Abstract
Purpose
Forensic toxicological analyses of drugs and their metabolites in human specimens usually require extractive pretreatment for successful analysis of substances from the matrix. In the present study, a high-throughput method was developed to analyze flunitrazepam, 7-aminoflunitrazepam, 7-acetamidoflunitrazepam, 7-acetamido-3-hydroxyflunitrazepam, and 3-hydroxyflunitrazepam in human plasma and urine samples using a new Monolithic C18 gel-packed SpinTip and ultra-performance liquid chromatography (UPLC)–quadrupole time-of-flight (Q-ToF) mass spectrometry (MS).
Methods
Plasma (20 µL) or urine (100 µL) samples spiked with each component were extracted using a Monolithic C18 SPE SpinTip and quantified by UPLC–Q-Tof–MS with positive-ion electrospray ionization (ESI).
Results
Good separation, with clear peak shapes of flunitrazepam and its metabolites, was achieved within an analysis time of 6 min, including the extraction time. Recoveries of flunitrazepam and 7-aminoflunitrazepam for plasma and urine samples were 93.5–118% and 97.7–109%, respectively. The regression equations for flunitrazepam and 7-aminoflunitrazepam showed excellent linearity in the range of 0.5–250 ng/mL for plasma and 0.4–500 ng/mL for urine, with detection limits of 0.2–0.5 ng/mL. Intra- and inter-day coefficients of variations for two drugs are smaller than 13.5%. The accuracy of quantitation was 89–110%.
Conclusions
The method was successfully applied to determine the level of flunitrazepam and its metabolites in human plasma and urine, respectively, after oral administration to a volunteer.
Similar content being viewed by others
References
Mihic SJ, Mayfield J, Harris RA (2017) Hypnotics and sedatives. In: Brunton LL, Hilal-Dandan R, Knollmann BC (eds) Goodman & Gilman’s: the pharmacological basis of therapeutics, 13th edn. McGraw-Hill, New York, pp 339–354
Olfson M, King M, Schoenbaum M (2015) Benzodiazepine use in the United States. JAMA Psychiatry 72:136–142. https://doi.org/10.1001/jamapsychiatry.2014.1763
Windle A, Elliot E, Duszynski K, Moore V (2007) Benzodiazepine prescribing in elderly Australian general practice patients. Aust N Z J Public Health 31:379–381. https://doi.org/10.1111/j.1753-6405.2007.00091.x
Baselt RC (2017) Disposition of toxic drugs and chemicals in man, 11th edn. Biomedical Publications, Seal Beach, pp 908–911
Baia TC, Campos A, Wanderley BM, Gama RA (2016) The effect of flunitrazepam (Rohypnol®) on the development of Chrysomya megacephala (Fabricius, 1794) (Diptera: Calliphoridae) and its implications for forensic entomology. J Forensic Sci 61:1112–1115. https://doi.org/10.1111/1556-4029.13104
ElSohly MA, Salamone SJ (1999) Prevalence of drugs used in cases of alleged sexual assault. J Anal Toxicol 23:141–146. https://doi.org/10.1093/jat/23.3.141
Anglin D, Spears KL, Hutson HR (1997) Flunitrazepam and its involvement in date or acquaintance rape. Acad Emerg Med 4:323–326. https://doi.org/10.1111/j.1553-2712.1997.tb03557.x
de Bairros AV, de Almeida RM, Pantaleão L, Barcellos T, de Silva SM, Yonamine M (2015) Determination of low levels of benzodiazepines and their metabolites in urine by hollow-fiber liquid-phase microextraction (LPME) and gas chromatography–mass spectrometry (GC–MS). J Chromatogr B 975:24–33. https://doi.org/10.1016/j.jchromb.2014.10.040
Hackett J, Elian AA (2006) Extraction and analysis of flunitrazepam/7-aminoflunitrazepam in blood and urine by LC–PDA and GC–MS using butyl SPE columns. Forensic Sci Int 157:156–162. https://doi.org/10.1016/j.forsciint.2005.03.019
