Elsevier

Talanta

Volume 251, 1 January 2023, 123816
Talanta

An ultra-sensitive UHPLC-QqQ-MS/MS method for determination of 54 benzodiazepines (pharmaceutical drugs, NPS and metabolites) and z-drugs in biological samples

https://doi.org/10.1016/j.talanta.2022.123816Get rights and content

Highlights

  • Described method comprise the biggest number of benzodiazepines to date.

  • Simultaneous determination of pharmaceutical drugs and NPS is possible.

  • Method enables trace analysis of benzodiazepines in concentration of pg/mL.

  • Sample volume is reduced to only 100 μL.

  • Method was applied to an analysis in 25 authentic cases, including postmortem ones.

Abstract

Benzodiazepines exhibit central nervous system depressive activity as well as sedative, hypnotic, and anticonvulsant properties, which enable to use them as medical treatment in anxiety, epilepsy, insomnia and alcohol withdrawal syndrome. However, from 2000s illegal benzodiazepine derivatives have started to emerge on illicit drug market as new psychoactive substances (NPSs) monitored in many countries.

Analysis of both pharmaceutical drugs and NPSs from benzodiazepines group could be challenging, as usually very low concentrations need to be determined. Thus, an ultra-sensitive UHPLC-QqQ-MS/MS method was developed for simultaneous determination of 54 benzodiazepines (pharmaceutical drugs, NPS and their metabolites) and 3 z-drugs with one metabolite in biological fluid samples. The lower limit of quantification for most substances was 50 pg/mL, whereas for 17 substances as low as 10 pg/mL was achieved. Together with reduced sample volume to 100 μL it makes the developed method suitable for a sensitive multidrug toxicological analysis. Presented method was applied in routine toxicological practice as well as for the determination of benzodiazepines, z-drugs and their metabolites in 25 authentic biological fluids (blood, urine, vitreous humor and bile), both antemortem and postmortem. 19 different compounds, including benzodiazepines, their metabolites and z-drugs were determined. Antemortem blood concentrations were within 0.2–114.5 ng/mL, whereas concentrations in antemortem urine samples were 0.03–102.6 ng/mL. In postmortem specimens, concentrations ranged within 0.2–473.2 ng/mL, 0.5–94.1 ng/mL, 1.3–208.8 ng/mL and 41.5–42.0 ng/mL in blood, vitreous humor, urine and bile, respectively.

The developed method is suitable for a forensic toxicology analysis, as well as clinical toxicology which is evidenced by the positive results of international proficiency tests.

Section snippets

Author contributions

Olga Wachełko: Conceptualization, Methodology, Writing – Original draft preparation; Preparation of illustrations; Paweł Szpot: Conceptualization, Supervision, Writing – Reviewing and Editing; Kaja Tusiewicz: Writing – Original draft preparation; Preparation of illustrations; Karolina Nowak: Preparation of method and authentic forensic samples; Validation; Analysis of data; Agnieszka Chłopaś-Konowałek: Interpretation of toxicological analysis results of authentic samples; Marcin Zawadzki:

Chemicals

Water (Chromasolv® LC–MS), methanol (Chromasolv® LC–MS), ethyl acetate, n-hexane, diethyl ether and formic acid were purchased from Sigma-Aldrich (Steinheim, Germany); ammonium formate from Sigma-Aldrich (Bangalore, India); ammonium carbonate from Fluka (Buchs, Switzerland); buffer solutions (pH 7.4, 8, 9, 10, 11, 12 ± 0.05) were purchased from TarChem (Tarnowskie Góry, Poland); buffer solution (pH 13 ± 0.05) was purchased from Chempur (Gliwice, Poland); adinazolam (1 mg/mL; methanol),

Method development

For the development of an analytical method allowing the determination of benzodiazepines, z-drugs and metabolites with the highest sensitivity, parameters such as sample preparation procedure, the volume of biological material, the selection of internal standards and injection volume were optimized. While choosing a suitable sample preparation technique, liquid-liquid extraction at different pH ranges and with the use of different organic solvents (with various degrees of polarity) were taken

Comparison of chromatographic methods in determination of benzodiazepines and z-drugs in biological samples

The most sensitive, selective and accurate methods applied for benzodiazepines and z-drugs determination in biological samples, are gas and liquid chromatographic techniques coupled with mass spectrometry. Nowadays, due to the wide variety of benzodiazepines which are available on both, pharmaceutical and illegal marketplaces, there is the increasing need for development of multi-drugs methods in order to determine large amounts of different chemical compounds. For this reason, in Table 4 and

Conclusions

The developed and fully validated ultra-sensitive UHPLC-QqQ-MS/MS method enabled determination of 54 benzodiazepines (pharmaceutical drugs, NPS and their metabolites) and 3 z-drugs with one metabolite. Acquired LOQ values which stand by pg/mL and reduced sample volume allow very sensitive determination of before-mentioned compounds, which is suitable and very desirable especially in forensic toxicology analysis, as well as in clinical toxicology which is evidenced by the positive results of

Novelty statement

Developed method, that comprise the biggest number of benzodiazepines to date, enables trace analysis of those compounds (pg/mL). Sample volume is reduced to only 100 μL, hence this method can be implemented in both clinical and forensic toxicology.

