Forensic Toxicology [PDF]

Immunoassay Screening. ◦ EMIT. enzyme multiplied immunoassay technique. ◦ CEDIA. cloned enzyme donor immunoassay. â—

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Idea Transcript


Shawn P. Vorce Technical Director Chesapeake Toxicology Resources

"The opinions or assertions presented hereafter are the private views of Shawn P. Vorce and should not be construed as official or as reflecting the views of the Department of Defense, its branches, the US Army Medical Research and Materiel Command or the Armed Forces Medical Examiner System.“



Forensic Toxicology is defined as the application of toxicology for the purposes of the law  Postmortem Toxicology  Death investigations  Cause and manner

 Human Performance Toxicology  DUI/DWI  DFSA

 Forensic Drug Testing    

Military Criminal Justice System Workplace drug testing Athletic programs

negative

Accessioning

Special Testing

Screening

Method Development

positive

Issue Report

Consultation/Testimony

Confirmation/Quantitation



Screening ◦ ◦ ◦ ◦ ◦



Immunoassay (IA) Thin Layer Chromatography (TLC) Headspace (GC/FID) Gas Chromatography (NPD/FID) Gas Chromatography/Mass Spectrometry (GC/MS)

Confirmation/Quantitation

◦ Gas Chromatography/Mass Spectrometry (GC/MS)  Full Scan  Selected Ion Monitoring (SIM) ◦ Liquid Chromatography/Mass Spectrometry (LC/MS) ◦ Liquid Chromatography Tandem Mass Spectrometry (LC/MS/MS) ◦ Time of Flight Mass Spectrometry (TOF)



Immunoassay Screening ◦ EMIT  enzyme multiplied immunoassay technique

◦ CEDIA

 cloned enzyme donor immunoassay

◦ ELISA

 enzyme-linked immunosorbent assay

◦ FPIA

 fluorescence polarization Immunoassay

◦ KIMS

 kinetic interaction of micro-particles in solution

◦ DRI

 Diagnostic Reagent Inc



Immunoassay Screening ◦ EMIT

 Sample, Antibody, Enzyme-drug complex, Substrate

substrate

Sample

Does NOT Absorb light

Drug

Drug

Drug

substrate

Sample Enzyme-drug complex

Absorbs light λ= 340 nm



Immunoassay Screening

Positive Result Negative Result



IA Cross Reactivity



Benzodiazepines (CEDIA) ◦ Oxazepam antibodies ◦ 200 ng/mL cut-off

◦ Package insert list interfering compounds and levels

 

IA Cross Reactivity Amphetamines (CEDIA) ◦ Amphetamine antibodies ◦ 500 ng/mL cut-off

Compound

500 ng/mL Cut-off

Bupropion

13000

Fenfluramine

1200

Phenmetrazine

1500

Phenothiazines

10000

◦ Package insert list interfering Phentermine compounds and levels Pseudoephedrine

17500 75000

DMAA

2500

Methamphetamine

500

MDA

1400

MDMA

800



Headspace-GC/FID

BAC ◦ Headspace  Sample and ISTD are transferred to a headspace vial  Vial is heating to a constant Temp (90oC).  Volatile component diffuse into gas phase forming equilibrium between liquid and headspace.  Sample is taken from the Headspace and analyzed.

Headspace





BAC

◦ Headspace

http://blog.restek.com/wp-content/uploads/2014/05/HS-GC-Instrument-Diagram2.jpg

BAC

Acetone ISTD

2.00 1.50

Acetaldehyde

0.50 1.00

2-Propanol

0.0

Ethanol

2.50

3.00

◦ Headspace (GC/FID) Ethanol Response/ ISTD Response



0.0

0.02

0.05

0.08

0.10

0.12

Ethanol Concentration

= 0.088 BAC

0.15



Inhalants 1.615

0.883

◦ Headspace (GC/MS)

Standard Volatile Profile

1.116

1.857

200

Unidentified Peak 2.985

120

100

2.986

1.742

150

160

80

50

0.823

0.823

40

0.5

1

1.5

2

2.5

3

3.5

min

0.5

1

1.5

2

2.5

3

3.5

Inhalants

0.883

◦ Headspace (GC/MS)

