PART II: SAMPLING AND SALIVA SAMPLE PRETREATMENT

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PART II: SAMPLING AND SALIVA SAMPLE PRETREATMENT IBIB PAN PROJECT TEAM A. MOOS 1, K. DUDZIŃSKI 2, P. KNIHNICKI 1, P. KOŚCIELNIAK 1,3, J. NOWAK 1, D.G. PIJANOWSKA 2, B. ROZUM 2, M. WIECZOREK 1, R. WIETECHA-POSŁUSZNY 1, M. WOŹNIAKIEWICZ 1 1 Jagiellonian University, Laboratory for Forensic Chemistry, Faculty of Chemistry, Krakow, Poland 2 Nałęcz Institute of Biocybernetics and Biomedical Engineering, Polish Academy of Sciences, Warszawa, Poland 3 Institute of Forensic Research, Krakow, Poland This research was financed by the EU (European Regional Development Found) within the POIG Programme: MNS-DIAG Micro- and Nano- Systems for Chemistry and Biomedical Diagnostics (POIG.01.03.01-00-014/08-02)

The aim The aim of this study was to develop microextraction suitable for isolation of eight tricyclic antidepressants (TCAD) from oral fluid: Desipramine (D/M) Imipramine (D) Doxepin (D) Norclomipramine (M) Nortriptyline (D/M) Nordoxepin (M) Clomipramine (D) Amitriptyline (D) D parental drug, M - methabolite

Oral fluid in toxycology saliva is produced constantly (1-2 L per day) sample collection is non-invasive, simple, painless and child or older person friendly saliva collection is inexpensive saliva can be collected in any place density ~1.01 g/ml, viscosity ~ 0.8 mp s composition: 94 99% of water protein substances (enzymes, mucins, immunoglobulins) non-protein (uric acid, cholesterol, some vitamins) 1, 2, 3- Salivary glands

Oral fluid sample collection PROCEDURE: at least one hour after eating, drinking, smoking, rinsing mouth and brushing teeth movements of volunteer s face and mouth should be minimalized about 5 minutes before collecting samples to get only the unstimulated ones saliva was collected in the morning to disposable test tubes from healthy volunteers samples were stored in a refrigerator (+4 C) and used the same/next day

Sample pretreatment Pretreatment of saliva samples moved out proteins, remains of food, air bubbles and other interferences: oral fluid samples were spiked with TCDA drugs (c=2 ng ml -1 ) samples were sonicated for 50 min and then centrifuged for 10 min, 10000 rpm at (-1 C) supernatant was collected and diluted with phosphate buffer ph 7.4 (2:1, v/v)

Optimization steps achievements HPLC-UV optimization MEPS extraction procedure: C 8 /SCX sorbent, type and volumes of solutions CE-UV saliva sample preparing: centrifugation and direct injection to the capillary LC-MS the lowest limit of quantification which allow to examinated real saliva samples

Microextraction by Packed Sorbent MEPS is the miniaturization of conventional SPE packed bed devices the MEPS Barrel Insert and Needle Assembly (BIN ), contains the stationary phase, is built into the syringe needle evol: SEMI-AUTOMATIZATION: improves MEPS extraction because of possibility to programming the extraction procedure including controlling the speed and volume of each step received results are more reproducible (RDS evol < RSD manual MEPS ) reduced possible mistakes during the manual MEPS procedure evol XR

Microextraction by Packed Sorbent MEPS procedure Steps of extraction Conditioning: methanol 0,1% formic acid Sampling: 3x50 µl Washing: 0,1% formic acid Drying air Elution: 4x50 µl methanol:water:nh 3(aq) Washing: methanol

Results analysis by Liquid Chromatography coupled with Mass Spectrometry LC-MS 60 extraction efficiency [%] 50 40 30 20 10 0 %RSD 2 15%

Validation of MEPS/LC-MS method oral fluid samples were spiked with TCADs and their metabolites at three concentration levels: 1 ng ml -1 2 ng ml -1 3 ng ml -1 Concentration in real saliva samples examples: Ami 1 : 20,2 33,1 ng ml -1 Dox 2 : 3,7 14,0 ng ml -1 Parameter Imi Nort Clo Nord Norc Dox Ami Des LOD [ng ml -1 ] LOQ [ng ml -1 ] Precision, RSD [%] Accuracy, RE [%] 0,2 1,5 0,5 0,2 0,2 0,2 0,3 0,3 0,6 4,9 1,6 0,8 0,6 0,6 0,9 0,9 5,4 8,4 6,7 6,8 2,9 5,9 9,1 10,3 11,6 13,0 11,6 12,7 11,3 6,4-3,3 12,7 1 de Castro A et al., Journal of Pharmaceutical and Biomedical Analysis 2008, 183-193 2 Chudzikiewicz E. et al., Problems of Forensic Science 2005, LXII, 166-177

Analysis of real samples real oral fluid samples containing Amitriptyline were collected from volunteer and stored in a refrigerator (+4 C) until LC-MS analysis calibration curve was prepared from 0,5 to 12,0 ng ml -1 Intens. x10 4 1.25 Ami sample standard 12,0 ng ml -1 Blank sample 1.00 0.75 0.50 0.25 0.00 0 2 4 6 8 10 12 14 Time [min] obtained results shown that the concentration of Amitriptyline was higher than the range of the curve

Conclusions SAMPLE PRETREATMENT: the method of sample preparation is quite short and simple compared to usual SPE extraction MEPS EXTRACTION: the BIN sorbent can be used about 25 times (SPE column 1 time) time of extraction of one saliva sample is about 5 minutes evol improves MEPS extraction GENERAL CONCUSIONS: developed method was found to be a robust and efficient approach to analyse TCDA drugs in oral fluid samples low limit of quantification was obtained (examinated real saliva samples is possible) using evol semi-automation and miniaturization were achieved