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Published:
Journal of Analytical Toxicology,
ISSN 0146-4760,
Volume 30, Issue 7, September 2006,
pp.454-457
Testing for Atropine and Scopolamine in Hair by LC–MS–MS
after Datura inoxia Abuse
Pascal Kintz[1], Marion Villain[1], Yann Barguil[2], Jean-Yves Charlot[2],
and Vincent Cirimele[1]
[1]Laboratoire ChemTox, 3 rue Gruninger, 67400 Illkirch, France and
[2]Centre Hospitalier, Nouméa, Nouvelle Calédonie,
France
Datura inoxia belongs to the family of Solanaceae. This is a very
common plant in New Caledonia that contains two main toxic alkaloids, l-atropine
and l-scopolamine. In this study, we report the case of a 20-year-old male admitted
to an Emergency Unit after consumption of 6 dried flowers in hot water for hallucinations,
mydriasis, and agitation associated with tachycardia and increase of systolic
blood pressure to 180. Full recovery was observed after one week. Three weeks
later, a lock of about 80 hairs (200 mg) was collected from the subject in vertex
posterior with scissors to be tested for both atropine and scopolamine. After
decontamination with dichloromethane, a strand of hair was segmented into three
parts, cut into small segments (< 1 mm), incubated overnight in 1 mL pH 8.4
phosphate buffer in the presence of 2.5 ng atropine-d3, the internal standard,
then extracted with 5 mL dichloromethane/isopropanol/n-heptane (50:17:33). The
residue was reconstituted in 100 µL of methanol, from which 10 µL
was injected into an XTerra MS C18 column (100 ¥ 2.1 mm, 3.5 µm) eluted
with a gradient of acetonitrile and formate buffer delivered at a flow rate
of 0.2 mL/min. A Quattro Micro triple-quadrupole mass spectrometer (MS) was
used for analyses. Ionization was achieved using electrospray in the positive
ionization mode. For each compound, detection was related to two daughter ions
(atropine: m/z 290.2 to 124.0 and 92.9; atropine-d3: m/z 293.1 to 127.0 and
92.9; scopolamine: m/z 304.1 to 138.0 and 156.0). Although atropine was never
detected (limit of detection = 2 pg/mg), scopolamine was identified in the three
segments, in the range 14 to 48 pg/mg. The absence of atropine in hair is consistent
with its very low dosage in the flower of Datura inoxia. Hair segmentation indicated
that the subject was previously exposed on several occasions to the plant. Liquid
chromatography–tandem MS appears to be a necessity for testing tropane
alkaloids of the Datura group, given the low concentrations to be measured.
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