Beruflich Dokumente
Kultur Dokumente
Bradley J. Collins
NIEHS/National Toxicology Program, P.O. Box 12233, Research Triangle Park, North Carolina 27709-2233
Introduction
Experimental
Ephedrine alkaloids derived from the plant Ephedra sinica,
known as Ma Huang in traditional Chinese medicine, have Chemicals and reagents
been used in dietary supplements for weight loss and athletic EPH, sodium salt, PSE hydrochloride, and ammonium ac-
performance enhancement (1,2). Ephedrine (EPH) and pseu- etate were purchased from Sigma-Aldrich (St. Louis, MO). Caf-
doephedrine (PSE), the primary alkaloids found in Ephedra, are feine and caffeine trimethyl-13C3 were from Pfaltz & Bauer
sympathetic agonists which stimulate the brain, increase heart (Waterbury, CT) and Isotec (Miamisburg, OH), respectively.
rate, constrict blood vessels, expand bronchial tubes, and in- High-performance liquid chromatography (HPLC)-grade
crease metabolism. The combination of EPH and guarana-de- methanol was obtained from Honeywell Burdick & Jackson
rived caffeine has been shown to be synergistic for thermoge- (Muskegon, MI), and ultrapure water was prepared using a Pi-
nesis, thus leading to the marketing of various formulations for cosystem UV Plus purification system (Hydro Service and Sup-
the treatment of obesity (3–7). However, a variety of severe ad- plies, Durham, NC). Male Fischer-344 rat plasma was pur-
verse side effects have been reported for Ephedra supplements, chased from Hilltop Lab Animals (Scottdale, PA).
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Preparation of standard stock and plasma samples pared from the two stock solutions to cover the range from 5.0
Isotopically labeled caffeine (caffeine trimethyl-13C3) was to 250 ng/mL. Calibration standards and quality control sam-
used as the internal standard (IS). A working IS solution was ples were prepared by fortifying 25 μL of blank plasma with 10
prepared at 10.0 ng/mL in acetonitrile. For each of the three μL of the appropriate working standard to obtain plasma con-
analytes, two different standard stock solutions of 500 μg/mL centration levels from 2.0 to 100 ng/mL. For actual subject
were prepared in water. The molecular weight for PSE was ad- samples, 25 μL of plasma was spiked with 10 μL of water.
justed to correct for the presence of the hydrochloride salt. Sample extraction was achieved by the addition of 100 μL of the
Through a series of dilutions, six working standards, used for IS working solution, vortex mixing, and centrifugation for 10
calibration standards and quality control samples, were pre- min. The supernatant was evaporated to dryness and reconsti-
tuted with 50 μL of 10 mM ammonium
acetate in water, pH 5 (mobile phase A).
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source. Chromatographic analysis was performed using a Wa- pressure was 50 psi. The optimized compound-dependent pa-
ters (Milford, MA) Xbridge phenyl column (150 mm × 2.1-mm rameters for EPH were declustering potential (DP) = 36 V; en-
i.d., 3.5-μm particle size) and a Waters Xbridge phenyl guard trance potential (EP) = 10 V; collision energy (CE) = 27 V; and
column (10 mm × 2.1-mm i.d.). Five microliters of sample collision cell exit potential (CXP) = 6 V. For PSE the parame-
were injected onto the column and elution of the analytes and ters were DP = 31 V; EP = 10 V; CE = 29 V; and CXP = 10 V. The
internal standard was achieved at ambient temperature using parameters for caffeine trimethyl-13C3 (IS) were the same as
a binary gradient and a flow rate of 0.3 mL/min. The mobile those for caffeine: DP = 46 V; EP = 10 V; CE = 27 V; and CXP =
phase consisted of 10 mM ammonium acetate at pH 5 (mobile 12 V. Analyst software version 1.4.1 (Applied Biosystems) was
phase A) and methanol (mobile phase B). MS detection was per- used for data acquisition and integration. Tablecurve 2D ver-
formed with the electrospray ionization source operated in sion 2.01 was used for regression analysis.
positive ion mode, using multiple reaction monitoring (MRM).
