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110 Forsdahl, Gmeiner

Guro Forsdahl Quantification and stability of Salbutamol in human


Gnter Gmeiner
urine
Doping Control Laboratory, ARC
Seibersdorf research GmbH, A sensitive method for the quantification of free salbutamol in human urine is describ-
A-2224 Seibersdorf, Austria ed. Sample clean up is performed using SPE on a mixed phase extraction column.
Derivatisation is performed with N-methyl-N-trimethylsilyltrifluoroacetamide (MSTFA)
and the extract is analysed by GC-MS. The method was found to be suitable for use
in the doping field, where a cut-off limit of 1 lg salbutamol/mL urine is set by the Inter-
national Olympic Committee (IOC) and approved by the World Anti-Doping Agency
(WADA). Above that value a doping violation occurs. In addition, the stability of salbu-
tamol in human urine has been evaluated.
Key Words: Salbutamol; Gas chromatography-mass spectrometry; Solid phase extraction; Urine;
Doping;
Received: July 31, 2003; revised: October 16, 2003; accepted: October 20, 2003
DOI 10.1002/jssc.200301655

1 Introduction the presence of a prohibited substance in a bodily speci-


men is advantageous.
Salbutamol is a selective beta-2-agonist and is one of the
most commonly used bronchodilators for treating bron- Salbutamol is predominantly excreted in urine as a mix-
chial asthma [1]. Beta-2-agonists are included in the IOC ture of free salbutamol and its conjugated metabolites
list of prohibited substances in sports due to their stimulat- (e. g. sulphated salbutamol) [1]. The IOC cut-off limit, how-
ing and anabolic effect. However, the IOC allows athletes ever, is based on the concentration of non-sulfated salbu-
with asthma to be treated with some beta-2-agonists, tamol. The gas chromatographic analysis of the sub-
including salbutamol. But the administration is permitted stance requires extraction and derivatisation. Both liquid-
only by inhalation after prescription by a physician, and liquid extraction (LLE) [4, 6, 7, 12, 15] and SPE [4, 8, 9, 12,
must be declared in advance [2, 3]. A concentration of 13, 15, 16] of salbutamol have been described. LLE has
non-sulfated salbutamol that exceeds 1 lg/mL urine con- disadvantages due to the large amount of solvents
stitutes a doping violation [2]. The chemical structure of needed, closely related to work safety and environmental
salbutamol is shown in Figure 1 [4]. contamination issues. SPE, on the other hand, uses small
amounts of solvents, and in addition the automation of
SPE is readily possible.
The object of the present study was to develop and vali-
date a semi-automated method for quantification of salbu-
tamol in urine. The clean-up procedure involves solid
phase extraction. Derivatisation is done with N-methyl-N-
trimethylsilyltrifluoroacetamide (MSTFA). The analysis
Figure 1. Chemical structure of salbutamol. was done by GC-MS. In addition, experiments were car-
ried out to evaluate the stability of salbutamol in urine sam-
ples.
Salbutamol as a doping agent in urine is usually deter-
mined by GC-MS [5 – 7]. Other procedures described for
the quantitative determination of urinary salbutamol are 2 Experimental
LC-MS [8, 9], nonchiral HPLC [10], chiral HPLC [11, 12], 2.1 Materials and equipment
and ELISA [5, 13]. In doping control, bioanalysis based on
MS detection is preferred, due to its better legal defensibil- Salbutamol (free base) and terbutaline (hydrochloride)
ity [14] and a variety of methods to unequivocally confirm were obtained from Sigma (St. Louis, MO, USA). Chloro-
form, 2-propanol, hydrochloric acid, sodium acetate,
anhydrous sodium acetate, potassium dihydrogen phos-
Correspondence: Gnter Gmeiner, Chemical Analysis, ARC phate, disodium hydrogen phosphate (all analytical
Seibersdorf research GmbH, A-2224 Seibersdorf, Austria. grade), 25% ammonia (extra pure) and diphosphorus
Fax: +43 50550 3590. E-mail: guenter.gmeiner@arcs.ac.at. pentoxide (P2O5) (extra pure) were purchased from Merck

