Department of Molecular Science and Nanosystems, Ca' Foscari University of Venice, Via Torino 155, Mestre-Venezia, 30172, Venice, Italy.
Clinical and Experimental Pharmacology, Centro di Riferimento Oncologico di Aviano (CRO) IRCCS, Via Franco Gallini 2, 33081, Aviano, Pordenone, Italy.
Anal Bioanal Chem. 2020 Mar;412(7):1585-1595. doi: 10.1007/s00216-020-02386-1. Epub 2020 Jan 25.
In this paper, a fast method for the detection of irinotecan (CPT-11) in plasma samples was investigated. CPT-11 is widely used in a number of chemotherapeutic treatments of several solid tumors. The method is based on the combination of a solid phase extraction and an electrochemical detection step. The extraction of CPT-11 from plasma was performed using solid phase extraction (SPE) columns and acetonitrile as eluent. The procedure included also a cleaning step to eliminate interference due to plasma endogenous compounds and the co-therapeutics 5-fluoroacil (5-FU) and folinic acid (FA). The latter are administered together with CPT-11 in the FOLFIRI regimen. The detection of CPT-11 was performed by differential pulse voltammetry at a glassy carbon electrode (GCE) in basified acetonitrile media. Under these conditions, a well-defined peak due to the oxidation of the tertiary ammine end of CPT-11, also free from interference due to main metabolites, was obtained. Calibration plots showed a good linear response with limit of detection and quantification of 1.10 × 10 and 3.74 × 10 M, respectively. The suitability of the method proposed here for clinical applications was verified by determining the concentration of CPT-11 in plasma samples of an oncological patient, collected after 30 and 180 min from the infusion of the drug. Graphical abstract.
本文研究了一种快速检测伊立替康(CPT-11)在血浆样品中的方法。CPT-11 广泛应用于多种实体肿瘤的多种化疗治疗中。该方法基于固相萃取和电化学检测步骤的结合。CPT-11 从血浆中的提取采用固相萃取(SPE)柱和乙腈作为洗脱液。该过程还包括一个清洗步骤,以消除由于血浆内源性化合物和共同治疗药物 5-氟尿嘧啶(5-FU)和甲酰四氢叶酸(FA)引起的干扰。后两者与 CPT-11 一起用于 FOLFIRI 方案中。CPT-11 的检测通过在碱性乙腈介质中的玻碳电极(GCE)进行差分脉冲伏安法进行。在这些条件下,获得了由于 CPT-11 的叔胺末端的氧化而产生的定义良好的峰,并且也没有主要代谢物引起的干扰。校准曲线显示出良好的线性响应,检测限和定量限分别为 1.10×10 和 3.74×10 M。通过测定在药物输注后 30 和 180 分钟从患者采集的血浆样品中 CPT-11 的浓度,验证了该方法在临床应用中的适用性。