Kintz Pascal
Laboratoire ChemTox, 3 rue Gruninger, 67400 Illkirch, France.
Anal Bioanal Chem. 2007 Aug;388(7):1467-74. doi: 10.1007/s00216-007-1209-z. Epub 2007 Mar 6.
The use of a drug to modify a person's behavior for criminal gain is not a recent phenomenon. However, the recent increase in reports of drug-facilitated crimes (sexual assault, robbery) has caused alarm in the general public. The drugs involved can be pharmaceuticals, such as benzodiazepines (flunitrazepam, lorazepam, etc.), hypnotics (zopiclone, zolpidem), sedatives (neuroleptics, some anti-H1) or anaesthetics (gamma-hydroxybutyrate, ketamine), drugs of abuse, such as cannabis, ecstasy or LSD, or more often ethanol. To perform successful toxicological examinations, the analyst must follow some important rules: (1) obtain as soon as possible the corresponding biological specimens (blood and urine); (2) collect hair about 1 month after the alleged event; (3) use sophisticated analytical techniques (gas or liquid chromatography coupled to tandem mass spectrometry, MS/MS, headspace gas chromatography); and (4) take care in the interpretation of the findings. Drugs used to facilitate sexual assaults can be difficult to detect (active products at low doses, chemical instability), possess amnesic properties and can be rapidly cleared from the body (short half-life). In these situations, blood or even urine can be of low interest. This is the reason why some laboratories have developed an original approach based on hair testing. Hair was suggested as a valuable specimen in situations where, as a result of a delay in reporting the crime, natural processes have eliminated the drug from typical biological specimens. While there are a lot of papers that have focused on the identification of drugs in hair following chronic drug use, those dealing with a single dose are very scarce. The experience of the author and a review of the existing literature will be presented for cases involving benzodiazepines, hypnotics, gamma-hydroxybutyrate and various sedatives or chemical weapons. The expected concentrations in hair are in the low picogram/milligram range for most compounds. Hair analysis may be a useful adjunct to conventional drug testing in sexual assault. It should not be considered as an alternative to blood and urine analyses, but as a complement. This approach may find useful applications, but the definition of legally defensible cutoff values would require much more data. MS/MS technologies appear as a prerequisite in drug-facilitated cases.
为谋取犯罪利益而使用药物改变人的行为并非近期才出现的现象。然而,近期药物助长犯罪(性侵犯、抢劫)的报道增多,引起了公众的警觉。所涉及的药物可以是药品,如苯二氮䓬类药物(氟硝西泮、劳拉西泮等)、催眠药(佐匹克隆、唑吡坦)、镇静剂(抗精神病药、一些抗组胺药H1)或麻醉剂(γ-羟基丁酸、氯胺酮),滥用药物,如大麻、摇头丸或麦角酸二乙酰胺(LSD),或者更常见的乙醇。为了成功进行毒理学检测,分析人员必须遵循一些重要规则:(1)尽快获取相应的生物样本(血液和尿液);(2)在所称事件发生约1个月后采集毛发;(3)使用精密的分析技术(气相或液相色谱与串联质谱联用,MS/MS,顶空气相色谱);以及(4)谨慎解读检测结果。用于助长性侵犯的药物可能难以检测(低剂量的活性产物、化学不稳定性),具有失忆特性,并且可以迅速从体内清除(半衰期短)。在这些情况下,血液甚至尿液可能价值不大。这就是为什么一些实验室开发了基于毛发检测的独特方法。在因报案延迟导致自然过程已从典型生物样本中清除药物的情况下,毛发被认为是一种有价值的样本。虽然有很多论文专注于长期用药后毛发中药物的鉴定,但涉及单次用药的论文非常稀少。将针对涉及苯二氮䓬类药物、催眠药、γ-羟基丁酸以及各种镇静剂或化学武器案例展示作者的经验和对现有文献的综述。大多数化合物在毛发中的预期浓度处于低皮克/毫克范围。毛发分析可能是性侵犯案件中传统药物检测的有用辅助手段。它不应被视为血液和尿液分析的替代方法,而应作为一种补充。这种方法可能会有有用的应用,但确定具有法律辩护力的临界值需要更多数据。MS/MS技术似乎是药物助长案件的先决条件。