Kimberly N.
Karin
*a,
Justin L.
Poklis
b and
Michelle R.
Peace
*a
aDepartment of Forensic Science, Virginia Commonwealth University Richmond, VA, USA. E-mail: mrpeace@vcu.edu
bDepartment of Pharmacology and Toxicology, Virginia Commonwealth University Richmond, VA, USA
First published on 18th January 2021
Chinese herbal medicines (CHMs) are classified as dietary supplements. Interactions with western medications, the presence of contaminants or adulterants, or a mis-labeled or mis-used CHM may lead to toxicological emergencies that can be undetected in death investigations. Laboratories must be able to efficiently analyze cases in which CHMs are suspected. Five extractions were evaluated for their ability to extract pharmacologically active compounds from herbal matrices: water, ethanol, microwave-assisted (MAE), ethanol:chloroform, and acid-wash. Anticonvulsive and other pharmacologically active compounds in Gou Teng, Tian Ma, and Jiang Can purchased from Beijing, China and New York were compared in the powder and the extracts using Direct Analysis in Real Time-Mass Spectrometry (DART-MS). Approximately 0.25 g of macerated herb was used per extraction. The water and ethanol extractions were simple liquid extractions. For the MAE, powdered herb was soaked in 65% ethanol, microwaved, and concentrated. The ethanol:chloroform extraction involved soaking in 1:1 ethanol:chloroform, sonication, and concentration. In the acid-wash extraction, powdered herb was soaked in acetic acid, followed by addition of sodium hydroxide, hexane extraction, and reconstitution in ethyl acetate. The powdered herbs and extracts were analyzed using a Jeol JMS T100LC AccuTOF DART-MS in positive and negative mode. Of the evaluated methods, no single extraction worked for all active compounds from the three CHMs. The MAE extract contained the most pharmacologically active compounds, while the acid-wash contained the least for the three products. Gou Teng purchased from different sources did exhibit a difference in pharmacologically active compounds, potentially from different species.
Guo Teng, also known as cat's claw, is the dried stem from Uncaria rhynchophylla, U. macrophylla, U. hissata, U. sessilifructus, or U. sinensis.5 Beside the use of various parts of the plant being used to treat fever, dizziness, and spasms, they are also used as a sedative, analgesic, and antihypertensive.4,5 The main active alkaloids in Guo Teng (Table 1) include corynoxeine, isocorynoxeine, hirsuteine, hirsutine, rhynchophylline, and isorhynchophylline.4
Compound | Chemical formula | Mass | Compound | Chemical formula | Mass |
---|---|---|---|---|---|
Gou Teng | |||||
Quinolic acid5 | C7H5NO4 | 167.0219 | Corynoxeine 4,5,7 | C22H26N2O4 | 382.1893 |
Caffeic acid5 | C9H8O4 | 180.0423 | Isocorynoxeine 5,7 | ||
Catechin5 | C15H14O6 | 290.0790 | Corynoxine B5 | C22H28N2O4 | 384.2049 |
Epicatechin5,6 | Isorhynchophylline 4–7 | ||||
Angustidine5 | C19H15N3O | 301.1215 | Rhynchophylline 4,5 | ||
Angustine5 | C20H15N3O | 313.1215 | Campesterol5 | C28H48O | 400.3705 |
Angustoline5 | C20H17N3O2 | 331.1321 | Stigmasterol5 | C29H48O | 412.3705 |
Vallesiachotamine5 | C21H22N2O3 | 350.1630 | β-Sitosterol5 | C29H50O | 414.3862 |
Akuammigine5 | C21H24N2O3 | 352.1787 | Afzelin6 | C21H20O10 | 432.1056 |
Tetrahydroalstonine5 | Macrophylline A5 | C25H32N2O5 | 440.2311 | ||
Hirsuteine 4,5,7 | C22H26N2O3 | 366.1943 | Quercitrin6 | C21H20O11 | 448.1006 |
Isopteropodine5 | C21H24N2O4 | 368.1736 | Ursolic acid6 | C30H48O3 | 456.3603 |
Mitraphylline5 | Hyperin4,6 | C21H19O12 | 463.0877 | ||
Pteropodine5 | Strictosamide5 | C26H30N2O8 | 498.2002 | ||
Dihydrocorynantheine4,5,7 | C22H28N2O3 | 368.2100 | Vincosamide7 | ||
Hirsutine 4,5 | 3-α-Dihydrocadambine5,7 | C27H34N2O10 | 546.2213 | ||
Rutin5 | C27H30O16 | 610.1534 | |||
Tian Ma | |||||
4-Hydroxybenzaldehyde8 | C7H6O2 | 122.0368 | Vanillyl alcohol 4 | C8H10O3 | 154.0630 |
4-Hydroxybenzyl alcohol8,9 | C7H8O2 | 124.0524 | Vanillic acid8 | C8H8O4 | 168.0423 |
4-Hydroxybenzylmethylether10 | C8H10O2 | 138.0681 | Gastrodin 4 | C13H18O7 | 286.1053 |
Vanillin 4 | C8H8O3 | 152.0473 | |||
Jiang Can | |||||
