GC-MS를 이용한 사람 뇨시료 중 비만치료제 분석 및 비만치료제 남용 현황의 법과학적 고찰

Development of a Simultaneous Detection and Quantification Method of Anorectics in Human Urine Using GC-MS and its Application to Legal Cases

  • 최혜영 (국립과학수사연구원 마약분석과) ;
  • 이재신 (국립과학수사연구원 마약분석과) ;
  • 장문희 (국립과학수사연구원 마약분석과) ;
  • 양원경 (국립과학수사연구원 마약분석과) ;
  • 김은미 (국립과학수사연구원 마약분석과) ;
  • 최화경 (국립과학수사연구원 남부분원)
  • Choi, Hyeyoung (Narcotics Analysis Division, National Forensic Service) ;
  • Lee, Jaesin (Narcotics Analysis Division, National Forensic Service) ;
  • Jang, Moonhee (Narcotics Analysis Division, National Forensic Service) ;
  • Yang, Wonkyung (Narcotics Analysis Division, National Forensic Service) ;
  • Kim, Eunmi (Narcotics Analysis Division, National Forensic Service) ;
  • Choi, Hwakyung (Southern District Office of National Forensic Service)
  • 투고 : 2013.09.05
  • 심사 : 2013.10.01
  • 발행 : 2013.12.31

초록

Phentermine (PT) and phenmetrazine (PM) have been widely used as anti-obesity drugs. These drugs should be used with caution due to its close relation to amphetamine in its structure and toxicity. PT and PM, amphetamine-type anorectics, have recently been considered as alternatives for methamphetamine abuse in Korea. In addition, the misuse and abuse of PT and PM obtained by illegal sources such as the internet become a serious social problem. In the present study, a simultaneous detection and quantification method for determining PT and PM in human urine was developed and validated according to the international guidelines. The urine samples were screened using a fluorescence polarization immunooassay and analyzed by gas chromatography mass spectrometry (GC-MS) after extraction using automatic solid phase extraction (SPE) with a mixed-mode cation exchange cartridge and derivatization with pentafluoropropionic anhydride (PFPA). The validation results for selectivity, linearity, limits of detection (LOD) and quantification (LOQ), intra- and inter-assay precision and accuracy and recovery were satisfactory. The validated method was successfully applied to authentic urine samples collected from 38 drug abuse suspects. PT and/or PM were identified with or without methamphetamine in urine samples. Abuse of PT and PM have increased continuously in Korea, therefore, closer supervision of the inappropriate use of anoretics is necessary.

키워드

참고문헌

  1. Abenheim, L., Moride, Y. and Brenot, F. : Appetite-suppressant drugs and the risk of primary pulmonary hypertension. New Engl. J. Med. 335, 609 (1996). https://doi.org/10.1056/NEJM199608293350901
  2. Lee, S., Kim, J., In S., Choi, H., Chung, H. and Chung, K. : Detection of phentermine in hair samples from drug suspects. Forensic Sci Int. 207, e5 (2011). https://doi.org/10.1016/j.forsciint.2010.11.004
  3. Jonsson, J., Kronstrand, R. and Hatanpaa, M. : A convenient derivatization method for the determination of amphetamine and related drugs in urine. J. Forensic Sci. 41, 148 (1996).
  4. Marin, S. J., Moore, C. and McMillin, G. A. : Cross-reactivity of phentermine with an immunoassay designed to detect amphetamine in a meconium specimen. Clin Chem. 55, 589 (2009). https://doi.org/10.1373/clinchem.2008.114603
  5. Palmer, R. B., Kim, N. H. and Dasgupta, A. : Simultaneous determination of fenfluramine and phentermine in urine using gas chromatography mass spectrometry with pentafluoropropionic anhydride derivatization. Ther Drug Monit. 22, 418 (2000). https://doi.org/10.1097/00007691-200008000-00009
  6. Valentine, J. L. and Middleton, R. : GC-MS identification of sympathomimetic amine drugs in urine: rapid methodology applicable for emergency clinical toxicology. J. Anal. Toxicol. 24, 211 (2000). https://doi.org/10.1093/jat/24.3.211
  7. Peters, F. T., Drummer, O. H. and Musshoff, F. : Validation of new methods. Forensic Sci. Int. 165, 216 (2007). https://doi.org/10.1016/j.forsciint.2006.05.021
  8. Kim, E. M., Lee, J. S., Choi, H. Y., Han, E. Y., Park, Y. H., Choi, H. K. and Chung, H. S. : Comparison of methamphetamine concentrations in oral fluid, urine and hair of twelve drug abusers using solid-phase extraction and GC-MS. Ann. Toxicol. Anal. 20, 145 (2008). https://doi.org/10.1051/ata/2009015
  9. Baeck, S., Choi, H., Jang, M., Kim, S., Yang, W., Choi, H., Park, Y. and Chung, H. : The trends on drug abuse in metropolitan areas of Korea in last two years - based on urine samples & seized material analysis (2008-2009). Korean J. Forensic Sci. 11, 36 (2010).
  10. Lee, S., Kim, J., In, S., Choi, H., Oh, S. M., Jang, C. G. and Chung, K. H. : Development of simultaneous analytical method for selected anorectics, methamphetamine, MDMA, and their metabolites in hair using LC-MS/MS to prove anorectics abuse. Anal. Bioanal Chem. 403, 1385 (2012). https://doi.org/10.1007/s00216-012-5950-6
  11. Kim, J. Y., Jung, K. S., Kim, M. K., Lee, J. I. and In, M. K. : Simultaneous determination of psychotropic phenylalkylamine derivatives in human hair by gas chromatography/mass spectrometry. Rapid Commun Mass Spectrom. 21, 1705 (2007). https://doi.org/10.1002/rcm.3010