Toxicology Screening of Whole Blood Extracts Using GC/Triple Quadrupole/MS

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Toxicology Screening of Whole Blood Extracts Using GC/Triple Quadrupole/MS Application Note Forensic Toxicology Authors Bruce Quimby and Mike Szelewski Agilent Technologies, Inc. 2850 Centerville Road Wilmington, DE 19808 USA Abstract The Agilent 7000 GC/QQQ system can provide both high selectivity and high sensitivity for the analysis of drugs. Low-level detection and confirmation of large numbers of target drugs in blood extracts is possible in a single run. Combined with information from a single quadrupole screening instrument like the Agilent GC/NPD/MSD/DRS system, a much more complete picture of each sample is now possible.

Introduction Toxicology screening is challenging due to the need to look for large numbers of target compounds in samples that contain complex matrix interferences. GC/MS methods are widely used and accepted for this analysis. Full-scan EI methods offer many advantages for broad-range screening, such as unlimited numbers of targets, full spectrum identity confirmation, and library searching for identification of nontargets. Several recent advances in Agilent's GC/MS technology, including retention time locking (RTL), deconvolution reporting software (DRS), and capillary flow technology (CFT), have greatly improved the screening process. Samples can now be screened much more rapidly with fewer false positives and negatives [1]. Screening is usually aimed at drugs in concentrations high enough to cause intoxication or death, and GC/MS in fullscan mode usually provides sufficient sensitivity for this task. Labs routinely monitor drugs down to approximately 100 pg in matrix. For those cases where drugs need to be determined at low or trace levels, single ion monitoring (SIM) mode can be used to improve the sensitivity of the analysis. With the introduction of Agilent's SIM/scan, SIM data can be collected simultaneously with scan data, saving significant analysis time [1]. As an example, the method described in reference 1 screens for 725 compounds in SIM/scan mode with a cycle time of 9.6 minutes injection to injection. This time includes the simultaneous acquisition of scan, SIM (for 27 compounds), and NPD data. For some drugs, however, there are limitations with SIM. Compounds present in the matrix can result in interferences that prevent detection or confirmation of trace levels of certain target analytes. For these situations, there are two main approachs to solving the problem. The first is to increase the chromatographic selectivity using Agilent's heartcutting 2D- GC technology [2]. This approach uses two columns and a Deans switch to chromatographically isolate the analyte(s) from matrix interferences. With the extremely high separation power of this technique, SIM mode can be used to detect analytes at very low levels due to the reduction in interference. This approach is relatively simple and cost effective, but in practice, only a few analytes can be determined in one run. A second approach is to increase the mass spectral selectivity using a triple quadrupole mass spectrometer (GC/QQQ). The extremely high selectivity and sensitivity with this approach allows detection of drugs down to sub-picogram levels with minimal matrix interferences. A significant advantage is that it can be used to routinely monitor for large numbers of compounds (up to a few hundred) in a single run. This note describes using GC/QQQ to detect low and trace levels of drugs in extracts of whole blood. The samples were previously analyzed on a system using GC/MS with SIM/scan, DRS, and simultaneous detection with a nitrogen phosphorus detector. The GC/QQQ is shown to be a powerful complement to the GC/NPD/MSD/DRS system for those cases where trace level detection and confirmation is required. Experimental Chemicals and Standards Analytical reference standard solutions of the drugs in Table 1 were purchased from Cerilliant (Round Rock, TX). Calibration solutions were prepared by appropriate dilution of the reference standards in toluene. For method setup using Q1-scan mode and for product ion scans, a test solution of 1 ng/µl of the drugs was used. For calibration in MRM mode, standard solutions at 10 and 50 pg/µl were used. Samples Whole blood extracts prepared for GC/MS analysis were supplied by NMS Labs (Willow Grove, PA). The whole blood was prepared with a single-step liquid/liquid extraction into a solvent, evaporated to dryness, and reconstituted in toluene at 1/10th volume. Instrumentation Analyses were performed on an Agilent 7890 GC combined with a 7000A Triple Quadrupole MS system. The system was configured with a capillary flow technology 2-way splitter with makeup (option 889) as described in [3] to allow backflushing the column after every run. This prevents heavy matrix components from the blood extracts from fouling the column by removing them at the end of each analysis [1]. The instrumental conditions are listed in Table 2. Several MRMs were evaluated for each analyte using the 1 ng/µl standard solution. When possible, four were identified for analysis and are listed in Table 2. Although only two are typically used for GC/QQQ analysis, four were identified in case added certainty in identification of trace analytes was desired. The whole blood extracts were analyzed on both GC/QQQ and the GC/NPD/MSD/DRS system described in reference 1. The retention times on the GC/QQQ were precisely locked to twice those in reference 1 using Agilent's method translation and RTL software. 2

