DDRRUUGGSS OOFF AABBUUSSEE AANNAALLYYSSIISS AAPPPPLL IICC AATTIIOONN NNOOTTEEBBOOOOKK Waters System Solutions for Drugs of Abuse Analysis Waters Corporation has over 40 years history of developing innovative HPLC, mass spectrometry, software, chemistry and support services. Waters can now provide forensic toxicology laboratories with complete solutions that will improve the accuracy and precision of assays while increasing productivity. Waters MassTrak™ Systems bring the power of LC/MS to your laboratory in a robust, easy-to-use and cost-effective package. These systems offer new levels of sample throughput, sensitivity, specifi city and fl exibility for both screening and confi rmation applications. They are supported by a dedicated toxicology applications development group that has extensive experience in developing validated methods for drugs of abuse analysis. The MassTrak™ System for routine drugs of abuse confirmation analysis, consisting of an Alliance® HT HPLC system and the Quattro micro™ API incorporating TargetLynx™ Application Manager, sets new standards for sample throughput, sensitivity and ease of use. The Quattro micro™ API can also be used for toxicology screening applications using the unique ChromaLynx™ chromatographic data processing software and in-source CID libraries. The MassTrak™ system incorporating the LCT Premier™ XE represents a new powerful solution for forensic toxicology screening applications. The LCT Premier™ XE is based on time of flight (TOF) technology, which combined with the ACQUITY UPLC™ system provides fast, reliable exact mass measurement. The combination of high full scan sensitivity and routine exact mass measurement (< 5 ppm) enables identification of unknown compounds with the highest degree of confidence. The LCT Premier™ XE, shown here with the ACQUITY UPLC™ System, represents a major advance for screening applications and provides the ultimate sensitivity and speed of analysis. The MassTrak™ System incorporating the Quattro Premier™ XE raises the performance bar for drugs of abuse analysis. The Quattro Premier™ XE is a high-performance benchtop tandem quadrupole instrument, featuring advanced Travelling Wave (T-Wave™) technology. The ultra fast scanning speed enabled by T-Wave™ technology enables the Quattro Premier™ XE to take full advantage of the exceptionally high chromatographic resolution of the ACQUITY. The combination of the ACQUITY UPLC™ and Quattro Premier™ XE delivers unmatched sensitivity and analysis speed for drugs of abuse confirmation analysis. Chemistries for the Drugs of Abuse Laboratory Selecting an HPLC column can be a daunting task with hundreds of stationary phases to choose from. Waters makes it easy by providing innovative stationary phases that provide superior peak shapes, long column lifetimes and complementary selectivities. Whether you’re working with simple or complex matrices, biological or non-biological samples, acidic, basic or neutral molecules. No one offers you more proven sample preparation tools for LC/MS/MS and GC/MS challenges. Table of Contents Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6 ChromaLynx™ Application Manager for Systematic Toxicological Analysis . . . . . . . . . . . . . . . . . . . . . . . . 7-8 TargetLynx™ Application Manager for Confirmation Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-10 General Unknown Screening for Drugs in Biological Samples by LC/MS . . . . . . . . . . . . . . . . . . . . . . . 11-14 A rapid and Sensitive Method for the Quantitation of Amphetamines in Human Saliva . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-18 Opiates: Use or Abuse? Quantification of Opiates in Human Urine . . . . . . . . . . . . . . . . . . . . . . . . . . . 19-20 Quantification of M orphine, M orphine-3-Glucuronide and Morphine-6-Glucuronide in Biological Samples by LC/MS/MS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21-22 Development of a Rapid and Sensitive Method for the Quantification of Benzodiazepines in Plasma and Larvae by LC/MS/MS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23-25 Detection of N ordiazepam and O xazepam in Calliphora Vicina Larvae using LC/MS/MS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26-28 Quantitative Analysis of Δ 9-Tetrahydrocannabinol in Preserved Oral Fluid by LC/MS/MS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29-33 Simultaneous Analysis of G HB and its Precursors in Urine Using LC/MS/MS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34-37 Determination of Aconitine in Body Fluids by LC/MS/MS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38-40 Published References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41-43 Compound Index. