Skip navigation

DSpace

機構典藏 DSpace 系統致力於保存各式數位資料(如:文字、圖片、PDF)並使其易於取用。

點此認識 DSpace
DSpace logo
English
中文
  • 瀏覽論文
    • 校院系所
    • 出版年
    • 作者
    • 標題
    • 關鍵字
  • 搜尋 TDR
  • 授權 Q&A
    • 我的頁面
    • 接受 E-mail 通知
    • 編輯個人資料
  1. NTU Theses and Dissertations Repository
  2. 醫學院
  3. 法醫學科所
請用此 Handle URI 來引用此文件: http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/19407
完整後設資料紀錄
DC 欄位值語言
dc.contributor.advisor陳珮珊(Pai-Shan Chen)
dc.contributor.authorPo-Hsin Kongen
dc.contributor.author龔柏勳zh_TW
dc.date.accessioned2021-06-08T01:57:34Z-
dc.date.copyright2016-08-26
dc.date.issued2016
dc.date.submitted2016-07-01
dc.identifier.citation1. World Drug Report 2015. United Nations Office on Drugs and Crime.
2. Sneader, W., The discovery of heroin. Lancet, 1998. 352(9141): p. 1697-9.
3. Baselt, R.C., Disposition of Toxic Drugs and Chemicals in Man. 8 ed. 2008, Davis, CA: Biomedical Pubilcations.
4. NICE guidelines [CG140]: Palliative care for adults: strong opioids for pain relief. May 2012; Available from: https://www.nice.org.uk/guidance/cg140.
5. Degenhardt, L., et al., Mortality among regular or dependent users of heroin and other opioids: a systematic review and meta-analysis of cohort studies. Addiction, 2011. 106(1): p. 32-51.
6. Overdose Death Rates (Revised December 2015). 2015 [cited 2016 March 27]; Available from: https://www.drugabuse.gov/related-topics/trends-statistics/overdose-death-rates.
7. Nutt, D., et al., Development of a rational scale to assess the harm of drugs of potential misuse. Lancet, 2007. 369(9566): p. 1047-53.
8. 103年藥物濫用案件暨檢驗統計資料. 2014, Food and Drug Administration: Taiwan.
9. 警政統計通報104年整體治安情勢. 2015, National Police Agency, Ministry of Interior: Taiwan.
10. 警察機關查緝毒品犯罪現況分析. 2014, National Police Agency, Ministry of Interior: Taiwan.
11. Shaw, K.-P., 台灣地區法醫死因鑑定案中藥物濫用相關死亡案例流行趨勢分析, in 98年「全國反毒會議」學術研討會. 2009, Institute of Forensic Medicine, Ministry of Justice: Taiwan.
12. Anti-Drug Report 2014 (103年反毒報告書). 2014, Mnistry of Health and Welfare; Ministry of Justice; Ministry of Education; Ministry of Foreign Affairs: Taipei.
13. Inturrisi, C.E., et al., Evidence from opiate binding studies that heroin acts through its metabolites. Life Sci, 1983. 33 Suppl 1: p. 773-6.
14. Reisfield, G.M., E. Salazar, and R.L. Bertholf, Rational use and interpretation of urine drug testing in chronic opioid therapy. Ann Clin Lab Sci, 2007. 37(4): p. 301-14.
15. Yeh, S.Y., C.W. Gorodetzky, and R.L. McQuinn, Urinary excretion of heroin and its metabolites in man. J Pharmacol Exp Ther, 1976. 196(2): p. 249-56.
16. Smith, M.L., et al., Urinary excretion profiles for total morphine, free morphine, and 6-acetylmorphine following smoked and intravenous heroin. J Anal Toxicol, 2001. 25(7): p. 504-14.