Table 1. MRM Parameters and MDLs Retention Collision time Precursor Product energy Relative *MDL (min) ion ion (EV) response (pg) Meperidine 5.651 246 172.1 10 100 0.2 247 71 10 80 218 172.2 10 36 174 70.2 10 32 PCP 6.497 (phencyclidine) 200 117.2 15 100 0.1 200 84.1 15 46 242 171.2 25 17 243 200.3 10 14 Methadone 7.728 72 42 25 100 0.2 72 44 25 4 223 104.9 10 3 178 152 25 3 Cocaine 8.078 82 67 20 100 82 41 25 60 182 82 10 50 0.2 303 82 25 20 Codeine 8.980 229 214.1 10 100 2.2 299 229 15 38 162 146.8 20 38 162 146 30 25 Hydrocodone 9.252 299 242.8 10 100 1.0 242 152.8 30 71 242 180.9 20 71 299 270.1 15 71 THC 9.321 231 173.9 25 100 0.4 299 81 20 11 314 81.3 30 6 6-Acetylmorphine 9.533 215 42.1 30 100 50 268 252 25 77 Oxycodone 9.589 315 230.1 15 100 0.5 315 258 10 57 230 215.3 10 43 201 186.1 25 43 Heroin 9.970 327 215 15 100 0.5 327 268 10 67 369 268 30 33 369 204 10 25 Fentanyl 10.354 245 146 20 100 0.2 189 44 20 202 146 10 189 146 5 * Signal-to-noise ratio = 3, noise measured peak to peak Table 2. Instrument Conditions GC Agilent Technologies 7890A with autoinjector and tray Inlet EPC split/splitless Mode Constant pressure Injection type Splitless Injection volume (µl) 1.0 Inlet temperature (ºC) 280 Inlet pressure (psig) 17.8 Purge flow (ml/min) 50 Purge time (min) 0.75 Gas type Helium Oven Initial oven temperature (ºC) 100 Initial oven hold (min) 0.5 Ramp rate (ºC/min) 20 Final temperature (ºC) 325 Final hold (min) 2.5 Total run time (min) 14.25 Equilibration time (min) 0.5 Column Type DB-5MS UI Agilent part number 122-5512UI Length (m) 15 Diameter (mm) 0.25 Film thickness (um) 0.25 Nominal initial flow (ml/min) 2.2 Outlet pressure (psig) 3.8 Column Backflushing 2-way splitter with makeup (one port plugged) Restrictor length (m) 0.8 Restrictor id (mm) 0.15 Backflushing pressure (psig) 75 Backflushing temperature (ºC) 325 Backflushing time (min) 2 Triple Quadrupole MS Agilent Technologies 7000A Inert EI source, Ionization energy (EV) 70 Mode MRM MS1 and MS2 resolution (amu) 1.2 Collision cell nitrogen pressure (psig) 2.6 Helium quench gas pressure 6.25 Solvent delay (min) 1.4 EM voltage Atune voltage Quad1 and 2 temperature (ºC) 150 Source temperature (ºC) 300 Transfer line temperature (ºC) 300 3

Results and Discussion Figure 1 shows the GC/QQQ TIC in MRM mode for the evaluated compounds. The compounds are not derivatized because the sample preparation for the comparison screening method from reference 1 does not use derivatization. While the amines (amphetamine, phentermine, methamphetamine, MDA, MDMA, and MDEA) all show a sizable response at 1 ng/µl, analysis at lower levels was not possible because of their loss in the chromatographic system before reaching the MS, as is well known. Trace detection of the amines would require derivatization. x10 6 4.4 4 3.6 3.2 2.8 2.4 2 1.6 1.2 0.8 0.4 0 + TIC MRM (** & **) 1ppm_BigMix_MRM_Final_3.D 1 Peak identifications: 1 Amphetamine 2 Phentermine 3 Methamphetamine 4 MDA 5 MDMA (ecstacy) 6 MDEA With the exception of 6-acetylmorphine, the remainder of the compounds all exhibited detection limits in the low picogram range. The detection limits listed in Table 1 are calculated for a signal-to-noise ratio of three with the noise measured as peak to peak. All MDLs were measured by injecting 1 µl of a 10 pg/µl solution of the compound except for 6-acetylmorphine, for which 1 µl of 50 pg/µl was used. Figure 2 shows the response for 10 pg of heroin at the 4 MRMs listed in Table 1. This example illustrates the high sensitvity provided by the GC/QQQ. 7 Meperidine 8 PCP (phencyclidine) 9 Methadone 10 Cocaine 11 Codeine 12 Hydrocodone 13 THC 14 6-Acetylmorphine 15 Oxycodone 16 Heroin 17 Fentanyl 2 33 4 4 55 66 77 8 8 9 9 10 10 1111 12 12 13131414 115 51616 1717 18 2 3 4 5 6 7 0.6 2 2.4 2.8 3.2 3.6 4 4.4 4.8 5.2 5.6 6 6.4 6.8 7.2 7.6 8 8.4 8.8 9.2 9.6 10 10.4 8 9 10 12 11 13 14 15 16 17 Figure 1. TIC of the Agilent 7000A Triple Quad GC/MS system in MRM mode. Standard solution of 1 ng/ul. x10 3 1.3 1.2 1.1 1 0.9 0.8 0.7 0.6 0.5 0.4 0.3 0.2 0.1 Heroin 9.82 9.84 9.86 9.88 9.9 9.92 9.94 9.96 9.98 10 10.02 10.04 10.06 10.08 10.1 10.12 10.14 10.16 10.18 Figure 2. MRM transitions for heroin standard at 10 pg/µl. The transitions are listed in Table 1. 4

