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干骨中药物的检测:一项超过 23 年死后间隔时间的骨骼遗骸的初步研究。

Detecting drugs in dry bone: a pilot study of skeletal remains with a post-mortem interval over 23 years.

机构信息

LABANOF, Laboratorio di Antropologia e Odontologia Forense, Sezione di Medicina Legale, Dipartimento di Scienze Biomediche per La Salute, Università Degli Studi di Milano, Milan, Italy.

Dipartimento di Chimica, Università degli Studi di Milano, Milan, Italy.

出版信息

Int J Legal Med. 2021 Mar;135(2):457-463. doi: 10.1007/s00414-020-02494-8. Epub 2021 Jan 2.

Abstract

In decomposed or skeletonized bodies, conventional matrices used in forensic toxicology may no longer be available for analysis. The aim of this paper was to test the survival and detection of toxicological substances in dry bone samples with over 23 years of post-mortem interval. In this perspective, bone samples from the cranium, ribs, and vertebrae of seven skeletons from the CAL Milano Cemetery Skeletal Collection, buried for over 23 years, fully decomposed and altered by taphonomic factors were selected based on their ante-mortem data, which included verified or suspected drug addictions or overdose. Qualitative and quantitative analyses were performed with Dionex™ ASE™ 350 Accelerated Solvent Extractor and Q-Exactive Orbitrap-mass spectrometry with a HPLC system. Positive results were obtained in six of the seven cases, and different psychoactive drugs (and in some cases their active metabolites) were detected, including analgesic (two opioids: methadone and buprenorphine) and anxiolytic drugs (benzodiazepines, in particular delorazepam, diazepam, nordiazepam, and lorazepam), a cannabinoid metabolite (THCCOOH) as well as metabolites of stimulants (benzoylecgonine and MDA). Consequently, this research shows that toxicological substances may be found in bone tissue after over 23 years of post-mortem interval.

摘要

在分解或骨骼化的尸体中,法医毒理学中常用的常规基质可能不再可用于分析。本文的目的是测试在死后超过 23 年的干骨样本中有毒物质的存活和检测情况。为此,根据其生前数据,从 CAL Milano 公墓骨骼收藏中选择了颅骨、肋骨和脊椎的骨样本,这些骨骼来自完全分解且因埋葬时间超过 23 年而被埋藏时间、分解和人为因素改变的 7 具骨骼,这些数据包括经证实或疑似的药物成瘾或药物过量。使用 Dionex™ASE™350 加速溶剂萃取仪和 Q-Exactive Orbitrap 质谱仪与 HPLC 系统进行了定性和定量分析。在 7 例案例中有 6 例得到了阳性结果,并检测到了不同的精神活性药物(在某些情况下还检测到其活性代谢物),包括镇痛药(两种阿片类药物:美沙酮和丁丙诺啡)和抗焦虑药(苯二氮䓬类药物,特别是地西泮、安定、去甲西泮和劳拉西泮)、大麻素代谢物(THCCOOH)以及兴奋剂的代谢物(苯甲酰基 ecgonine 和 MDA)。因此,这项研究表明,有毒物质可能在死后超过 23 年的时间里在骨骼组织中被发现。

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