人发中阿屈非尼及其主要代谢物莫达非尼的鉴定。自我给药研究及1例真实病例的解读。
Identification of adrafinil and its main metabolite modafinil in human hair. Self-administration study and interpretation of an authentic case.
作者信息
Ameline Alice, Gheddar Laurie, Raul Jean-Sébastien, Kintz Pascal
机构信息
Institut de Médecine Légale, Laboratoire de toxicologie, Strasbourg, France.
X-Pertise Consulting, Département de toxicologie, Mittelhausbergen, France.
出版信息
Forensic Sci Res. 2020 Jan 29;5(4):322-326. doi: 10.1080/20961790.2019.1704482.
For several years, the misuse of stimulant substances is increasingly observed both in the field of sport, to improve the functions of the body and therefore to be more performant, and also by non-athletes to make life more tolerable on a daily basis. Adrafinil, 2-((diphenylmethyl)sulfinyl)-N-hydroxyacetamide, is a drug designed for the treatment of narcolepsy by promoting an awakened state, and to treat alertness and neurological symptoms in the elderly. It is primarily metabolized to an active form, i.e. modafinil, 2-((diphenylmethyl)sulfinyl)acetamide. The World Anti-Doping Agency (WADA) banned these two drugs in sports in 2004. The authors report an authentic case involving adrafinil and modafinil. The laboratory was requested to test for adrafinil in a hair strand collected from a woman found in possession of vials of adrafinil and suspected of trafficking. A specific method was developed by liquid chromatography tandem mass spectrometry (LC-MS/MS). Unlike modafinil (varying from 6.8 to 13.9 ng/mg), adrafinil was not identified in the strand. The interpretation of the results was difficult because this is the first case describing human hair analysis. In order to be able to interpret the results, a self-administration study was conducted after an oral administration to a volunteer (200 mg) whose beard hair was collected 10 days after administration. The analysis of this specimen highlighted the presence of adrafinil at 0.8 ng/mg and modafinil at 0.5 ng/mg. These results demonstrate the dual identification of both compounds after a single consumption, even after administration of a low dose. According to these results, the analysis of the hair strand from the authentic case does not match with a consumption of adrafinil, in accordance with abuse of modafinil alone. Intelligence considered that this was a trafficking case of adrafinil, with no self-consumption.
几年来,人们越来越多地观察到在体育领域存在刺激物质滥用的现象,目的是改善身体机能从而提高运动表现,同时非运动员也会滥用刺激物质以使日常生活更易忍受。阿屈非尼,即2-((二苯甲基)亚磺酰基)-N-羟基乙酰胺,是一种用于治疗发作性睡病的药物,通过促进觉醒状态来治疗老年人的警觉性和神经症状。它主要代谢为一种活性形式,即莫达非尼,2-((二苯甲基)亚磺酰基)乙酰胺。世界反兴奋剂机构(WADA)于2004年在体育赛事中禁止了这两种药物。作者报告了一例涉及阿屈非尼和莫达非尼的真实案例。实验室被要求对从一名女性身上采集的一缕头发进行阿屈非尼检测,该女性被发现持有阿屈非尼小瓶并涉嫌贩卖。通过液相色谱串联质谱法(LC-MS/MS)开发了一种特定方法。与莫达非尼(含量在6.8至13.9纳克/毫克之间变化)不同,在这缕头发中未检测到阿屈非尼。结果的解读很困难,因为这是首例描述人体毛发分析的案例。为了能够解读结果,对一名志愿者口服200毫克药物后进行了自我给药研究,并在给药10天后采集其胡须毛发进行分析。对该样本的分析显示,阿屈非尼含量为0.8纳克/毫克,莫达非尼含量为0.5纳克/毫克。这些结果表明,即使单次服用低剂量药物后,两种化合物也能被同时检测到。根据这些结果,真实案例中的头发样本分析结果与阿屈非尼的服用情况不符,仅符合莫达非尼的滥用情况。警方认为这是一起阿屈非尼贩卖案件,不存在自我服用情况。