Cui S, Tan S, Ouyang G, Pawliszyn J (2009) Automated polyvinylidene difluoride hollow fiber liquid-phase microextraction of flunitrazepam in plasma and urine samples for gas chromatography/tandem mass spectrometry. J Chromatogr A 1216:2241–2247. https://doi.org/10.1016/j.chroma.2009.01.022
Nguyen H, Nau DR (2000) Rapid method for the solid-phase extraction and GC–MS analysis of flunitrazepam and its major metabolites in urine. J Anal Toxicol 24:37–45. https://doi.org/10.1093/jat/24.1.37
Matsuta S, Nakanishi K, Miki A, Zaitsu K, Shima N, Kamata T, Nishioka H, Katagi M, Tatsuno M, Tsuboi K, Tsuchihashi H, Suzuki K (2013) Development of a simple one-pot extraction method for various drugs and metabolites of forensic interest in blood by modifying the QuEChERS method. Forensic Sci Int 232:40–45. https://doi.org/10.1016/j.forsciint.2013.06.015
Marchi I, Schappler J, Veuthey JL, Rudaz S (2009) Development and validation of a liquid chromatography-atmospheric pressure photoionization-mass spectrometry method for the quantification of alprazolam, flunitrazepam, and their main metabolites in haemolysed blood. J Chromatogr B 877:2275–2283. https://doi.org/10.1016/j.jchromb.2008.12.002
Hasegawa K, Wurita A, Minakata K, Gonmori K, Nozawa H, Yamagishi I, Watanabe K, Suzuki O (2015) Postmortem distribution of flunitrazepam and its metabolite 7-aminoflunitrazepam in body fluids and solid tissues in an autopsy case: usefulness of bile for their detection. Leg Med 17:394–400. https://doi.org/10.1016/j.legalmed.2015.06.002
Wu YR, Liu HY, Lin SL, Fuh MR (2018) Quantification of 7-aminoflunitrazepam in human urine by polymeric monolith-based capillary liquid chromatography coupled to tandem mass spectrometry. Talanta 176:293–298. https://doi.org/10.1016/j.talanta.2017.08.040
Lee HH, Lee JF, Lin SY, Lin YY, Wu CF, Wu MT, Chen BH (2013) Simultaneous quantification of urine flunitrazepam, nimetazepam and nitrazepam by using liquid chromatography tandem mass spectrometry. Clin Chim Acta 420:134–139. https://doi.org/10.1016/j.cca.2012.10.023
Forsman M, Nyström I, Roman M, Berglund L, Ahlner J, Kronstrand R (2009) Urinary detection times and excretion patterns of flunitrazepam and its metabolites after a single oral dose. J Anal Toxicol 33:491–501. https://doi.org/10.1093/jat/33.8.491
Erve JC, Demaio W, Talaat RE (2008) Rapid metabolite identification with sub parts-per-million mass accuracy from biological matrices by direct infusion nanoelectrospray ionization after clean-up on a ZipTip and LTQ/Orbitrap mass spectrometry. Rapid Commun Mass Spectrom 22:3015–3026. https://doi.org/10.1002/rcm.3702
Liu H, Stupak J, Zheng J, Keller BO, Brix BJ, Fliegel L, Li L (2004) Open tubular immobilized metal ion affinity chromatography combined with MALDI MS and MS/MS for identification of protein phosphorylation sites. Anal Chem 76:4223–4232. https://doi.org/10.1021/ac035231d
Kumazawa T, Hasegawa C, Lee XP, Sato K (2010) New and unique methods of solid-phase extraction for use before instrumental analysis of xenobiotics in human specimens. Forensic Toxicol 28:61–68. https://doi.org/10.1007/s11419-010-0097-7
Lee XP, Hasegawa C, Kumazawa T, Shinmen N, Shoji Y, Seno H, Sato K (2008) Determination of tricyclic antidepressants in human plasma using pipette tip solid-phase extraction and gas chromatography–mass spectrometry. J Sep Sci 31:2265–2271. https://doi.org/10.1002/jssc.200700627