Ethical statement

All procedures performed in this study were in accordance with the ethical standards of the national committee and with the 1964 Declaration of Helsinki. Whole blood, bile, urine and vitreous humor samples were sent to our institute for toxicological analysis. The blank biological samples (postmortem urine and blood) used to develop the method were collected in accordance with Ethical Committee approval (No. 333/14). This article does not contain any studies with living human participants or

Declaration of competing interest

The authors declare no conflicts of interest (including financial and personal) that might appear to influence the work reported in this paper.

Acknowledgements

The authors thank the SHIM-POL A. M. Borzymowski Company for the opportunity of collecting MS/MS spectra for 59 substances with the use of the UHPLC–QTOF-MS-MS 9030 system.

The research was carried out under the National Centre for Research and Development project no. POIR.01.01.01-00-0175/18.

References (57)

  • S. Pirnay et al.

    Sensitive method for the detection of 22 benzodiazepines by gas chromatography-ion trap tandem mass spectrometry

    J. Chromatogr. A

    (2002)
  • I.I. Papoutsis et al.

    Development and validation of an EI-GC-MS method for the determination of benzodiazepine drugs and their metabolites in blood: applications in clinical and forensic toxicology

    J. Pharm. Biomed. Anal.

    (2010)
  • A. Bugey et al.

    A fast LC-APCI/MS method for analyzing benzodiazepines in whole blood using monolithic support

    J. Chromatogr. B

    (2006)
  • O. Quintela et al.

    Liquid chromatography–electrospray ionisation mass spectrometry for the determination of nine selected benzodiazepines in human plasma and oral fluid

    J. Chromatogr. B

    (2005)
  • Y.D. Jeong et al.

    Rapid determination of benzodiazepines, zolpidem and their metabolites in urine using direct injection liquid chromatography–tandem mass spectrometry

    Forensic Sci. Int.

    (2015)
  • A. Salomone et al.

    A fast liquid chromatography–tandem mass spectrometry method for determining benzodiazepines and analogues in urine. Validation and application to real cases of forensic interest

    J. Pharmaceut. Biomed.

    (2011)
  • M. Fisichella et al.

    High-throughput dispersive liquid/liquid microextraction (DLLME) method for the rapid determination of drugs of abuse, benzodiazepines and other psychotropic medications in blood samples by liquid chromatography–tandem mass spectrometry (LC-MS/MS) and application to forensic cases

    Microchem. J.

    (2015)
  • M. de Boeck et al.

    Development and validation of a fast ionic liquid-based dispersive liquid-liquid microextraction procedure combined with LC-MS/MS analysis for the quantification of benzodiazepines and benzodiazepine-like hypnotics in whole blood

    Forensic Sci. Int.

    (2017)
  • L. Banaszkiewicz et al.

    Rapid and simple multi-analyte LC-MS/MS method for the determination of benzodiazepines and Z-hypnotic drugs in blood samples: development, validation and application based on three years of toxicological analyses

    J. Pharm. Biomed. Anal.

    (2020)
  • B. Smink et al.

    Quantitative analysis of 33 benzodiazepines, metabolites and benzodiazepine-like substances in whole blood by liquid chromatography-(tandem) mass spectrometry

    J. Chromatogr. B

    (2004)
  • T. Ishida et al.

    Rapid and quantitative screening method for 43 benzodiazepines and their metabolites, zolpidem and zopiclone in human plasma by liquid chromatography/mass spectrometry with a small particle column

    J. Chromatogr. B

    (2009)
  • E. Chambers et al.

    Systematic and comprehensive strategy for reducing matrix effects in LC/MS/MS analyses

    J. Chromatogr. B

    (2007)
  • A. el Mahjoub et al.

    Stability of benzodiazepines in whole blood samples stored at varying temperatures

    J. Pharmaceut. Biomed.

    (2000)
  • P. Szatkowska et al.

    Analytical methods for determination of benzodiazepines. A short review

    Open Chem

    (2014)
  • J. Wick

    The history of benzodiazepines

    Consult. Pharm.

    (2013)
  • M. Lader

    Benzodiazepines revisited—will we ever learn?

    Addiction

    (2011)
  • European Monitoring Centre for Drugs and Drug Addiction (2021), European Monitoring Centre for Drugs and Drug Addiction...
  • SMART Update

    (September 2017)
  • Cited by (0)

    View full text