通过临床免疫试验低报告合成卡西中毒:一项实验和观察研究
Théo Willeman1,2, Mathis Laudet1, Bruno Revol3,4
1Laboratoire de Pharmacologie, Pharmacogénétique et Toxicologie, CHU Grenoble Alpes, University Grenoble Alpes, Grenoble, France.
Annals of clinical biochemistry
|March 21, 2025
概括
在常见的药物查免疫试验中,由于交叉反应性,合成甲基 (SC) 中毒可能会被低估. 通过质谱测量确认安非他胺和MDMA免疫检测结果对于准确的毒理学测试至关重要.
科学领域:
- 法医毒理学 法医毒理学
- 临床化学 临床化学
- 药理学 药理学是指药理学的学科.
背景情况:
- 全球越来越关注合成丁 (SC) 的使用.
- 在检测尿液中的SCs方面存在挑战,特别是在紧急情况下.
- 已知与免疫测试查方法的交叉反应性问题.
研究的目的:
- 为了评估MDMA和安非他胺免疫试验中常见的SCs的分析干扰.
- 评估临床毒理学查中错误阳性结果的比率.
- 为了比较免疫测试结果与质谱学确认.
主要方法:
- 在体外测试各种SC度的尖尿样.
- 4年来,从急诊室和ICU患者的临床尿样进行分析.
- 使用质谱法 (MS) 技术进行确认测试.
主要成果:
- 由于SCs如甲基隆,3-CMC和2-MMC,观察到MDMA和安非他胺试验的假阳性结果.
- SCs导致安非他命的错误阳性率为16.3%,而MDMA的错误阳性率为17.1%.
- 错误阳性在年轻男性患者中更为普遍.
结论:
- 在标准免疫试验毒理学中,SC中毒可能未被报告.
- 查免疫试验缺乏特异性需要确认.
- 阳性安非他类兴奋剂结果需要通过特定的MS方法进行确认.
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