Determination of Gamma-Hydroxy-Butyrate (GHB) in Biological Samples

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Determination of Gamma-Hydroxy-Butyrate (GHB) in Biological Samples Application Note Forensic Toxicology Authors Joe Crifasi Saint Louis University Forensic Toxicology Laboratory Saint Louis, MO, USA Ron Honnold Agilent Technologies, Inc. Santa Clara, CA, USA Abstract A method has been developed on the Agilent Quadrupole Ion Trap using EI-MS for the identification and quantification of GHB in biological samples. A working range of 1 µg/ml shows linearity for GHB. In the analysis of GHB, the benefits of using GC Quadrupole Ion Trap MS cannot be underestimated, in terms of reducing sample matrix interference, improving signal to noise and coupling its high selectivity and sensitivity. Robert Kubas Agilent Technologies, Inc. Wood Dale, IL, USA

Introduction Gamma-Hydroxy-butyrate (GHB) is an endogenous metabolite found in most mammalian tissues at nanomolar concentrations. The sodium salt has been promoted as a steroid alternative as well as a tryptophan replacement. GHB often involves oral doses of the salt dissolved in water. GHB is a metabolic by-product of 1,4-Butanediol, a solvent used in the production of certain plastics and fibers, 1,4-Butanediol has also been used as a recreational substance. This application note describes a method for the analysis of GHB in serum, whole blood, vitreous fluid, urine, and tissue homogenates. A minimum of.5 ml of sample is required for the analysis. GHB is extracted from the biological samples using protein precipitation. The dried extracts are then derivitized with BSTFA prior to GCMS analysis. The MS data is acquired in a narrow scan range encompassing the masses of the specific derivative ions and qualifiers for GHB and GHB d-6 the internal standard. Experimental Standards and reagents Reagents Acetonitrile, Methanol Reagent Grade. BSTFA, (United Chemical Technologies). Standards GHB (G-1) and GHB d-6 (G-6) internal standard were purchased from Cerilliant. 4-Hydroxybutyric acid, sodium salt was purchased from Sigma Chemical (H-3635). Controls Negative control - Drug free packed red blood cells was obtained from American Red Cross; dilute 1:1 with normal saline (.9%) store at C, stable for 1 year. Low control - ( µg/ml) µl of working GHB QC Standard to 98 µl blank blood in a 16 1 mm culture tube. High control 1 - (8 µg/ml) 8 µl of working GHB QC Standard to 9 µl blank blood in a 16 1 mm culture tube. High control - (15 µg/ml) 15 µl of working GHB QC Standard to 85 µl blank blood in a 16 1 mm culture tube. Sample preparation and calibration standards Prepare a calibration curve using the calibration standard and drug free blood in 16 1 mm culture tubes as follows: 1 µg/ml - 1 µl std. and 99 µl drug free blood 5 µg/ml - 5 µl std. and 975 µl drug free blood 5 µg/ml - 5 µl std. and 95 µl drug free blood 1 µg/ml - 1 µl std. and 9 µl drug free blood µg/ml - µl std. and 8 µl drug free blood Pipet µl of standards, samples, negative, and positive controls into labeled 1.5-mL centrifuge tubes. Add 1 µl of working internal standard to each tube. Cap and vortex (approximately 15 seconds). Centrifuge at 3, rpm for a minimum of 1 minutes in the microcentrifuge. Transfer the upper layer into clean 16 1 mm disposable culture tubes, dry with nitrogen at 7 C. Add 1 µl BSTFA with 1% TMS to each dried extract. Cap and vortex mix. Incubate for minutes at 7 C. Transfer the BSTFA mix to autosampler vials with inserts, cap and transfer to GCMS for analysis. Working standards were then made or used as supplied, GHB-1mg/mL, GHB d-6-5 µg/ml (1 ml of Stock standard to 4 ml acetonitrile), GHB QC -1 mg/ml (1. mg of GHB sodium salt (Sigma) to methanol (1 ml total volume). Store at 8 C, stable for years.

