Professional Documents
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Principles of analytical
toxicology
Prof. Dr/ USAMA
M. EL-BARRANY
DEPARTMENT OF FORENSIC MEDICINE
AND clinical TOXICOLOGY
Faculty of medicine
Cairo University
Introduction
Sample Preparation
Screening Tests
Confirmatory Tests
Let the funnel rest While waiting, remove the Carefully open the stopcock and
undisturbed until the layers stopper and place a beaker allow the lower layer to drain
are clearly separated or flask under the sep into the flask. Drain just to the
funnel. point that the upper liquid
barely reaches the stopcock
Solid phase extraction
Solid phase extraction
Principle:
The samples is applied to SPE tube, , most
of the contaminants are held the packing
material then, and the analytes of interest
are collected while passing through the
adsorbent.
Advantages:
Simple rapid, and clean extract.
Steps in SPE
17
Analytical toxicology procedures
Screening (qualitative) Tests:
– Color tests, TLC, Toxi-lab system,
immunoassay (semiquantitative).
Confirmation (quantitative) Tests:
– immunoassay (semiquantitative)
– Spectrophotometer
– GC, HPLC
– GC-MS, GC-MS-MS
– HPLC-MS, HPLC-MS-MS
Color tests
Principle:
Reagent + sample extract → characteristic color
Advantages:
Simple
Generally performed on urine samples, stomach
contents or other samples after their extraction
Can be performed in clear glass test-tubes or
more preferably in a large, white ceramic plate.
Disadvantages
1. Compounds containing similar functional
groups will also react.
2. The colors produced usually vary in
intensity or hue with concentration.
3. When performing color tests, it is always
important to analyze concurrently with
the test sample:
A blank reagent, i.e., an appropriate sample known not
to contain the compound(s) of interest.
A known positive sample at an appropriate
concentration.
Disadvantages
4. Need confirmation.
5. Some compounds are not detected by
the screening procedures:
- Inorganic ions e.g. lead, arsenic, iron.
- Organic chemicals e.g. CO, ethylene glycol, phenols,
drugs :cannabis, digoxin ,clonidine, salbutamol,
pesticides e.g. organophosphates, carbamates,
organochlorines.
Color Tests
Marquis reagent
Mecke reagent
Simon reagent
Dragendorff reagent
Iodoplatinate reagent
Liebermann reagent
Ninhydrin reagent
Forrest reagent
Trinder reagent
Zwicker reagent
Ferric chloride reagent
Millon’s reagent
Marquis reagent
Marquis test
Reagent:
Marquis test is a useful broad–spectrum
test used mostly for opium alkaloids and
amphetamines.
Carefully mix 100 mL of concentrated
sulfuric acid with 1 mL of 40% (v/v)
formaldehyde solution (stable for several
weeks if protected from light).
Marquis test
Method:
Marquis test is conducted by placing a drop of reagent
liquid onto a small sample of the material being tested
(using a large, white ceramic plate).
Morphine, codeine, heroin, opium – Purple/violet.
Amphetamine, methamphetamine - Orange/brown.
MDMA, MDA, MDEA - Purple/black.
2C-B, DOM, DOB - Yellow/green.
Marquis test
Marquis Test:
– Turns purple in the
presence of Heroin,
morphine, codeine,
opium
– Turns orange-brown in
presence of
Amphetamines
Mecke reagent testing kit
(Red label)
Mecke test
Reagent:
Mecke Reagent is a solution of selenious
acid in sulfuric acid. Mecke Reagent
produces clearly different color results for
DXM and MDMA, which is why it is now a
preferred reagent for MDMA testing. It can
also be used to test for the presence of
2C-T-x variants and certain opiates.
Mecke test
Method:
Mecke test is conducted by placing a drop of reagent
liquid onto a small sample of the material being tested
(using a large, white ceramic plate).
Codeine/morphine/hydrocodone - Very dark bluish green
Oxycodone – Olive.
MDMA, MDA, MDEA - Green turning to blue.
DXM - Yellowish-brown.
2C-T-x - Yellow through red to purple.
