Abstract
Purpose
The objective of this study was to develop, optimize, and validate a method for the simultaneous quantification of U-47700, AH-7921, U-49900, U-50488, MT-45, W-18, and W-15 in whole blood using liquid chromatography–tandem mass spectrometry (LC–MS/MS).
Methods
Blood samples (500 µL) were fortified with mixed calibrator or quality control (25 µL) and internal standard (10 µL) solutions. Analytes were isolated via a solid-phase extraction procedure. Analysis was performed using an Agilent 1290 Infinity II liquid chromatograph coupled to an Agilent 6470 triple quadrupole mass spectrometer. The method was validated in accordance with Scientific Working Group for Forensic Toxicology (SWGTOX) standard practices for method validation in forensic toxicology and applied to the analysis of postmortem blood specimens.
Results
Lower limits of quantification were 0.25–1 ng/mL and the upper limits of quantification were 100 ng/mL. The coefficients of determination (R2) for the calibration curves were > 0.99. Analytical bias, within-run imprecision, and between-run imprecision were within ± 15%, ≤ 16%, and ≤ 17%, respectively. All analytes were found to be stable at room temperature for 24 h, refrigerated (4 °C) for 72 h, and in the autosampler (4 °C) for 72 h. Authentic blood samples (n = 30) were analyzed using the validated method. Mean (range) U-47700 concentrations were 214 (3.2–1448) ng/mL in 15 cases.
Conclusions
A quantification method for seven synthetic opioids (U-47700, AH-7921, U-49900, U-50488, MT-45, W-18, and W-15) in whole blood was developed, optimized, and validated in accordance with SWGTOX standard practices for method validation in forensic toxicology. This sensitive method was successfully applied to postmortem casework.
Similar content being viewed by others
References
O’Donnell JK (2017) Trends in deaths involving heroin and synthetic opioids excluding methadone, and law enforcement drug product reports, by census region—United States, 2006–2015. MMWR Morb Mortal Wkly Rep 66:897–903. https://doi.org/10.15585/mmwr.mm6634a2
Seth P (2018) Overdose deaths involving opioids, cocaine, and psychostimulants—United States, 2015–2016. MMWR Morb Mortal Wkly Rep 67:349–358. https://doi.org/10.15585/mmwr.mm6712a1
Coopman V, Blanckaert P, Van Parys G, Van Calenbergh S, Cordonnier J (2016) A case of acute intoxication due to combined use of fentanyl and 3,4-dichloro-N-[2-(dimethylamino)cyclohexyl]-N-methylbenzamide (U-47700). Forensic Sci Int 266:68–72. https://doi.org/10.1016/j.forsciint.2016.05.001
Nikolaou P, Katselou M, Papoutsis I, Spiliopoulou C, Athanaselis S (2017) U-47700. An old opioid becomes a recent danger. Forensic Toxicol 35:11–19. https://doi.org/10.1007/s11419-016-0347-4
Dosaka-Akita K, Tortella FC, Holaday JW, Long JB (1993) The kappa opioid agonist U-50,488 H antagonizes respiratory effects of mu opioid receptor agonists in conscious rats. J Pharmacol Exp Ther 264:631–637
Zawilska JB, Andrzejczak D (2015) Next generation of novel psychoactive substances on the horizon—a complex problem to face. Drug Alcohol Depend 157:1–17. https://doi.org/10.1016/j.drugalcdep.2015.09.030
Papsun D, Krywanczyk A, Vose JC, Bundock EA, Logan BK (2016) Analysis of MT-45, a novel synthetic opioid, in human whole blood by LC–MS–MS and its identification in a drug-related death. J Anal Toxicol 40:313–317. https://doi.org/10.1093/jat/bkw012
Lucyk SN, Nelson LS (2017) Novel synthetic opioids: an opioid epidemic within an opioid epidemic. Ann Emerg Med 69:91–93. https://doi.org/10.1016/j.annemergmed.2016.08.445
Armenian P, Olson A, Anaya A, Kurtz A, Ruegner R, Gerona RR (2017) Fentanyl and a novel synthetic opioid U-47700 masquerading as street “Norco” in Central California: a case report. Ann Emerg Med 69:87–90. https://doi.org/10.1016/j.annemergmed.2016.06.014
Schneir A, Metushi IG, Sloane C, Benaron DJ, Fitzgerald RL (2016) Near death from a novel synthetic opioid labeled U-47700: emergence of a new opioid class. Clin Toxicol 55:51–54. https://doi.org/10.1080/15563650.2016.1209764
Elliott SP, Brandt SD, Smith C (2016) The first reported fatality associated with the synthetic opioid 3,4-dichloro-N-[2-(dimethylamino)cyclohexyl]-N-methylbenzamide (U-47700) and implications for forensic analysis. Drug Test Anal 8:875–879. https://doi.org/10.1002/dta.1984
