-130 ng mL(-1), 0.9-160 ng mL(-1), 0.7-140 ng mL(-1), and 0.6-110 ng mL(-1), respectively. The proposed method was successfully applied for the determination of the drugs in pharmaceutical preparations, urine, and plasma samples.


Subject(s)
Alkaloids/analysis , Ionic Liquids , Isoquinolines/analysis , Alkaloids/blood , Alkaloids/urine , Berberine/analogs & derivatives , Berberine/analysis , Berberine Alkaloids/analysis , Isoquinolines/blood , Isoquinolines/urine , Temperature
10.
Bioanalysis ; 3(12): 1337-42, 2011 Jun.
Article in English | MEDLINE | ID: mdl-21679028

ABSTRACT

BACKGROUND: Palonosetron is used for the prevention of chemotherapy-induced nausea and vomiting. However, quantification of this drug in human urine has been rare. RESULTS: A one-step dilution method for the analysis of palonosetron in human urine using LC coupled to positive MS/MS has been developed and validated according to US FDA guidelines. The method uses 200 µl of urine and covers a working range from 2.5-1000 ng/ml with a LLOQ of 2.5 ng/ml. CONCLUSION: This new LC-MS/MS assay is sensitive and specific despite using an external standard method. It is suitable for clinical studies of palonosetron.


Subject(s)
Isoquinolines/urine , Quinuclidines/urine , Chromatography, Liquid/methods , Humans , Palonosetron , Sensitivity and Specificity , Tandem Mass Spectrometry/methods
11.
Drug Test Anal ; 3(11-12): 756-70, 2011.
Article in English | MEDLINE | ID: mdl-22213684

ABSTRACT

Hypoxia-inducible factor (HIF) stabilizers increase blood haemoglobin levels after oral administration and their use in sports was recently banned by the World Anti-Doping Agency. For the support of analytical assay development, the metabolic fate of two model HIF stabilizers, based on the isoquinoline-3-carboxamide scaffold of the lead drug candidate FG-2216, was assessed by in vitro methods. The analytes were identified and characterized by liquid chromatography-tandem mass spectrometry (LC-MS/MS) in positive and negative ionization mode using an API 4000 Qtrap as well as an exactive high resolution-high accuracy MS. The model HIF stabilizer N-[(1-chloro-4-hydroxy-7-isopropoxy-isoquinolin-3-carbonyl)-amino]-acetic acid (1), was converted into 3 major phase I metabolites by hydroxylation, dealkylation, and dehydrogenation. The structures of the hydroxylated and the dealkylated metabolites were confirmed by LC-coupled nuclear magnetic resonance spectroscopy. Moreover, glucuronic acid conjugates of the active drug and one of the dealkylated phase I metabolite were identified. Hydroxylation of model compound 2 (N-[(1-chloro-4-hydroxy-isoquinolin-3-carbonyl)-amino]-acetic acid) yielded two metabolites, regioisomeric to the dealkylated product of 1. Mass spectral data of compounds 1 and 2, as well as a structure-related analogue were included into a multi-target analytical assay based on direct injection and LC-MS/MS analysis of human urine. The method was validated for quantitative purposes. In an approach of preventive doping research, more comprehensive screening methods applying precursor ion (m/z 166) and neutral loss (-10 Da) scans were developed, allowing for the detection of unknown metabolites and structurally analogous HIF stabilizers emerging from ongoing lead structure developments.


Subject(s)
Doping in Sports , Hypoxia-Inducible Factor 1/metabolism , Isoquinolines/metabolism , Performance-Enhancing Substances/metabolism , Substance Abuse Detection/methods , Tandem Mass Spectrometry/methods , Chromatography, Liquid/methods , Humans , Isoquinolines/analysis , Isoquinolines/urine , Magnetic Resonance Spectroscopy , Performance-Enhancing Substances/analysis , Performance-Enhancing Substances/urine , Sensitivity and Specificity
12.
Drug Metab Dispos ; 37(8): 1646-57, 2009 Aug.
Article in English | MEDLINE | ID: mdl-19439489