17. Levine, B., Principles of Forensic Toxicology. 4 ed. 2013, Washington, D.C.: AACC Press.
18. Ministry of Justice: Narcotics Hazard Prevention Act, in Article 10. 2015(Amended).
19. Liu, R.H., & Goldberger, B. A. , Handbook of Workplace Drug Testing. 1995, Washington, DC: AACC Press.
20. Regulations Governing Drug Abuse Urine Testing Operations (濫用藥物尿液檢驗作業準則), in Chapter 3. 2014, Ministry of Health and Welfare (衛生福利部): Taiwan (R.O.C).
21. Bush, D.M., The U.S. Mandatory Guidelines for Federal Workplace Drug Testing Programs: current status and future considerations. Forensic Sci Int, 2008. 174(2-3): p. 111-9.
22. Hayes, L.W., W.G. Krasselt, and P.A. Mueggler, Concentrations of morphine and codeine in serum and urine after ingestion of poppy seeds. Clin Chem, 1987. 33(6): p. 806-8.
23. elSohly, H.N., et al., Gas chromatographic/mass spectrometric analysis of morphine and codeine in human urine of poppy seed eaters. J Forensic Sci, 1988. 33(2): p. 347-56.
24. Meadway, C., S. George, and R. Braithwaite, Opiate concentrations following the ingestion of poppy seed products--evidence for 'the poppy seed defence'. Forensic Sci Int, 1998. 96(1): p. 29-38.
25. Jankovicova, K., P. Ulbrich, and M. Fuknova, Effect of poppy seed consummation on the positive results of opiates screening in biological samples. Leg Med (Tokyo), 2009. 11 Suppl 1: p. S416-8.
26. Smith, M.L., et al., Morphine and codeine concentrations in human urine following controlled poppy seeds administration of known opiate content. Forensic Sci Int, 2014. 241: p. 87-90.
27. Trevor, B.K.A., Basic and Clinical Pharmacology. 13 ed. 2014: McGraw-Hill Education.
28. Chang, B.L. and M.K. Huang, Urinary excretion of codeine and morphine following the administration of codeine-containing cold syrup. J Anal Toxicol, 2000. 24(2): p. 133-9.
29. Liu, H.C., et al., Urinary excretion of morphine and codeine following the administration of single and multiple doses of opium preparations prescribed in Taiwan as 'brown mixture'. J Anal Toxicol, 2006. 30(4): p. 225-31.
30. Mandatory Guidelines for Federal Workplace Drug Testing Programs, Federal Register. Nov 25, 2008, Substance Abuse and Mental Health Services Administration.
31. Chen, P., et al., The poppy seed defense: a novel solution. Drug Test Anal, 2014. 6(3): p. 194-201.
32. Yong, L.H. and N.T. Lik, The human urinary excretion pattern of morphine and codeine following the consumption of morphine, opium, codeine and heroin. Bull Narc, 1977. 29(3): p. 45-74.
33. Findlay, J.W., et al., Plasma codeine and morphine concentrations after therapeutic oral doses of codeine-containing analgesics. Clin Pharmacol Ther, 1978. 24(1): p. 60-8.
34. Kirchheiner, J., et al., Pharmacokinetics of codeine and its metabolite morphine in ultra-rapid metabolizers due to CYP2D6 duplication. Pharmacogenomics J, 2007. 7(4): p. 257-65.
35. Seif-Barghi, T., N. Moghadam, and F. Kobarfard, Morphine/Codeine Ratio, a Key in Investigating a Case of Doping. Asian J Sports Med, 2015. 6(4): p. e28798.
36. Stefanidou, M., et al., Biomarkers of opiate use. Int J Clin Pract, 2010. 64(12): p. 1712-8.
37. Shah, J.C. and W.D. Mason, Plasma codeine and morphine concentrations after a single oral dose of codeine phosphate. J Clin Pharmacol, 1990. 30(8): p. 764-6.
38. Kronstrand, R. and A.W. Jones, Concentration ratios of codeine-to-morphine in plasma after a single oral dose (100 mg) of codeine phosphate. J Anal Toxicol, 2001. 25(6): p. 486-7.