GC/MS ion trap analysis GC Conditions Column DB-5MS or equivalent 5 m mm,.33 µm Injection volume 1 µl Injection mode Splitless Inlet temperature 5 C Carrier gas Helium Column flow 1. ml/min. Oven program 6 C; 1 minute hold 1 C/min to C; C/min to 8 C; 1 minute hold Quadrupole ion trap MS conditions Tune Auto-tune Acquisition EI-Scan 5 da Solvent delay 7. minutes MS temperatures Trap 1 C, Manifold 5 C, Transfer line 31 C Target 5, Filament current 5 µa Compound Rt(min) Quant ion Qualifiers GHB 9.38 33 34/4 GHB d-6 9.33 39 4/6 GHB calibration Results and Discussion The following criteria are used to determine the presence and amount of GHB: The chromatography must be acceptable (separation of peaks, peak symmetry, and absence of carryover). The selected ions for quantitation and qualification are present. Ion ratios are within % of the target values determined from the calibration. The retention times of the presumed GHB from the test specimen is within ± % of the retention times for the latest calibration. The area of the GHB and the internal standard quantitative ions are used for quantitative analysis. Quantitation is accomplished by comparison of the relative response of unknowns and controls against a calibration curve produced from the relative responses for each calibrator concentration. The positive controls must be within their target ranges and GHB must be absent in the negative control. Method limits Linearity Limit of Detection (LOD) Limit of Quantitation (LOQ) Carryover Interferences 1 µg/ml 5 µg/ml 1 µg/ml No carryover noted after measured concentrations of µg/ml. None were noted when blood and urine from random samples of known negative cases were analyzed. Relative responses 1 1.75.5.5 1.75 1.5 1.5 1.75.5.5 -.5 GHB - 5 Levels, 5 Levels Used, 5 Points, 5 Points Used, QCs y =.19177 * x R =.9977777 Type: Linear, Origin: Force, Weight: 1/x -.1.1..3.4.5.6.7.8.9 1 1.1 1. 1.3 1.4 1.5 1.6 1.7 Relative concentration 3

Counts Counts 1 4 1 4 1 GHB 1.7335 ng/ml 9.3 9.3 9.34 9.36 9.38 9.4 9.4 9.44 9.46 D6-GHB 9.6 9.8 9.3 9.3 9.34 9.36 9.38 9.4 9.4 Relative ab... Relative ab... 3.7, 33.7, 3.8 1 1 Ratio = 16.5 (89.5%) Ratio = 18.4 (89.9%).5 9.3 9.3 9.34 9.36 9.38 9.4 9.4 9.44 9.46 38.8, 39.8, 5.7 1 Ratio = 19.1 (11.3%) 1 Ratio = 1.5 (1.6%).5 9.6 9.8 9.3 9.3 9.34 9.36 9.38 9.4 9.4 Low calibration standard-1 µg/ml Note tags for outliers and below calibration level. 4

Conclusion This application note presents a sensitive, selective, and robust analytical method to determine GHB in biological samples using GHB d-6 as an internal standard. For the analysis of GHB, the benefits of GC Quadrupole Ion Trap MS cannot be underestimated. In terms of reducing sample matrix interference, improving signal to noise and coupling its high selectivity and sensitivity the GC Quadrupole Ion Trap MS provides a more confidence driven solution for the analysis of GHB. GC Quadrupole Ion Trap MS analysis has the potential to reduce false positive and negatives as well as providing an additional degree of confidence in the results obtained. Using the optimized method listed above, a fast, targeted GC/MS analytical method can be used to solve the current GHB analysis problem facing forensic laboratories today. Three levels of positive controls were used in conjunction with a negative control to assure accurate quantification and rule out false negatives in the unknown biological samples. Low µg/ml detection limits were observed for GHB in the various sample matrices. References 1. Baselt, R.C., Cravey, RH, Disposition of Toxic Dugs and Chemicals in man, 4th Edition, pages 348-349.. Analysis of Gamma-Hydroxybutyrate (GHB) in Urine by Gas Chromatography, JAT, Vol 3, Sept 1999, pages 31-34. 3. A Solid Phase Extraction Method for the Determination of Gamma-Hydroxybutyrate(GHB) in Urine without conversion to Gamma-Butyrolactone (GBL), United Chemical Technologies, Inc., Bristol, PA, 1999. 4. Determination of Hydroxybutyrate(GHB) in Bioplogical Specimens by Gas Chromatography-Mass Spectrometry, JAT, Vol 4, January/February, pages 1-7. 5. Gamma-Hydroxybutyric Acid (GHC,Liquid X, Goop, Georgia Home Boy), Microgram, Vol 33, No 4, April, pages 58-6. 6. R. Paul, L. Tsanaclis, R. Hingston, A. Berry, and A. Guwy. GC-MS-MS Determination of Gamma-Hydroxybutyrate in Blood and Urine, Journal of Analytical Toxicology. 3:375-379. (6) 7. P.Kintz, M. Villain, A. Pelissier, V. Cirimele, and G. Leonetti. Unusually High Concentrations in Fatal GHB Case. Journal of Analytical Toxicology. 9: 58-585. (5) Acknowledgement Saint Louis University Forensic Toxicology Laboratory for providing the data used in this study. For More Information These data represent typical results. For more information on our products and services, visit our Web site at www.agilent.com/chem. 5

www.agilent.com/chem For Forensic Use Only. Information subject to change without notice. Agilent Technologies, Inc., 1 Printed in the USA December 1, 1 5991-161EN