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Comparing ELISA and LC-MS-MS: A Simple, Targeted Postmortem Blood Screen.

Dina M Swanson1,2, Julia M Pearson1, Theresa Evans-Nguyen2

  • 1Hillsborough County Medical Examiner Department, 11025 N. 46th Street, Tampa, FL 33617, USA.

Journal of Analytical Toxicology
|September 14, 2021
PubMed
Summary
This summary is machine-generated.

A new liquid chromatography-tandem mass spectrometry (LC-MS-MS) method offers accurate and cost-effective drug screening in postmortem blood. This validated forensic toxicology method outperforms traditional enzyme-linked immunosorbent assay (ELISA) testing.

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Area of Science:

  • Forensic Toxicology
  • Analytical Chemistry
  • Mass Spectrometry

Background:

  • Immunoassays are common in forensic toxicology for drug screening due to cost-effectiveness and sensitivity.
  • Increasing accessibility of mass spectrometry necessitates re-evaluation of screening methods.
  • A need exists for specific, accurate, and customizable screening methods in forensic labs.

Purpose of the Study:

  • To develop and validate a comprehensive screening method for 42 drugs in postmortem blood.
  • To compare the performance of a novel LC-MS-MS method against traditional ELISA.
  • To assess the method's suitability for forensic laboratories within budget constraints.

Main Methods:

  • Developed and validated a drug screening method for postmortem blood using liquid chromatography-tandem mass spectrometry (LC-MS-MS).
  • Employed minimal sample preparation involving only protein precipitation.
  • Validated the method according to Organization of Scientific Area Committees for Forensic Science guidelines, including LOD, interference, stability, and ion suppression studies.
  • Analyzed over 100 case samples comparing LC-MS-MS to ELISA.

Main Results:

  • The LC-MS-MS method demonstrated comparable or superior performance to ELISA in nearly all analyzed cases.
  • The method requires minimal sample preparation and uses only two internal standards, reducing costs.
  • Limit of detection, interference, stability, and ion suppression were thoroughly examined.

Conclusions:

  • The developed LC-MS-MS method is a reliable, accurate, and cost-effective alternative for drug screening in forensic toxicology.
  • This method offers improved specificity and the flexibility to add more drug targets.
  • It is ideal for forensic laboratories seeking enhanced screening capabilities while managing costs.