National Research Institute of Police Science, 6-3-1 Kashiwanoha, Kashiwa, Chiba, 277-0882, Japan.
Forensic Toxicol. 2023 Jul;41(2):260-271. doi: 10.1007/s11419-023-00663-z. Epub 2023 Apr 15.
Micro-segmental analysis (MSA), which enables the measurement of detailed drug distributions in hair by segmenting a single hair strand at 0.4 mm intervals, is indispensable for estimating the day of drug ingestion. However, haircare with dryers and various products can influence drug concentrations in hair. Therefore, the applicability of MSA to hair that was treated with heat or various haircare products was evaluated.
Reference hair strands containing drugs consistently along the hair shafts were collected from patients who ingested four hay-fever medicines (fexofenadine, epinastine, cetirizine, and loratadine) daily for 4 months. The hair strands were divided into eight 4 mm regions from the proximal end, and each region was placed on an electric hot plate at 100-200 °C or soaked in haircare products, such as shampoo and bleaching agent. The hair regions were subjected to MSA. Moreover, after a patient was administered midazolam at a single dose and the hair was bleached, the day of midazolam administration was estimated using MSA.
Repetitive heating for 1 min and daily haircare products, such as shampoo, hardly affected the drugs in hair, whereas bleaching products containing HO decreased the amounts of hay-fever medicines in the hair up to 58%. However, the amount of midazolam did not decrease in bleached hair and the day of midazolam administration was successfully estimated.
The analytes used in this study were minimally affected by ordinary haircare and could be detected even in bleached hair. Therefore, MSA can be applicable regardless of haircare history.
微分段分析(MSA)通过将单根头发以 0.4 毫米的间隔分段,能够测量头发中详细的药物分布,对于估计药物摄入日期是必不可少的。然而,使用吹风机和各种产品进行头发护理会影响头发中的药物浓度。因此,评估了 MSA 对经过热处理或各种头发护理产品处理的头发的适用性。
从每天连续服用四种花粉症药物(非索非那定、依匹斯汀、西替利嗪和氯雷他定) 4 个月的患者身上采集含有药物的参考头发,这些药物均匀分布在头发的轴线上。将头发从近端分为八个 4 毫米的区域,每个区域都放在 100-200°C 的电热板上或浸泡在洗发水和漂白剂等头发护理产品中。对头发区域进行 MSA。此外,在给患者单次给予咪达唑仑后对头发进行漂白,使用 MSA 来估计咪达唑仑给药的日期。
重复加热 1 分钟和日常使用洗发水等头发护理产品对头发中的药物几乎没有影响,而含有 HO 的漂白产品可使花粉症药物在头发中的含量减少高达 58%。然而,在漂白的头发中,咪达唑仑的量没有减少,并且成功估计了咪达唑仑给药的日期。
本研究中使用的分析物受普通头发护理的影响很小,即使在漂白的头发中也能检测到。因此,无论头发护理史如何,MSA 都可以适用。