J. Sep. Sci. 2004, 27, 110 – 114 www.jss-journal.de i 2004 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim
Quantification and stability of Salbutamol in human urine 111

(Darmstadt, Germany). Methanol (analytical grade) was mode by monitoring the following ions: 86 m/z, 294 m/z,
obtained from Scharlau (Barcelona, Spain), and MSTFA 350 m/z, 356 m/z, 369 m/z, and 440 m/z.
was supplied by Machery and Nagel (Dren, Germany).
b-glucuronidase/arylsulfatase and b-glucuronidase were 2.5 Hydrolysis
supplied by Roche (Mannheim, Germany). Oasis MCX Different hydrolysis procedures were tested in order to
1cc columns were provided by Waters (Milford, MA, USA) evaluate their effect on the stability of salbutamol under
and purified water was obtained by a milli-Q reagent- the respective conditions. The procedures were tested on
grade water system (Millipore, Bedford, MA, USA). Sulta- urine samples spiked with 1 lg free salbutamol/mL. In
nol tablets, containing 2 mg of salbutamol, were provided addition, urine from the excretion study (see Section 2.7)
by Glaxo Welcome Pharma GmbH (Vienna, Austria). collected 6 h after administration of salbutamol was used
in these experiments. Terbutaline (1 lg/mL) was used as
2.2 Reagents and solutions an internal standard, and was added after hydrolysis, but
Stock standard solutions of salbutamol and terbutaline before the extraction.
(1 mg/mL) were prepared in methanol. Working solutions The following procedures were compared to each other:
of 100 lg/mL and 200 lg/mL were prepared by diluting
the stock solutions. All solutions were stored at – 208C. A Acidic hydrolysis: 0.5 mL of 6 M HCl was added to
1 mL of urine. After 1 h at 608C, 0.5 mL of 6 M sodium
2.3 Sample preparation procedure hydroxide and 0.5 mL of 1 M sodium acetate buffer
pH 4.8 were added. The extraction, drying, and deri-
1 mL 1 M sodium acetat buffer pH 4.8 was added to 1 mL
vatisation were performed as described in Sec-
human urine. Then 50 lL of internal standard (terbutaline;
tion 2.3.
20 lg free base/mL) was added, and the following auto-
mated SPE extraction was performed on an ASPEC XL B Enzymatic hydrolysis: 50 lL of b-glucuronidase/aryl-
(Gilson France), using Oasis MCX extraction columns: sulfatase and 1 mL of 1 M sodium acetate buffer
pH 4.8 were added to 1 mL of urine. The samples
– Preconditioning: washing with 2 mL methanol fol- were heated for 1 h at 608C. The extraction, drying,
lowed by 2 mL 0.1 M HCl and derivatisation were performed as described in
– Extraction: The samples were passed through the Section 2.3
cartridges (rate: 8 mL/min) C Enzymatic hydrolysis: 50 lL of b-glucuronidase and
– Wash step: Thereafter the cartridges were rinsed with 0.5 mL of phosphate buffer pH 7 were added to 1 mL
2 mL 0.1 M HCl and 2 mL methanol of urine. The samples were heated for 1 h at 608C,
and thereafter 50 lL of 6 M HCl and 1 mL of 1 M
– Elution: 2 mL chloroform/2-propanol/ammonia 32%
sodium acetate buffer pH 4.8 were added. The extrac-
(80:20:2 (v/v/v)) were added (rate 6 mL/min)
tion, drying, and derivatisation were performed as
After evaporation, the samples were dried for 15 min over described in Section 2.3.

