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Pharmacokinetics of Mephedrone and Its Metabolites in Human by LC-MS/MS

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Abstract

Mephedrone is a synthetic cathinone consumed as a recreational drug. Recently, it was identified several of its metabolites in vivo in humans but there is little information about its pharmacokinetics in plasma and urine. Although several analytical methods have been proposed for mephedrone quantification in different matrices, none are available for its metabolites. Therefore, the aim of the study was to develop and validate an analytical method using liquid chromatography-tandem mass spectrometry for the quantification of mephedrone, nor-mephedrone, N-succinyl-nor-mephedrone, 1′-dihydro-mephedrone, and 4′-carboxy-mephedrone. The method was validated in human plasma and urine and in rat brain homogenates. Six healthy male subjects, recreational users of new psychoactive substances, ingested 150 mg of mephedrone within the context of a clinical trial. 4′-Carboxy-mephedrone, followed by nor-mephedrone, was the most abundant metabolites found in plasma. Dihydro-mephedrone represented 10% of the amount of mephedrone in plasma and N-succinyl-nor-mephedrone was the metabolite eliminated with the longer half-life of 8.2 h. In urine, 4′-carboxy-mephedrone was the main metabolite excreted with amounts recovered being about 10 times those of mephedrone. Additionally, the validated method was used to test metabolite ability to cross the blood-brain barrier in vivo in rats with mephedrone and nor-mephedrone as the main active compounds present in the brain. The method described is useful for the determinations of mephedrone and metabolites in biological samples.

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References

  1. Brunt TM, Poortman A, Niesink RJ, van den Brink W. Instability of the ecstasy market and a new kid on the block: mephedrone. J Psychopharmacol. 2011;25(11):1543–7.

    Article  CAS  PubMed  Google Scholar 

  2. European Monitoring Centre for Drugs and Drug Addiction. Report on the risk assessment of mephedrone in the framework of the Council Decision on new psychoactive substances. 2011. p.1–193.

  3. United Nations Office on Drugs and Crime. World Drug Report. New York; 2016. p.1–174.

  4. Busardò FP, Kyriakou C, Napoletano S, Marinelli E, Zaami S. Mephedrone related fatalities: a review. Eur Rev Med Pharmacol Sci. 2015;19(19):3777–90.

    PubMed  Google Scholar 

  5. Pantano F, Tittarelli R, Mannocchi G, Pacifici R, Di Luca A, Paolo Busardò F, et al. Neurotoxicity induced by mephedrone: an up-to-date review. Curr Neuropharmacol. 2017;15(8):738–49.

    CAS  PubMed  Google Scholar 

  6. Hong W, Ko Y, Lin M, Wang P, Chen Y, Chiueh L, et al. Determination of synthetic cathinones in urine using gas chromatography–mass spectrometry techniques. J Anal Toxicol. 2016;40(1):12–6.

  7. Olesti E, Pujadas M, Papaseit E, Pérez-Mañá C, Pozo ÓJ, Farré M, et al. GC–MS quantification method for mephedrone in plasma and urine: application to human pharmacokinetics. J Anal Toxicol [Internet]. 2016;2–8. Available from: http://jat.oxfordjournals.org/lookup/doi/10.1093/jat/bkw120.

  8. Torrance H, Cooper G. The detection of mephedrone (4-methylmethcathinone) in 4 fatalities in Scotland. Forensic Sci Int [Internet]. 2010;202(1–3):e62–3. doi:10.1016/j.forsciint.2010.07.014.

  9. Mercolini L, Protti M, Catapano MC, Rudge J, Sberna AE LC-MS/MS and volumetric absorptive microsampling for quantitative bioanalysis of cathinone analogues in dried urine, plasma and oral fluid samples. J Pharm Biomed Anal. 2016;123:186–94.

  10. Ambach L, Hernández Redondo A, König S, Weinmann W. Rapid and simple LC-MS/MS screening of 64 novel psychoactive substances using dried blood spots. Drug Test Anal. 2014;6(4):367–75.