Kumazawa T, Hasegawa C, Lee XP, Hara K, Seno H, Suzuki O, Sato K (2007) Simultaneous determination of methamphetamine and amphetamine in human urine using pipette tip solid-phase extraction and gas chromatography–mass spectrometry. J Pharm Biomed Anal 44:602–607. https://doi.org/10.1016/j.jpba.2006.12.025
Hasegawa C, Kumazawa T, Lee XP, Fujishiro M, Kuriki A, Marumo A, Seno H, Sato K (2006) Simultaneous determination of ten antihistamine drugs in human plasma using pipette tip solid-phase extraction and gas chromatography/mass spectrometry. Rapid Commun Mass Spectrom 20:537–543. https://doi.org/10.1002/rcm.2335
Wu L, Tang Y, Shan C, Chai C, Zhou Z, Shi X, Ding N, Wang J, Lin L, Tan R (2018) A comprehensive in vitro and in vivo metabolism study of hydroxysafflor yellow A. J Mass Spectrom 53:99–108. https://doi.org/10.1002/jms.4041
Caboni P, Liori B, Kumar A, Santoru ML, Asthana S, Pieroni E, Fais A, Era B, Cacace E, Ruggiero V, Atzori L (2014) Metabolomics analysis and modeling suggest a lysophosphocholines-PAF receptor interaction in fibromyalgia. PLoS One 9:e107626. https://doi.org/10.1371/journal.pone.0107626
Zhu X, Chen Y, Subramanian R (2014) Comparison of information-dependent acquisition, SWATH, and MS(All) techniques in metabolite identification study employing ultrahigh-performance liquid chromatography-quadrupole time-of-flight mass spectrometry. Anal Chem 86:1202–1209. https://doi.org/10.1021/ac403385y
Calderón-Santiago M, Priego-Capote F, Jurado-Gámez B, Luque de Castro MD (2014) Optimization study for metabolomics analysis of human sweat by liquid chromatography–tandem mass spectrometry in high resolution mode. J Chromatogr A 1333:70–78. https://doi.org/10.1016/j.chroma.2014.01.071
Broecker S, Herre S, Pragst F (2012) General unknown screening in hair by liquid chromatography-hybrid quadrupole time-of-flight mass spectrometry (LC–QTOF-MS). Forensic Sci Int 218:68–81. https://doi.org/10.1016/j.forsciint.2011.10.004
Food and Drug Administration. Guidance for industry: bioanalytical method validation, U.S. Department of Health and Human Services, FDA, Center for Drug Evaluation and Research. 2018. http://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/default.htm. Accessed 5 Dec 2018
Shafaei A, Halim NHA, Zakaria N, Ismail Z (2017) Analysis of free amino acids in different extracts of orthosiphon stamineus leaves by high-performance liquid chromatography combined with solid-phase extraction. Pharmacogn Mag 13:385–391. https://doi.org/10.4103/0973-1296.216337
Marumo A, Kumazawa T, Lee XP, Hasegawa C, Sato K (2013) SpinTip solid-phase extraction and HILIC-MS-MS for quantitative determination of methamphetamine and amphetamine in human plasma. J Liq Chromatogr Relat T 37:420–432. https://doi.org/10.1080/10826076.2012.745145
Matsuura K, Ohmori T, Nakamura M, Itoh Y, Hirano K (2008) A simple and rapid determination of valproic acid in human plasma using a non-porous silica column and liquid chromatography with tandem mass spectrometric detection. Biomed Chromatogr 22:387–393. https://doi.org/10.1002/bmc.944
Huang Z, Zhang S (2003) Confirmation of amphetamine, methamphetamine, MDA and MDMA in urine samples using disk solid-phase extraction and gas chromatography–mass spectrometry after immunoassay screening. J Chromatogr B 792:241–247. https://doi.org/10.1016/S1570-0232(03)00269-1
Uges DRA (2011) Hospital toxicology: interpretation and advice. In: Moffat AC, Osselton MD, Widdop B, Watts J (eds) Clarke’s analysis of drugs and poisons, 4th edn. Pharmaceutical, London, pp 31–57
Winek CL, Wahba WW, Winek CL Jr, Balzer TW (2001) Drug and chemical blood-level data. Forensic Sci Int 122:107–123. https://doi.org/10.1016/s0379-0738(01)00483-2