ABSTRACT

(-)-N-{2-[(R)-3-(6,7-Dimethoxy-1,2,3,4-tetrahydroisoquinoline-2-carbonyl)piperidino]ethyl}-4-fluorobenzamide (YM758) is a novel inhibitor of the "funny" If current channel (If channel) that is expressed in the sinus node of heart and is being developed as a treatment for stable angina and atrial fibrillation. Its metabolites were identified in human urine, plasma, and feces by radio-high-performance liquid chromatography and liquid chromatography-tandem mass spectrometry analyses after oral administration of [(14)C]YM758. 6,7-Dimethoxy-2-[(3R)-piperidin-3-ylcarbonyl]-1,2,3,4-tetrahydroisoquinoline (YM-252124), (5R)-5-[(6,7-dimethoxy-3,4-dihydroisoquinolin-2(1H)-yl)carbonyl]piperidin-2-one (YM-385459), 2-{[(3R)-1-{2-[(4-fluorobenzoyl)amino]ethyl}piperidin-3-yl]carbonyl}-7-methoxy-1,2,3,4-tetrahydroisonolin-6-yl beta-D-glucopyranosiduronic acid (AS2036329), and the unchanged drug were detected as major constituents in both urine and plasma, whereas N-(4-fluorobenzoyl)glycine (YM-385461) was detected in plasma, but not in urine. The renal and hepatic uptake transporters for these metabolites were investigated by assessing their inhibitory effect on uptake activity in human (h) organic cation transporter (OCT) 1-3/rat (r) Oct1-3, human organic anion transporter (OAT) 1/rOat1, hOAT3/rOat3, and organic anion-transporting protein 1B1/1B3-expressing HEK293 cells. IC(50) values of YM-252124 for 1-methyl-4-phenylpyridinium uptake via hOCT2 and rOct2 were 93.9 and 1700 microM, respectively, suggesting that this metabolite is secreted into urine via hOCT2/rOct2 and that the large difference in the inhibitory potentials between hOCT2 and rOct2 explains the species difference in the urinary excretion ratio of the radioactivity. The renal secretion of YM-385461, one derivative of p-aminohippuric acid, via hOAT1/rOat1, and hepatic uptake of YM-252124 via hOCT1/rOct1 was also expected. This kind of study was useful in investigating the relationship between the urinary/hepatic elimination and the transport activity for metabolites.


Subject(s)
Benzamides/pharmacokinetics , Cardiovascular Agents/pharmacokinetics , Isoquinolines/pharmacokinetics , Kidney/metabolism , Liver/metabolism , Membrane Transport Modulators/pharmacokinetics , Organic Cation Transporter 1/metabolism , Administration, Oral , Adult , Benzamides/administration & dosage , Benzamides/blood , Benzamides/urine , Biological Transport , Biotransformation , Carbon Radioisotopes , Cardiovascular Agents/administration & dosage , Cardiovascular Agents/blood , Cardiovascular Agents/urine , Catecholamine Plasma Membrane Transport Proteins/metabolism , Cell Line , Chromatography, High Pressure Liquid , Feces/chemistry , Humans , Isoquinolines/administration & dosage , Isoquinolines/blood , Isoquinolines/urine , Kidney/drug effects , Liver/drug effects , Male , Membrane Transport Modulators/administration & dosage , Membrane Transport Modulators/blood , Membrane Transport Modulators/urine , Metabolomics/methods , Middle Aged , Organic Anion Transport Protein 1/metabolism , Organic Anion Transporters, Sodium-Independent/metabolism , Organic Cation Transport Proteins/metabolism , Organic Cation Transporter 1/antagonists & inhibitors , Organic Cation Transporter 1/genetics , Organic Cation Transporter 2 , Species Specificity , Tandem Mass Spectrometry , Transfection , Young Adult
13.
Xenobiotica ; 36(9): 750-62, 2006 Sep.
Article in English | MEDLINE | ID: mdl-16971341

ABSTRACT

The biotransformation of the antiplasmodial naphthylisoquinoline alkaloid dioncophylline A by rat liver microsomes and its pharmacokinetics in male rats were studied. Incubation of dioncophylline A with rat liver microsomes resulted in the formation of the major metabolite 5'-O-demethyldioncophylline A, and a second minor metabolite, corresponding to the mass of an as yet unknown 4-hydroxydioncophylline A. Kinetic constants of the formation of 5'-O-demethyldioncophylline A were Km = 32 nmol and Vmax = 20 pmol min-1 mg-1). Administration of dioncophylline A at a dose of 6.67 mg kg-1 body weight to rats intravenously and orally (n = 4 per group) resulted in peak plasma levels of 0.84 and 0.11 microg ml-1, respectively. Levels of metabolites were below the limit of quantitation (LOQ). The following pharmacokinetic parameters of dioncophylline A were determined: oral bioavailability of 25%, plasma half-life of 2.5 h and partition volume of 8 l kg-1 body weight. Concentrations of dioncophylline A metabolites in all plasma and urine samples were below the limit of detection (LOD) and recovery of dioncophylline A in urine was very low, suggesting distribution into lipid rich tissues.


