Stability and detectability of testosterone esters in dried blood spots after intramuscular injections
While misuse of testosterone esters is widespread in elite and recreational sports, direct detection of intact testosterone esters in doping control samples is hampered by the rapid hydrolysis by esterases present in the blood. With dried blood spot (DBS) as sample matrix, continued degradation of t...
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Veröffentlicht in: | Drug testing and analysis 2022-11, Vol.14 (11-12), p.1926-1937 |
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container_end_page | 1937 |
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container_issue | 11-12 |
container_start_page | 1926 |
container_title | Drug testing and analysis |
container_volume | 14 |
creator | Solheim, Sara Amalie Levernæs, Maren Christin Stillesby Mørkeberg, Jakob Juul, Anders Upners, Emmie N. Nordsborg, Nikolai Baastrup Dehnes, Yvette |
description | While misuse of testosterone esters is widespread in elite and recreational sports, direct detection of intact testosterone esters in doping control samples is hampered by the rapid hydrolysis by esterases present in the blood. With dried blood spot (DBS) as sample matrix, continued degradation of the esters is avoided due to inactivation of the hydrolase enzymes in dried blood. Here, we have developed the method further for detection of testosterone esters in DBS with focus on robustness and applicability in doping control. To demonstrate the method's feasibility, DBS samples from men receiving two intramuscular injections of Sustanon® 250 (n = 9) or placebo (n = 10) were collected, transported, and stored prior to analysis, to mimic a doping control scenario. The presented nanoLC‐HRMS/MS method appeared reliable and suitable for direct detection of four testosterone esters (testosterone decanoate, isocaproate, phenylpropionate, and propionate) after extraction from DBS. Sustanon® was detected in all subjects for at least 5 days, with detection window up to 14 days for three of the esters. Evaluation of analyte stability showed that while storage at room temperature is tolerated well for a few days, testosterone esters are highly stable (>18 months) in DBS when stored in frozen conditions. Collectively, these findings demonstrate the applicability of DBS sampling in doping control for detection of steroid esters. The fast collection and reduced shipment costs of DBS compared with urine and standard blood samples, respectively, will allow more frequent and/or large‐scale testing to increase detection and deterrence.
We further developed the Dried Blood Spot (DBS) methodology for detection of four testosterone esters with focus on robustness and applicability in doping control. The study consisted of two parts: method development and validation, and a human administration study with intramuscular injections of 250 mg Sustanon® in healthy men. |
doi_str_mv | 10.1002/dta.3030 |
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We further developed the Dried Blood Spot (DBS) methodology for detection of four testosterone esters with focus on robustness and applicability in doping control. The study consisted of two parts: method development and validation, and a human administration study with intramuscular injections of 250 mg Sustanon® in healthy men.</description><identifier>ISSN: 1942-7603</identifier><identifier>EISSN: 1942-7611</identifier><identifier>DOI: 10.1002/dta.3030</identifier><identifier>PMID: 33733610</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>anabolic steroid esters ; doping control analysis ; Doping in Sports ; Dried Blood Spot Testing - methods ; dried blood spots (DBS) ; Esters ; Humans ; Injections, Intramuscular ; Male ; mass spectrometry ; Steroids ; Testosterone ; Testosterone - analysis</subject><ispartof>Drug testing and analysis, 2022-11, Vol.14 (11-12), p.1926-1937</ispartof><rights>2021 The Authors. published by John Wiley & Sons Ltd.</rights><rights>2021 The Authors. Drug Testing and Analysis published by John Wiley & Sons Ltd.</rights><rights>2021. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3830-a218ff1ea5be80dac66e16c7fc3ae99b851fbdad373872f97a85158091024e003</citedby><cites>FETCH-LOGICAL-c3830-a218ff1ea5be80dac66e16c7fc3ae99b851fbdad373872f97a85158091024e003</cites><orcidid>0000-0001-7077-9265 ; 0000-0002-4589-1711 ; 0000-0001-8622-1143</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fdta.3030$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fdta.3030$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33733610$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Solheim, Sara Amalie</creatorcontrib><creatorcontrib>Levernæs, Maren Christin Stillesby</creatorcontrib><creatorcontrib>Mørkeberg, Jakob</creatorcontrib><creatorcontrib>Juul, Anders</creatorcontrib><creatorcontrib>Upners, Emmie N.</creatorcontrib><creatorcontrib>Nordsborg, Nikolai Baastrup</creatorcontrib><creatorcontrib>Dehnes, Yvette</creatorcontrib><title>Stability and detectability of testosterone esters in dried blood spots after intramuscular injections</title><title>Drug testing and analysis</title><addtitle>Drug Test Anal</addtitle><description>While misuse of testosterone esters is widespread in elite and recreational sports, direct detection of intact testosterone esters in doping control samples is hampered by the rapid hydrolysis by esterases present in the blood. With dried blood spot (DBS) as sample matrix, continued degradation of the esters is avoided due to inactivation of the hydrolase enzymes in dried blood. Here, we have developed the method further for detection of testosterone esters in DBS with focus on robustness and applicability in doping control. To demonstrate the method's feasibility, DBS samples from men receiving two intramuscular injections of Sustanon® 250 (n = 9) or placebo (n = 10) were collected, transported, and stored prior to analysis, to mimic a doping control scenario. The presented nanoLC‐HRMS/MS method appeared reliable and suitable for direct detection of four testosterone esters (testosterone decanoate, isocaproate, phenylpropionate, and propionate) after extraction from DBS. Sustanon® was detected in all subjects for at least 5 days, with detection window up to 14 days for three of the esters. Evaluation of analyte stability showed that while storage at room temperature is tolerated well for a few days, testosterone esters are highly stable (>18 months) in DBS when stored in frozen conditions. Collectively, these findings demonstrate the applicability of DBS sampling in doping control for detection of steroid esters. The fast collection and reduced shipment costs of DBS compared with urine and standard blood samples, respectively, will allow more frequent and/or large‐scale testing to increase detection and deterrence.
We further developed the Dried Blood Spot (DBS) methodology for detection of four testosterone esters with focus on robustness and applicability in doping control. The study consisted of two parts: method development and validation, and a human administration study with intramuscular injections of 250 mg Sustanon® in healthy men.</description><subject>anabolic steroid esters</subject><subject>doping control analysis</subject><subject>Doping in Sports</subject><subject>Dried Blood Spot Testing - methods</subject><subject>dried blood spots (DBS)</subject><subject>Esters</subject><subject>Humans</subject><subject>Injections, Intramuscular</subject><subject>Male</subject><subject>mass spectrometry</subject><subject>Steroids</subject><subject>Testosterone</subject><subject>Testosterone - analysis</subject><issn>1942-7603</issn><issn>1942-7611</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><recordid>eNp1kE1LAzEQhoMoVqvgL5CAFy9bJ0n361jqJxQ8WM8hu5nAlu2mJlmk_96srRUET5nMPDy8vIRcMZgwAH6ng5oIEHBEzlg55UmeMXZ8mEGMyLn3K4BsykV6SkZC5EJkDM6IeQuqatombKnqNNUYsD5srKEBfbA-oLMdUhwGT5uOategplVrraZ-Y4OnysRbPAWn1r2v-1YNv1W0NbbzF-TEqNbj5f4dk_fHh-X8OVm8Pr3MZ4ukFoWARHFWGMNQpRUWoFWdZciyOje1UFiWVZEyU2mlY_wi56bMVdykBZQM-BQBxJjc7rwbZz_6mFeuG19j26oObe8lT4EXkJU5j-jNH3Rle9fFdJLn6ZRDBmX-K6yd9d6hkRvXrJXbSgZy6F7G7uXQfUSv98K-WqM-gD9lRyDZAZ9Ni9t_RfJ-OfsWfgFgKI4b</recordid><startdate>202211</startdate><enddate>202211</enddate><creator>Solheim, Sara Amalie</creator><creator>Levernæs, Maren Christin Stillesby</creator><creator>Mørkeberg, Jakob</creator><creator>Juul, Anders</creator><creator>Upners, Emmie N.