Ammonium oxalate 11 | C2H8N2O4 | 124.0484 | Pinoresinol11 | C20H22O6 | 358.1416 |
D-Mannitol11 | C6H14O6 | 182.0790 | Aurantiamide 11 | C25H26N2O3 | 402.1943 |
Citric acid11 | C6H8O7 | 192.0270 | β-Sitosterol 11 | C29H50O | 414.3862 |
Kaempferol11 | C15H10O6 | 286.0477 | Ergost-6,22-dien-3β, 5α, 8α-triol 11 | C28H46O3 | 430.3447 |
Quercetin11 | C15H10O7 | 302.0427 | Beauvericin 11 | C45H57N3O9 | 783.4095 |
Tian Ma, from the dried tubes of Gastrodia elata Blume, is also known as Gastrodiae Rhizoma, Chi Jian, and Gui Du You9. Tian Ma can be used in the treatment of dizziness, headache, hypertension, and chest pain, as well as neurological disorders such as epilepsy, vertigo, and tetanus.4,8 The active components in Tian Ma (Table 1) include vanillin, vanillyl alcohol, and gastrodin.4
Jiang Can is a natural product composed of silkworm larva (Bombyx mori L.) killed and stiffened through infection by Beauveria bassiana forming a white, ammonium oxalate residue on the surface of the silkworm.11,12 Uses of Jiang Can include treatment of epilepsy, convulsions, cough, asthma, headaches, and postpartum pain. The reported active components in Jiang Can (Table 1) include ammonium oxalate, aurantiamide, beauvericin, ergost-6,22-dien-3β,5α,8α-triol, pinoresinol, and β-sitosterol.4
Although consumers associate lower risks of adverse effects with natural products, CHMs can pose a legitimate risk to consumers. CHMs are classified as dietary supplements which have a low standard for quality as defined by the U.S. Food and Drug Administration (FDA) in the Dietary Supplement Health and Education Act (DSHEA) of 1994.13 Regulatory standards for dietary supplements include that they cannot be unsanitary or toxic, or pose a significant risk to consumers.13 CHMs do not have a standardized naming convention, which can lead to potentially dangerous errors.4 And, potential negative interactions between multiple herbs or between herbs and over-the-counter and/or prescribed pharmaceutical products may not be considered or known when the herbs are consumed.14
Reported adverse drug reactions from herbal product use, whether it be from the use of an herbal product or a combination of herbal products are increasing.15 Annually China's drug regulator receives reports of more than 230000 cases of adverse effects resulting from CHMs.2 Global use of CHMs is expected to continue to rise and with it potentially the occurrences of adverse reactions.2 Toxicological emergencies have been described in the literature, such as the case of a 36 year-old woman consuming an unknown herbal decoction for three days prior to admission to the hospital where she suffered cardiac arrest. Her father purchased the herbs based on the recommendation of a neighbor for the treatment of her aplastic anemia, but he did not know the name of the herbs.16 Another case involved the mistaken identity of a natural product, and a 66 year old man lost consciousness 10 minutes after consuming what he thought to be Rhizopogon roseolus.17 In cases such as these, it is critical to be able to rapidly identify pharmacologically active compounds in the herbal products. Adverse drug reactions and deaths related to consumption of herbal products are underreported because of the lack of testing. Due to the wide range of herbal products and pharmacologically active compounds in such products, a broad analytical scheme is advantageous for detection of these compounds. Current common methods for targeted identification of compounds in herbs include non-specific and/or time-consuming analytical methods such as thin layer chromatography (TLC) and high-performance liquid chromatography (HPLC).1
Extraction of the analytes of interest from herbal products can be complex and time consuming. Extraction methods can vary from liquid extraction followed by filtration or solid phase extraction to filtration with protein precipitation depending on the administration form of the CHM. A described method for Fructus corni required a 45 minute sonication in 80% methanol (v/v), dilution, and extraction using a C18 solid phase extraction column prior to ultra-fast liquid chromatography (UFLC) analysis.18 A 24 minute gradient was used to analyze the analytes of interest using UFLC. Other methods for separating the complex mixture of compounds using HPLC can take up to 65 minutes per sample.19–22