39. Klous, M.G., et al., Development of pharmaceutical heroin preparations for medical co-prescription to opioid dependent patients. Drug Alcohol Depend, 2005. 80(3): p. 283-95.
40. Zerell, U., B. Ahrens, and P. Gerz, Documentation of a heroin manufacturing process in Afghanistan. Bull Narc, 2005. 57(1-2): p. 11-31.
41. Kaa, E. and K. Bent, Impurities, adulterants and diluents of illicit heroin in Denmark (Jutland and Funen). Forensic Sci Int, 1986. 31(3): p. 195-210.
42. Kaa, E., Impurities, adulterants and diluents of illicit heroin. Changes during a 12-year period. Forensic Sci Int, 1994. 64(2-3): p. 171-9.
43. Broseus, J., et al., Qualitative, quantitative and temporal study of cutting agents for cocaine and heroin over 9 years. Forensic Sci Int, 2015. 257: p. 307-13.
44. Broséus, J., N. Gentile, and P. Esseiva, The cutting of cocaine and heroin: A critical review. Forensic Science International, 2016. 262: p. 73-83.
45. Methods for Impurity Profiling of Heroin and Cocaine. 2005, United Nations Office on Drugs and Crime.
46. Liu, C., Z. Hua, and Y. Bai, Classification of illicit heroin by UPLC-Q-TOF analysis of acidic and neutral manufacturing impurities. Forensic Sci Int, 2015. 257: p. 196-202.
47. Chaterjee, A., et al., Prospects of in vitro production of thebaine in opium poppy (Papaver somniferum L.). Industrial Crops and Products, 2010. 32(3): p. 668-670.
48. Lachenmeier, D.W., C. Sproll, and F. Musshoff, Poppy seed foods and opiate drug testing--where are we today? Ther Drug Monit, 2010. 32(1): p. 11-8.
49. Myers, R.L., The 100 Most Important Chemical Compounds: A Reference Guide. 1 ed. 2007, Westport, CT: Greenwood Press.
50. Staub, C., et al., Detection of acetylcodeine in urine as an indicator of illicit heroin use: method validation and results of a pilot study. Clin Chem, 2001. 47(2): p. 301-7.
51. Brenneisen, R., F. Hasler, and D. Wursch, Acetylcodeine as a urinary marker to differentiate the use of street heroin and pharmaceutical heroin. J Anal Toxicol, 2002. 26(8): p. 561-6.
52. O'Neal, C.L. and A. Poklis, The detection of acetylcodeine and 6-acetylmorphine in opiate positive urines. Forensic Sci Int, 1998. 95(1): p. 1-10.
53. Allen, A.C., et al., Thebaine Rearrangements - Nonclassical D-Ring Migrations. Journal of Organic Chemistry, 1984. 49(19): p. 3462-3465.
54. Casarett, L.J., Doull, J., & Klaassen, C. D., Casarett and Doull's toxicology: The basic science of poisons 8ed. 2013, New York: McGraw-Hill.
55. David Josephy, P., F. Peter Guengerich, and J.O. Miners, 'Phase I and Phase II' drug metabolism: terminology that we should phase out? Drug Metab Rev, 2005. 37(4): p. 575-80.
56. Jia, L. and X. Liu, The conduct of drug metabolism studies considered good practice (II): in vitro experiments. Curr Drug Metab, 2007. 8(8): p. 822-9.
57. Hoffmann, E.d. and V. Stroobant, Mass spectrometry : principles and applications. 3rd ed. 2007, Chichester, West Sussex, England ; Hoboken, NJ: J. Wiley. xii, 489 p.
58. Yao, M., et al., Rapid screening and characterization of drug metabolites using a multiple ion monitoring-dependent MS/MS acquisition method on a hybrid triple quadrupole-linear ion trap mass spectrometer. J Mass Spectrom, 2008. 43(10): p. 1364-75.
59. Zhu, M.S.L.M., Mass Spectrometry in Drug Metabolism and Disposition: Basic Principles and Applications. 1 ed. 2011, Hoboken, NJ: John Wiley.