51

160

100

Unidentified Peak 2.985

120

F

50

F

65

80

47 45 27 26 31 33

15 2

0

0

10

20

30

40

46

64

43

40

0.823



67

50

60

(mainlib) Ethane, 1,1-difluoro-

70

80

0.5

1

1.5

2

2.5

3

3.5



Screening

◦ Thin Layer Chromatography (TLC) Spot •sample •standards

develop

Dry plates in an oven

Spray



Gas/Liquid Chromatography

Gas/Liquid Chromatography



Inject Sample

Fused Silica Capillary Column

Temperature Programmable Oven

Detector

2.216

200

3.756

Chromatogram 5.991

3.511

150

100

50

1.0

2.0

3.0

4.0

5.0

6.0

7.0

min



Screening

◦ Gas Chromatography (GC/FID or GC/NPD)

Positive Identification RT Library Automated Search Criteria: RT ±2% of STD



Mass Spectrometry

a-methyltryptamine N

F3CF2CC

Abundance 12500 12000 11500 11000 10500 10000 9500 9000 8500 8000 7500 7000 6500 6000 5500 5000 4500 4000 3500 3000 2500 2000 1500 1000 500 0

m/z-->

O

276

N

F3CF2CC

O

303 H N

N

129

O C CF2CF3

190 H N

N

F3CF2CC

69

O

102 156

466

51

256 40

60

80 100 120 140 160 180 200 220 240 260 280 300 320 340 360 380 400 420 440 460

O C CF2CF3

Screening/Confirmation



◦ Gas Chromatography/Mass Spectrometry (GC/MS) L

Abundance 360000 340000 320000 300000

280000 260000 240000 220000

N

200000

D

V

180000

M

160000 140000

H

C

120000

K O

100000 80000 60000 40000

A

F

B

E

20000

Time-->

0

5.00

6.00

7.00

8.00

Q

I G

J

9.00

P 10.00

R

T

U

S

W 11.00

12.00

Figure 7 Full scan EI total ion chromatogram of 27 designer phenethylamines and tryptamines. (A) 4-FA (B) 4-FMA (C) 4-MA (D) 4-MTA (E) DOM (F) DOET (G) 3,4,5trimethoxyamphetamine (H) 2C-C (I) DOC (J) 5-IT (K) AMT (L) DMT (M) 2C-B (N) DOB (O) 2C-T (P) 2C-I, DOI (Q) 2C-T-2 (R) 5-MeO-AMT (S) 5-MeO-DMT (T) DiPT (U) 5-MeO-MiPT (V) 5-MeODiPT (W) 5-MeO-DALT.



Screening/Confirmation

◦ Gas Chromatography/Mass Spectrometry (GC/MS) ◦ Full Scan MS

Positive Identification

Urine Sample

Mass Spectral Library Automated Search Criteria: RT ±2% of STD Match of >70% screen Match of >90% confirm

No extraneous ions

Standard Solution



MS Full Scan Library Match



Confirmation/Quantitation

◦ Gas Chromatography/Mass Spectrometry (GC/MS)  Full Scan Spectrum at 11.25 min

Cycle: Scan 40-550 m/z

7 Cycles Library Match



Confirmation/Quantitation

◦ Gas Chromatography/Mass Spectrometry (GC/MS)  Selected Ion Monitoring (SIM)

SIM Cycle: 303, 182, 82 m/z

16 Cycles Improves peak shape, sensitivity, quantitations



Confirmation/Quantitation

◦ Liquid Chromatography/Mass Spectrometry (LC/MS)



Confirmation/Quantitation

◦ Liquid Chromatography Tandem Mass Spectrometry (LC/MS/MS)



LC/MS/MS

MRM Transition 342.0 / 155.1

Product Ion Scan (Full Scan)

MRM Scan

Full Scan

 

Monitor specific Compound at Expected RT 750 compounds in 12.0 min

Waters Xevo G2 QTOF AB Sciex 5600+ TripleTOF

Ion Mirror

Shield (“Liner”)