Particularly in the case of adverse drug reactions a rapid method requiring minimal sample preparation for the analysis of pharmacologically active compounds is advantageous. Direct Analysis in Real Time-Time of Flight mass spectrometry (DART-MS) is an atmospheric pressure ionization method with direct sampling to the mass spectrometer.23 DART-MS is a rapid technique with little to no sample preparation required.23 Pairing a quick, simple extraction method with DART-MS analysis could concentrate analytes of interest and remove compounds of non-interest, simplifying the mass spectra.
The aim of the study was to evaluate methods for analyte extraction paired with a rapid instrumental analysis, DART-MS, for pharmacologically active compounds in anticonvulsant herbal medicines, Gou Teng, Tian Ma, and Jiang Can. Different extraction methods were selected for evaluation based on being quick, simple methods that could be easily adopted by laboratories with the potential for extracting a wide variety of pharmacologically active compounds. The goal is for a broad extraction and analytical scheme with the ability to detect diverse pharmacologically active compounds from herbal matrices. Additionally, the herbal products were purchased from different locations with the purpose of comparing the anticonvulsive and pharmacologically active compounds in the herbs from different sources.
Glacial acetic acid, sodium hydroxide (molecular biology grade), methanol, and n-hexane were purchased from Fisher Scientific (Hampton, NH). The ethyl acetate and dichloromethane used were from ACROS Organics (Geel, Belgium). Koptec 200 Proof Ethanol was purchased from Decon Labs Inc. (King of Prussia, PA). The chloroform used was from Pharmco-Aaper (Brookfield, CT). Polyethylene glycol (PEG) 600 was purchased from Ultra Inc. (North Kingstown, RI).
A solution of PEG 600 in methanol (positive) or in 1:1 methanol:dichloromethane (negative) was used to calibrate the instrument and a positive control was used to confirm the mass values fall within ±5 mmu. For positive mode the positive control contained methamphetamine, cocaine, and nefazodone, while the negative mode control contained aspirin and furosemide.
At the beginning of each run the calibrator and positive control were wanded, followed by a blank. For the powdered herb a blank capillary tube served as the blank, while for the extracts a solvent blank was wanded using a capillary tube. Each sample was wanded five times using a capillary tube. Before the completion of the run, the positive control was run again to ensure mass accuracy over the course of the analysis.
The background subtracted mass spectra were analyzed and compared to a compiled list of compounds referenced in literature as being contained in the herb. Data analysis was performed using T.S.S Pro version 3.0 and Mass Mountaineer. For an identification of a compound in the herb product, the mass from the spectrum was required to be within a ±5 mmu range from the monoisotopic mass of the compound.
The pharmacologically active compounds detected in the extracts from the five different extractions were compared to those detected in the powdered Gou Teng (Table 2 and Fig. 1). Of the 24 compounds with unique masses searched for in Gou Teng, 11 were detected between the powder and the extracts. For the extractions, the ethanol extract was the only one to contain all the pharmacologically active compounds detected in the powder. Additionally, campesterol was detected in the ethanol extract, but not the powdered product. The reported main pharmacologically active compounds: corynoxeine, isocorynoxeine, hirsuteine, hirsutine, isorhynchophylline, and rhynchophylline were all detected in the following extracts: water, ethanol, MAE, and ethanol:chloroform, in addition to the powdered product. No additional pharmacologically active compounds were detected in negative mode for the powdered product or extracts of Gou Teng.