Subject(s)
Alkaloids/pharmacokinetics , Antimalarials/chemistry , Antimalarials/pharmacokinetics , Isoquinolines/pharmacokinetics , Plasmodium falciparum/physiology , Administration, Oral , Alkaloids/chemistry , Alkaloids/urine , Animals , Antimalarials/urine , Biotransformation , Chromatography, High Pressure Liquid , Feces/chemistry , Injections, Intravenous , Isoquinolines/chemistry , Isoquinolines/urine , Kinetics , Male , Microsomes, Liver/metabolism , Nuclear Magnetic Resonance, Biomolecular , Rats , Rats, Sprague-Dawley , Spectrometry, Mass, Electrospray Ionization
14.
Invest New Drugs ; 23(5): 429-36, 2005 Oct.
Article in English | MEDLINE | ID: mdl-16133794

ABSTRACT

Trabectedin (Yondelis, formerly ET-743) is an anti-cancer drug currently undergoing phase II development. Despite extensive pharmacokinetic studies, the human disposition and excretory pathways of trabectedin remain largely unknown. Our objective was to determine the mass balance of trabectedin in humans. To this aim, we intravenously administered [(14)C]trabectedin to 8 cancer patients, followed by collection of whole blood, urine and faeces samples. A 24-h infusion was administered to 2 patients, whereas the other 6 patients received a 3-h infusion. Levels of total radioactivity and unchanged trabectedin were determined and used for calculation of pharmacokinetic parameters. No schedule dependency of pharmacokinetic parameters was observed apart from C(max). Plasma and whole blood concentrations of [(14)C]trabectedin related radioactivity were comparable. Only 8% of the plasma exposure to [(14)C]trabectedin related compounds is accounted for by trabectedin, indicating the importance of metabolism in trabectedin elimination. Trabectedin displays a large volume of distribution (+/-1700 L), relative to total radioactivity (+/-220 L). [(14)C]trabectedin related radioactivity is mainly excreted in the faeces (mean: 55.5% of the dose). Urinary excretion accounts for 5.9% of the dose on average resulting in a mean overall recovery of 61.4% (3-h administration schedule). The excretion of unchanged trabectedin is very low both in faeces and in urine (< 1% of dose). In conclusion, trabectedin is extensively metabolised and principally excreted in the faeces.


Subject(s)
Antineoplastic Agents, Alkylating/pharmacokinetics , Dioxoles/pharmacokinetics , Isoquinolines/pharmacokinetics , Adult , Aged , Antineoplastic Agents, Alkylating/blood , Antineoplastic Agents, Alkylating/urine , Area Under Curve , Carbon Radioisotopes , Carcinoma, Non-Small-Cell Lung , Dioxoles/blood , Dioxoles/urine , Feces/chemistry , Female , Half-Life , Humans , Isoquinolines/blood , Isoquinolines/urine , Kidney Neoplasms , Lung Neoplasms , Male , Middle Aged , Sarcoma , Sarcoma, Synovial , Tetrahydroisoquinolines , Trabectedin
15.
J Anal Toxicol ; 28(2): 105-10, 2004 Mar.
Article in English | MEDLINE | ID: mdl-15068563

ABSTRACT

A liquid chromatography-electrospray-mass spectrometry technique for the screening and determination of five non-depolarizing neuromuscular blocking agents (NDBAs), atracurium and its product of degradation/metabolite laudanosine, rocuronium, pancuronium, vecuronium, and mivacurium has been developed using ambenonium as the internal standard (I.S.). Samples were acidified upon reception by adding 20 micro L 0.5M H(2)SO(4) to 500 micro L of biofluid. Sample preparation consisted of simple blood purification and/or protein precipitation using 1 mL I.S. in acetonitrile. Chromatographic separation was carried out on an X-TERRA trade mark column along with a gradient of acetonitrile in 2mM ammonium formate (pH 3). Detection was carried out in the positive selected ion monitoring mode, targeting one quantitation ion and one confirmation ion per compound. The limit of quantitation was 2.5 micro g/L for mivacurium and laudanosine, 5 micro g/L for rocuronium and pancuronium and 10 micro g/L for atracurium and vecuronium in serum (i.e., in the range of, or less than, therapeutic levels). The technique was found to be linear between the respective LOQs and 2000 micro g/L, with correlation coefficients higher than 0.999 in all matrices. Intra- and interday precision and accuracy in serum fulfilled the international criteria. This method was employed for the investigation of a case of suicide by infusion of drugs. Laudanosine, the metabolite or degradation product of both atracurium and cisatracurium, and rocuronium were found in urine and whole blood, at supratherapeutic concentrations in the latter (rocuronium: 1.53 and 2.18 mg/L, laudanosine: 8.86 and 0.31 mg/L, respectively), and even therapeutic concentrations would have been lethal in the absence of respiratory assistance.