Handling instructions
Mecke Reagent is a mixture of acids, and is
strong enough to burn skin and clothing. Keep
out of eyes and mouth. Wear latex gloves when
handling the bottle and cap. If you get some on
you then wash quickly with soap and water.
Wash testing surfaces with soap and water as
well. Dispose of any unwanted reagent down the
sink with running water.
Simon reagent testing kit (Yellow
& green labels)
Simon test
Reagent:
Simon reagent is sodium nitroprusside in a
basic buffer. It works by detecting
'secondary amines', such as the 'meth' in
METHamphetamine and in
mythylenediaoxy-METHamphetamine
(MDMA). We use it after testing a
substance with Marquis or Mecke
Reagent.
Simon test
Important notes: This test should be used only
after you have first received a positive result with
Mecke or Marquis reagent. It should never be used
alone.
The presence of MDMA/MDEA/Methamphetamine
will be indicated by a change to a bright cobalt blue.
If no color change is observed, then the substance
contains either MDA or amphetamine.
Simon test
Important notes: In some kits, solution A may
be a dull sea-green color, or it may be clear. This
is normal. What you're looking for is a change in
color. In all cases, the presence of
MDMA/MDEA/Methamphetamine will be
indicated by a change to a bright cobalt blue. If
no color change is observed when solution B is
added, then the substance contains either MDA
or amphetamine.
Other color tests
Dragendorff reagent:
An orange, red–orange or brown–orange
precipitate suggests the presence of an
alkaloidal base.
This reagent is commonly used as a spraying
agent to detect alkaloids on thin–layer
chromatographic plates.
Other color tests
Iodoplatinate reagent: (for basic extracts)
A general test for alkaloids and nitrogenous
heterocyclic compounds.
A violet, blue–violet, brown–violet or grey–violet
precipitate suggests the presence of an
alkaloidal base
Other color tests
Ferric chloride:
Red, orange, green, blue, violet or brown colors indicate
the presence of a phenolic compound, fatty acid or a
phenylpyrazoline. High quantities of phenothiazines can
also cause this test to be positive.
Salicylates give a violet color. Aspirin (acetylsalicylic
acid) does not give a positive result unless first
hydrolyzed with concentrated sodium hydroxide to give
salicylates.
Other color tests
Forrest reagent:
A variety of colors, from pink, red, orange, violet
to blue, indicate the presence of phenothiazines.
FPN reagent:
A variety of colors, from pink, red, orange, violet
to blue, indicate the presence of phenothiazines.
Other color tests
Liebermann reagent:
A wide range of colors is given by compounds
that contain –OH, O–alkyl or –O–CH2O– groups
attached to a benzene ring or to a ring in a
polycyclic structure that contains a benzene ring.
Paracetamol gives a violet color, cocaine gives a
yellow color, ephedrine gives an orange color,
and codeine gives a black color with Liebermann
reagent.
Other color tests
Mandelin reagent: (for basic extracts)
It shows different colors for Ecstasy-like substances (MDMA,
MDEA and MDA), speed, Ketamine and para-methoxy-
amphetamine (PMA).
Tricyclic antidepressants give fluorescent spots if viewed
under ultraviolet light (366 nm) after spraying with this
reagent.
Ibuprofen: grey/tan, Indomethacin: grey, Ketoprofen: yellow
Mefenamic acid: blue/green, Paracetamol: white/grey
Propranolol: green, Strychnine: blue → orange
Other Color Tests
Mercurous nitrate reagent: (for acidic
extracts)
Mercurous nitrate reagent gives white spots with
a grey centre on a darker background with
barbiturates and related compounds such as
glutethimide.
Other color tests
Ninhydrin reagent:
A violet color that appears rapidly indicates the
presence of an aliphatic primary amine or an
amino acid group.
The presence of an aromatic ring inhibits the
response, and the inhibition increases the
nearer the amino group is to the ring, as for
amphetamine (pink–orange).
Gentamicin gives a violet color after heating for
4 min.
Other color tests
Sulfuric acid: (for basic extracts)
Sulfuric acid 500 ml/l alone gives red, purple or blue
spots with many phenothiazines and their metabolites.
Trinder reagent:
A purple color indicates the presence of salicylates.
Zwicker reagent (alkaline cobalt test):
This is a general test for barbiturate–like compounds.