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 Cautionary Statement: The MassTrak™ systems are CE marked and declared as in vitro diagnostic devices in the European Union under EU directive 98/79/EC, however the application notes described in this document are for Forensic use only, they are not to be used for any medical device diagnostic application. ©2007 Waters Corporation. Introduction The utilization of LC/MS (and particularly With LC/MS/MS, amphetamines, opiates, LC/MS/MS) in forensic toxicology laboratories has benzodiazepines, G HB and many other drugs can increased significantly in recent years. The sensitivity, be analyzed without extensive sample pre-treatment rapid analysis, selectivity and simple sample pre- and without derivatization. The sensitivity of treatment requirements have led to LC/MS/MS LC/MS/MS allows the use of small sample volumes. methods being adopted as the first choice for many Thus, volume-limited samples from alternate matrices, important drugs of abuse analysis applications. e.g. hair, sweat and oral fluid can be used in addition to blood, plasma or urine. MassTrak™ In addition to the common illicit drugs such as Systems equipped with the TargetLynx™ application amphetamines, opiates, cannabis, LSD and cocaine, manager enable the quantification and verification many prescribed ‘legal’ drugs have a high potential of drugs of abuse in a single chromatographic run for abuse and are knowingly abused or accidentally with a high degree of confidence. misused e.g. benzodiazepines and the prescribed opiates, methadone and buprenorphine. The Waters toxicology application group has gained extensive expertise in developing and refining Drugs of abuse analysis is typically a two-part LC/MS/MS methods for the quantification of a process - an initial screening test is usually followed wide range of drugs of abuse in their application by a confirmatory analysis of putative positive results laboratories in Manchester (UK), Paris (France) and screens. The most widely used screening technique Milford (USA) and in collaboration with many forensic is immunoassay while GC/MS is the most utilized laboratories in Europe. Some of these methods are technique for confirmation analysis. LC/MS/MS is documented in this application notebook. now an established technique for confirmation analysis and is increasingly used for screening applications. Areas of focus have been on: Amphetamines from plasma, urine and saliva Basic drugs in saliva Targeted and Confirmatory Analysis THC in saliva Liquid chromatography—tandem mass spectrometry (LC/MS/MS) is now a widely accepted technique Opiates from plasma and urine in forensic toxicology laboratories for quantitative Benzodiazepines from plasma, urine and fly larvae and confirmatory analysis. It is particularly useful for GHB from urine polar, non-volatile and thermally labile compounds that are difficult to analyze by gas chromatography (GC). In addition, the reduced sample pre-treatment requirements and short run times of LC/MS/MS, compared to GC/MS, make this technique attractive for high-throughput laboratories and for laboratories tasked with providing rapid results. Waters latest mass spectrometer systems, the ACQUITY™ SQD and ACQUITY™ TQD combine ease of use and robustness with the speed and sensitivity of UPLC® technology. 5 ©2007 Waters Corporation. Systematic Toxicological Analysis or General A comprehensive LC/MS library is now available Unknown Screening (GUS) for use on Waters LC/MS (single quadrupole) and LC/MS/MS (tandem quadrupole) systems. It is based LC/MS is also a powerful tool for systematic on a generic chromatographic run using electrospray toxicological analysis (STA). Waters has developed ionization (ESI) and mass spectra recorded at multiple the ChromaLynx™ Application Manager, a unique cone voltages. Controlled, reproducible fragmentation data processing tool that can search LC/MS libraries is caused by in-source fragmentation providing spectra based on cone voltage fragmentation. ChromaLynx™ of structurally-related fragments ions; the higher the Application Manager provides automatic deconvolution cone voltage, the more fragmentation is observed. and exhaustive examination of complex chromatograms Identification of compounds from this type of experiment to identify individual components including minor and is based on matching the spectra from multiple cone closely-eluting peaks. Individual components are then voltage spectra at a single retention time. searched against library spectra and the results are displayed in an easy-to-use browser format. The current version of the Waters toxicology library contains spectra from > 500 compounds, and has been LC/MS is now increasingly used in screening tested for use with the Waters ZQ™ single quadrupole applications. Until recently, the widespread and Quattro micro™ tandem mass spectrometer systems. implementation of LC/MS has primarily been limited by the lack of commercially available LC/MS libraries, and the perceived high capital costs of LC/MS systems. In recent years the capital cost of LC/MS has GC/MS/MS reduced making the technique more widely accessible. Waters Corporation also offers GC/MS/MS systems for forensic toxicology. The Quattro micro™ GC is the most sensitive GC-tandem quadrupole mass spectrometer on the market today. Waters offers GC/MS/MS systems for analytes which have traditionally been submitted for GC/MS analysis. GC/MS/MS offers enhanced sensitivity and specificity over GC/MS and allows for reduced sample clean-up. Waters Quattro micro™ GC - tandem mass spectrometer system for the most demanding GC applications. 