60. Raith, K., et al., Electrospray tandem mass spectrometric investigations of morphinans. J Am Soc Mass Spectrom, 2003. 14(11): p. 1262-9.
61. Zhang, Z., et al., Fragmentation pathways of heroin-related alkaloids revealed by ion trap and quadrupole time-of-flight tandem mass spectrometry. Rapid Commun Mass Spectrom, 2008. 22(18): p. 2851-62.
62. Andersson, M., et al., Direct injection LC-MS/MS method for identification and quantification of amphetamine, methamphetamine, 3,4-methylenedioxyamphetamine and 3,4-methylenedioxymethamphetamine in urine drug testing. J Chromatogr B Analyt Technol Biomed Life Sci, 2008. 861(1): p. 22-8.
63. Andersson, M., et al., Direct and efficient liquid chromatographic-tandem mass spectrometric method for opiates in urine drug testing - importance of 6-acetylmorphine and reduction of analytes. Drug Test Anal, 2014. 6(4): p. 317-24.
64. SOFT / AAFS Forensic Toxicology Laboratory Guidelines. 2006.
65. EUROPEAN COMMISSION HEALTH & CONSUMER PROTECTION DIRECTORATE-GENERAL Safety of the food chain Chemicals, contaminants, pesticides (SANCO/12571/2013). 2013.
66. Committee for Medicinal Products for Human Use (CHMP): European medicines agency guideline on bioanalytical method validation. 2011.
dc.identifier.urihttp://tdr.lib.ntu.edu.tw/jspui/handle/123456789/19407-
dc.description.abstract確認海洛因施用者主要倚靠6-乙醯嗎啡的檢出,僅檢出嗎啡成分不能證明施用海洛因。但由於6-乙醯嗎啡體內半衰期短,限制了6-乙醯嗎啡的應用價值。然而,不同於高純度的全合成海洛因,非法海洛因源產於罌粟中之嗎啡,成品含多種具特異性的乙醯化植物鹼雜質。為輔助確認施用海洛因,我們利用人類肝細胞成分模擬人體代謝反應,於體外合成此類特異性雜質的可能代謝物,依此開發液相層析質譜檢測方法,並分析已知為海洛因使用者的尿液檢體。本研究經由分析精確質量與碎片圖譜找到12個代謝物,其中8個未曾報導過。此外,代謝物ATM4S在真實檢體中驗出,14件6-乙醯嗎啡陽性檢體中檢出9件,7件嗎啡陽性而6-乙醯嗎啡陰性的檢體中檢出2件。暗示ATM4S應與6-乙醯嗎啡有相關性,且體內陽性反應時間可能超過6-乙醯嗎啡。
關鍵字:液相層析串聯質譜分析、高解析質譜分析、法醫毒理學、非法海洛因、代謝物鑑定、乙醯化蒂巴因、罌粟植物鹼、體外代謝反應
zh_TW
dc.description.abstractIn the forensic toxicology, it is a challenge to confirm heroin administration, especially for those who are only be confirmed the presence of morphine but no detectable 6-acetylmorphine in their biological samples. However, illicit heroin, different from pharmaceutical heroin with high purity, is manufactured from the capsules of Papaver somniferum with a plenty of alkaloid impurities. Thebaine, one of the alkaloids, can be acetylated during the manufacturing process, and forming unusual rearrangement products, which have been thought to be specific features of illicit heroin. To apply these impurities as a marker in biological fluid to confirm heroin administration, we in vitro synthesized the phase I and phase II metabolites with human liver subfractions, and established a method using liquid chromatography-mass spectrometry. Urine samples from heroin abuser were analyzed to verify if the metabolites from acetylated thebaines can be detected. There were 12 metabolites identified by accurate masses and fragmentation patterns, and 8 of which have never been reported before. Besides, metabolite – ATM4S was detected in the real urine samples: 9 out of 14 samples presented with 6-acetylmorphine; 2 out of 7 samples only presented with morphine.