Gou Teng | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|
# | Compound | Biological activity | Adduct | Adduct mass | Extraction method | |||||
Powder | H2O | EtOH | MAE | EtOH:CHCl3 | Acid wash | |||||
1* | Catechin | Antioxidant26 | –OH | 273.0763 | X | |||||
Epicatechin | Antioxidant26 | –OH | ||||||||
1 | Catechin | Antioxidant26 | +H | 291.0869 | X | X | X | X | ||
Epicatechin | Antioxidant26 | +H | ||||||||
2 | Akuammigine | Weak antagonist of pre & postsynaptic α-adrenoceptors27 | +H | 353.1865 | X | X | X | X | X | |
Tetrahydroalstonine | Antagonist of pre α2-adrenoceptors27 | +H | ||||||||
3 | Hirsuteine | 5-HT3 antagonist28 | +H | 367.2022 | X | X | X | X | X | |
4 | Isopteropodine | Modulate function of G protein-coupled muscarinic M(1) acetylcholine & 5-HT(2) receptors29 | +H | 369.1814 | NY | NY | NY | NY | NY | |
Mitraphylline | Anti-inflammatory30 | +H | ||||||||
Pteropodine | Modulate function of G protein-coupled muscarinic M(1) acetylcholine & 5-HT(2) receptors29 | +H | ||||||||
5 | Dihydrocorynantheine | Vasodilator5 | +H | 369.2178 | B | B | B | B | B | |
Hirsutine | 5-HT3 antagonist28 | +H | ||||||||
6 | Corynoxeine | 5-HT3 antagonist28 | +H | 383.1971 | X | X | X | X | X | |
Isocorynoxeine | 5-HT3 antagonist28 | +H | ||||||||
7* | Campesterol | Inhibits cholesterol absorption31 | –OH | 383.3678 | X | X | X | |||
8 | Corynoxine B | Inhibitor of central dopamine release32 | +H | 385.2127 | X | X | X | X | X | |
Isorhynchophylline | 5-HT3 antagonist,28 antagonist of NMDA-type ionotropic glutamate receptor33 | +H | ||||||||
Rhynchophylline | 5-HT3 antagonist (Nakamura), antagonist of NMDA-type ionotropic glutamate receptor32 | +H | ||||||||
9* | Stigmasterol | Inhibits cholesterol absorption31 | –OH | 395.3678 | X | X | X | X | ||
10* | β-Sitosterol | Inhibits cholesterol absorption31 | –OH | 397.3834 | X | X | X | X | X | X |
9 | Stigmasterol | Inhibits cholesterol absorption31 | +H | 413.3783 | X | X | X | X | ||
11* | Ursolic acid | Anti-inflammatory, Antihyperlipidemic34 | –OH | 439.3576 | X | X | X | X | X | X |
11 | Ursolic acid | +H | 457.3682 | X | X | X | X |
Fig. 1 DART-MS (20 V) positive ionization mode spectra of powdered and extracts of Gou Teng from Tong Ren Tang purchased in Beijing. The powdered material is shown in Panel (A) compared to water, ethanol, microwave-assisted, ethanol:chloroform, and acid wash extracts depicted in Panel (B–F) respectively. Labeled numbers correspond to pharmacologically active compounds found in Table 2. Gou Teng purchased from Beijing (depicted in figure) contained the isobaric compounds, dihydrocorynantheine/hirsutine ([M + H]+ = 369.2178), while Gou Teng purchased from New York contained the isobaric compounds, isopteropodine/mitraphylline/pteropodine ([M + H]+ = 369.1814). * designates M − OH adduct. |
Although not all reported pharmacologically active compounds were detected in all the products, compounds were detected in each of the products that may be responsible for producing the reported effects. The main pharmacologically active compounds: corynoxeine, isocorynoxeine, hirsuteine, hirsutine, isorhynchophylline, and rhynchophylline are reported 5-HT3 antagonists.28 Conflicting research debating whether antagonism of the 5-HT3 serotonergic receptor reduces seizures and convulsions, with reports of convulsions being decreased and other reports of increased convulsions by the administration of a 5-HT3 antagonist.35 Additionally, isorhynchophylline is a reported antagonist of N-methyl-D-aspartate (NMDA)-type ionotropic glutamate receptors.9 Antagonism of the NMDA receptors has reported anticonvulsant effects and is a therapeutic target for antiepileptic treatments.36 The reported main pharmacologically active compounds of Gou Teng detected in the powder and multiple extracts could produce the reported anticonvulsant effects.