The presence of a violet–blue color indicates
barbiturates
Thin layer chromatography
(TLC)
Principle:
- Thin Layer chromatography (TLC) involves the movement
by capillary action of a liquid phase (usually an organic
solvent) through a thin, uniform layer of stationary phase
(usually silica gel, SiO2) held on a rigid or semi-rigid
support, normally a glass, aluminum or plastic sheet or
plate.
- Compounds are separated by partition between the
mobile and stationary phases.
- Now, Toxi-lab System is available in commercial kits.
How TLC works
Sample solution is dissolved by the solvent
The solution sample will travel at different
distances based on solubility, polarization,
size
Silica gel
– Polar substances do not move far
– Non polar substances move farther up the plate
HO OH OH
R Si Si Si R
O O O O
R R R
Thin layer chromatography
In pencil, draw a
straight line across the
plate about 1 cm from
the end of the plate
Place in solvent-
sealed container
as shown in the
figure.
Solvents
The solvent can be a mixture of compounds
Choose a solvent depending on the polarity of the
compound
Petroleum ether
Least Polar
Cyclohexane
Toluene
Chloroform
Acctone
Ethanol
More polar
Methanol
Recommended TLC
visualization reagents
Ninhydrin reagent: 1° or 2° amines (sympathomimetics)
Mercurous nitrate reagent (acidic extract)
Mercuric Sulfate: barbiturates, glutethimide, phenytoin
(white ppt)
Sulfuric acid (500 ml/l) (basic extract)
Mandelin reagent (basic extract)
Acidified iodoplatinate reagent (basic extract): 3° amines
Dragendorff reagent: methaqualone
UV absorption at 254 nm: benzodiazepines, barbiturates,
methaqualone
Fluorescence at 366 nm : Benzodiazepines, quinine,
quinidine
Results
Multiple spots from one sample can be
achieved.
Interpretation
Calculation of the Rf value
Radioimmunoassay
Enzyme Linked Immunosorbent Assay
(ELISA)
Enzyme Multiplied Immunoassay
Technique (EMIT)
Radioimmunoassay
Principle: Uses an immune reaction [Antigen –
Antibody reaction] to estimate a ligand
65
EMIT Technique
Advantages Of EMIT
Homogeneous means there is no need of
washing excess of labelled enzymes.
Long shelf-life
Assays are well established
More specialty assays are available
It is a competitive assay
Reagent separation is not required
Is faster
Smoller molecules are measured
67
Disadvantages Of EMIT
Many interferences
Less sensitive compared to Elisa in
hormone determination
False negatives are common
Tolmetin metabolites
Aspirin metabolites
68
Fluorescence polarization
immunoassay
Automated TLC
Toxi-lab system
Immunoassay Tests
Principle:
Use antibodies to detect the presence of drugs .
In using immunoassays in drug testing, the
targeted drug acts as the antigen.
Radioimmunoassay
Enzyme Linked Immunosorbent Assay
(ELISA)
Enzyme Multiplied Immunoassay
Technique (EMIT)
Enzyme-multiplied immunoassay
technique (EMIT)
Fluorescence polarization
immunoassay
Recommendations developed by the National Academy of Clinical Biochemists
(NACB) involving clinical biochemists, medical toxicologists, forensic
toxicologists, and emergency medicine physicians
25 ng/mL Phencyclidine
Detection Limits Drug/Class
• 2 -4 days • Amphetamine
•2 -4 days •Methamphetamine
•1 - 3 days •Cocaine
Expected duration for a positive urine
drug screening
• 1 - 3 days • Heroine/morphine
• 2 - 4 days •Methadone
Sensitivity
- As a rule, the sensitivity of the confirmation method should be greater than that of the
screening test.
- GC/MS also has greater sensitivity than the screening immunoassays. The high
sensitivity afforded by the combination of the retention time and the mass spectrum
makes false-negative results extremely unlikely.
Specificity
- As a rule, the specificity of the confirmation analysis should be better than that of the
screening test.
- The most common confirmatory method is GC/MS. The high specificity afforded by the
combination of the retention time and the mass spectrum makes false-positive results
extremely unlikely.