Figure 3 shows the extracted ion chromatograms (EICs) for codeine from the GC/NPD/MSD/DRS system scan data for whole blood extract A. The response at the codeine target ion and a corresponding peak on the NPD chromatogram at the correct retention time for codeine suggests it is present. However, confirmation with qualifier ion ratios is complicated by the low signal-to-noise ratio due to interference and the small quantity of codeine present. The deconvoluted spectrum from the DRS report only had a spectral match quality of 4.3 4.4 4.5 4.6 Figure 3. Ion 299 Ion 115 Ion 162 Ion 229 Codeine EICs from GC/NPD/MSD/DRS system scan data for whole blood extract A. 59 (out of 100), which is not high enough to confirm the presence of codeine. Figure 4 shows the corresponding GC/QQQ results for codeine in the same sample. The much higher selectivity and sensitivity afforded by GC/QQQ clearly confirm the presence of codeine in sample A. The amount detected corresponds to about 150 pg. Detection of the powerful drug fentanyl in blood extracts is often a challenge because of the relatively small quantities of the drug administered. Confirmation is limited because there are only three ions of significant abundance. Figure 5 shows scan and SIM EICs for fentanyl from the GC/NPD/MSD/DRS system. There are only three ions and ion 189 is marginal at best due to low signal size and some interference. SIM data from SIM/scan had a much better signal-to-noise ratio, but still exhibited the same interferences on ion 189. The NPD response confirms that a nitrogen-containing compound with the same RT as fentanyl is present. The DRS report for the sample found a marginal spectral match for fentanyl (66) at the correct RT. Based on all the information taken together, it appears that fentanyl is present in the sample. Figure 6 shows the GC/QQQ MRMs for fentanyl in the same sample. The selectivity of MSMS detection clearly confirms its presence. The amount detected corresponds to about 150 pg. x10 4 1.8 1.6 1.4 1.2 1 0.8 0.6 0.4 0.2 0 8.42 8.46 8.5 8.54 8.58 8.62 8.66 8.7 8.74 8.78 8.82 8.86 8.9 8.94 8.98 9.02 9.06 9.1 9.14 Codeine Figure 4. Codeine MRMs from GC/QQQ of whole blood extract A in Figure 3. 5

5.0 5.1 5.2 5.3 Figure 5. Scan Ion 245 Scan Ion 146 Scan Ion 189 SIM Ion 245 SIM Ion 146 SIM Ion 189 NPD Fentanyl EICs and NPD response from whole blood extract B on GC/NPD/MSD/DRS system. Figure 7. shows the scan, SIM, and NPD chromatograms for methadone in whole blood extract C from the GC/NPD/MSD/ DRS system. Confirmation of methadone is complicated by the fact that its spectrum contains one large ion at a low, relatively common mass (72). The remaining ions are all small, being less than 6% relative abundance. As seen in Figure 7, the qualifier ions, especially 57, exhibit interferences. The deconvoluted spectrum had a match of 74. Note that the match quality value is dominated by the single 72 ion, so the number is artificially skewed a bit higher than normal. The data all point to methadone being present in the sample. Figure 8 shows the GC/QQQ MRMs for methadone in sample C. The presence of methadone is clearly confirmed. The amount detected corresponds to about 170 pg. Figure 9 shows the scan, SIM, and NPD chromatograms for oxycodone in whole blood extract B from the GC/NPD/MSD/ DRS system. In this case, the amount present is relatively low at about 60 pg. Oxycodone was not reported in the DRS report because the spectral match was only 46, which is typically below the minimum match. The poor match resulted from high interferences and the small quantity of oxycodone present. In the scan EICs, the target ion and the NPD x10 5 1.7 1.5 Fentanyl 1.3 1.1 0.9 0.7 0.5 0.3 0.1 10.22 10.26 10.3 10.34 10.38 10.42 10.46 10.5 10.54 Figure 6. Fentanyl MRMs from GC/QQQ of whole blood extract B in Figure 5. 6