    Article  CAS  PubMed  Google Scholar 

  11. Amaratunga P, Lemberg BL, Lemberg D. Quantitative measurement of synthetic cathinones in oral fluid. J Anal Toxicol. 2013;37(9):622–8.

    Article  CAS  PubMed  Google Scholar 

  12. Shah SAB, NIK D, Barker J, Petróczi A, Cross P, Archer R, et al. Quantitative analysis of mephedrone using liquid chromatography tandem mass spectroscopy: application to human hair. J Pharm Biomed Anal. 2012;61:64–9.

  13. Sørensen LK. Determination of cathinones and related ephedrines in forensic whole-blood samples by liquid-chromatography-electrospray tandem mass spectrometry. J Chromatogr B Anal Technol Biomed Life Sci. 2011;879(11–12):727–36.

    Article  Google Scholar 

  14. Martínez-Clemente J, López-Arnau R, Carbó M, Pubill D, Camarasa J, Escubedo E. Mephedrone pharmacokinetics after intravenous and oral administration in rats: relation to pharmacodynamics. Psychopharmacology. 2013;229(2):295–306.

    Article  PubMed  Google Scholar 

  15. Pozo ÓJ, Ibáñez M, Sancho JV, Lahoz-beneytez J, Farré M, Papaseit E, et al. Mass spectrometric evaluation of mephedrone in vivo human metabolism: identification of phase I and phase II metabolites, including a novel succinyl conjugate s. Drug Metab Dispos. 2014;43:248–57.

    Article  PubMed  Google Scholar 

  16. Pedersen AJ, Reitzel LA, Johansen SS, Linnet K. In vitro metabolism studies on mephedrone and analysis of forensic cases. Drug Test Anal. 2013;5(6):430–8.

    Article  CAS  PubMed  Google Scholar 

  17. Khreit OIG, Grant MH, Zhang T, Henderson C, Watson DG, Sutcliffe OB. Elucidation of the phase I and phase II metabolic pathways of (±)-4′-methylmethcathinone (4-MMC) and (±)-4′-(trifluoromethyl)methcathinone (4-TFMMC) in rat liver hepatocytes using LC-MS and LC-MS2. J Pharm Biomed Anal. 2013;72:177–85.

  18. Meyer MR, Wilhelm J, Peters FT, Maurer HH. Beta-keto amphetamines: studies on the metabolism of the designer drug mephedrone and toxicological detection of mephedrone, butylone, and methylone in urine using gas chromatography-mass spectrometry. Anal Bioanal Chem. 2010;397(3):1225–33.

    Article  CAS  PubMed  Google Scholar 

  19. Linhart I, Himl M, Židková M, Balíková M, Lhotková E, Páleníček T. Metabolic profile of mephedrone: identification of nor-mephedrone conjugates with dicarboxylic acids as a new type of xenobiotic phase II metabolites. Toxicol Lett. 2016;240(1):114–21.

    Article  CAS  PubMed  Google Scholar 

  20. Critical Review Report of Mephedrone. Expert Committe on Drug Dependence, World Health Organisation. 2014.

  21. Papaseit E, Pérez-Mañá C, Mateus J-A, Pujadas M, Fonseca F, Torrens M, et al. Human pharmacology of mephedrone in comparison to MDMA. Neuropsychopharmacology. 2016;41(11):2704–13.

  22. Mayer FP, Wimmer L, Dillon-Carter O, Partilla JS, Burchardt N, Mihovilovic MD, et al. Phase I metabolites of mephedrone display biological activity as substrates at monoamine transporters. Br J Pharmacol. 2016;173(17):2657–68.

  23. Martínez-Clemente J, Escubedo E, Pubill D, Camarasa J. Interaction of mephedrone with dopamine and serotonin targets in rats. Eur Neuropsychopharmacol. 2012;22(3):231–6.

  24. Cozzi NV, Sievert MK, Shulgin AT, Jacob P, Ruoho AE. Inhibition of plasma membrane monoamine transporters by β-ketoamphetamines. Eur J Pharmacol. 1999;381(1):63–9.