The ion transitions were 166 → 133 for EPH and PSE, 195 → Assay validation
138 for caffeine, and 198 → 140 for caffeine-trimethyl (IS). The linearity of this method was evaluated by analyzing six
The ion spray voltage was 5000 V, the source temperature was calibration standards for each analyte in duplicate in three an-
650°C, and the interface heater was operating. The collision ac- alytical runs over the nominal concentration range of 2.0–100
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upper limit of quantitation (100 ng/mL, ULOQ) could be ana- Toxicokinetic study
lyzed. These curves covered the approximate ranges 4–800 A toxicokinetic study of EPH administered alone, in com-
ng/mL and 800–5000 ng/mL for each analyte. For each ex- bination with caffeine, or in the herbal source Ma Huang
tended curve, six calibration standards were analyzed in trip- (Jinke Group, Diamond Bar, CA) was performed using the
licate. A linear, weighted least-squares algorithm with a validated analytical method to determine the plasma levels of
weighting factor of 1/x2 was used, and the curves were evalu- EPH, PSE, and caffeine. Cannulated male Fischer-344 rats
ated for linearity and precision and accuracy of the standards. (Taconic, Germantown, NY) were administered EPH intra-
Because caffeine levels in real subject samples were found to venously at 6.25 mg/kg or by oral gavage at 6.25, 12.5, or
exceed 5000 ng/mL, additional dilution verifications were per- 25 mg/kg, in combination with caffeine (25 mg/kg EPH + 30
formed for this analyte to demonstrate that extracts could be mg/kg caffeine), or in Ma Huang (312.5 mg/kg alone or in
diluted into the calibration range. Plasma samples were pre- combination with 30 mg/kg caffeine). Blood samples were
pared in triplicate at approximately 125,000 and 25,000 ng/mL, collected at 5, 10, 15, and 30 min and 1, 2, 4, 8, 12, and 16 h,
extracted, and then diluted into the extended 800–5000 ng/mL processed to plasma, and stored at –80°C until LC–MS–MS
curve. analysis.
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Table II. Intra- and Interassay Precision and Accuracy for L-Ephedrine, Pseudoephedrine, and Caffeine
Intraassay Interassay
Nominal Mean calc. Mean calc.
Concentration conc. conc.
Compound (ng/mL) n (ng/mL) % RE % CV n (ng/mL) % RE % CV
L-Ephedrine
QC 1 2.09 3 2.16 4 7.2 7 2.08 –0.7 7.9
QC 2 8.72 3 8.70 –0.2 7.8 7 8.32 –4.5 6.9
QC 3 20.9 3 19.0 –9.3 5.0 7 19.6 –6.4 6.4
QC 4 43.6 3 43.9 0.6 2.3 7 43.6 0.1 5.1
QC 5 66.8 3 62.4 –6.5 4.3 7 65.6 –1.8 6.0
QC 6 109 3 114 4 3.7 7 111 2 3.6
Pseudoephedrine
QC 1 2.09 3 2.07 –1 7.8 7 2.04 –3 4.9
QC 2 8.08 3 8.05 –0.4 10 7 7.54 –6.7 9.0
QC 3 20.9 3 18.8 –10 2.8 7 19.3 –7.5 6.7
QC 4 40.4 3 40.2 –0.5 3.6 7 40.2 –0.5 6.8
QC 5 66.8 3 63.1 –5.5 4.3 7 66.5 –0.5 5.6
QC 6 101 3 107 6 2.8 7 104 3 3.9
Caffeine
QC 1 2.03 3 2.03 –0.2 3.5 7 2.06 1 4.2
QC 2 8.56 3 8.95 4.5 5.7 7 8.69 1.5 5.9
QC 3 20.3 3 20.3 0.2 2.8 7 19.8 –2 5.2
QC 4 42.8 3 43.4 1 3.2 7 43.0 0.4 3.6
QC 5 64.8 3 64.1 –1 0.97 7 64.3 –0.7 4.6
QC 6 107 3 110 2 2.8 7 108 0.8 2.9
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Linearity, precision, and accuracy concentration levels using two sets of calibration standards
The calibration curves for EPH, PSE, and caffeine were linear and one set of quality control samples prepared on one day, and
in plasma from 2.0 to 100 ng/mL with correlation coefficients one set of calibration standards and one set of quality control
r > 0.99. Average back-calculated values with accuracy (percent samples prepared on each of two subsequent days. The intra-
relative error, % RE) and reproducibility (percent coefficient and interassay precision was less than 10% CV for each of the
of variation, % CV) for each matrix standard are shown in three analytes, and accuracy was within ± 10% RE (Table II).
