New Trend in Toxicological Screening Using Volumetric Absorptive Microsampling (VAMS) and High-Resolution Mass Spectrometry (HR/MS) Combination

In toxicology, screenings are routinely performed using chromatographic methods coupled to detection systems such as high-resolution mass spectrometry (HR/MS). The increase in specificity and sensitivity of HRMS is responsible for the development of methods for alternative samples such as Volumetric...

Full description

Bibliographic Details
Main Authors: Pascal Houzé, Ilona Borowski, Eugénie Bito, Romain Magny, Athina Morcos, Sebastian Voicu, Bruno Mégarbane, Laurence Labat
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Molecules
Subjects:
Online Access:https://www.mdpi.com/1420-3049/28/8/3466
_version_ 1797604124616818688
author Pascal Houzé
Ilona Borowski
Eugénie Bito
Romain Magny
Athina Morcos
Sebastian Voicu
Bruno Mégarbane
Laurence Labat
author_facet Pascal Houzé
Ilona Borowski
Eugénie Bito
Romain Magny
Athina Morcos
Sebastian Voicu
Bruno Mégarbane
Laurence Labat
author_sort Pascal Houzé
collection DOAJ
description In toxicology, screenings are routinely performed using chromatographic methods coupled to detection systems such as high-resolution mass spectrometry (HR/MS). The increase in specificity and sensitivity of HRMS is responsible for the development of methods for alternative samples such as Volumetric Adsorptive Micro-Sampling. Whole blood overloaded with 90 drugs was sampled with 20 µL Mitra<sup>TM</sup> to optimize the pre-analytical step as well as to determine the identification limits of drugs. Elution of chemicals was carried out in a solvent mixture through agitation and sonication. After dissolution, 10 μL was injected into the chromatographic system coupled to the Orbitrap<sup>TM</sup> HR/MS. Compounds were confirmed against the laboratory library. The clinical feasibility was assessed in fifteen poisoned patients using the simultaneous sampling of plasma, whole blood and Mitra<sup>TM</sup>. The optimized extraction procedure allowed us to confirm 87 compounds out of the 90 present in the spiked whole blood. Cannabis derivatives were not detected. For 82.2% of the investigated drugs, the identification limits were below 12.5 ng·mL<sup>−1</sup>, with the extraction yields ranging from 80.6 to 108.7%. Regarding the patients’ analysis, 98% of the compounds in plasma were detected in Mitra<sup>TM</sup> compared to whole blood, with a satisfying concordance (R<sup>2</sup> = 0.827). Our novel screening approach opens new insights into different toxicologic fields appropriate for pediatrics, forensics or to perform mass screening.
first_indexed 2024-03-11T04:41:56Z
format Article
id doaj.art-cfc72a9dd3004f07892b0b0e19e5ae1d
institution Directory Open Access Journal
issn 1420-3049
language English
last_indexed 2024-03-11T04:41:56Z
publishDate 2023-04-01
publisher MDPI AG
record_format Article
series Molecules
spelling doaj.art-cfc72a9dd3004f07892b0b0e19e5ae1d2023-11-17T20:39:21ZengMDPI AGMolecules1420-30492023-04-01288346610.3390/molecules28083466New Trend in Toxicological Screening Using Volumetric Absorptive Microsampling (VAMS) and High-Resolution Mass Spectrometry (HR/MS) CombinationPascal Houzé0Ilona Borowski1Eugénie Bito2Romain Magny3Athina Morcos4Sebastian Voicu5Bruno Mégarbane6Laurence Labat7Laboratory of Toxicology, Federation of Toxicology, Lariboisière Hospital, Assistance Publique-Hôpitaux de Paris (AP-HP), 10 rue Ambroise Paré, 75010 Paris, FranceLaboratory of Toxicology, Federation of Toxicology, Lariboisière Hospital, Assistance Publique-Hôpitaux de Paris (AP-HP), 10 rue Ambroise Paré, 75010 Paris, FranceLaboratory of Toxicology, Federation of Toxicology, Lariboisière Hospital, Assistance Publique-Hôpitaux de Paris (AP-HP), 10 rue Ambroise Paré, 75010 Paris, FranceLaboratory of Toxicology, Federation of Toxicology, Lariboisière Hospital, Assistance Publique-Hôpitaux de Paris (AP-HP), 10 rue Ambroise Paré, 75010 Paris, FranceLaboratory of Toxicology, Federation of Toxicology, Lariboisière Hospital, Assistance Publique-Hôpitaux de Paris (AP-HP), 10 rue Ambroise Paré, 75010 Paris, FranceINSERM UMRS-1144, University of Paris, 4 Avenue de l’Observatoire, 75006 Paris, FranceINSERM UMRS-1144, University of Paris, 4 Avenue de l’Observatoire, 75006 Paris, FranceLaboratory of Toxicology, Federation of Toxicology, Lariboisière Hospital, Assistance Publique-Hôpitaux de Paris (AP-HP), 10 rue Ambroise Paré, 75010 Paris, FranceIn