6 ©2007 Waters Corporation. ChromaLynx™ Application Manager for Systematic Toxicological Analysis Introduction ChromaLynx™ for the Forensic Toxicology Laboratory The need to qualitatively analyze complex mixtures is frequently encountered in forensic toxicology Chromalynx™ addresses many of the requirements of laboratories. Due to the polar, and non volatile nature the toxicology laboratory for screening applications. of many toxicologically relevant compounds, LC/MS It is designed for automated processing of LC/MS and methods are now increasingly utilised in toxicological GC/MS data and some of the key features are: screening applications. In these applications there is • Detection of all component peaks in a usually a need to detect and identify toxic compounds sample, including peaks not seen in total from complex chromatograms resulting from the ion chromatogram (TIC) traces analysis of biological fluids such as blood and urine. • Spectral deconvolution and peak identification Manually reviewing complex chromatograms to • Automated library searching at multiple detect and identify potential toxic compounds can cone voltages be a laborious, time-consuming and subsequently expensive task. In a manual process, closely eluting • Automatic scoring of the library search or low intensity components can easily be missed. • Combination of retention time and ChromaLynx™ automates this manual task, enabling mass spectra in the library search. rapid detection and identification of compounds • Results displayed in user-friendly browser from complex mixtures. with report generator option When combined with a powerful multi-function LC/MS library, ChromaLynx™ offers the most comprehensive LC/MS solution for screening applications. Figure 1: ChromaLynx™ is able to confidently detect and locate closely eluting peaks. Here Cocaine is identified with a high degree of confidence in a very complex area of the Chromatogram. Total Ion Chromatogram (TIC) traces from 7 functions from a LC/MS analysis of a urine sample. Several components were identified by ChromaLynx™ including, Ecgoninemethyl ester, Morphine, Benzolyecognine, Cocaine and Noscapine ChromaLynx™ is able to detect and locate low intensity peaks. Peak eluting at 3.14 mins was subsequently identified as M orphine. On visual inspection, there is no conclusive evidence that a significant component elutes at 3.14 minutes. The unique ChromaLynx™ deconvolution algorithm clearly indicates that a component is present and has been confidently identified. 7 ©2007 Waters Corporation. Flexibility and Ease of Use Spectral Deconvolution ChromaLynx™ has been designed to be easy to use Following acquisition of full scan spectra recorded at while offering flexibility. It consists of a method editor, multiple cone voltages, ChromaLynx™ will analyse to set up chromatographic data processing and library each chromatogram and extract full scan spectra search parameters. The method editor can be viewed and extract specific ion chromatograms to detect spreadsheet-style for ease of review and allows editing the presence of components. of parameters for peak location and detection, and The key to the exceptional performance of ChromaLynx™ subsequent identification using LC/MS and GC/MS is a new, proprietary chromatography deconvolution libraries. The processed data is displayed in the algorithm. This algorithm efficiently locates peaks in ChromaLynx™ browser for ease of review. a chromatogram and extracts ‘’clean’’ mass spectra ChromaLynx™ can be used with both LC/MS and of eluting components. The extracted mass spectra GC/MS data and can accommodate both exact mass can then be searched against LC/MS and GC/MS and nominal mass data. libraries. ChromaLynx™ has been designed to exploit a unique multi-function electrospray LC/MS library based on in-source collision induced (CID) mass spectra. By recording mass spectra at multiple cone voltages in both positive and negative ion mode extensive information is acquired on samples. To further enhance the library search process, ChromaLynx™ also uses retention time information as a search parameter. Summary ChromaLynx™ Application Manager sets new standards Figure 2: ChromaLynx™ method editor displaying chromatogram data processing parameter set up. In this for the analysis of complex chromatograms resulting from example 7 chromatograms will be processed, five recorded LC/MS or GC/MS analysis of physiological samples in positive Ion mode and two in negative ion mode. such as blood and urine. A unique algorithm enables ChromaLynx™ to locate peaks in a chromatogram and then automatically compare the mass spectra against library mass spectra. When using LC/MS mass spectra recorded at multiple cone voltages (using in-source CID) combined with retention time information further enhances the component identification processes. Green peaks indicate a component identified with a high degree of confidence List of possible components present. Green indicates confident identification, yellow tentative identifications, red indicates a poor library match Library search results for component in-source at three different cone voltages. Library search displays top three Candidates identified at specific point in the chromatogram Visual comparison of component mass spectrum against proposed library match Figure 3: Library search method editor enabling automatic Figure 4: ChromaLynx™ Browser – displaying identified compounds, library searching of all peaks and filtering of results for candidate compounds, results of a library search and total ion retention time and cone voltage used. chromatograms recorded at different cone voltages. 