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影响尿液药物检测中尿苷二磷酸葡萄糖醛酸酶(UGT)性能的因素,可能导致假阴性。

Factors Compromising Glucuronidase Performance in Urine Drug Testing Potentially Resulting in False Negatives.

机构信息

Integrated Micro-Chromatography Systems, Inc, 110 Centrum Drive, Irmo, SC 29063, USA.

Dominion Diagnostics, LLC, 211 Circuit Drive, North Kingstown, RI 02852, USA.

出版信息

J Anal Toxicol. 2022 Jul 14;46(6):689-696. doi: 10.1093/jat/bkab090.

DOI:10.1093/jat/bkab090
PMID:34401904
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9282255/
Abstract

Next generation β-glucuronidases can effectively cleave glucuronides in urine at room temperature. However, during the discovery studies, additional challenges were identified for urine drug testing across biologically relevant pH extremes and patient urine specimens. Different enzymes were evaluated across clinical urine specimens and commercially available urine control matrices. Each enzyme shows distinct substrate preferences, pH optima, and variability across clinical specimens. These results demonstrate how reliance on a single glucuronidated substrate as the internal hydrolysis control cannot ensure performance across a broader panel of analytes. Moreover, sample specific urine properties compromise β-glucuronidases to varying levels, more pronounced for some enzymes, and thereby lower the recovery of some drug analytes in an enzyme-specific manner. A minimum of 3-fold dilution of urine with buffer yields measurable improvements in achieving target pH and reducing the impact of endogenous compounds on enzyme performance. After subjecting the enzymes to pH extremes and compromising chemicals, one particular β-glucuronidase was identified that addressed many of these challenges and greatly lower the risk of failed hydrolyses. In summary, we present strategies to evaluate glucuronidases that aid in higher accuracy urine drug tests with lower potential for false negatives.

摘要

下一代β-葡糖苷酸酶可以在室温下有效切割尿液中的葡萄糖醛酸苷。然而,在发现研究中,针对生物相关的 pH 极端范围和患者尿液样本,尿液药物检测也面临了额外的挑战。不同的酶在临床尿液样本和市售尿液对照基质中进行了评估。每种酶都表现出明显的底物偏好、最适 pH 值和临床样本间的变异性。这些结果表明,仅依赖于单一葡萄糖醛酸苷作为内部分解对照物,无法确保在更广泛的分析物范围内的性能。此外,样本特有的尿液特性会对 β-葡糖苷酸酶产生不同程度的影响,对某些酶的影响更为明显,从而以酶特异性的方式降低某些药物分析物的回收率。用缓冲液将尿液稀释至少 3 倍,可以显著提高达到目标 pH 值的效果,减少内源性化合物对酶性能的影响。在对酶进行 pH 极端处理和破坏化学物质后,鉴定出一种特殊的β-葡糖苷酸酶,可以解决许多这些挑战,并大大降低水解失败的风险。总之,我们提出了评估β-葡糖苷酸酶的策略,以实现更高准确性的尿液药物检测,降低假阴性的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cf1/9282255/19aa62b5bb5f/bkab090f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cf1/9282255/2018a9b47c46/bkab090f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cf1/9282255/bd68c24530b8/bkab090f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cf1/9282255/c828515c901b/bkab090f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cf1/9282255/19aa62b5bb5f/bkab090f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cf1/9282255/2018a9b47c46/bkab090f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cf1/9282255/bd68c24530b8/bkab090f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cf1/9282255/c828515c901b/bkab090f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cf1/9282255/19aa62b5bb5f/bkab090f4.jpg

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Cinnamic acid derivatives: inhibitory activity against -glucuronidase and structure-activity relationships.
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