Original Paper
P2O5. Derivatisation was performed by adding 100 lL
D No hydrolysis: The samples were prepared as
MSTFA to the samples, and subsequent heating at 608C
described in Section 2.3.
for 30 min.
All samples were quantified with calibration solutions con-
taining 1 lg of salbutamol and 1 lg of terbutaline from a
2.4 Instrumental analysis
stock solution of 0.01 mg substance/mL methanol. The
Chromatographic analysis was carried out using a Trace standards did not undergo sample preparation. They were
GC 2000 gas chromatograph coupled to a Voyager mass just dried and derivatised as described in Section 2.3.
spectrometer (Thermo Quest, Austin, USA). Separation
was performed on a DB1 fused-silica capillary column, All analyses were performed under the instrumental con-
17 m60.2 mm ID, 0.11 lm film thickness (J & W Scienti- ditions described in Section 2.4.
fic, Folsom, CA, USA). Helium was used as a carrier gas,
and the inlet pressure was set to 90 kPa. Oven tempera- 2.6 Assay validation
tures were programmed as follows: 908C initial column The final method was validated by determining its specifi-
temperature, 20 K/min to 1808C, 45 K/min to 3008C, held city, limit of detection (LOD), limit of quantification (LOQ),
for 3 min. The injector port temperature was set to 2508C, recovery, linearity, intra-assay precision, and inter-assay
and all the injections were performed in the split mode precision.
(20 : 1 split ratio). The linearity was studied by preparing a calibration graph
The mass spectrometer was operated in electron impact covering the expected concentration range. Urine sam-
(EI) mode at an ionisation energy of 70 eV. The MS acqui- ples were spiked with different concentrations of salbuta-
sition was performed in the selected ion monitoring (SIM) mol in the range 0.05 lg/mL – 3 lg/mL. LOQ and LOD

J. Sep. Sci. 2004, 27, 110 – 114 www.jss-journal.de i 2004 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim
112 Forsdahl, Gmeiner

were calculated according to the standard DIN 38 402, Table 1. Recovery of salbutamol in blank urine samples,
Part 51 [17]. spiked with salbutamol, and urine samples from an excretion
study after different hydrolysis experiments. In both cases
Specificity was evaluated by analysing 3 female and 4 the recoveries are expressed as a percentage of the highest
male blank urine samples to exclude any influence of one (defined as 100%). All experiments are performed in tri-
interfering substances. plicate.

Intra-assay precision was evaluated after extraction and Spiked urine Urine samples from
analysis on the same day of six independent spiked urine samples excretion study
samples. This was done with 3 different salbutamol con-
centrations (0.05 lg/mL, 0.5 lg/mL, and 1 lg/mL). No hydrolysis 100% l 0.5% 33% l 1.9%
Acidic hydrolysis 63% l 1.1% 100% l 2.4%
Inter-assay precision was evaluated using calibration b-Glucuronidase/ 99% l 2.5% 38% l 2.4%
points from the stability experiments with a salbutamol arylsulphatase
concentration of 1 lg/mL urine. The samples were ana- b-Glucuronidase 96% l 3.0% 31% l 0.9%
lysed in triplicate at least once a week for a time period of
60 days. Subsequently, the relative standard deviation
was calculated from the responses of all samples. centration of free salbutamol. A possible decomposition of
salbutamol by the conditions of hydrolysis is avoided. To
The extraction recovery of salbutamol was calculated by
monitor a cut off limit as outlined by the IOC for non-sul-
analysis of spiked urine samples at 3 different concentra-
fated salbutamol, this procedure is justified by the fact that
tions (0.5 lg/mL, 1 lg/mL, and 3 lg/mL). The internal
the amount of non-sulfated conjugates in urine is negligi-
standard was added after the extraction, and the peak
ble. A change in the regulation for the cut off limit of salbu-
area ratios were compared to peak area ratios obtained
tamol should be considered for the future.
when pure standards were derivatised. Consequently, an
arithmetic mean was calculated from all recoveries. Our results are supported by earlier published literature
describing the decomposition of salbutamol during acidic
2.7 Excretion study hydrolysis at a higher temperature (808C) [7]. A limited
An excretion study was performed by using a healthy effect of enzymatic hydrolysis is described, too, but the
male volunteer. Salbutamol (2 mg) was orally adminis- hydrolysis conditions are not stated. Another study
tered, and urine was collected for 72 hours. describes higher recoveries of salbutamol during acidic
hydolysis (808C) compared to no hydrolysis and hydroly-
2.8 Stability experiments sis with glucuronidase/arylsulfarase and b-glucuronidase
under different conditions [18].
Experiments were performed to evaluate the stability of
salbutamol in human urine. Urine samples from the excre- For extraction purposes, a mixed phase SPE column was
tion study containing 2 different concentrations of salbuta- used, having both lipophilic and ion-exchange properties
mol (urine A and urine B) were stored for 60 days at 2 to provide a simple and selective extraction of basic
different temperatures, – 208C and 48C. Urine A had been drugs.
collected 4 h, and urine B 6 h after administration of the Derivatisation is used to improve the poor gas chromato-
drug. The samples were analysed in duplicate for the free graphic performance of beta-2-agonists [15]. In this case,
salbutamol content, using the method described in Sec- derivatisation was carried out only with MSTFA without
tion 2.3 and Section 2.4. any catalyst to yield the tris-TMS-derivative, silylated at all
hydroxyl groups. The secondary amine is not silylated,
3 Results and discussion because of steric hindrance [19].

