Acidic Drug Concentrations in Postmortem Vitreous Humor and Peripheral Blood

Hubbard, Jacqueline A.; Navarrete, Aylmer; Fitzgerald, Robert L.; McIntyre, Iain M.

doi:10.1093/jat/bkz076

Cited by 6 publications

(2 citation statements)

References 27 publications

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“…Hubbard et al. ( 23 ) and Metushi et al. ( 24 ) compared screening results in whole blood with vitreous humor for seven acidic drugs (89 cases) and 71 basic drugs (51 cases), respectively.…”

Section: Resultsmentioning

confidence: 99%

Comparison of Comprehensive Screening Results in Postmortem Blood and Brain Tissue by UHPLC–QTOF-MS

Hansen

Dalsgaard

Línnet

et al. 2022

Journal of Analytical Toxicology

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Alternative specimens collected during autopsies can be valuable in postmortem toxicology in cases where peripheral blood is not available. The applicability of brain tissue as an alternative matrix for drug screening by ultra-high-performance liquid chromatography–quadrupole time-of-flight mass spectrometry was investigated in this study. Results of the 50 most frequently detected drugs and metabolites of toxicological interest in blood and brain tissue samples from 1719 autopsy cases were compared. Examination of the results in paired blood and brain tissue samples revealed that the two matrices were in general comparable, as the majority of the 50 analytes were observed in a high number of the examined cases in both blood and brain tissue. This demonstrates the potential of brain tissue as an alternative matrix for drug screening in postmortem toxicology, or as a secondary matrix for confirmation.

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Section: Resultsmentioning

confidence: 99%

Comparison of Comprehensive Screening Results in Postmortem Blood and Brain Tissue by UHPLC–QTOF-MS

Hansen

Dalsgaard

Línnet

et al. 2022

Journal of Analytical Toxicology

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“…Over the years, VH has been successfully used in forensic casework, for illicit drugs and NPS testing. Several classic drugs of abuse have been detected in authentic VH specimens such as the following examples: ethanol [159,181,190], cocaine and its metabolites [155,164,166,172,176,181,[190][191][192], opioids and/or their metabolites [155,167,168,173,176,177,182,185,190], amphetamine and/ or methamphetamine [164,173,190], MDA derivatives [169], ketamine [172], phencyclidine [154,170], LSD and its metabolites [175], γ-hydroxybutyric acid [193], benzodiazepines [171,173,184,190], antidepressants [173,180,194,195] and barbiturates [196]. On the other hand, VH does not seem to be a good biological matrix for investigating cannabinoids [151].…”

Section: Vitreous Humormentioning

confidence: 99%

Alternative matrices in forensic toxicology: a critical review

et al. 2021

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Purpose The use of alternative matrices in toxicological analyses has been on the rise in clinical and forensic settings. Specimens alternative to blood and urine are useful in providing additional information regarding drug exposure and analytical benefits. The goal of this paper is to present a critical review on the most recent literature regarding the application of six common alternative matrices, i.e., oral fluid, hair, sweat, meconium, breast milk and vitreous humor in forensic toxicology. Methods The recent literature have been searched and reviewed for the characteristics, advantages and limitations of oral fluid, hair, sweat, meconium, breast milk and vitreous humor and its applications in the analysis of traditional drugs of abuse and novel psychoactive substances (NPS). Results This paper outlines the properties of six biological matrices that have been used in forensic analyses, as alternatives to whole blood and urine specimens. Each of this matrix has benefits in regards to sampling, extraction, detection window, typical drug levels and other aspects. However, theses matrices have also limitations such as limited incorporation of drugs (according to physical–chemical properties), impossibility to correlate the concentrations for effects, low levels of xenobiotics and ultimately the need for more sensitive analysis. For more traditional drugs of abuse (e.g., cocaine and amphetamines), there are already data available on the detection in alternative matrices. However, data on the determination of emerging drugs such as the NPS in alternative biological matrices are more limited. Conclusions Alternative biological fluids are important specimens in forensic toxicology. These matrices have been increasingly reported over the years, and this dynamic will probably continue in the future, especially considering their inherent advantages and the possibility to be used when blood or urine are unavailable. However, one should be aware that these matrices have limitations and particular properties, and the findings obtained from the analysis of these specimens may vary according to the type of matrix. As a potential perspective in forensic toxicology, the topic of alternative matrices will be continuously explored, especially emphasizing NPS.

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