8 ©2007 Waters Corporation. TargetLynx™ Application Manager for Confirmation Analysis Introduction If the analytical data is required to be used as part of a police investigation or presented in a court of law, Quantitation using LC/MS/MS is now well established it is essential that extensive analytical information is in many forensic, environmental, clinical and veterinary provided to confirm the presence of a suspected drug. applications. There are often legal, environmental, TargetLynx™ is ideal for this application, where the human health and financial implications arising from presence of a suspected drug can be confirmed by the results of quantitative MS analyses. This has led the presence of a number of different diagnostic ions to an increased demand by regulatory and legal and MRM transitions. Confirmation analysis using authorities for extra confirmatory and quality control TargetLynx™ is enhanced as ion ratio measurements checks. Regulatory or statutory methods often require, and chromatographic retention time information is also for example, the monitoring of multiple structurally incorporated in the analytical procedure. specific fragment ions, maximum chromatographic peak width and/or retention time. To calculate and check these manually is a labour intensive, time- consuming and subsequently costly task. 168 100 Quantitation TargetLynx™ automates data acquisition, processing and reporting incorporating a wide range of confirmatory checks allowing samples falling outside user-specified or regulatory thresholds to be easily identified, giving confidence when reporting 105 Confirmation 1 quantitative results. % Confirmation 2 TargetLynx™ is able to rapidly identify and flag 82 samples where, for example: 119 150 • Analytes are above a specified concentration 93 122 290 • Analyte confirmatory ion ratios are outside 0 m/z 50 100 150 200 250 300 specified limits • One or more analyte signal-to-noise ratios are Figure 1: Mass Spectrum of the cocaine metabolite below a defined value Benzoylecgonine.Transition 290/168 is used for quantitation. • An analyte retention time or relative retention time Two further MRM transitions 290/105 and 290/82 are monitored for additional confirmation by TargetLynx™. is outside limits • The coefficient of determination (r2) of the Flexibility and Ease of Use calibration curve exceeds a defined value TargetLynx™ can be used with LC/MS/MS and GC/MS/MS data. This data can be SIM (Selected Drugs of Abuse and Forensic Toxicology Ion Monitoring), MRM (Multiple Reaction Monitoring) LC/MS/MS is now increasingly used in forensic or full scan/full spectrum. In the case of full scan/full toxicology laboratories for drugs of abuse confirmation spectrum data, extracted ion chromatograms are used and quantitation applications. LC/MS/MS is typically for quantitation. used for confirmation analysis, following a positive immunoassay analysis that indicates the presence of TargetLynx™ consists of a method editor, to set up a class of drugs or specific drug, or when there is processing parameters, and a browser, to view evidence present that a drug is likely to be present in processed data. The method editor can be viewed a sample. spreadsheet-style for ease of review and allows all quantitation parameters (for peak location and detection, calibration curves etc.) and user-defined criteria for confirmatory and QC checks to be set up. 9 ©2007 Waters Corporation. Processed data is displayed in the TargetLynx™ browser The Compound Summary Report, Sample Summary for ease of review. A variety of sample flags allows Report, Totals Report and Samples Report allow the easy location and interrogation of samples falling out user to display calibration information per compound, with the defined confirmatory and QC criteria. report one compound/sample/totals group per page or split and print summary reports per sample. Data can be exported from the TargetLynx™ browser Method Setup as a XML or comma separated text file into a LIMS system. Data Acquisition Summary Data Processing TargetLynx™ Application Manager automates data acquisition, processing and reporting incorporating a Review Results wide range of confirmatory checks allowing samples falling outside user-specified or regulatory thresholds to be easily identified, giving confidence when reporting Reporting quantitative results. TargetLynx™ provides an easy to use and flexible solution to increase laboratory productivity and improve the quality of quantitative LC/MS/MS or GC/MS/MS data. Moving the cursor over the sample of interest, displays tool tips with explanations of why the sample has been flagged. Figure 2: TargetLynx™ Method Editor – showing customisable selection of relevant displayed parameters. Reporting Customisation and Export of Data Figure 3: TargetLynx™ browser – showing results summary with flags, TargetLynx™ features various reporting options, with calibration curve and chromatograms. reports being printed directly from the Browser file by sample or by compound. Report formats can be customised and can consist of all or some of the following; the Calibration page, Compound Summary Report, Sample Summary Report, Totals Support, Samples Report and Audit Report. In the Calibration page the user can select how the data is displayed, for example ‘Show Residuals’, ‘Show Response Curve’ and/or ‘Show QC Points’. 10 ©2007 Waters Corporation.
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