Subject(s)
Chromatography, High Pressure Liquid , Forensic Medicine/methods , Neuromuscular Blocking Agents/blood , Spectrometry, Mass, Electrospray Ionization/methods , Humans , Isoquinolines/blood , Isoquinolines/urine , Reproducibility of Results , Sensitivity and Specificity , Suicide
16.
J Neurol Neurosurg Psychiatry ; 75(4): 634-6, 2004 Apr.
Article in English | MEDLINE | ID: mdl-15026514

ABSTRACT

Endogenously synthesised norsalsolinol derivatives are elevated in Parkinson's disease (PD) and have been considered potentially useful biological markers of the disease. However, little is known about the impact of dopaminergic drugs on the formation of these compounds. We prospectively examined the urine concentrations of norsalsolinol, N-methyl-norsalsolinol and salsolinol in 47 PD patients and 14 control subjects. Patients and control subjects were re-examined after approximately 1 year to assess long term changes. Norsalsolinol derivatives were low in controls and untreated patients with early PD. Increased urine concentrations of norsalsolinol derivatives were significantly associated with levodopa treatment. They were elevated more markedly in the urine of patients treated with high (>600 mg daily) doses of levodopa compared with patients receiving medium (300-600 mg) or low (<300 mg) doses of the drug. There was no correlation with disease parameters such as the severity of motor disability or deficits in the cognitive performance. In the patient group, the concentrations of all three norsalsolinol derivatives declined over the period of investigation, however, they still remained elevated compared with the control group. We conclude that systemic levels of norsalsolinol derivatives in treated patients with PD are likely to derive from the metabolism of levodopa and cannot be regarded as intrinsic markers of the disease. The limited ability of norsalsolinol derivatives to pass the blood-brain barrier prevents an intracerebral accumulation of these possibly harmful compounds, which are biochemically similar to the neurotoxin 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine.


Subject(s)
Antiparkinson Agents/adverse effects , Biomarkers/urine , Levodopa/adverse effects , Parkinson Disease/drug therapy , Salsoline Alkaloids/urine , Aged , Antiparkinson Agents/pharmacokinetics , Antiparkinson Agents/therapeutic use , Chromatography, High Pressure Liquid , Female , Humans , Inactivation, Metabolic/physiology , Isoquinolines/urine , Levodopa/pharmacokinetics , Levodopa/therapeutic use , Male , Middle Aged , Neurologic Examination , Neuropsychological Tests , Parkinson Disease/urine , Prospective Studies , Reference Values
17.
J Pharm Pharmacol ; 55(7): 1003-11, 2003 Jul.
Article in English | MEDLINE | ID: mdl-12906758

ABSTRACT

The liver is the major site of drug metabolism in the body. However, many drugs undergo metabolism in extrahepatic sites and in the gut wall and lumen. In this study, the distribution and activity of reductases in rat that reduced potential cytostatic oracin to its principal metabolite 11-dihydrooracin (DHO) were investigated. The extension and stereospecificity of oracin reduction to DHO were tested in microsomal and cytosolic fractions from the liver, kidney, heart, lung and wall of small intestine, caecum and large intestine. Intestinal bacterial reduction of oracin was studied as well. The amount of DHO enantiomers was measured by HPLC with Chiralcel OD-R as chiral column. Reductive biotransformation of oracin was mostly stereospecific for (+)-DHO, but the enantiomeric ratio differed significantly among individual tissues and subcellular fractions (from 56% (+)-DHO in heart microsomes to 92% (+)-DHO in liver cytosol). Stereospecificity for (-)-DHO (60%) was observed in bacterial oracin reduction in the lumen of small intestine, caecum and large intestine. Shift of the (+)-DHO/(-)-DHO enantiomeric ratio from 90:10 (in liver subcellular fractions) to 60:40 (in-vivo) clearly demonstrated the importance of the contribution of extrahepatic metabolism to the total biotransformation of oracin to DHO.


