Complementary information concerning the suspected interindividual transmission of GW1516, a substance prohibited in sport, through intimate contact: a case report.

IF 2.8 4区 医学 Q2 TOXICOLOGY
Forensic Toxicology Pub Date : 2024-07-01 Epub Date: 2024-05-05 DOI:10.1007/s11419-024-00689-x
J Breuer, A M Garzinsky, A Thomas, E Nieschlag, S Kliesch, M Fedoruk, H Geyer, M Thevis
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引用次数: 0

Abstract

Purpose: Inadvertent and/or unknowing exposure to drugs and drug residues has been frequently debated in situations of so-called adverse analytical finding (AAF) in the context of sports drug testing programs. Transfer of drug residues via unprotected intercourse is a conceivable scenario but scientific data and authentic case reports are scarce. Herein, investigations into two AAFs with the peroxisome proliferator-activated receptor delta (PPARδ) agonist GW1516 are reported and discussed.

Methods: To probe for a contamination scenario involving sexual intercourse, two assays were used to determine semenogelin in human urine, with one employing an immunochromatographic lateral flow approach and another based on liquid chromatography-tandem mass spectrometry. Further, drug-residue testing using patients' ejaculate was conducted by utilizing liquid chromatography in conjunction with a triple quadrupole mass spectrometer, followed by re-analysis of suspect samples (i.e., samples indicating the presence of relevant compounds) using high resolution/high mass accuracy mass spectrometry.

Results: In one case, but not the other, the possibility of intimate contact as the source of the AAF was confirmed after a thorough investigation of potential contamination scenarios. Subsequent research revealed analytical evidence for the presence of seminal fluid in one of the female athlete's doping control urine samples, and the analysis of clinical ejaculate specimens provided first data on an authentic concentration level of GW1516 and its metabolites in human seminal fluid.

Conclusions: The combined facts substantiate the possibility of an AAF caused by unprotected sexual intercourse and the plausibility of the case-related arguments.

Abstract Image

关于疑似通过亲密接触在个体间传播体育禁用物质 GW1516 的补充信息:病例报告。
目的:在体育药物检测项目中,在出现所谓的不良分析结果(AAF)的情况下,无意和/或不知情地接触到药物和药物残留一直是人们经常争论的问题。通过无保护措施的性交转移药物残留是一种可以想象的情况,但科学数据和真实案例报告却很少。本文报告并讨论了与过氧化物酶体增殖激活受体δ(PPARδ)激动剂 GW1516 有关的两例 AAF 调查:方法:为了探究涉及性交的污染情况,我们使用了两种检测方法来测定人体尿液中的精蛋白硒,其中一种采用免疫层析侧流法,另一种基于液相色谱-串联质谱法。此外,还利用液相色谱法和三重四极杆质谱仪对患者的射精进行了药物残留检测,然后利用高分辨率/高质谱精度质谱法对可疑样本(即表明存在相关化合物的样本)进行了重新分析:结果:在对潜在的污染情况进行彻底调查后,确认了亲密接触是 AAF 来源的可能性,而不是另一种情况。随后的研究揭示了其中一名女运动员的兴奋剂控制尿样中存在精液的分析证据,对临床射精标本的分析首次提供了人体精液中 GW1516 及其代谢物真实浓度水平的数据:综合事实证明了无保护性交导致 AAF 的可能性以及与案例相关论据的可信性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Forensic Toxicology
Forensic Toxicology TOXICOLOGY-
CiteScore
5.80
自引率
9.10%
发文量
40
审稿时长
3 months
期刊介绍: The journal Forensic Toxicology provides an international forum for publication of studies on toxic substances, drugs of abuse, doping agents, chemical warfare agents, and their metabolisms and analyses, which are related to laws and ethics. It includes original articles, reviews, mini-reviews, short communications, and case reports. Although a major focus of the journal is on the development or improvement of analytical methods for the above-mentioned chemicals in human matrices, appropriate studies with animal experiments are also published. Forensic Toxicology is the official publication of the Japanese Association of Forensic Toxicology (JAFT) and is the continuation of the Japanese Journal of Forensic Toxicology (ISSN 0915-9606).
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