Quantitative analysis of mitragynine in human urine by high performance liquid chromatography-tandem mass spectrometry

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Quantitative analysis of mitragynine in human urine by high performance liquid chromatography-tandem mass spectrometry Shijun Lua, Buu N. Trana, Jamie L. Nelsenb, Kenneth M. Aldousa. Journal of Chromatography B,877(2009)2499 2505 By Ms.Rossukon Tanateerabungjong Advisor Dr. Sirirat Choosakoonkriang 1

Introduction Mitragynine: 9-Methoxy-corynantheidine The primary active alkaloid in the plant Mitragyna speciosa Korth 2

Introduction Leaves of Mitragyna speciosa - Mitragynine 66.2 % - Speciogynine 6.6 % - Speciociliatine 0.8 % - Paynantheine 8.6 % 3

Introduction A new alkaloid : -7 α -hydroxy-7h-mitragynine 2.0 % Takayama H., Chemistry and Pharmacology of Analgesic Indole Alkaloids from the Rubiaceous Plant, Mitragyna speciosa, Chem.Pharm. Bull. 52(8) 916-928 (2004) 4

Introduction In Thailand : Kratom 5

Introduction 6

Introduction 7

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Introduction The chemical structures Pharmacological properties of mitragynine CH 23 H 30 N 2 O 4 : MW 398.5 9

Introduction The current widespread availability of kratom on the Internet. 10

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Introduction HPLC-ESI/MS/MS 12

Experimental 2.1 Reagent The raw kratom leaves powder 13

2.1 Reagent (to ) Ajmalicine (C 21 H 24 N 2 O 3 ; purity 99%) Anhydrous di-sodium hydrogen orthophosphate Acetic acid 99.8% Ammonium acetate 99.99% 14

2.1 Reagent (to ) Ammonium hydroxide All solvents used were HPLC grade or better SilicAR 60 Å silicagel Purified water;with a Nanopure Diamond water system 15

2.2 LC-MS/MS instrument HPLC-MS/MS system - Agilent Technologies1200 Series HPLC. - API- 2000 triple quadrupole mass spectrometer with a turbo electrospray ionization (ESI) source. 16

2.3 Purification of mitragynine (Houghton et al., Ponglux et al. and Janchawee et al.) Kratom raw leaf + 10% acetic acid) Filter paper 17

2.3 Purification of mitragynine (to ) n Hexane 100 ml Aqueous solution adjusted to ph 9 with 25% aqueous ammonium hydroxide solution n-hexane 18

2.3 Purification of mitragynine (to ) Dichloromethane Washed deionized water dried sodium sulfate anhydrous. 19

2.3 Purification of mitragynine (to ) Evaporated An aliquot of residue (1 g) in dichloromethane Eluted 10%methanol in chloroform 20

2.3 Purification of mitragynine (to ) Eluate Recrystallized was evaporated to dry methanol and chloroform A major alkaloid (0.1 g) 21

2.3 Purification of mitragynine (to ) Purified mitragynine was found : - A predominant single chromatographic peak by (GCMS) 22

2.3 Purification of mitragynine (to ) The spectrum of purified mitragynine (C23H30N2O4;exact molecular mass=398.2207) Confirmed by comparison to the NIST 98 mass spectral library 23

2.4 Preparation of standard solutions Stock solutions : 500g/ml of mitragynine 100g/ml of ajmalicine (IS) Stored at 20 C Stable : 60 days 24

2.5 Sample extraction Both pooled blank and patient urine samples were stored at 80 C until analysis Urine samples 2.0 ml Spiked with Ajmalicine (IS) 20 µl 25

2.5 Sample extraction (to ) Na 2 HPO 4 500 µl MTBE 3 ml adjusted to ph 11 with 25% aqueous sodium hydroxide 26

2.5 Sample extraction (to ) Supernatant Evaporated under a gentle nitrogen stream at 45 C Methanol 1 ml HPLC-MS/MS analysis 27

2.6 Calibration IS technique:using Analyst software Regression analysis: Calibration equation and correlation coefficient (r) Linearity:Seven standard concentrations at 0.01,0.025, 0.05, 0.2, and 5.0 ng/ml 28

2.6 Calibration (to ) Limits for calibration curve of mitragynine : ± 20% for relative standard deviation (RSD) Correlation coefficient of 0.99 or greater 29

2.7 Method development and quality control QC:Three matrix samples -Spiked with mitragynine at 0.1, 1.0 and 5.0 ng/ml The precision:within-day, Inter-day -Inter-day precision ( when fresh, after 1 day, 7 days and 28 days ) 30

2.7 Method development and quality control (to ) The acceptance criterion - Accuracy:recovery was within±30 % - Precision: RSD value within ± 20 %. 31

2.7 Method development and quality control (to ) The lower limit of quantification (LLOQ) of mitragynine Set at five times of the method detection limit(mdl) 32