3.1 Sample preparation


3.2 Method validation
The effect of acidic and enzymatic hydrolysis on salbuta-
mol was investigated and compared to sample prepara- The specificity of the method was investigated by analys-
tion without any hydrolysis. The results are summarised in ing 7 different blank urines, and no interference was found
Table 1. The acidic hydrolysis led to the cleavage of con- at the retention times of salbutamol and terbutaline. How-
jugates, but in return salbutamol was decomposed. The ever, a peak containing the fragment ion 356, was
enzymatic hydrolysis experiments showed that b-glucuro- observed close to the terbutaline retention time in some of
nidase/aryl-sulphatase from Helix pomatia had a limited the blank urine samples. This peak, described in earlier
effect on the hydrolysis. b-glucuronidase from E. coli publications [16], turned out to be histidine-bis(trimethylsi-
showed no effect on the hydrolysis. Consequently, to get lyl).
an appropriate indication of the concentration of salbuta- The IOC has determined minimum criteria necessary for
mol in urine it is recommended to solely quantify the con- the unequivocal identification of compounds by MS tech-

J. Sep. Sci. 2004, 27, 110 – 114 www.jss-journal.de i 2004 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim
Quantification and stability of Salbutamol in human urine 113

Table 2. Relative abundances of 3 ions (86 m/z, 369 m/z, and 440 m/z) in a salbutamol standard are compared to the relative
abundances of the same 3 ions in a urine sample from an excretion study.

Salbutamol standard Urine A Deviation

m/z Absolute area Relative area Absolute area Relative area Relative Absolute

86 467472 100% 718488 100%


369 461125 98.6% 697350 97.1% 1.6% 1.6%
440 10531 2.3% 15813 2.2% 2.3% 0.1%

Table 3. LOD, LOQ, method standard deviation, correlation


coefficient, recovery, intra-assay precision, and inter-assay
precision obtained for salbutamol according to the described
procedure.

