Emre
Dokuzparmak
,
Kelly
Brown
and
Lynn
Dennany
*
WestChem Department of Pure and Applied Chemsitry, Univeristy of Strathclyde, Technology and Innovation Centre, 99 George Street, Glasgow, G1 1RD, UK. E-mail: lynn.dennany@strath.ac.uk
First published on 7th April 2021
The abuse of methamphetamine (MA) is to date detected and subsequently verified through the monitoring of MA and its metabolites within biological specimens. Current approaches require complex sample purification strategies alongside significant analysis time. Given the high prevalence of MA within the global drug market, there remains a need for rapid, portable and alternative screening approaches appropriate for direct detection within biological matrices for employment across the forensic and clinical environments. This contribution illustrates the use of an electrochemiluminescence (ECL) strategy for the screening of MA, amphetamine (AMP) and para hydroxy-methamphetamine (pOH-MA) for such applications. The sensing system showed ideal analytical performance with linear ranges at forensically relevant concentrations of 0.1 μM to 0.5 mM for MA, 10 μM to 1 mM AMP and 10 μM to 5 mM for pOH-MA, and superb detection limits of 74.6 nM, 6 μM and 82. μM for MA, AMP and pOH-MA respectively. Furthermore, the sensor was successful in the detection of MA, AMP and pOH-AMP within human pooled serum, artificial urine and saliva, without any prior purification strategies. Here a portable ECL sensor is detailed for the successful employment of the direct screening of these amphetamine type substances and their corresponding metabolites at clinically and forensically relevant concentrations within a range of biological matrices. This approach successfully represents a strong proof-of-concept, for a novel, simple and rapid screening method with significant potential for high-throughput screening of biological samples for drug metabolites, widening the avenues where ECL sensors could be employed.
As evident by their continued prevalence amongst drug users there still remains the requirement for appropriate screening methodologies to identify the abuse of ATS and allow law enforcement or physicians to rapidly determine the substance which has led to the consumers erratic, violent or life-threatening behaviour. A key focus of any screening strategies for employment within such environments, must place emphasis upon the application of the methodology toward a number of complex matrices including biological fluids; a common requirement faced within forensic and clinical practices. Biological fluid analysis presents its own unique complications, where accurate determination of a drug of abuse is necessary, despite the high number of metabolites present, which are often considered to be target analytes themselves.2–5
Immunoassays, which use antibodies for the targeted detection of a specific drug or metabolite, have seen wide employment across a number of fields including forensic practices and clinical toxicological screening.5–7 They are often the primary method employed for the screening of substances of abuse, which can be attributed to their intrinsic advantages including, large scale screening facilitated through automation and rapid substance identification.4,5 What's more a number of commercial kits are available which currently offer home-testing or point-of-care analysis. However, immunoassays notably suffer from “false-positives” or “false-negatives” when drugs within the same class require identification, particularly within biological fluid anlaysis.4–9 Although these screening methods are the primary method employed for the detection of ATS, they fail to offer low cost systems.
Electrochemical sensors, including electrochemiluminescence (ECL) based sensors, have become a viable alternative for applications within the forensic and clinical arenas. The growth in technology has facilitated the development of portable sensors which can be performed through commercially available handheld systems or even smartphone devices.10–16 Electrochemical sensors are primed to address the limitations faced by current immunoassay screening methodologies, with a reduction in cost, increased reusability, reduced instrument costs and minimal reagent consumption. Furthered though the proven ability of ECL sensors to offer direct drug detection within range of complex matrices, including biological fluids, without the requirement of any separation or purification strategies.16–27
The detection of MA within biological fluids adopts a two-pronged approach, whereby identification of MA abuse is paired with detection of AMP as one of its primary metabolites.8,28–30 Following ingestion, MA is readily absorbed into the blood stream, with excretion primarily though the renal system following hepatic metabolism, resulting in the primary metabolites; AMP following the N-demethylation process and para-hydroxymethamphetamine (p-OHMA) following para-hydroxylation.30 With typically, between 37–54% of a MA dosage excreted via the renal system, urinary analysis is the primary biological fluid investigated for the identification of MA abuse.3 However, the basicity of ATS, with pKa values of 9.929 for MA and AMP, lends themself well for detection within oral fluid, were they are observed to easily transfer from the blood stream to saliva of the consumer.29 Typical concentration values reported for MA and AMP within urine, oral fluid and plasma range from as low as 0.12 μM to 20 μM for MA and 48 nM to 2.6 μM for AMP recorded across time intervals of ∼5 to 16 hours.8,28,29 As such, any sensing system developed must operate within these μM concentration regions within a range of biological fluids.