3. Results and discussion 3.1. MS/MS optimization The operating parameters for the ESI source The best mass spectrometric : - Mitragynine - Ajmalicine. 33

3.1. MS/MS optimization(to ) 399.4 174.0 226.4 238.1 399.3 Fig.1. Mass spectra of mitragynine. (A) Positive ESI in full-scan mode, and (B) in transaction of [M+H]+ m/z 399 product-ion scan mode acquired at collision energy of 40 ev. 34

3.1. MS/MS optimization (to ) V I IV III II Fig.2. Chemical structure of protonated mitragynine (I) and tentative identification of its fragment patterns (II, III, IV, and V) under CAD conditions. The structure analog to V was suggested by Khmel nitskii 35

3.1. MS/MS optimization (to ) 144.2 353.5 144.1 335.5 Fig.3. Mass spectra of ajmalicine.(a) Positive ESI in full-scan mode. (B) in transaction of [M+H]+ m/z 353 product-ion scan mode acquired at collision energy of 30 ev (B). 36

3.1. MS/MS optimization (to ) Fig.4. Chemical structure of protonated ajmalicine (VI) and tentative identification of its fragment patterns (VII, and VIII) under CAD conditions. The structure of VIII was suggested by Khmel nitskii 37

3.1. MS/MS optimization (to ) Table 1 Optimized MS/MS operating parameters for mitragynine and ajmalicine obtained from API 2000 tandem mass spectrometry. MS/MS parameter Polarity Precursor ion (m/z) Product ion (m/z) Collision energy (ev) Declustering potential (V) Ionspray voltage (V) Ion source temperature ( C) Mitragynine Positive 399 174, 226, 238 45 50 4500 550 Ajmalicine Positive 353 144 40 50 4500 550 38

3.2. LC analysis (A) Blank urine Mitragynine Rt = 2.36 Ajmalicine Rt = 1.23 (B)5ng/ml standard solution (C) urine extract from a kratom user Fig.5. HPLC-MS/MS extracted chromatograms of mitragynine (left) and ajmalicine (right). The transitions of m/z 399>174,399>226, and 399>238 were used to monitor mitragynine, and the transition of m/z 353>144 was used for ajmalicine. 39

3.3. Evaluation of liquid extraction Table 2 Mean extraction recoveries of mitragynine (analyte) and ajmalicine (IS) at level of 1 ng/ml in different solvents (five replicates each). Mitragynine Ajmalicine Mean Mean Solvent recovery, % RSD recovery, % RSD Ethyl acetate 49 13 60 15 Ethyl ether 82 12 90 10 MTBE 81 8 92 8 40

3.4. Quality control and method validation The linear regression : - Indicated an accuracy of 90-115% - Correlation factor r > 0.995 41

3.4. Quality control and method validation (to ) (A) Blank urine Fig.5. HPLC-MS/MS extracted chromatograms of mitragynine (left) and ajmalicine (right). 42

3.4. Quality control and method validation (to ) Table 3 Intra-day assay precision formitragynine determination in human urine in triplicate for each level. Nominal concentration (ng/ml) Measured concentration (ng/ml) RSD 0.1 1 5 0.1 1.1 4.9 22 12 16 43

3.4. Quality control and method validation (to ) Table 4 Inter-day assay precision for mitragynine in urine measured in triplicate for each level. Analysis time (age of sample) 0.1 ng/ml 1 ng/ml 5 ng/ml Mean recovery, % RSD Mean recovery, % RSD Mean recovery, % RSD Fresh 90 22 109 12 98 16 1 day 80 33 93 16 94 5 7days 90 11 102 7 96 10 28 days 110 9 115 13 103 8 44

3.4. Quality control and method validation (to ) (C) urine extract from a kratom user Fig.5. HPLC-MS/MS extracted chromatograms of mitragynine (left) and ajmalicine (right). 45

4.Conclusion Consumption of kratom can lead to a detectable content of mitragynine residue and its metabolite in urine. 46

4.Conclusion Mitragynine residue in urine sample was extracted using MTBE and analyzed on HILIC column coupled to a tandem mass spectrometry. 47

4.Conclusion Ajmalicine was found to be a suitable IS both for the extraction and the HPLC- MS/MS analysis of mitragynine. 48

4.Conclusion High accuracy, precision, and sensitivity were demonstrated for HPLC-MS/MS analysis of mitragynine in urine matrix, with detection and quantitation limits of 0.02 and 0.1 ng/ml, respectively. 49

Quantitative analysis of mitragynine in human urine by high performance liquid chromatography-tandem mass spectrometry Discussion 50

Quantitative analysis of mitragynine in human urine by high performance liquid chromatography-tandem mass spectrometry LC-MS/MS Tof,Q-trap, Q-tof 51

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King s s Mother Make a speech Is drug addict a human? If he is a human... Can we support him? If we can support him, we can bring him a new life...we should do 53

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