title: Development of a broad toxicological screening technique for urine using ultra-performance liquid chromatography and time-of-flight mass spectrometry.
abstract: Withdrawal of the support for the REMEDi HS drug profiling system has necessitated its replacement within our laboratories with an alternative broad toxicological screening technique. To this end, a novel method, based on ultra-performance liquid chromatography (UPLC) and time-of-flight (TOF) mass spectrometry, was developed for the routine analysis of urine samples. Identification was achieved by comparison of acquired data to libraries containing more than 300 common drugs and metabolites, and was based on a combination of retention time, exact mass and fragmentation patterns. Validation data for the method is presented and comprised an evaluation of the following parameters: precision; transferability of the methodology between the six collaborating laboratories; specificity; extraction recovery and stability of processed samples; matrix effects and sensitivity. This paper presents the benefits of supplementary fragmentation data with particular regard to increasing specificity and confidence of identification and its usefulness with overdosed samples. The utility of the method was assessed by the parallel analysis of 30 authentic urine samples using the REMEDi HS and UPLC-TOF. The latter provided enhanced detection, leading to the identification of twice as many drugs. Furthermore it did not miss any compounds that were identified by REMEDi HS. The UPLC-TOF findings were further verified by a combination of data from three other conventional screening techniques, i.e., GC-MS, HPLC-DAD and UPLC-MS/MS.
authors: Department of Clinical Pathology, Tuen Mun Hospital, Tuen Mun, Hong Kong.
authors: Hon Kit
authors: HK
authors: Lee
authors: Chung Shun
authors: CS
authors: Ho
authors: Yan Ping Heidi
authors: YP
authors: Iu
authors: Po Shan Judy
authors: PS
authors: Lai
authors: Chi Chung
authors: CC
authors: Shek
authors: Yun-Chuen
authors: YC
authors: Lo
authors: Helene Bendstrup
authors: HB
authors: Klinke
authors: Michelle
authors: M
authors: Wood
mesh_terms: D002851:Chromatography, High Pressure Liquid / Q000379:methods*; D055442:Metabolome; D010363:Pattern Recognition, Automated; D004364:Pharmaceutical Preparations / Q000652:urine*; D053719:Tandem Mass Spectrometry / Q000379:methods*; D018675:Toxicity Tests / Q000379:methods*
chemical_list: D004364:Pharmaceutical Preparations