Keywords: Liquid chromatography-tandem mass spectrometry; high resolution mass spectrometry; forensic toxicology; illicit heroin; metabolite identification; acetylated thebaines; alkaloids of Papaver somniferum; in vitro metabolism
en
dc.description.provenanceMade available in DSpace on 2021-06-08T01:57:34Z (GMT). No. of bitstreams: 1
ntu-105-R00452002-1.pdf: 3367373 bytes, checksum: 861e9f1a44b872a4b721e0e568d61b9d (MD5)
Previous issue date: 2016
en
dc.description.tableofcontentsContents
國立臺灣大學碩士學位論文 口試委員會審定書 i
誌謝 ii
中文摘要 iii
Abstract iv
Contents v
List of Figures vi
List of Tables ix
Terminology x
Chapter 1 Introduction 1
1.1 The basis of heroin 1
1.2 Motivation 4
1.3 Literature review 5
1.4 Mass spectrometry and metabolite identification 12
1.5 Objectives and aims 14
Chapter 2 Materials and Methods 15
2.1 Materials 15
2.2 Equipment 16
2.3 In vitro synthesis of phase I and phase II metabolites 19
2.4 Detection of In vitro metabolites by LC-MSMS 20
2.5 Establish the MRM transitions for metabolites 23
2.6 Identification of metabolites by fragmentation pattern and high resolution mass spectrometry 24
2.7 Participant recruitment 25
2.8 Urine sample preparation and solid phase extraction 27
Chapter 3 Results and Discussion 29
3.1 Identification of the in vitro phase I metabolites 29
3.2 Identification of the in vitro phase II metabolites 57
3.3 Optimization of the phase II reaction 67
3.4 Method development for analyzing general opioids and the metabolites from illicit heroin in urine 69
3.5 Preliminary investigations of urine samples from heroin addicts 83
Chapter 4 Conclusions 88
Chapter 5 References 90
Appendix 95
dc.language.isoen
dc.title利用尿液中非法海洛因之雜質代謝物確認非法海洛因之使用zh_TW
dc.titleUsing Specific Metabolites Originated from Illicit Heroin Impurities to Confirm the Administration of Illicit Heroin in Urineen
dc.typeThesis
dc.date.schoolyear104-2
dc.description.degree碩士
dc.contributor.oralexamcommittee王勝盟(Sheng-Meng Wang),邱麗珠(Lih-Chu Chiou),陳惠文(Huei-Wen Chen)
dc.subject.keyword液相層析串聯質譜分析,高解析質譜分析,法醫毒理學,非法海洛因,代謝物鑑定,乙醯化蒂巴因,罌粟植物鹼,體外代謝反應,zh_TW
dc.subject.keywordLiquid chromatography-tandem mass spectrometry,high resolution mass spectrometry,forensic toxicology,illicit heroin,metabolite identification,acetylated thebaines,alkaloids of Papaver somniferum,in vitro metabolism,en
dc.relation.page95
dc.identifier.doi10.6342/NTU201600487
dc.rights.note未授權
dc.date.accepted2016-07-01
dc.contributor.author-college醫學院zh_TW
dc.contributor.author-dept法醫學研究所zh_TW
顯示於系所單位:法醫學科所

文件中的檔案:
檔案 大小格式 
ntu-105-1.pdf
  目前未授權公開取用
3.29 MBAdobe PDF
顯示文件簡單紀錄


系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。

社群連結
聯絡資訊
10617臺北市大安區羅斯福路四段1號
No.1 Sec.4, Roosevelt Rd., Taipei, Taiwan, R.O.C. 106
Tel: (02)33662353
Email: ntuetds@ntu.edu.tw
意見箱
相關連結
館藏目錄
國內圖書館整合查詢 MetaCat
臺大學術典藏 NTU Scholars
臺大圖書館數位典藏館
本站聲明
© NTU Library All Rights Reserved