Snyder H, Schwenzer KS, Pearlman R, McNally AJ, Tsilimidos M, Salamone SJ, Brenneisen R, ElSohly MA, Feng S (2001) Serum and urine concentrations of flunitrazepam and metabolites, after a single oral dose, by immunoassay and GC–MS Format: abstract. J Anal Toxicol 25:699–704. https://doi.org/10.1093/jat/25.8.699
Bogusz MJ, Maier RD, Krüger KD, Früchtnicht W (1998) Determination of flunitrazepam and its metabolites in blood by high-performance liquid chromatography-atmospheric pressure chemical ionization mass spectrometry. J Chromatogr B 713:361–369. https://doi.org/10.1016/S0378-4347(98)00207-2
Namera A, Makita R, Saruwatari T, Hatano A, Shiraishi H, Nagao M (2012) Acute intoxication caused by overdose of flunitrazepam and triazolam: high concentration of metabolites detected at autopsy examination. Am J Forensic Med Pathol 33:293–296. https://doi.org/10.1097/PAF.0b013e31820f1514
Bogusz MJ (2000) Liquid chromatography–mass spectrometry as a routine method in forensic sciences: a proof of maturity. J Chromatogr B 748:3–19. https://doi.org/10.1016/S0378-4347(00)00461-8
Druid H, Holmgren P (1997) A compilation of fatal and control concentrations of drugs in postmortem femoral blood. J Forensic Sci 42:79–87. https://doi.org/10.1520/JFS14071J
Viswanathan CT, Bansal S, Booth B, DeStefano AJ, Rose MJ, Sailstad J, Shah VP, Skelly JP, Swann PG, Weiner R (2007) Quantitative bioanalytical methods validation and implementation: best practices for chromatographic and ligand binding assays. Pharm Res 24:1962–1973. https://doi.org/10.1007/s11095-007-9291-7
Scientific Working Group for Forensic Toxicology (SWGTOX) (2013) Standard practices for method validation in forensic toxicology. J Anal Toxicol 37:452–474. https://doi.org/10.1093/jat/bkt054
Acknowledgements
This study was supported in part by a Grant-in-Aid for Scientific Research from the Japan Society for the Promotion of Science (JSPS), KAKENHI Grant (C) 24590865.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare no conflict of interest associated with this manuscript.
Ethical approval
This study was approved by the Ethics Committee of Showa University School of Medicine (no. 861). The obtainment of blood and urine samples from healthy volunteers was approved by the Ethics Committees of Showa University School of Medicine (no. 1249).
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Electronic supplementary material
Below is the link to the electronic supplementary material.
11419_2019_471_MOESM2_ESM.doc
Fig. S1. Appearance of a Monolithic C18 gel-packed SPE SpinTip and electron micrograph of the monolithic silica gel. The electron micrograph of the monolithic silica gel is used with permission from GL Sciences, Tokyo, Japan (DOC 57 kb)
11419_2019_471_MOESM3_ESM.doc
Fig. S2. Comparison of XICs at different pH from human plasma and urine 1 h after oral administration of flunitrazepam (1 mg). The pH was adjusted to 2.4 with 10 µL of 1M HCl, 6.9 with 10 µL of ultra-pure water, and 10.1 with 10 µL of 10 mM NH4OH (DOC 53 kb)
Rights and permissions
About this article
Cite this article
Fujishiro, M., Noguchi, A., Lee, XP. et al. A new method for high-resolution and high-precision analysis of flunitrazepam and 7-aminoflunitrazepam in human body fluids using a Monolithic SPE SpinTip and UPLC–Q-ToF–MS. Forensic Toxicol 37, 387–397 (2019). https://doi.org/10.1007/s11419-019-00471-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11419-019-00471-4