LOD 0.03 lg/mL


LOQ 0.11 lg/mL
Method standard deviation 1.5%
Correlation coefficient 0.9999
Recovery 70%
Intra-assay precision
0.05 lg/mL urine 2.0%
0.1 lg/mL urine 1.7%
1 lg/mL urine 1.7%
Inter-assay precision 3.0%
Figure 2. Excretion of free salbutamol in urine after a single
dose of 2 mg salbutamol.
niques [20]. These criteria can be used as a measure of
the specificity of the analytical method. They imply that absorbed from the gastrointestinal tract and is excreted in
the retention time of the analyte should not differ by more urine as a mixture of free salbutamol and its conjugated
than 1% from the retention time of the standard solution, metabolites. About 24 – 33% of an oral dose of salbutamol
and at least 3 diagnostic ions must be evaluated. The rela- is excreted unchanged in urine, and due to first pass
tive abundances of the ions should not differ by more than metabolism about 48% of the dose is excreted as conju-
5% (absolute) or 20% (relative) from the relative intensi- gated sulfate. Salbutamol is not extensively metabolised
ties of the same ions acquired in a standard. In Table 2, in the lungs, and consequently the proportion of metabo-
the relative abundances of 3 ions in an extracted urine lite in urine after inhalation depends mainly on the dose
sample (0.22 lg salbutamol/mL urine) and a salbutamol swallowed [1]. The plasma half life is relatively short for
standard (containing 0.15 lg salbutamol from a stock salbutamol, about 2 – 6 h [18]. The excretion profile of free
solution of 0.01 mg substance/mL methanol) are com- salbutamol after oral administration of 2 mg salbutamol is
pared. As can be seen, both the relative and the absolute shown in Figure 2. Free salbutamol could be detected by
deviation are far below the limits determined by the IOC. the described method for more then 50 h after administra-
Results obtained for LOD, LOQ, correlation coefficient, tion.
recovery, relative standard deviation, intra-assay preci-
sion and inter-assay precision are given in Table 3.
3.4 Stability experiments
The LOQ of 0.11 lg/mL is well beyond the IOC cut-off limit
Experiments were performed to evaluate the stability of
set at 1 lg/mL, and a method standard deviation of 1.5%
salbutamol in urine. In a previously published study it has
is considered appropriate. The method was found to be
been demonstrated that the concentration of salbutamol
linear (r >0.99) over the standard curve range studied
decreases as much as about 80 – 90% within 25 days after
from 0.05 lg/mL to 3 lg/mL. The intra-assay precision
cold storage [18]. Other investigations, however, show
and the inter-assay precision proved to be satisfactory,
that the concentration of salbutamol is rather constant
and therefore an overall recovery of 70% is acceptable.
after a 45 day storage period at different temperatures [1].
Our investigations show, that the free salbutamol concen-
3.3 Excretion study tration decreased slightly after a 60 day storage period in
Pharmacokinetic parameters are main contributors to the the samples stored at – 188C (2 – 4%). The samples
detection window of the drug in urine. Salbutamol is well stored at 48C show a greater decrease of the salbutamol

J. Sep. Sci. 2004, 27, 110 – 114 www.jss-journal.de i 2004 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim
114 Forsdahl, Gmeiner