To date there is limited literature available on the electrochemical detection of ATS substances, despite the amine moiety previously demonstrating good electroactivity facilitating the electrochemical detection of a number of fellow amine containing compounds.17–20,31–34 This limited investigation may be attributed to the high potential values required to initiate their oxidation, restricting the selectivity of voltammetric based detection, particularly within aqueous matrices. Previous studies have focus upon electrode modification to overcome the high oxidative potentials required. Of the ATS substances, MDMA, whose electroactivity is greater than its other ATS counterparts, is by far the most studied species to date.24,35 MA has seen significantly less investigation in comparison. 2016 marked the first use of a disposable electrode for the detection of MA, within undiluted saliva samples, through utilisation of N,N′-(1,4-phenylene)-dibenzenesulfoamide as a mediator.25 Although this work was promising for the detection of MA via portable electrochemical methodologies within biological matrices, the detection limits achieved lay outwith the clinically relevant range. Detection limits for MA have been improved via utilisation of ECL sensors, through employment of the traditional luminophore, [Ru(bpy)3]2+, facilitating mediated oxidation of the amine moiety within the species. Such employment achieved detection down to 4.0 fM.20,21 However, despite their promise these methodologies have displayed, to date, no electrochemical sensing system able to identify MA alongside its primary metabolites, AMP and p-OHMA, via a singular and direct detection strategy.
With ECL based sensors growing in popularity as viable alternatives for employment as point-of-care or at-scene devices, alongside their proven ability to detect MA and AMP, further investigation into their ability to simultaneously detect a drug of abuse alongside its metabolites within complex matrices will only stand to further their employment across a number of fields. Within this contribution we report the development of a basic [Ru(bpy)3]2+ ECL sensor for the rapid screening of MA alongside its primary metabolites AMP and p-OHMA, within a variety of biological fluids, including human serum, artificial saliva and sweat. What's more we demonstrate the potential of the developed methodology for at-scene or point-of-care analysis through the negation of any sample purification procedures prior to analysis, providing a sensing system capable of offering the rapid answers required by law enforcement and physicians without access to a dedicated laboratory facility.
Fig. 1(a) shows the ECL response for the interaction of the surface confined ruthenium with MA, AMP and pOH-MA. Similar to the reaction of electrogenerated [Ru(bpy)3]3+ with amino acids and other structurally similar amine compounds, the reaction between pOH-MA and the Ru3+ undergoes a similar reaction process being sufficiently energetic to produce an ECL response.31 Direct electrochemical oxidation of pOH-MA was not observed over the concentrations examined within this study, as shown in Fig. S1† and consistent with previous studies.20 In the presence of [Ru(bpy)3]2+, mediated oxidation of pOH-MA via the electrogenerated [Ru(bpy)3]3+ species facilitated the production of an ECL emission through the mediated oxidative-reduction co-reactant ECL pathway with a maximum ECL intensity observed at ∼1.15 V vs. Ag/AgCl as shown in Fig. 1(a). The ECL mechanism for pOH-MA is thought to follow a similar reaction process as that previously described for MA, amphetamine and other amino acids, as described in eqn (1)–(5).37 When a anodic potential is applied on the system, [Ru(bpy)3]2+ is oxidised at the electrode surface becoming [Ru(bpy)3]3+ (eqn (1)). This Ru(III) species then facilitates the oxidation of the pOH-MA via the mediated oxidation process, reported for a number of fellow amine spices, which do not undergo direct oxidation at the electrodes surface. This process generates the unstable radical cation, pOHMA˙+ (eqn (2)), which rapidly decomposes to form the highly reducing radical species pOH-MA˙ (eqn (3)). This free radical then undergoes a oxidation via the transfer an electron to [Ru(bpy)3]3+, forming the excited state ([Ru(bpy)3]2+*) (eqn (4)), where excess energy is given off in the form of light (eqn (5)).
