NuMeCan Institute (Nutrition, Metabolisms and Cancer), CHU Rennes, Univ Rennes, INSERM, INRAE, UMR_A 1341, UMR_S 1317, 35033, Rennes, France.
Clinical and Forensic Toxicology Laboratory, Rennes University Hospital, 35033, Rennes, France.
Arch Toxicol. 2024 Jan;98(1):165-179. doi: 10.1007/s00204-023-03617-x. Epub 2023 Oct 15.
The recent emergence of new synthetic opioids (NSOs) compounds in the illicit market is increasingly related to fatal cases. Identification and medical care of NSO intoxication cases are challenging, particularly due to high frequency of new products and extensive metabolism. As the study of NSO metabolism is crucial for the identification of these drugs in cases of intoxication, we aimed to investigate the metabolism of the piperazine NSO AP-237 (= bucinnazine). Two complementary approaches (in silico and in vitro) were used to identify putative AP-237 metabolites which could be used as consumption markers. In silico metabolism studies were realized by combining four open access softwares (MetaTrans, SyGMa, Glory X, Biotransformer 3.0). In vitro experiments were performed by incubating AP-237 (20 µM) in differentiated HepaRG cells during 0 h, 8 h, 24 h or 48 h. Cell supernatant were extracted and analyzed by liquid chromatography coupled to high-resolution mass spectrometry and data were reprocessed using three strategies (MetGem, GNPS or Compound Discoverer®). A total of 28 phase I and six phase II metabolites was predicted in silico. Molecular networking identified seven putative phase I metabolites (m/z 203.154, m/z 247.180, m/z 271.180, two m/z 289.191 isomers, m/z 305.186, m/z 329.222), including four previously unknown metabolites. Overall, this cross-disciplinary approach with molecular networking on data acquired in vitro and in silico prediction enabled to propose relevant candidate as AP-237 consumption markers that could be added to mass spectrometry libraries to help diagnose intoxication.
新型合成阿片类化合物(NSO)在非法市场中的近期出现与越来越多的致命病例有关。识别和治疗 NSO 中毒病例具有挑战性,特别是由于新产品的高频率和广泛的代谢。由于 NSO 代谢的研究对于鉴定中毒病例中的这些药物至关重要,因此我们旨在研究哌嗪 NSO AP-237(=布西嗪)的代谢。采用两种互补方法(计算和体外)来鉴定可能作为消耗标志物的潜在 AP-237 代谢物。通过结合四个开放访问软件(MetaTrans、SyGMa、Glory X 和 Biotransformer 3.0)进行计算代谢研究。体外实验通过在分化的 HepaRG 细胞中孵育 AP-237(20µM)0h、8h、24h 或 48h 来进行。提取细胞上清液并通过液相色谱-高分辨率质谱联用进行分析,使用三种策略(MetGem、GNPS 或 Compound Discoverer®)对数据进行重新处理。在计算中预测了总共 28 种 I 相和 6 种 II 相代谢物。分子网络鉴定了 7 种可能的 I 相代谢物(m/z 203.154、m/z 247.180、m/z 271.180、两个 m/z 289.191 异构体、m/z 305.186、m/z 329.222),其中包括 4 种以前未知的代谢物。总之,这种跨学科方法结合了体外和计算预测中获得的数据的分子网络,提出了相关的候选物作为 AP-237 的消耗标志物,可以添加到质谱文库中,以帮助诊断中毒。