Additionally, the 20, 30, 60, and 90 V spectra were compared for the powdered herbal products with results from Gou Teng shown as an example in Table 3 and Fig. 2. The higher orifice voltage spectra were compared to the 20 V spectra for the powdered product. As the voltage increased, the less intense [M + H]+ or [M − OH]− peaks were no longer detected, while the more intense peaks were still observed in the 30, 60, and 90 V spectra. The higher molecular weight compounds fragmented and were no longer observed in the higher voltage spectra. While fragmentation patterns of compounds would provide additional confirmation of the pharmacologically active compounds, when a technique such as DART-MS, with no separation of compounds, is used the interpretation of the fragmentation is complicated for a complex mixture. Additionally, standards for all pharmacologically active compounds in the herbal products are not available. Individual standards of the pharmacologically active compounds would supply additional evidence for the identification of the pharmacologically active compounds based on fragmentation pattern. A separation technique or standards would be required to determine the fragmentation patterns of the compounds, without either of those the 30, 60, and 90 V spectra do not provide additional information for the identification of pharmacologically active compounds present.
Gou Teng | |||||||
---|---|---|---|---|---|---|---|
# | Compound | Adduct | Adduct mass | Orifice 1 voltage | |||
20 V | 30 V | 60 V | 90 V | ||||
1* | Catechin | –OH | 273.0763 | ||||
Epicatechin | –OH | ||||||
1 | Catechin | +H | 291.0869 | X | |||
Epicatechin | +H | ||||||
2 | Akuammigine | +H | 353.1865 | X | X | X | X |
Tetrahydroalstonine | +H | ||||||
3 | Hirsuteine | +H | 367.2022 | X | X | X | X |
4 | Isomitraphylline | +H | 369.1814 | X | X | X | X |
Isopteropodine | +H | ||||||
Mitraphylline | +H | ||||||
Pteropodine | +H | ||||||
5 | Dihydrocorynantheine | +H | 369.2178 | X | X | X | X |
Hirsutine | +H | ||||||
6 | Corynoxeine | +H | 383.1971 | X | X | X | |
Isocorynoxeine | +H | ||||||
7* | Campesterol | –OH | 383.3678 | ||||
8 | Corynoxine B | +H | 385.2127 | X | X | X | X |
Isorhynchophylline | +H | ||||||
Rhynchophylline | +H | ||||||
9* | Stigmasterol | –OH | 395.3678 | X | X | ||
10* | β-Sitosterol | –OH | 397.3834 | X | X | X | X |
9 | Stigmasterol | +H | 413.3783 | X | X | ||
11* | Ursolic acid | –OH | 439.3576 | X | X | X | |
11 | Ursolic acid | +H | 457.3682 | X | X | X |
Fig. 2 Function-switching DART-MS spectra of powdered Gou Teng from Tong Ren Tang purchased in Beijing. Orifice 1 voltage was alternated between 20, 30, 60, and 90 V and the corresponding spectra are shown in Panels (A)–(D) respectively. Labeled numbers correspond to pharmacologically active compounds found in Table 3. * designates M − OH adduct. |
# | Compound | Biological activity | Adduct | Adduct mass | Extraction method | |||||
---|---|---|---|---|---|---|---|---|---|---|
Powder | H2O | EtOH | MAE | EtOH:CHCl3 | Acid wash | |||||
Tian Ma | ||||||||||
1* | 4-Hydroxybenzyl alcohol | Suppress dopaminergic & serotonergic activity37 | –OH | 107.0497 | X | X | X | X | X | |
2 | Vanillin | Anti-inflammatory8 | –H | 151.0395 | X | X | ||||
3* | Vanillyl alcohol | Suppress oxidative stress38 | –OH | 137.0603 | X | X | X | X | ||
4 | Vanillic acid | Inhibits inflammatory pain39 | –H | 167.0344 | X | X | ||||
5* | Gastrodin | Anti-depressant40 | –OH | 269.1025 | X | X | X | |||
Jiang Can | ||||||||||
1 | D-Mannitol | Diuretic41 | +H | 183.0869 | X | X | X | X | X | |
2 | Citric acid | Antioxidant42 | –H | 191.0192 | X | X | X | X | ||
3* | β-Sitosterol | Anticonvulsant11 | –OH | 397.3834 | X | X |