[Ru[(bpy)3]2+ − e− ↔ [Ru(bpy)3]3+ | (1) |
(2) |
pOH-MA˙+ → pOH-MA˙ | (3) |
(4) |
[Ru(bpy)3]2+\ast ↔ [Ru(bpy)3]2+ + hν | (5) |
Similarly, to other ATS, in the presence of pOH-MA, the onset of an ECL emission closely corresponds with the onset of oxidative current where the potential of Ru3+ is generated. Although no ECL emission is observed when pOH-MA is absent, a typical voltammetric response for the Ru2+/3+ redox couple is observed. ECL production for AMP, also a metabolite of MA, was examined and the ECL response is shown in Fig. 1. This follows the same reaction mechanism and is consistent with previous investigations into the ECL co-reactant generation from ruthenium complexes with other ATS and amino acids.31 Direct electrochemical oxidation of AMP or pOH-MA, was not observed over the concentrations examined within this study. In the presence of [Ru(bpy)3]2+, mediated oxidation of both metabolites alongside the electrogenerated [Ru(bpy)3]3+ species facilitates the production of an ECL emission through the oxidative-reduction co-reactant pathway described above. ECL mechanism with a maximum ECL intensity observed at ∼1.15 V vs. Ag/AgCl is observed for both metabolites. This is slightly shifted compared to that of MA, which shows an ECL maximum of ∼1.10 V vs. Ag/AgCl. However, for all the onset of the ECL response can be seen at ∼1.00 V vs. Ag/AgCl and therefore this difference in ECL maximum output cannot be utilised for discriminating between the different ATS compounds. The ECL signals obtained for these ATS clearly varies, with each producing varying ECL intensities as well as slight differences in the ECL maximum potentials. This has been observed previously and is related to the R group attached to the amino group, with ECL intensity being highest for R groups with poor electron withdrawing characteristics.31 This also influences the pH behaviour observed within this contribution.
Given the similarities of the ECL observed for these ATS, it would not be possible to distinguish between them solely from their resultant ECL response. However, for a screening method, the detection of either MA and/or its metabolites would be sufficient. For both clinical and toxicological interpretation, an easily obtained and rapid “yes or no” would be greatly beneficial to either direct treatment or what and if further toxicological analysis is required. Therefore, despite the current inability to discriminate between these three ATS, this approach still meets the criterion of a screening method. For use within this field, analysis in biological matrices is key. The pH of these matrices can be quite different and so an understanding of the impact of pH on the ECL response is needed.
A similar trend was observed within this study for pOH-MA with the maximum ECL intensity obtain at values close to its pKa.38 As shown in Fig. 2, the ECL intensity increases as the pH increases from 7, reaching a maximum intensity at ∼pH 9. When the pH range was increased to values higher than pH 10, a significant background signal was observed. This is due to formation of the excited state from a secondary reaction between [Ru(bpy)3]3+ and OH−. The normalised ECL intensity is defined as the ratio of signal intensity (IpOH-MA) to background intensity (IBKG). ECL signals were clearly observed across the entire pH range evaluated to varying degrees. This is extremely relevant when considering analysis in a variety of biological matrices where the samples will have different pH values. In this context, MA and AMP were also studied to interrogate their pH dependence for ECL production.
The highest ECL intensity of MA, AMP and pOH-MA were observed at pH 9.0 (pKa of MA: 10.1, pKa of AMP: 10.5, pKa of pOH-MA: 9.8). These results are supported by previous work which illustrate the increased difficulty to oxidise amine species at low pH values, where their protonated and hence not electrochemically active form is dominant.17–20,39
Linear coefficients (R2) of 0.9971, 0.9967 and 0.9977 were obtained for the pH values investigated as shown in Table 1 and Fig. 3(a). The limit of detection (LoD) at each of the pH values was also calculated based upon the lowest concentration were an observable signal was still distinguishable at a signal to noise ratio of 3, summarised in Table 1.
