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以莫达非尼为例谈“聪明药”问题:证据及生物样本的毒理学分析

The Issue of "Smart Drugs" on the Example of Modafinil: Toxicological Analysis of Evidences and Biological Samples.

作者信息

Nowak Karolina, Chłopaś-Konowałek Agnieszka, Szpot Paweł, Zawadzki Marcin

机构信息

Department of Pharmacology, Faculty of Medicine, University of Opole, 48 Oleska Street, 45052 Opole, Poland.

Department of Forensic Medicine, Division of Molecular Techniques, Wroclaw Medical University, Sklodowskiej-Curie 52, 50369 Wroclaw, Poland.

出版信息

J Xenobiot. 2025 Jan 17;15(1):15. doi: 10.3390/jox15010015.


DOI:10.3390/jox15010015
PMID:39846547
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11755661/
Abstract

Cognitive enhancement through stimulants such as modafinil is becoming increasingly popular, with many individuals using prescription stimulants for non-medical purposes to improve alertness, attention, and mood. The misuse of such substances has raised concerns, particularly in forensic toxicology. The UHPLC-QqQ-MS/MS method was developed to quantify modafinil in evidentiary samples and biological materials. Additionally, the authors noted the presence of sodium adducts during the analysis of samples with high concentrations of modafinil. The method was validated for accuracy, precision, and linearity, with a concentration range of 0.1-10.0 µg/mL for the evidences and 1.0-100.0 ng/mL for blood. The method successfully detected modafinil as the sole substance in all evidences, with concentrations ranging from 90.7 to 120.8 mg, corresponding to 45.5% to 80.5% of the labeled dose. The method was applied to real post-mortem human cases, where, among others, the concentration of modafinil in blood was 110 ng/mL, whereas, in another case, the concentration of modafinil in the putrefaction fluid exceeded 1000 ng/mL. The developed UHPLC-QqQ-MS/MS method is effective for the quantification of modafinil in evidentiary samples and biological materials, offering a reliable tool for forensic toxicology applications. This method can be used to evaluate modafinil use in both legal and illicit contexts, including cases of overdose or misuse.

摘要

通过莫达非尼等兴奋剂来提高认知能力正变得越来越普遍,许多人将处方兴奋剂用于非医疗目的,以提高警觉性、注意力和情绪。此类物质的滥用引发了人们的担忧,尤其是在法医毒理学领域。开发了超高效液相色谱-串联四极杆质谱/质谱(UHPLC-QqQ-MS/MS)方法来定量分析证据样本和生物材料中的莫达非尼。此外,作者指出在分析高浓度莫达非尼样本时会出现钠加合物。该方法在准确性、精密度和线性方面得到了验证,证据样本的浓度范围为0.1 - 10.0μg/mL,血液样本的浓度范围为1.0 - 100.0 ng/mL。该方法成功地在所有证据中检测到莫达非尼作为唯一物质,浓度范围为90.7至120.8毫克,相当于标记剂量的45.5%至80.5%。该方法应用于实际的人类尸检案例,其中,血液中莫达非尼的浓度为110 ng/mL,而在另一个案例中,腐败液中莫达非尼的浓度超过1000 ng/mL。所开发的UHPLC-QqQ-MS/MS方法对于定量分析证据样本和生物材料中的莫达非尼是有效的,为法医毒理学应用提供了一个可靠的工具。该方法可用于评估莫达非尼在合法和非法情况下的使用情况,包括过量使用或滥用的案例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a08/11755661/8d1cb52ceb01/jox-15-00015-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a08/11755661/a44b546f7999/jox-15-00015-g001a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a08/11755661/393518bd298c/jox-15-00015-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a08/11755661/24202a3b1402/jox-15-00015-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a08/11755661/8d1cb52ceb01/jox-15-00015-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a08/11755661/a44b546f7999/jox-15-00015-g001a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a08/11755661/393518bd298c/jox-15-00015-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a08/11755661/24202a3b1402/jox-15-00015-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a08/11755661/8d1cb52ceb01/jox-15-00015-g004.jpg

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本文引用的文献

[1]
Methyl (S)-2-(1-7 (5-fluoropentyl)-1H-indole-3-carboxamido)-3,3-dimethylbutanoate (5F-MDMB-PICA) intoxication in a child with identification of two new metabolites (ultra-high-performance liquid chromatography-tandem mass spectrometry).

Forensic Toxicol. 2023-1

[2]
A fatal case involving the highest ever reported 4-CMC concentration.

J Forensic Sci. 2023-1

[3]
An ultra-sensitive UHPLC-QqQ-MS/MS method for determination of 54 benzodiazepines (pharmaceutical drugs, NPS and metabolites) and z-drugs in biological samples.

Talanta. 2023-1-1

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Preparation of Deuterium-Labeled Armodafinil by Hydrogen-Deuterium Exchange and Its Application in Quantitative Analysis by LC-MS.

Metabolites. 2022-6-22

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A Non-Covalent Dimer Formation of Quaternary Ammonium Cation with Unusual Charge Neutralization in Electrospray-Ionization Mass Spectrometry.

Molecules. 2021-9-28

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Hyponatraemia and cerebral oedema due to a modafinil overdose.

BMJ Case Rep. 2020-7-5

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J Anal Toxicol. 2021-2-13

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Subst Abus. 2020

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Psychiatr Danub. 2019-9

[10]
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Expert Rev Clin Pharmacol. 2019-8-31

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