Table I.
The intraassay precision and accuracy for each analyte were Stability
evaluated at six different concentration levels using two sets of Stability studies were performed to evaluate both matrix
independent calibration standards and one set of quality con- and extract stability of the analytes. Post-preparative stability
trol samples prepared on the same day. The interassay precision was demonstrated for extracted samples of EPH, PSE, and caf-
and accuracy for each analyte were evaluated at six different feine at both room temperature and at ~5°C for three days. The
L-Ephedrine Refrigerator stability 5°C, 3 days 8.72 8.18 (3.0)* 7.49 (2.6)† 9.2
of extracts 20.9 19.9 (12)* 19.6 (4.9)† 2
66.8 55.9 (6.8)* 62.7 (4.3)† –11
Ambient stability Room temperature, 8.72 8.73 (5.9)* 7.49 (2.6)† 16.5
of extracts 3 days 20.9 19.9 (3.7)* 19.6 (4.9)† 2
66.8 62.3 (3.5)* 62.7 (4.3)† –0.6
Freeze-thaw stability –80°C, 8.72 8.21 (4.2)* 7.49 (2.6)† 9.7
3 cycles over 3 days 20.9 19.3 (4.3)* 19.6 (4.9)† –1
66.8 62.8 (4.4)* 62.7 (4.3)† 0.2
Long-term frozen stability –80°C, 60 days 20.0 23.0 (4.7)‡ 19.5 (5.8)‡ 18
Pseudoephedrine Refrigerator stability 5°C, 3 days 8.08 7.08 (2.9)* 6.89 (16)† 2.7
of extracts 20.9 19.7 (15)* 20.1 (4.8)† –2
66.8 55.6 (5.4)* 64.6 (4.8)† –14
Ambient stability Room temperature, 8.08 7.48 (7.2)* 6.89 (16)† 8.6
of extracts 3 days 20.9 19.7 (2.3)* 20.1 (4.8)† –2
66.8 61.5 (2.3)* 64.6 (4.8)† –4.8
Freeze-thaw stability –80°C, 8.08 7.57 (4.5)* 6.89 (16)† 9.9
3 cycles over 3 days 20.9 19.4 (2.6)* 20.1 (4.8)† –4
66.8 62.8 (3.5)* 64.6 (4.8)† –2.8
Long-term frozen stability –80°C, 60 days 20.0 22.5 (4.9)§ 20.2 (2.5)§ 11
Caffeine Refrigerator stability 5°C, 3 days 8.56 7.91 (0.48)* 8.41 (6.7)† –5.9
of extracts 20.3 19.6 (8.8)* 19.9 (2.8)† –1
64.8 56.7 (6.5)* 65.5 (0.75)† –13
Ambient stability Room temperature, 8.56 8.61 (5.1)* 8.41 (6.7)† 2.3
of extracts 3 days 20.3 18.9 (0.38)*,# 19.9 (2.8)† –5.3
64.8 59.8 (0.51)* 65.5 (0.75)† –8.8
Freeze-thaw stability –80°C, 8.56 8.62 (5.0)* 8.41 (6.7)† 2.5
3 cycles over 3 days 20.3 18.8 (1.6)* 19.9 (2.8)† –5.7
64.8 59.6 (0.35)* 65.5 (0.75)† –9.0
Long-term frozen stability –80°C, 60 days 20.0 21.9 (5.9)" 19.8 (2.5)" 10
* Calculated using the linear regression equation from “Day 3” (Table I).