ECL approach for ATS | LoD | LoD in biological matrix | Linear range |
---|---|---|---|
MA – this study | 74.6 nM | 0.2 μM serum | 0.1 μM to 0.5 mM |
0.5 μM urine | |||
10 μM saliva | |||
AMP – this study | 1 μM | 6 μM serum | 10 μM to 1 mM |
2 μM urine | |||
10 μM saliva | |||
pOH-MA – this study | 82.8 nM | 4 μM serum | 0.1 mM to 5 mM |
4 μM urine | |||
10 μM saliva | |||
MA – multiwall carbon nanotube/ionic liquid composite electrode9 | 8.0 nM | 10 nM to 80 μM | |
MA – glassy carbon electrode modified with [Ru(bpy)3]2+ – doped silica nanoparticles/Nafion composite film10 | 26.0 nM | 0.1 μM to 10 μM | |
MA – ECL sensor organically modified with silica film11 | 0.2 μM | 0.5 μM to 1 mM |
The influence of pOH-MA, AMP and MA concentrations on ECL intensity was evaluated over the concentration range 0.1 μM and 0.5 mM, consistent with the expected values that would be observed within biological fluids after ingesting MA8 and comparable to previous studies in optimised sample matrices, as shown in Fig. 3(a).9–11Fig. 3(b) illustrates the increase in the ECL response, taken at the peak maximum for each analyte, as the concentration of pOH-MA increases. This trend is similar for both MA and AMP (see Fig. S3†) at pH 10 as well as at pH 7 (see Fig. S4†), as well as other compounds with comparable amine functional groups. LOD for the biological samples are slightly higher, as shown in Table 1, due to the interference effects of natural amino acids. Despite this, they are still within the forensic and toxicologically relevant range. The forensically relevant ranges for MA and AMP are 0.12 to 20 μM and 48 to 2.6 μM respectively. The range for MA is therefore appropriate for relevant forensic samples, however, improvements are needed for AMP and pOH.
Previous studies using screen-printed electrodes illustrated that an ECL response can be obtained directly from saliva, although it is advantageous to dilute it due to the issues surrounding its viscosity.42 However, when using conventional GC electrodes, the issue of viscosity was more pronounced and an ECL response could not be obtained, despite the fact that no ECL response was obtained from the blank artificial saliva sample before spiking. Indeed, after dilution, as seen in Fig. 4(a) the blank response is so low as to be indistinguishable from the baseline. Upon dilution with 0.1 M PBS (pH = 9.0) in a ratio 1:5 (v/v), an ECL response from the spiked artificial saliva is clearly visible as shown in Fig. 4. The concentration of the ATS reported is that prior to dilution. This figure also highlights that the response from control or blank artificial saliva alone does not produce any significant interferent. The rational for achieving an increased response after dilution is attributed to the lowering of the viscosity of the sample therefore allowing sufficient kinetics to take place facilitating the production of the ECL response and to a lesser extent, to the shift in pH from ∼7.4 to the optimal pH for ECL detection of pOH-MA at ∼pH 9.0.
As evident from Fig. 4(a), at high concentration of drug, a secondary peak is observed. This is likely due to diffusional issues within this quite viscose sample matrix. However, this is not an issue at the concentrations expected to be obtained from saliva samples (Fig. 4(b)).
Chromatographic analysis of p-OH-MA by LC-MS-MS achieved recovery rates of between 85–90% for spiked blood/serum samples in the μM range.31,32 The % recovery rates achieved here are consistent with these previous reports, however the approach described here would be effective as a portable, rapid screening method at crime scenes or as a point-of-care device. This is primarily due to the simple process, particularly for saliva and urine samples, which negates the need for sample preparation. Indeed, if needed this approach could be implemented without any pre-treatment, although lower recovery rates would be achieved.
According to the results from the experiments, we report pH effect is very important in ECL intensity and ECL detection of MA and its main metabolite by a modified electrode system with [Ru(bpy)3]2+ and Nafion film can be done in body fluids.
% recovery of pOH-MA, MA and AMP in diluted human serum (1:3), artificial saliva (1:5) and urine (1:3) was investigated and the maximum ECL intensities compared to that of the ATS in 0.1 M PBS. In the experiment, three different concentration were used (150, 200 and 250 μM). % recovery ratio of each body fluid was shown in Table 2. Based on the results, our system is working in body fluids and has high recovery ratio.