toxicology, screenings are routinely performed using chromatographic methods coupled to detection systems such as high-resolution mass spectrometry (HR/MS). The increase in specificity and sensitivity of HRMS is responsible for the development of methods for alternative samples such as Volumetric Adsorptive Micro-Sampling. Whole blood overloaded with 90 drugs was sampled with 20 µL Mitra<sup>TM</sup> to optimize the pre-analytical step as well as to determine the identification limits of drugs. Elution of chemicals was carried out in a solvent mixture through agitation and sonication. After dissolution, 10 μL was injected into the chromatographic system coupled to the Orbitrap<sup>TM</sup> HR/MS. Compounds were confirmed against the laboratory library. The clinical feasibility was assessed in fifteen poisoned patients using the simultaneous sampling of plasma, whole blood and Mitra<sup>TM</sup>. The optimized extraction procedure allowed us to confirm 87 compounds out of the 90 present in the spiked whole blood. Cannabis derivatives were not detected. For 82.2% of the investigated drugs, the identification limits were below 12.5 ng·mL<sup>−1</sup>, with the extraction yields ranging from 80.6 to 108.7%. Regarding the patients’ analysis, 98% of the compounds in plasma were detected in Mitra<sup>TM</sup> compared to whole blood, with a satisfying concordance (R<sup>2</sup> = 0.827). Our novel screening approach opens new insights into different toxicologic fields appropriate for pediatrics, forensics or to perform mass screening.https://www.mdpi.com/1420-3049/28/8/3466toxicological screeningwhole bloodvolumetric absorptive microsampling (VAMS)Mitra<sup>TM</sup> devicehigh-resolution mass spectrometryclinical application
spellingShingle Pascal Houzé
Ilona Borowski
Eugénie Bito
Romain Magny
Athina Morcos
Sebastian Voicu
Bruno Mégarbane
Laurence Labat
New Trend in Toxicological Screening Using Volumetric Absorptive Microsampling (VAMS) and High-Resolution Mass Spectrometry (HR/MS) Combination
Molecules
toxicological screening
whole blood
volumetric absorptive microsampling (VAMS)
Mitra<sup>TM</sup> device
high-resolution mass spectrometry
clinical application
title New Trend in Toxicological Screening Using Volumetric Absorptive Microsampling (VAMS) and High-Resolution Mass Spectrometry (HR/MS) Combination
title_full New Trend in Toxicological Screening Using Volumetric Absorptive Microsampling (VAMS) and High-Resolution Mass Spectrometry (HR/MS) Combination
title_fullStr New Trend in Toxicological Screening Using Volumetric Absorptive Microsampling (VAMS) and High-Resolution Mass Spectrometry (HR/MS) Combination
title_full_unstemmed New Trend in Toxicological Screening Using Volumetric Absorptive Microsampling (VAMS) and High-Resolution Mass Spectrometry (HR/MS) Combination
title_short New Trend in Toxicological Screening Using Volumetric Absorptive Microsampling (VAMS) and High-Resolution Mass Spectrometry (HR/MS) Combination
title_sort new trend in toxicological screening using volumetric absorptive microsampling vams and high resolution mass spectrometry hr ms combination
topic toxicological screening
whole blood
volumetric absorptive microsampling (VAMS)
Mitra<sup>TM</sup> device
high-resolution mass spectrometry
clinical application
url https://www.mdpi.com/1420-3049/28/8/3466
work_keys_str_mv AT pascalhouze newtrendintoxicologicalscreeningusingvolumetricabsorptivemicrosamplingvamsandhighresolutionmassspectrometryhrmscombination
AT ilonaborowski newtrendintoxicologicalscreeningusingvolumetricabsorptivemicrosamplingvamsandhighresolutionmassspectrometryhrmscombination
AT eugeniebito newtrendintoxicologicalscreeningusingvolumetricabsorptivemicrosamplingvamsandhighresolutionmassspectrometryhrmscombination
AT romainmagny newtrendintoxicologicalscreeningusingvolumetricabsorptivemicrosamplingvamsandhighresolutionmassspectrometryhrmscombination
AT athinamorcos newtrendintoxicologicalscreeningusingvolumetricabsorptivemicrosamplingvamsandhighresolutionmassspectrometryhrmscombination
AT sebastianvoicu newtrendintoxicologicalscreeningusingvolumetricabsorptivemicrosamplingvamsandhighresolutionmassspectrometryhrmscombination
AT brunomegarbane newtrendintoxicologicalscreeningusingvolumetricabsorptivemicrosamplingvamsandhighresolutionmassspectrometryhrmscombination
AT laurencelabat newtrendintoxicologicalscreeningusingvolumetricabsorptivemicrosamplingvamsandhighresolutionmassspectrometryhrmscombination