Pre‑cleaned bare wooden toothpicks for the determination of drugs in oral fluid by mass spectrometry


Our latest article, published as a paper in the forefront in Analytical and Bioanalytical Chemistry, presents a deep study of the reduction of the intrinsic components of wooden toothpicks (WTs) towards their use as a sorptive phase in the determination of six tricyclic antidepressants (amitriptyline, clomipramine, desipramine, imipramine, nortriptyline, and trimipramine) in saliva by direct infusion mass spectrometry (DI-MS) and LC-MS, and the in vivo qualitative analysis of acetaminophen in saliva samples.

In the sample preparation context, WTs are used as sorbents according to their superficial -OH groups that provide electrostatic and hydrogen bond interactions with the target compounds. Moreover, they can be surface-modified to establish or improve the sorbent-analyte interaction. However, the presence of intrinsic components or impurities provided by the biosorbents can present a negative effect on the instrumental determination of the target compounds.

To minimize this limitation, different consecutive washing cycles with boiling tap water have been evaluated, avoiding using organic solvents during the synthesis process. Moreover, the introduction of chromatographic separation reduces the hindering of the ionization of the target analytes.

TCAs analysis

The proposed extraction process allows the simultaneous extraction, elimination of the interferences, and elution of the samples, providing a high sample throughput in the analysis of biosamples (Figure 1). The pb-WTs are simultaneously conditioned with Milli-Q water, transferred to glass vials with 5 mL of the sample, and stirred at 500 rpm for 60 min. The pb-WTs are washed with 1 mL of Milli-Q water at 500 rpm for 10 min. Finally, the pb-WTs are eluted with 200 μL of methanol in an HPLC insert into the vial, and the extracts are analyzed by DI-MS or LC-MS.

Figure 1. Extraction procedure.

The effect of the variables is corrected by using internal standards, making the sample pH and ionic strength not necessary to be adjusted. The extraction time was established at 60 min for aqueous standards and saliva samples.

The proposed method was satisfactorily validated for DI-MS and LC-MS in terms of linear range, LODs, LOQs, inter-and-intra-day precision, and accuracy. The limits of detection were in the range of 0.1-0.5 ng/mL and 0.1-0.3 ng/mL, respectively, while the linear range spanned from 0.4 to 800 ng/mL. The intra-day precision (expressed as relative standard deviation) was better than 12.1% and 8.6%, for DI-MS and LC-MS, respectively. Accuracy values spanned from 94-133% and 77-114% for DI-MS and LC-MS, respectively. Blind samples were analyzed to demonstrate the applicability of the method.

In vivo analysis

The potential of pb-WTs as a tool for in vivo sampling was preliminarily presented towards the qualitative analysis of acetaminophen in saliva. A healthy volunteer took orally 1 g of acetaminophen, followed by rinsing the mouth with 100 mL of water to remove potential residues. Aftewarss, a pb-WT was introduced in the mouth and sucked for 5 min. The pb-WT was collected, washed with Milli-Q water, and eluted in 200 µL of methanol. The eluate was finally analyzed by DI-MS/MS, showing a pharmacokinetic profile of the presence of the analyte at different times from the ingest.

Reference

Millán-Santiago J, Lucena R, Cárdenas S (2022) Pre-cleaned bare wooden toothpicks for the determination of drugs in oral fluid by mass spectrometry. Anal Bioanal Chem. https://doi.org/10.1007/s00216-022-03977-w

About the author

Jaime Millán Santiago is a Ph.D. student in the AS2P Research Group of the Analytical Chemistry Department of the University of Córdoba. He finished the bachelor’s degree in Chemistry in 2019 and the master’s degree in Applied Chemistry in 2020. Currently, he is involved in the use of lignocellulosic materials for the determination of prescription and illicit drugs in biofluids by mass spectrometry.

You can follow Jaime on Twitter

Keywords

Bioanalysis, high sample throughput, in vivo, mass spectrometry, microextraction, prescription drugs, pre-cleaned bare wooden toothpicks.

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