3.7 3.8 3.9 4.0 Figure 7. Scan Ion 72 Scan Ion 57 Scan Ion 165 SIM Ion 72 SIM Ion 57 SIM Ion 165 NPD Methadone EICs and NPD response from whole blood extract C on GC/NPD/MSD/DRS system. response are discernible peaks, but the two qualifiers are unusable. Note that the much higher signal-to-noise ratio provided by SIM allows a choice of ions that are too small to be used in scan mode and which have significantly higher selectivity. This is seen in the SIM chromatograms in Figure 9. The substitution of ion 316 for ion 70 now provides two clean qualifier ions with which to confirm the presence of oxycodone. Figure 10 shows the GC/QQQ MRMs for oxycodone in the sample B. As with the previous examples, the high selectivity and sensitivity of GC/QQQ makes detection and confirmation of oxycodone straightforward. The last example is shown in Figures 11 and 12. Figure 11 shows the scan, SIM, and NPD chromatograms for cocaine in whole blood extract A from the GC/NPD/MSD/DRS system. Note there is no indication of cocaine on either the scan or SIM chromatograms. There is what may be a very small response on the NPD, but it is too small to be significant. The GC/QQQ clearly shows the presence of cocaine in the sample at a very low level. The peak represents about 0.7 pg of cocaine, highlighting the low limits of detection available with GC/QQQ. x10 6 2.8 2.4 Methadone 2 1.6 1.2 0.8 0.4 0 7.54 7.56 7.58 7.6 7.62 7.64 7.66 7.68 7.7 7.72 7.74 7.76 7.78 7.8 7.82 7.84 7.86 7.88 7.9 7.92 7.94 Figure 8. Methadone MRMs from GC/QQQ of whole blood extract C in Figure 7. 7

Conclusions Scan Ion 315 Scan Ion 70 Scan Ion 230 SIM Ion 315 SIM Ion 230 SIM Ion 316 The Agilent 7000 GC/QQQ system provides both high sensitivity and high selectivity for the analysis of drugs. The system allows the low level detection and confirmation of large numbers of target drugs in blood extracts in a single run. When used in combination with a single quadrupole screening instrument like the Agilent GC/NPD/MSD/DRS system, a much more complete picture of each sample is now possible. The GC/NPD/MSD/DRS system provides the broadest range screen (725 compounds), full spectra and nitrogen selective detection for identifying nontarget compounds, and SIM data for lower level targets. The GC/QQQ provides routine detection and confirmation of up to a few hundred target compounds at low pg levels, even in difficult matrices. NPD 4.7 4.8 4.9 5.0 Figure 9. Oxycodone EICs and NPD response from whole blood extract B on GC/NPD/MSD/DRS system. x10 4 1 0.9 0.8 0.7 Oxycodone 0.6 0.5 0.4 0.3 0.2 0.1 0 9.52 9.54 9.56 9.58 9.6 9.62 9.64 9.66 9.68 9.7 9.72 9.74 9.76 9.78 Figure 10. Oxycodone MRMs from GC/QQQ of whole blood extract B in Figure 9. 8

Scan Ion 182 Scan Ion 82 Scan Ion 94 Scan Ion 105 SIM Ion 303 SIM Ion 182 SIM Ion 51 NPD References 1. Bruce Quimby, "Improved Forensic Toxicology Screening Using A GC/MS/NPD System with a 725-Compound DRS Database," Agilent Technologies publication 5989-8582EN. 2. Dean F. Fritch and Bruce D. Quimby, "Confirmation of THC in Oral Fluids Using High-Resolution 2-D GC/MS," Agilent Technologies publication 5989-5668EN. 3. Chris Sandy, "Analysis of Complex Samples by GC/MS/MS Pesticides in Marine Biota," Agilent Technologies publication 5989-9727EN. For More Information For more information on our products and services, visit our Web site at www.agilent.com/chem. 3.9 4.0 4.1 4.2 Figure 11. Cocaine EICs and NPD response from whole blood extract A on GC/NPD/MSD/DRS system. x10 2 6.5 6 5.5 5 4.5 4 3.5 3 2.5 2 1.5 1 0.5 7.96 7.98 8 8.02 8.04 8.06 8.08 8.1 8.12 8.14 8.16 8.18 8.2 8.22 8.24 8.26 Figure 12. Cocaine MRMs from GC/QQQ of whole blood extract A in Figure 11. Top trace is MRM 182-82, bottom trace is 303-82. 9

www.agilent.com/chem Agilent shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing, performance, or use of this material. Information, descriptions, and specifications in this publication are subject to change without notice. Agilent Technologies, Inc., 2009 Printed in the USA February 23, 2009 5990-3640EN