† Calculated using the linear regression equation from “Day 2” (Table I).
‡ Linear regression equation: y = 0.01838x + 0.02736 (r = 0.9943).
§ Linear regression equation: y = 0.03124x + 0.04098 (r = 0.9944).
# Only two replicates were used; the third was deemed an outlier (Grubb’s test).
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analytes were also stable in frozen plasma (–80°C) for 60 days toxicology study. Rats were administered EPH intravenously at
and could withstand three freeze-thaw cycles in three days. The 6.25 mg/kg; by oral gavage at 6.25, 12.5, or 25 mg/kg; in com-
found concentrations of the stability samples were compared to bination with caffeine (25 mg/kg EPH + 30 mg/kg caffeine); or
those of freshly prepared samples, and the percent difference in Ma Huang (312.5 mg/kg alone or in combination with 30
was calculated. The results obtained were within acceptable mg/kg caffeine). The concentration of EPH ranged from below
limits (% difference ≤ ±20%, % CV ≤ 20%; Table III). the limit of quantitation (BLOQ, < 2.09 ng/mL) to 2290 ng/mL;
PSE ranged from BLOQ (< 2.09 ng/mL) to 115 ng/mL; and caf-
Extended range and dilution verification feine concentrations ranged from BLOQ (< 2.03 ng/mL) to
Extended calibration curves for EPH, PSE, and caffeine were 22,800 ng/mL. The toxicokinetic analysis is in preparation to be
linear in plasma from approximately 4 to 800 ng/mL and 800 published elsewhere (15).
to 5000 ng/mL with correlation coefficients r > 0.99. Average
back-calculated values with accuracy and reproducibility for
each matrix standard are shown in Table IV. For the diluted caf-
feine extracts with nominal plasma concentrations of 128,000 Conclusions
and 25,500 ng/mL, the average back-calculated values were
Table IV. Summary of Extended Range Calibration Curves and Back-Extracted Concentrations from L-Ephedrine,
Pseudoephedrine, and Caffeine
Concentration (ng/mL)
Compound Run No. 1 2 3 4 5 6 7 8 9 10 11 12
L-Ephedrine* 4.16 8.72 20.9 43.6 104 874 835 1090 2090 3280 4180 5460
1 3.53 7.72 20.2 43.1 108 887 776 1170 2090 3170 4240 5590
2 4.54 9.00 20.2 40.9 108 889 828 1080 2210 3280 4180 5190
3 4.33 10.2 20.6 42.1 102 892 840 1100 2170 3121 4150 5430
n 3 3 3 3 3 3 3 3 3 3 3 3
Mean 4.13 8.97 20.3 42.0 106 889 815 1120 2160 3190 4190 5410
% RE –0.6 2.9 –2.7 –3.6 1.9 1.8 –2.4 2.4 3.3 –2.7 0.3 –1.0
% CV 13 14 1.1 2.6 3.3 0.28 4.2 4.5 2.8 2.5 1.1 3.7
Pseudoephedrine† 4.16 8.08 20.9 40.4 104 808 835 1010 2090 3030 4180 5050
1 3.95 7.38 20.4 38.3 110 827 782 1120 2020 2860 4240 5200
2 4.61 7.96 19.7 37.3 109 866 848 1010 2270 2990 4130 4920
3 4.29 8.01 20.3 39.8 106 850 810 986 2140 2970 4220 4980
n 3 3 3 3 3 3 3 3 3 3 3 3
Mean 4.28 7.78 20.1 38.5 108 848 813 1040 2140 294 4200 5030