- Some states require GC/MS confirmation for workplace drug screening and it may be
legally required for all drug screening.
The breathalyzer
The breathalyzer
Once the alveolar breath is trapped it is
allowed to undergo a chemical reaction:
WAVELENGTH(nm)
Spectroscopy
Visible
Conventional
spectrophotometer
Concentration
T I / I 0 e ConstConcentration
UV/VIS-Spectrophotometer
UV spectrophotometer application
Protein
Amino acids (aromatic)
Pantothenic acid
Glucose determination
Enzyme activity (hexokinase)
Visible spectrophotometer application
Niacin
Pyridoxine
Vitamin B12
Metal Determination (Fe)
Fat-quality Determination (TBA)
Enzyme Activity (Choline
esterase enzyme, glucose oxidase)
Absorption spectra of
hemoglobin derivatives
Radiometer Co-oximeter
Infrared (IR) Spectroscopy
symmetric asymmetric
The greater the dipole moment change through the vibration, the more
intense the electromagnetic (EM) field that is generated
IR Spectroscopic process
When a wave of infrared light encounters this oscillating EM field
generated by the oscillating dipole of the same frequency, the two waves
couple, and IR light is absorbed
“coupled” wave
EM oscillating wave
from bond vibration
Infrared Spectrum of Cocaine
Sample
Atomic Absorption Compartment
Spectrophotometer
ATOMIZER
Metal Zn Fe Cu Ca Na
λ (nm) 214 248 325 423 589
Gas chromatography
Instruments for GC
Carrier Gas-Supply:
- Carrier gases, which must be chemically inert, include
helium, nitrogen, and hydrogen.
- Associated with the gas supply are pressure regulators,
gauges, and flow meters.
- In addition, the carrier gas system often contains a
molecular sieve to remove water or other impurities.
Sample Injection System
The most common method of sample injection involves the
use of microsyringe to inject a liquid or gaseous sample.
The sample port is ordinarily about 50oC above the boiling
point of the least volatile component of the sample.
GC Columns
There are two main types of supports used in GC:
Packed columns
large sample capacity
preparative work
Isothermal Gradient
240
200
Temp (deg C)
160
120
80
40
0
0 10 20 30 40 50 60
Time (min)
Common GC Detectors
Thermal-conductivity detector
Intensity of detector signal
Chromatogram
tR
Peak tR : Retention time
t0 t0 : Non-retention time
h
A A : Peak area
h : Peak height
Time
120
Common GC Applications
Alcohols in blood
Aromatics (benzene, toluene, ethylbenzene,
xylene)
Flavors and Fragrances
Permanent gases (H2, N2, O2, Ar, CO2, CO, CH4)
Hydrocarbons
Pesticides, Herbicides, PCBs, and Dioxins
Solvents
GC-MS
Headspace GC-MS
High Performance Liquid Chromatography
(HPLC)
HPLC Pump
To pump
To pump
To draft
Drain valve
131
Stationary Phase in HPLC
Normal Phase:
This is where the stationary phase is strongly
polar (silica gel) and the mobile phase is largely
non-polar such as hexane.
Reverse Phase:
The stationary phase is non-polar (C18, C8) and
the mobile phase is polar liquids such as
methanol, acetonitrile, or water.
HPLC Columns
The reason why C-18 is more
hydrophobic than the other
reverse phases is because the
length of the carbon chains are
longer (i.e. C18 is longer than
C8, and C8 is longer than C4).
C8 may be used instead of C18
when shorter retention times are
required.
C4 provides even less retention
towards non-polar compounds
than both C18 and C8.
Common HPLC Detectors
135
HPLC-MS
Ultra High Performance Liquid
Chromatography (UPLC)
Contrasting HPLC and UPLC
The pump pressure, which is 40Mpa (400
atmospheres) in HPLC, can go up to 100MPa in UPLC.
UPLC also allows for much smaller particle size,
normally less than 2um whereas it is normally 5um in
HPLC.
UPLC uses less of valuable solvents like acetonitrile
which lowers cost.
The reduction of solvent use is more environmentally
friendly.
UPLC gives faster results with better resolution
Increased productivity can increase your revenue
(income) in an industrial setting.
UPLC-MS
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