References
[1] R. Bergs, J. Segura, R. Ventura, K.D. Fitch, A.R. Morton,
M. Farr, M. Mas, X. de la Torre, Clin. Chem. 2000, 46,
1365 – 1375.
[2] Olympic Movement Antidoping-Code Appendix A, 2003,
IOC Medical Commission, Lausanne, Switzerland.
[3] M. Verroken, Ballire’s Clin. Endocrinol. Metabol. 2000, 51,
1 – 23.
[4] F. Jorge dos Ramos, J. Chromatogr. A 2000, 880, 69 – 83.
[5] R. Bergs, J. Segura, R. Ventura, X. de la Torre, M. Mas, M.
Farre, K.D. Fitch, A.R. Morton, M. Ueki, in: W. Schnzer, H.
Geyer, A. Gotzmann, U. Mareck-Engelke (Eds.), Recent
Advances in Doping Analysis (6), Proceedings of the 16th
Cologne Workshop on Dope Analysis, Verlag Sport und
Buch Strauss, Cologne 1998, pp. 405 – 419.
[6] N. Halatcheva, E. Daneva, in: W. Schnzer, H. Geyer, A.
Gotzmann, U. Mareck-Engelke (Eds.), Recent Advances in
Figure 3. Concentration of free salbutamol in urine A and B Doping Analysis (8), Proceedings of the 18th Cologne Work-
over a storage period of 60 days at – 188C and 48C. The shop on Dope Analysis, Verlag Sport und Buch Strauss,
lines shown are regression lines. Cologne 2000, pp. 189 – 196.
Urine A, stored at – 188C: g and 11. Urine A, stored at 48C: [7] I. Bellahn, E. Nolteernsting, G. Opfermann, W. Schnzer, in:
f and – – – . Urine B, stored at – 188C: h and N N N N Urine W. Schnzer, H. Geyer, A. Gotzmann, U. Mareck-Engelke
B, stored at 48C: 6and – - – . (Eds.), Recent Advances in Doping Analysis (6), Proceed-
ings of the 16th Cologne Workshop on Dope Analysis, Ver-
lag Sport und Buch Strauss, Cologne 1998, pp. 489 – 496.
Table 4. Decrease in salbutamol concentration in urine A
and urine B after a storage period of 60 days at – 188C and [8] J.A. van Rhijn, M. O’Keeffe, H.H. Heskamp, S. Collins, J.
+48C. Chromatogr. A 1995, 712, 67 – 73.
[9] G. Van Vyncht, S. Preece, P. Gaspar, G. Maghuin-Rogister,
– 188C +48C E. DePauw, J. Chromatogr. A 1996, 750, 43 – 49.
[10] G.A. Jacobson, G.M. Peterson, S. McLean, J. Clin. Pharm.
Urine A 2% 8% Ther. 1997, 22, 119 – 126.
Urine B 4% 12% [11] Y.K. Tan, S.J. Soldin, J. Chromatogr. 1987, 422, 187 – 195.
[12] R. Bergs, J. Segura, X. de la Torre, R. Ventura, J. Chroma-
togr. B 1999, 723, 173 – 184.
[13] P. Van Eenoo, F.T. Delbeke, Biomed. Chromatogr. 2002,
concentration in the range of 8 – 12%. The results are 16, 513 – 516.
summarised in Figure 3 and Table 4. [14] R. Rivier, Anal. Chim. Acta 2003, 492, 69 – 82.
[15] A. Polettini, J. Chromatogr. B 1996, 687, 27 – 42.
[16] R. Ventura, L. Damasceno, M. Farr, J. Cardoso, J. Segura,
4 Conclusion Anal. Chim. Acta. 2000, 418, 79 – 92.
[17] DIN 38 402, Teil 51, Deutsche Einheitsverfahren zur Was-
In conclusion, the presented method appears to be suita- ser-, Abwasser- und Schlammuntersuchung, Allgemeine
ble for quantification of free salbutamol in doping control. Angaben (Gruppe A), Kalibrierung von Analysenverfahren,
Auswertung von Analysenergebnissen und lineare Kalibrier-
The limit of quantification is well below the cut-off limit
funktionen fr die Bestimmung von Verfahrenskenngrßen
determined by the IOC medical commission. The concen- (A 51), Beuth Verlag Berlin, Mai 1986.
tration of free salbutamol in urine decreased only slightly [18] M.K. Henze, Screening auf b2-Sympatiometika in der Do-
after long term cold storage. The quantification of free sal- pinganalytik. Entwicklung und Erprobung eines gaschroma-
butamol without any hydrolysis step for the marginal tographisch massenspektroskopischen Analyseverfahrens
fr Human-Urin, Shaker Verlag, Aachen, Germany, 2001.
check of the IOC cut-off of 1 lg non-sulfated salbutamol/
[19] I. Seinsch, G. Sigmund, S. Horning, M. Donike, in: W.
mL urine is recommended. Schnzer, H. Geyer, A. Gotzmann, U. Mareck-Engelke
(Eds.), Recent Advances in Doping Analysis (3), Proceed-
ings of the 13th Cologne Workshop on Dope Analysis, Ver-
Acknowledgement lag Sport und Buch Strauss, Cologne 1996, pp. 349 – 355.
[20] IOC 1998. Analytical criteria for reporting low concentrations
The authors wish to thank Waters for the supply of Oasis of anabolic steroids. Internal communication to IOC accre-
MCX columns. dited laboratories, Lausanne, Switzerland.

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