% RE 3.0 –3.7 –3.7 –4.8 4.2 4.9 –2.6 2.9 2.5 –3.0 0.5 –0.3
% CV 7.7 4.5 1.9 3.2 1.9 2.3 4.1 6.6 5.8 2.4 1.4 3.0
Caffeine‡ 4.04 8.56 20.3 42.8 102 854 811 1070 2030 3200 4060 5340
1 4.12 8.28 20.7 41.8 107 827 783 1140 2000 3110 4050 5640
2 4.09 8.55 20.3 42.2 104 839 828 1070 2120 3220 3970 5290
3 3.94 8.69 19.8 43.8 104 845 800 1040 2030 3030 4020 5460
n 3 3 3 3 3 3 3 3 3 3 3 3
Mean 4.05 8.51 20.3 42.6 105 837 804 1080 2050 3120 4010 5460
% RE 0.2 –0.6 –0.2 –0.5 2.9 –2.0 –0.9 1.5 0.9 –2.6 –1.1 2.3
% CV 2.4 2.4 2.2 2.5 1.6 1.1 2.8 4.7 3.0 3.0 1.1 3.3
* Standards 1–6 used linear regression equation y = 0.02102x + 0.02426 (r = 0.9957); standards 7–12 used linear regression equation y = 0.002033x – 0.09799 (r = 0.9980).
† Standards 1–6 used linear regression equation y = 0.03600x + 0.01223 (r = 0.9974); standards 7–12 used linear regression equation y = 0.003613x – 0.1537 (r = 0.9971).
‡ Standards 1–6 used linear regression equation y = 0.02361x + 0.02216 (r = 0.9996); standards 7–12 used linear regression equation y = 0.002160x – 0.02877 (r = 0.9985).
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quires only a single-step protein precipitation, and its applica- 7. D.G. Bell, I. Jacobs, and J. Zamecnik. Effects of caffeine,
tion was successfully demonstrated for a toxicokinetic study of ephedrine and their combination on time to exhaustion during
high-intensity exercise. Eur. J. Appl. Physiol. 77: 427–433 (1998).
EPH administered alone, in combination with caffeine, and in 8. C.A. Haller, P. Jacob, and N.L. Benowitz. Pharmacology of
the herbal source Ma Huang. ephedra alkaloids and caffeine after single-dose dietary supple-
ment use. Clin. Pharmacol. Ther. 71: 421–432 (2002).
9. J.G. Schier, S.J. Traub, R.S. Hoffman, and L.S. Nelson. Ephedrine-
induced cardiac ischemia: exposure confirmed with a serum
Acknowledgments level. J. Toxicol. Clin. Toxicol. 41(6): 849–853 (2003).
10. A. Nyska, E. Murphy, J.F. Foley, B.J. Collins, J. Petranka,
R. Howden, P. Hanlon, and J.K. Dunnick. Acute hemorrhagic
This project has been funded in whole or in part with federal myocardial necrosis and sudden death of rats exposed to a com-
funds from the National Institute of Environmental Health bination of ephedrine and caffeine. Toxicol. Sci. 83: 388–396
Sciences under Contract No. N01-ES-65554. The authors (2005).
11. R. Howden, P.R. Hanlon, J.G. Petranka, S. Kleeberger, J. Bucher,
thank Dr. Brian F. Thomas of RTI International and Dr. Cynthia J. Dunnick, A. Nyska, and E. Murphy. Ephedrine plus caffeine
S. Smith of NIEHS/NTP for reviewing this work. causes age-dependent cardiovascular responses in Fischer 344
rats. Am. J. Physiol. Heart Circ. Physiol. 288: H2219–H2224
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