Fig. 3 DART-MS (20 V) positive ionization mode spectra of powdered and extracts of Tian Ma from C.H.T. Inc. and Jiang Can from Tong Ren Tang purchased in New York. The powdered material of Tian Ma and Jiang Can is shown in Panels (A and D), respectively. The microwave-assisted extract is shown in Panel (B) for Tian Ma and (E) for Jiang Can. In Panel (C) is the water extract of Tian Ma and in Panel (F) is the ethanol:chloroform extract of Jiang Can. Labeled numbers correspond to pharmacologically active compounds found in Table 4. * designates M − OH adduct. |
In Tian Ma, all the reported main pharmacologically active compounds: 4-hydroxybenzaldehyde, gastrodin, vanillin, and vanillyl alcohol were detected in the powdered Tian Ma. 4-Hydroxybenzaldehyde is a reported GABAA (γ-aminobutyric acid) receptor chloride channel complex agonist.37 The reported anticonvulsant effects of Tian Ma could be a result of the 4-hydroxybenzaldehyde through agonism of the GABAA receptor, producing an inhibitory effect.43
Even though a visible white residue associated with ammonium oxalate was present on both the Jiang Can products, the parent compound was not detected. Upon heating, a proton from the ammonium can transfer to the base producing ammonia gas and the conjugate acid of the salt.44 Heat from the helium stream could cause the proton transfer from the ammonium to the oxalate producing ammonia gas and the oxalate conjugate acid. A peak with a m/z of 178.9828 in the negative spectra of Jiang Can powder could correlate to the dimer of the oxalate conjugate acid.
Of the compounds detected, ammonium oxalate and β-sitosterol have reported antiepileptic and anticonvulsant activities.11 Although not all the reported main pharmacologically active compounds were detected in the powder nor the extracts, the ammonium oxalate and β-sitosterol could produce the reported anticonvulsant effects of Jiang Can.
The MAE was the most effective extraction for pharmacologically active compounds from these anticonvulsant herbs. Despite the herbs soaking in the extraction solvents longer in the ethanol, ethanol:chloroform, and the acid wash extractions than in the MAE, they were less effective in extracting the pharmacologically active compounds. Shorter extraction times can result in some active compounds being below the limit of detection. Not only was the MAE most effective at extracting these structurally diverse compounds, the MAE requires the least amount of time for extraction.
In general, for compounds not detected in the extracts nor the powder of these anticonvulsant products it is possible the compounds may be present below the limit of detection or the compounds may only be present in select species and not in the purchased products. Compounds detected in the extracts but not in the powder may be present below the limit of detection and were concentrated through the extraction process. Of the compounds detected in the powder, but not the extracts, many are less polar compounds with potentially poor extraction efficiency in more polar solvents used in the methods. Although not all pharmacologically active compounds were extracted, a wide variety of the structurally diverse active compounds were identified in the extracts.
With increasing popularity of natural products and the risk of toxicological emergencies and deaths from their use it is critical to be able to analyze a broad range of natural products. The two previously described cases in which the woman consumed an unknown combination of herbs and the 66 year old man consumed what he believed to be Rhizopogon roseolus when he actually ingested Schleroderma albidum, exemplify medically and forensically relevant cases in which an unknown product was consumed and an analysis is tedious and long. A rapid, inclusive extraction and analytical scheme could prove useful in identifying the products.16
This journal is © The Royal Society of Chemistry 2021 |