    Article  CAS  PubMed  Google Scholar 

  25. European Medicines Agency. Guideline on bioanalytical method validation. EMA Guidel [Internet]. 2012;44(July 2011):1–23. Available from: http://www.ema.europa.eu/ema/index.jsp?curl=pages/includes/document/document_detail.jsp?webContentId=WC500109686&mid=WC0b01ac058009a3dc

    Google Scholar 

  26. Deventer K, Pozo OJ, Verstraete AG, Van Eenoo P. Dilute-and-shoot-liquid chromatography-mass spectrometry for urine analysis in doping control and analytical toxicology. TrAC - Trends Anal Chem. 2014;55:1–13.

  27. de la Torre R, Farré M, Roset PN, Hernández-López C, Mas M, Ortuño J, et al. Pharmacology of MDMA in humans. Ann N Y Acad Sci. 2000;914:225–37.

    Article  PubMed  Google Scholar 

  28. de la Torre R, Farré M, Roset PN, Pizarro N, Abanades S, Segura M, et al. Human pharmacology of MDMA. Ther Drug Monit [Internet]. 2004;26(2):137–44.

  29. Cruickshank CC, Dyer KR. A review of the clinical pharmacology of methamphetamine. Addiction. 2009;104(7):1085–99.

    Article  PubMed  Google Scholar 

  30. Toennes SW, Harder S, Schramm M, Niess C, Kauert GF. Pharmacokinetics of cathinone, cathine and norephedrine after the chewing of khat leaves. Br J Clin Pharmacol. 2003;56(1):125–30.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Wu D, Victoria Otton S, Inaba T, Kalow W, Sellers EM. Interactions of amphetamine analogs with human liver CYP2D6. Biochem Pharmacol. 1997;53(11):1605–12.

    Article  CAS  PubMed  Google Scholar 

  32. Shimshoni JA, Britzi M, Sobol E, Willenz U, Nutt D, Edery N. 3-Methyl-methcathinone: pharmacokinetic profile evaluation in pigs in relation to pharmacodynamics. J Psychopharmacol. 2015;29(6):734–43.

    Article  CAS  PubMed  Google Scholar 

  33. Baumann MH, Ayestas MA, Partilla JS, Sink JR, Shulgin AT, Daley PF, et al. The designer methcathinone analogs, mephedrone and methylone, are substrates for monoamine transporters in brain tissue. Neuropsychopharmacology [Internet]. 2012;37(5):1192–203. Nature Publishing Group; Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3306880&tool=pmcentrez&rendertype=abstract

    Article  CAS  Google Scholar 

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Acknowledgements

This research has been funded by the European Commission (Drug Policy Initiatives, Justice Programme 2014-2020, contract no. HOME/2014/JDRU/AG/DRUG/7082, Predicting Risk of Emerging Drugs with In silico and Clinical Toxicology) and grants from the Instituto de Salud Carlos III FEDER (ISCII PI11/01961 and Red de Trastornos Adictivos RTA RD16/0017/003 and RD16/0017/0010). Other funding resources were the DIUE of the Generalitat de Catalunya (2014 SGR 680). CIBER de Fisiopatología de la Obesidad y Nutrición is an initiative of the Instituto de Salud Carlos III, Madrid, Spain.

E.Papaseit was supported by a Juan Rodes fellowship (ISC-III, JR16/00020) and O.J. Pozo was funded by the Spanish Health National System (MS10/00576).

The authors would like to acknowledge the Clinical Research Unit of IMIM. We are also grateful to Cristina Fernández and Patricia Robledo for their collaboration in the animal experiments.

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Correspondence to Rafael de la Torre or Óscar J. Pozo.

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Olesti, E., Farré, M., Papaseit, E. et al. Pharmacokinetics of Mephedrone and Its Metabolites in Human by LC-MS/MS. AAPS J 19, 1767–1778 (2017). https://doi.org/10.1208/s12248-017-0132-2

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  • DOI: https://doi.org/10.1208/s12248-017-0132-2

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