1. Simple and rapid detection of three amatoxins and three phallotoxins in human body fluids by UPLC–MS-MS and its application in 15 poisoning cases.
- Author
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Yang, Shuo, Wen, Di, Zheng, Fenshuang, Pu, Shanbai, Chen, Zhuonan, Chen, Mobing, Di, Bin, Liu, Wei, and Shi, Yan
- Subjects
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LIQUID chromatography-mass spectrometry , *BODY fluids , *HUMAN body , *METABOLITES , *HIGH performance liquid chromatography , *POISONING , *URINALYSIS - Abstract
Amatoxins and phallotoxins are toxic cyclopeptides found in the genus Amanita and are among the predominant causes of foodborne sickness and poisoning-related fatalities in China. This study introduces and validates a simple, rapid and cost-effective ultra-performance liquid chromatography–mass spectrometry method for the simultaneous determination and quantification of α-amanitin, β-amanitin, γ-amanitin, phallisacin, phallacidin and phalloidin in human blood and urine. Quick therapeutic decision-making is supported by a 9 min chromatographic separation performed on a Waters Acquity UPLC HSS T3 column (100 mm × 2.1 mm, 1.8 µm) using a gradient of high-performance liquid chromatography (HPLC)-grade water and methanol:0.005% formic acid. The analyte limit of quantification was 1–3 ng/mL in blood and 0.5–2 ng/mL in urine. Calibrations curves, prepared by spiking drug-free blood and urine, demonstrated acceptable linearity with mean correlation coefficients (r) greater than 0.99 for all phallotoxins and amatoxins. Acceptable intraday and interday precision (relative standard deviation <15%) and accuracy (bias, −4.8% to 13.0% for blood and—9.0% to 14.7% for urine) were achieved. The validated method was successfully applied to analyze 9 blood samples and 2 urine samples testing positive for amatoxins and/or phallotoxins. Amatoxins and/or phallotoxins were identified in each whole blood sample at a range of 1.12–5.63 ng/mL and in two urine samples from 1.01–9.27 ng/mL. The method has the benefits of simple sample preparation (protein precipitation) and wide analyte coverage, making it suitable for emergency quantitative surveillance toxicological analysis in clinics and forensic poisoning practice. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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