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Updated: Dec 17, 2025

High-throughput and Comprehensive Drug Surveillance Using Multisegment Injection-Capillary Electrophoresis-Mass Spectrometry
Published on: April 23, 2019
Alternative markers for Methylnortestosterone misuse in human urine
Panagiotis Sakellariou1,2, Polyxeni Kiousi1, Argyro G Fragkaki1
1Doping Control Laboratory of Athens, Institute of Biosciences & Applications, National Center for Scientific Research "Demokritos", Neratziotissis & Amaryssias Artemidos Str, Athens, 15123, Greece.
This study identifies novel sulfate metabolites of methylnortestosterone, improving detection methods for this prohibited anabolic steroid. The findings enhance anti-doping analysis by revealing new targets for identifying methylnortestosterone misuse.
Area of Science:
- Forensic Science
- Analytical Chemistry
- Biochemistry
Background:
- Methylnortestosterone is a prohibited synthetic androgenic anabolic steroid.
- Current detection methods rely on identifying parent compounds and glucuronide metabolites.
- There is a need for improved analytical methods for detecting methylnortestosterone misuse.
Purpose of the Study:
- To directly detect and characterize methylnortestosterone sulfate-conjugated metabolites.
- To develop and validate new analytical approaches for identifying these metabolites.
- To enhance the detection capabilities for methylnortestosterone misuse in anti-doping efforts.
Main Methods:
- Direct detection of sulfate metabolites using LC/Q/TOF-MS in negative ionization mode after ethyl acetate extraction.
- Characterization of metabolites via GC-MS after solvolysis and TMS derivatization.
- Comparison of analytical data with synthesized reference standards of methylnortestosterone diol structures.
Main Results:
- Two main sulfate metabolites, S1 (17α-methyl-5α-estrane-3α, 17β-diol 3α sulfate) and S2 (17α-methyl-5β-estrane-3α, 17β-diol 3α sulfate), were detected.
- S1 was detected up to 72 hours and S2 up to 192 hours post-administration.
- Additional glucuronide (M3, M4) and sulfate (S3) metabolites were identified, with S2 also detected as a GC-MS/MS artifact.
Conclusions:
- Direct analysis of methylnortestosterone sulfate metabolites is feasible and effective.
- The identified sulfate metabolites (S1, S2, S3) provide new targets for anti-doping detection.
- These findings significantly advance the analytical methods for combating methylnortestosterone doping.
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