2018
DOI: 10.1002/dta.2373
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Metabolism study for CUMYL‐4CN‐BINACA in human hepatocytes and authentic urine specimens: Free cyanide is formed during the main metabolic pathway

Abstract: To further elucidate the metabolism of CUMYL-4CN-BINACA, a new synthetic cannabinoid with a cyano group, and to evaluate biomarkers, we incubated the substance in human hepatocytes and analysed 9 authentic urine specimens. We also quantified CUMYL-4CN-BINACA and cyanide in blood and provide comprehensive data on the 7 autopsy cases, 5 of them determined CUMYL-4CN-BINACA intoxications. For metabolite elucidation, CUMYL-4CN-BINACA was incubated with pooled human hepatocytes for up to 5 hours, urine samples were … Show more

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Cited by 16 publications
(7 citation statements)
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“…In some cases, the metabolite exhibits toxicity not observed with the parent (Couceiro et al, 2016). Further, toxicity may not even involve cannabinoid receptor mechanisms, as metabolism of CUMYL-4CN-BINACA has been reported to liberate cyanide (Åstrand et al, 2018;Kevin et al, 2018). Thus synthetic cannabinoids could produce toxicity by a multitude of ways.…”
Section: Discussionmentioning
confidence: 99%
“…In some cases, the metabolite exhibits toxicity not observed with the parent (Couceiro et al, 2016). Further, toxicity may not even involve cannabinoid receptor mechanisms, as metabolism of CUMYL-4CN-BINACA has been reported to liberate cyanide (Åstrand et al, 2018;Kevin et al, 2018). Thus synthetic cannabinoids could produce toxicity by a multitude of ways.…”
Section: Discussionmentioning
confidence: 99%
“…A nitrile group occurs in more than 30 approved pharmaceuticals; commonly as an aromatic nitrile, but less commonly as an aliphatic nitrile since the latter may release cyanide in vivo (Tanii and Hashimoto, 1984). Indeed, CUMYL-4CN-BINACA undergoes apparent metabolic nitrile hydrolysis, which may contribute to toxicity including renal failure (Åstrand et al, 2018; El Zahran et al, 2019). AM-2232 ( 3 ) is an analogue of the historically prevalent SCRA AM-2201 ( 4 ) described in a patent granted to Makriyannis and Deng (2001), and featuring a terminal nitrile group, that was previously detected in the German NPS market (Langer et al, 2014).…”
Section: Introductionmentioning
confidence: 99%
“…Recently, a standard flow (>100 µL min −1 ) ion thermal focusing electrospray ionization (AJS‐ESI) source has been developed which improves desolvation and spatial focusing of ions when coupled with ion funnel technology, thereby increasing ion transfer into the mass spectrometer . This ion source has been used to perform a series of metabolomic and lipidomic studies . However, implementation for proteomics has been limited and includes only studies of Escherichia Coli and Arabidopsis thaliana .…”
Section: Introductionmentioning
confidence: 99%