Subject(s)
Antineoplastic Agents/chemistry , Antineoplastic Agents/metabolism , Ethanolamines/chemistry , Ethanolamines/metabolism , Isoquinolines/chemistry , Isoquinolines/metabolism , Animals , Antineoplastic Agents/urine , Chromatography, High Pressure Liquid , Cytosol/enzymology , Ethanolamines/urine , Feces/chemistry , In Vitro Techniques , Intestinal Mucosa/metabolism , Intestines/microbiology , Isoquinolines/urine , Male , Microsomes/enzymology , Molecular Conformation , Oxidoreductases/metabolism , Rats , Rats, Wistar , Stereoisomerism , Tissue Distribution
18.
Article in English | MEDLINE | ID: mdl-12726842

ABSTRACT

Eschscholtzia californica preparations are in use as phytopharmaceuticals and as herbal drugs. Studies are described on the metabolism and the toxicological analysis of the Eschscholtzia californica alkaloids californine and protopine in rat urine using gas chromatography-mass spectrometry. The identified metabolites indicated that californine is extensively metabolized by N-demethylation and/or single or double demethylenation with consecutive catechol-O-methylation of one of the hydroxy groups. Protopine, however, only undergoes extensive demethylenation of the 2,3-methylenedioxy group followed by catechol-O-methylation. All phenolic hydroxy metabolites were found to be partly conjugated. The authors' systematic toxicological analysis procedure using full-scan gas chromatography-mass spectrometry after acid hydrolysis, liquid-liquid extraction and microwave-assisted acetylation allowed the detection of the main metabolites of californine and protopine in rat urine after a dose which should correspond to that of drug users. Therefore, use of Eschscholtzia californica preparations should also be detectable in human urine by the authors' systematic toxicological analysis procedure.


Subject(s)
Berberine Alkaloids/toxicity , Eschscholzia/chemistry , Gas Chromatography-Mass Spectrometry/methods , Isoquinolines/toxicity , Animals , Benzophenanthridines , Berberine Alkaloids/urine , Isoquinolines/urine , Male , Rats
19.
J Pharm Biomed Anal ; 30(3): 519-26, 2002 Oct 15.
Article in English | MEDLINE | ID: mdl-12367676

ABSTRACT

A high-performance liquid chromatographic (HPLC) method was developed for the determination of a new isoquinolinedione derivative, 7-anilino-5,8-isoquinolinedione (IQO4), in rat plasma, urine, blood and tissue homogenates using diazepam as an internal standard. A 2 volume of acetonitrile was added to deproteinize the biological sample. A 50 microl aliquot of the supernatant was injected onto a C(18) reversed-phase column. The mobile phase, 0.05 M acetate buffer (pH 3):acetonitrile:methanol (40:40:20, v/v/v), was run at a flow rate of 1.5 ml/min. The column effluent was monitored using an ultraviolet detector set at 298 nm. The retention times for IQO4 and the internal standard were approximately 5 and 7 min, respectively. The detection limits of IQO4 in rat plasma, urine and tissue homogenates (including blood) were 0.05, 0.1 and 0.1 microg/ml, respectively. The coefficients of variation of the assay were below 9.4% for rat plasma, urine and tissue homogenates. No interferences from endogenous substances were found.


Subject(s)
Isoquinolines/blood , Isoquinolines/urine , Animals , Chromatography, High Pressure Liquid/methods , Isoquinolines/chemistry , Isoquinolines/metabolism , Rats , Rats, Sprague-Dawley , Tissue Distribution/physiology
20.
Electrophoresis ; 23(1): 102-9, 2002 Jan.
Article in English | MEDLINE | ID: mdl-11824610

ABSTRACT

Quinapril is an antihypertensive drug commonly used in the treatment of hypertension and congestive heart failure. In this work, a capillary zone electrophoresis system is optimized for the analysis of quinapril and its active metabolite quinaprilat in urine, as well as for the determination of the drug and its combination with hydrochlorothiazide in pharmaceuticals. The separation takes place in a fused-silica capillary. The running electrolyte consists of a 60 mM borate buffer solution, pH 9.5. The analysis of urine samples requires a previous extraction step using C8 solid-phase cartridges. Under the optimum experimental conditions, the separation of the two analytes and the internal standard takes less than 5 min. The detection limits obtained (75 and 95 ng/mL for quinapril and quinaprilat, respectively) allow the application of the electrophoretic method to the determination of the drug and its metabolite in urine samples obtained from four patients treated with quinapril.


Subject(s)
Angiotensin-Converting Enzyme Inhibitors/analysis , Electrophoresis, Capillary/methods , Isoquinolines/analysis , Tetrahydroisoquinolines , Adult , Aged , Aged, 80 and over , Angiotensin-Converting Enzyme Inhibitors/urine , Calibration , Electrophoresis, Capillary/instrumentation , Electrophoresis, Capillary/standards , Female , Humans , Isoquinolines/urine , Male , Middle Aged , Pharmaceutical Preparations/analysis , Quinapril , Reference Standards , Sensitivity and Specificity
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