Domanski K, Kleinschmidt KC, Schulte JM, Fleming S, Frazee C, Menendez A, Tavakoli K (2017) Two cases of intoxication with new synthetic opioid, U-47700. Clin Toxicol 55:46–50. https://doi.org/10.1080/15563650.2016.1209763
Jones MJ, Hernandez BS, Janis GC, Stellpflug SJ (2017) A case of U-47700 overdose with laboratory confirmation and metabolite identification. Clin Toxicol 55:55–59. https://doi.org/10.1080/15563650.2016.1209767
Rohrig TP, Miller SA, Baird TR (2017) U-47700: a not so new opioid. J Anal Toxicol 42:e12–e14. https://doi.org/10.1093/jat/bkx081
McIntyre IM, Gary RD, Joseph S, Stabley R (2017) A fatality related to the synthetic opioid U-47700: postmortem concentration distribution. J Anal Toxicol 41:158–160. https://doi.org/10.1093/jat/bkw124
Ellefsen KN, Taylor EA, Simmons P, Willoughby V, Hall BJ (2017) Multiple drug-toxicity involving novel psychoactive substances, 3-fluorophenmetrazine and U-47700. J Anal Toxicol 41:765–770. https://doi.org/10.1093/jat/bkx060
Mohr ALA, Friscia M, Papsun D, Kacinko SL, Buzby D, Logan BK (2016) Analysis of novel synthetic opioids U-47700, U-50488 and furanyl fentanyl by LC–MS/MS in postmortem casework. J Anal Toxicol 40:709–717. https://doi.org/10.1093/jat/bkw086
Karinen R, Tuv SS, Rogde S, Peres MD, Johansen U, Frost J, Vindenes V, Ǿiestad AML (2014) Lethal poisonings with AH-7921 in combination with other substances. Forensic Sci Int 244:e21–e24. https://doi.org/10.1016/j.forsciint.2014.08.013
Kronstrand R, Thelander G, Lindstedt D, Roman M, Kugelberg FC (2014) Fatal intoxications associated with the designer opioid AH-7921. J Anal Toxicol 38:599–604. https://doi.org/10.1093/jat/bku057
Vorce SP, Knittel JL, Holler JM, Magluilo J, Levine B, Berran P, Bosy TZ (2014) A fatality involving AH-7921. J Anal Toxicol 38:226–230. https://doi.org/10.1093/jat/bku011
Fels H, Krueger J, Sachs H, Musshoff F, Graw M, Roider G, Stoever A (2017) Two fatalities associated with synthetic opioids: AH-7921 and MT-45. Forensic Sci Int 277:e30–e35. https://doi.org/10.1016/j.forsciint.2017.04.003
Morrow JB, Ropero-Miller JD, Catlin ML, Winokur AD, Cadwallader AB, Staymates JL, Williams SR, McGrath JG, Logan BK, McCormick MM, Nolte KB, Gilson TP, Menendez MJ, Goldberger BA (2018) The opioid epidemic: moving toward an integrated, holistic analytical response. J Anal Toxicol. https://doi.org/10.1093/jat/bky049
Shoff EN, Zaney ME, Kahl JH, Hime GW, Boland DM (2017) Qualitative identification of fentanyl analogs and other opioids in postmortem cases by UHPLC-ion trap-MSn. J Anal Toxicol 41:484–492. https://doi.org/10.1093/jat/bkx041
Seither J, Reidy L (2017) Confirmation of carfentanil, U-47700 and other synthetic opioids in a human performance case by LC–MS–MS. J Anal Toxicol 41:493–497. https://doi.org/10.1093/jat/bkx049
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
Matuszewski B, Constanzer M, Chavez-Eng C (2003) Strategies for the assessment of matrix effect in quantitative bioanalytical methods based on HPLC−MS/MS. Anal Chem 75:3019–3030. https://doi.org/10.1021/ac020361s
Truver MT, Swortwood MJ (2018) Quantitative analysis of novel synthetic opioids, morphine and buprenorphine in oral fluid by LC–MS–MS. J Anal Toxicol. https://doi.org/10.1093/jat/bky053
Zaney ME, Shoff EN, Hime GW, Boland DM (2017) Detection of U-47700 in blood and drug paraphernalia from postmortem cases. Society of Forensic Toxicologists Annual Meeting, Boca Raton
Hartman RL, Salamone ME, Nemeth DJ, Gallagher TM, Fellows JS, Kadlec LM, Beno JM (2017) Furanyl fentanyl, butyryl fentanyl, and U-47700 in blood and urine of drivers arrested for driving under the influence of drugs (DUID). Society of Forensic Toxicologists Annual Meeting, Boca Raton
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflicts of interest.
Ethical approval
This article does not contain any studies with animals performed by any of the authors. The blank blood samples were acquired by healthy volunteers after obtaining informed consent.
Rights and permissions
About this article
Cite this article
Lowry, J., Truver, M.T. & Swortwood, M.J. Quantification of seven novel synthetic opioids in blood using LC–MS/MS. Forensic Toxicol 37, 215–223 (2019). https://doi.org/10.1007/s11419-018-0458-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11419-018-0458-1