[ATS] μM | Neat | Saliva | Human serum | Urine |
---|---|---|---|---|
% recovery | % recovery (±4.68) | % recovery (±6.22) | % recovery (±4.45) | |
[MA] 150 | 76.73 | 76.70 | 88.90 | |
[MA] 200 | 41.31 (urine) | 91.27 | 89.73 | 89.29 |
3.18 (serum) | ||||
[MA] 250 | 87.31 | 91.45 | 87.71 | |
[AMP] 150 | 85.57 | 91.56 | 88.49 | |
[AMP] 200 | 22.29 (urine) | 90.41 | 94.63 | 91.72 |
11.43 (serum) | ||||
[AMP] 250 | 94.22 | 92.88 | 96.12 | |
[pOH-MA] 150 | 92.77 | 86.44 | 94.48 | |
[pOH-MA] 200 | 40.62 (urine) | 97.55 | 81.73 | 92.54 |
5.80 (serum) | ||||
[pOH-MA] 250 | 89.6 | 88.57 | 91.24 |
In the literature, some previously reported voltammetric sensors with no modification to the working electrode have approximately LoD of 10−6 and generally working range is from 10−6 to 10−3.43–46 Some voltammetric sensors with modified working electrode show lower LoDs.47,48 A screen-printed electrode was modified with gold nanoparticles and that system has LoD of 6.0 nM.47 However, these systems are optimised for a single matrix and cannot be used in the same format for other biological matrices. Therefore, although the LoD for this study does need to be improved further, its applicability to use in portable devices where the sample matrix may not be known prior to attending a crime scene or arriving in an emergency room is a significant advantage. In addition, the ability to detect not just one ATS but AMP, MA and pOH-MA is also advantageous for portable screening. Future work examining the potential of a ratiometric approach19 to improve selectivity and investigation of alternative supports or the inclusion of nanoparticles to enhance the ECL response,49–52 thereby increasing the sensitivity are underway.
When the results from HPLC, MA in human serum was detected by ECL method and a simple liquid–liquid extraction was performed to decrease the background signal from the interference. LoD was found as 0.5 μM (signal to noise, 1:3) and % recovery ratio was ∼94%.38 Also, HPLC-MS method was studied for detection of some of amphetamine-type stimulants in human urine. LoD for MA was 1 nM and linear working range was 36.1 nM to 0.38 mM. In this method, there was a solid phase extraction step to decrease the effect of interferences in human urine.21 GS-FID (flame ionization detector) was used to detect AMP in urine. LoD for AMP was 2 nM and linear working range was 7.4 nM to 14.8 μM.40pOH-MA in urine was analysed by HPLC and % recovery was seen as % 86.5 and linear working range was 27.8 μM to 418 μM and LoD was 5.2 μM.41 Given that the studies in the literature, LoDs for MA, AMP and pOH-MA by our ECL system are low enough to meet to the requirements in real urine samples without the necessity of an extraction phase. This work illustrates a proof of concept for the screening of ATS in biological matrices, current work is underway to further improve both the sensitivities as well as approaches to provide more selectivity, although in initial triage/screening this is not needed.
As evident, natural amino acids from the biological samples do produce a signal (see Fig. 4–6). To further assess the specificity of this approach, an interferent study was performed with other compounds including cocaine and diamorphine as well as nicotine. These interferences were assessed against the response of MA and can be found in Fig. 7. As shown both cocaine and diamorphine at similar concentrations produce comparable ECL responses. Previous aptamer-based sensors also saw responses from cocaine.53 Other non-illicit substances were also assessed, namely nicotine and paracetamol. These do produce responses in the same range as the blank or neat biological samples themselves. This does represent a limitation of the current of the proposed approach, this is outweighed by the potential screening ability of this portable ECL approach and the rapid results that can be obtained. Despite these interference effects, we are confident in the identification of the presence of illicit drugs including ATS from this screening approach.
Footnote |
† Electronic supplementary information (ESI) available. See DOI: 10.1039/d1an00226k |
This journal is © The Royal Society of Chemistry 2021 |