10-7 Torr

Turbo Pump B Turbo Pump A

Rough Pump

1 Torr

10-5 Torr

10 mTorr

Shroud

10 mTorr

Shroud

Shroud

1

2

DC1

DC2

1

2

Ion Focus

Accelerating Column

Upper Slit

MCP Detector

Slicer Puller

Fragmenter DC

Pusher Skimmer 1

a Lens 1 and 2

Collision Cell (CC or Q2)

b Exit Pulse

Time of Flight = m/z

Lower Slit

Measure Current for Beam Alignment

Octupole 1

Quad Mass Filter (Q1)

Octupole 2 Collision Gas (Ar)

Version 20040304

DC Quad (Shaping Quad or QDC)

Time of Flight (TOF)





Nominal mass Exact (calculated) mass

300 300.1594

H+ CODEINE [M+H]+

300.1595



Exact Mass Libraries ◦ 700-1400 compounds pre-loaded



High resolution – (4-5 decimals) ◦ Same NOMINAL mass but different EXACT mass



Elucidate unknown peaks ◦ Propose chemical formula



“All data” acquired ◦ Reprocess archived data for new compounds

 Drug 0 386 2123 4312 10732 23461

Quantitation ISTD 0 2097 2325 2220 3123 3466

6-acetylmorphine Drug Conc ISTD Conc x 0 0 0 5.0 25.0 0.2 25.0 25.0 1.0 50.0 25.0 2.0 100.0 25.0 4.0 200.0 25.0 8.0

y 0 0.1841 0.9131 1.9423 3.4364 6.7689

Calc Value 0 5.38 26.69 56.77 100.45 197.85

% Diff 0 7.61% 6.76% 13.55% 0.45% -1.07%

Unknown Drug Response ISTD Response ISTD Conc 5.29 575 3166 25.0 y-int 0

m (slope) 0.8553

8.0000 y = 0.8553x R² = 0.9977

7.0000 6.0000 5.0000

Ser

4.0000

Line 3.0000 2.0000 1.0000 0.0000 0.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

8.0

9.0



Confirmation/Quantitation

Positive Identification Criteria: RT ±2% of avg Calibrators 2 Ions (ISTD) 3 Ions (Compound) Ion Ratios ±20% of avg Calibrators Gaussian shaped peaks Peak asymmetry

Confirmation/Quantitation



131

Abundance

NH 2

44

35000

30000

Full scan EI mass spectra of 5-IT and AMT

N H

5-IT C 11 H 14 N2 mw 174.25

25000 20000 15000

RT

10000

5000

77

51

103

65

174

154

115

89

0 m/z -->

40

50

60

70

80

90

100

110

120

130

140

150

160

170

180

131

Abundance

30000

5-IT

9.10 min

AMT

9.30 min

NH2

44

26000

22000

Ion Ratios

N H

18000

AMT C 11 H 14 N2 mw 174.25

14000

10000 6000

2000 m/z--> 0

77

103

52 40

50

63 60

117

89 70

80

90

100

110

120

143 130

140

159 150

160

174 170

180

5-IT 131/130 m/z

1.75

AMT 131/130 m/z

1.14



Chain of Custody



Standard Operating Procedure (SOPs)



Quality Assurance/Quality Control



Screening/Confirmation/Quantitations Methods

 Case (list of item received)  Each aliquot tested

 Administrative, Accessioning, Safety, Testing Methods, etc.  Controls

 Method Validations

 Specificity, selectivity, accuracy, precision, carryover, stability, variation, robustness, etc.



Instrumentations

 Tuning  Calibration  System Suitability Controls



Criteria for Positives/Confirmation ◦ Retention Times (RT)

 GC ±2% of avg Calibrators  LC ±3% of avg Calibrators

◦ Full Scan MS

 >70% screen  >90% confirmation

◦ SIM

 2 Ions (ISTD) / 3 Ions (Compound of Interest)  Ion ratios ±20% of avg Calibrators

◦ MRM Ion Transitions

 2 MRMs (ISTD or Compound of interest)  MRM Ratios ±20% of avg Calibrators

◦ ToF

 LC ±3% of avg Calibrators  Exact mass ±5 ppm

◦ Peak asymmetry  0.5 – 2.0

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