Effectiveness of blood steroidal passport markers for detecting testosterone abuse in Asians

IF 2.6 3区 医学 Q2 BIOCHEMICAL RESEARCH METHODS
Masato Okano, Sho Shiomura
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Abstract

The World Anti-Doping Agency (WADA) has introduced an Athlete Biological Passport (ABP) with a steroidal module, which is intended for the monitoring of longitudinal profiles of an athlete's steroid variables in urine to identify endogenous anabolic androgenic steroids that are administered exogenously. It has been in use since 2014. The prevalence of UGT2B17 gene deletion with relatively low levels of testosterone (T) glucuronide in urine is high in the Asian region. There are cases in which urinary T is below the detection limit in specific urine samples, for example, diluted urine, urine collected from females, or urine collected from UGT2B17 deletion individuals. Additional steroid markers T, 4-androstenedione (A4), and the T/A4 ratio in serum were newly added to the ABP steroidal module by WADA in 2023 to compensate for the urine steroid profile. In this study, populations of blood steroid markers in Asians (n = 510) were investigated and classified according to UGT2B17 polymorphism to confirm the effectiveness of blood steroid markers in monitoring Asian athletes. No significant difference in the T/A4 ratio was observed between the genotypes. Furthermore, an administration study of T enanthate in females (n = 10) who were classified according to UGT2B17 genotypes was performed. The concentration of T and the T/A4 ratio were found to be significantly increased in all post-administration samples until 15 days after administration (p < 0.01). The overall results supported the high effectiveness of subject-based monitoring for serum T and T/A4 ratio for recently identified shortcomings in the detection of T abuse in Asians.

Abstract Image

血液类固醇护照标记物检测亚洲人睾酮滥用的有效性。
世界反兴奋剂机构(WADA)推出了一种带有类固醇模块的运动员生物护照(ABP),用于监测运动员尿液中类固醇变量的纵向分布,以确定外源性使用的内源性合成代谢雄性类固醇。它自2014年开始使用。UGT2B17基因缺失且尿液中睾酮(T)葡糖苷酸水平相对较低的患病率在亚洲地区较高。在特定的尿液样本中,例如稀释的尿液、从女性收集的尿液或从UGT2B17缺失个体收集的尿液中,存在尿液T低于检测极限的情况。2023年,世界反兴奋剂机构将额外的类固醇标志物T,4-雄烯二酮(A4)和血清中的T/A4比例新添加到ABP类固醇模块中,以补偿尿液中的类固醇状况。在这项研究中,亚洲人(n = 510)进行调查并根据UGT2B17多态性进行分类,以证实血液类固醇标志物在监测亚洲运动员中的有效性。基因型间T/A4比值无显著差异。此外,在雌性(n = 10) 根据UGT2B17基因型进行分类。在所有给药后样品中,发现T的浓度和T/A4比率显著增加,直到15 给药后天数(p
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来源期刊
Drug Testing and Analysis
Drug Testing and Analysis BIOCHEMICAL RESEARCH METHODS-CHEMISTRY, ANALYTICAL
CiteScore
5.90
自引率
24.10%
发文量
191
审稿时长
2.3 months
期刊介绍: As the incidence of drugs escalates in 21st century living, their detection and analysis have become increasingly important. Sport, the workplace, crime investigation, homeland security, the pharmaceutical industry and the environment are just some of the high profile arenas in which analytical testing has provided an important investigative tool for uncovering the presence of extraneous substances. In addition to the usual publishing fare of primary research articles, case reports and letters, Drug Testing and Analysis offers a unique combination of; ‘How to’ material such as ‘Tutorials’ and ‘Reviews’, Speculative pieces (‘Commentaries’ and ‘Perspectives'', providing a broader scientific and social context to the aspects of analytical testing), ‘Annual banned substance reviews’ (delivering a critical evaluation of the methods used in the characterization of established and newly outlawed compounds). Rather than focus on the application of a single technique, Drug Testing and Analysis employs a unique multidisciplinary approach to the field of controversial compound determination. Papers discussing chromatography, mass spectrometry, immunological approaches, 1D/2D gel electrophoresis, to name just a few select methods, are welcomed where their application is related to any of the six key topics listed below.
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