</creator><creator>Nordsborg, Nikolai Baastrup</creator><creator>Dehnes, Yvette</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7077-9265</orcidid><orcidid>https://orcid.org/0000-0002-4589-1711</orcidid><orcidid>https://orcid.org/0000-0001-8622-1143</orcidid></search><sort><creationdate>202211</creationdate><title>Stability and detectability of testosterone esters in dried blood spots after intramuscular injections</title><author>Solheim, Sara Amalie ; Levernæs, Maren Christin Stillesby ; Mørkeberg, Jakob ; Juul, Anders ; Upners, Emmie N. ; Nordsborg, Nikolai Baastrup ; Dehnes, Yvette</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3830-a218ff1ea5be80dac66e16c7fc3ae99b851fbdad373872f97a85158091024e003</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>anabolic steroid esters</topic><topic>doping control analysis</topic><topic>Doping in Sports</topic><topic>Dried Blood Spot Testing - methods</topic><topic>dried blood spots (DBS)</topic><topic>Esters</topic><topic>Humans</topic><topic>Injections, Intramuscular</topic><topic>Male</topic><topic>mass spectrometry</topic><topic>Steroids</topic><topic>Testosterone</topic><topic>Testosterone - analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Solheim, Sara Amalie</creatorcontrib><creatorcontrib>Levernæs, Maren Christin Stillesby</creatorcontrib><creatorcontrib>Mørkeberg, Jakob</creatorcontrib><creatorcontrib>Juul, Anders</creatorcontrib><creatorcontrib>Upners, Emmie N.</creatorcontrib><creatorcontrib>Nordsborg, Nikolai Baastrup</creatorcontrib><creatorcontrib>Dehnes, Yvette</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Drug testing and analysis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Solheim, Sara Amalie</au><au>Levernæs, Maren Christin Stillesby</au><au>Mørkeberg, Jakob</au><au>Juul, Anders</au><au>Upners, Emmie N.</au><au>Nordsborg, Nikolai Baastrup</au><au>Dehnes, Yvette</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Stability and detectability of testosterone esters in dried blood spots after intramuscular injections</atitle><jtitle>Drug testing and analysis</jtitle><addtitle>Drug Test Anal</addtitle><date>2022-11</date><risdate>2022</risdate><volume>14</volume><issue>11-12</issue><spage>1926</spage><epage>1937</epage><pages>1926-1937</pages><issn>1942-7603</issn><eissn>1942-7611</eissn><abstract>While misuse of testosterone esters is widespread in elite and recreational sports, direct detection of intact testosterone esters in doping control samples is hampered by the rapid hydrolysis by esterases present in the blood. With dried blood spot (DBS) as sample matrix, continued degradation of the esters is avoided due to inactivation of the hydrolase enzymes in dried blood. Here, we have developed the method further for detection of testosterone esters in DBS with focus on robustness and applicability in doping control. To demonstrate the method's feasibility, DBS samples from men receiving two intramuscular injections of Sustanon® 250 (n = 9) or placebo (n = 10) were collected, transported, and stored prior to analysis, to mimic a doping control scenario. The presented nanoLC‐HRMS/MS method appeared reliable and suitable for direct detection of four testosterone esters (testosterone decanoate, isocaproate, phenylpropionate, and propionate) after extraction from DBS. Sustanon® was detected in all subjects for at least 5 days, with detection window up to 14 days for three of the esters. Evaluation of analyte stability showed that while storage at room temperature is tolerated well for a few days, testosterone esters are highly stable (>18 months) in DBS when stored in frozen conditions. Collectively, these findings demonstrate the applicability of DBS sampling in doping control for detection of steroid esters. The fast collection and reduced shipment costs of DBS compared with urine and standard blood samples, respectively, will allow more frequent and/or large‐scale testing to increase detection and deterrence.
We further developed the Dried Blood Spot (DBS) methodology for detection of four testosterone esters with focus on robustness and applicability in doping control. The study consisted of two parts: method development and validation, and a human administration study with intramuscular injections of 250 mg Sustanon® in healthy men.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>33733610</pmid><doi>10.1002/dta.3030</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0001-7077-9265</orcidid><orcidid>https://orcid.org/0000-0002-4589-1711</orcidid><orcidid>https://orcid.org/0000-0001-8622-1143</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | anabolic steroid esters doping control analysis Doping in Sports Dried Blood Spot Testing - methods dried blood spots (DBS) Esters Humans Injections, Intramuscular Male mass spectrometry Steroids Testosterone Testosterone - analysis |
title | Stability and detectability of testosterone esters in dried blood spots after intramuscular injections |
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