Clinical Chemistry
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     


Clinical Chemistry 45: 2173-2182, 1999;
This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Web of Science (6)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Toennes, S. W.
Right arrow Articles by Maurer, H. H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Toennes, S. W.
Right arrow Articles by Maurer, H. H.
Related Collections
Right arrow Drug Monitoring and Toxicology
(Clinical Chemistry. 1999;45:2173-2182.)
© 1999 American Association for Clinical Chemistry, Inc.


Articles

Efficient Cleavage of Conjugates of Drugs or Poisons by Immobilized ß-Glucuronidase and Arylsulfatase in Columns

Stefan W. Toennes and Hans H. Maurera

Department of Toxicology, Institute of Pharmacology and Toxicology, University of Saarland, D-66421 Homburg (Saar), Germany. Portions of this work were published in the proceedings of the 34th International TIAFT Meeting, August 11–15, 1996, Interlaken, Switzerland (Toennes SWH, Maurer HH. Immobilization of ß-glucuronidase and arylsulfatase: which are the advantages of column packed immobilizate for the cleavage of conjugates in analytical toxicology? In: Sachs H, Bernhard W, Jeger A, eds. Proceedings of the 34th International TIAFT Meeting in Interlaken. Leipzig, Germany: Molinapress, 1997:92–6) and the 35th International TIAFT Meeting, August 24–28, 1997, Padova, Italy (Toennes SWH, Maurer HH. Column packed immobilized ß-glucuronidase and arylsulfatase for the cleavage of conjugates—stability, reusability and application in toxicological routine analysis. In: Ferrara SD, ed. Proceedings of the 35th International TIAFT Meeting in Padova. Padova, Italy: Centre of Behavioural and Forensic Toxicology, 1997:227–40).
a Author for correspondence. Fax 49-6841-16-6051; e-mail Hans.Maurer{at}med-rz.uni-sb.de


   Abstract
Top
Abstract
Introduction
Materials and Methods
Results and Discussion
Determination of free morphine....
References
 
Background: Cleavage of conjugates is an important step in toxicological analysis, especially of urine samples. The aim of this study was to combine the advantages and to reduce the disadvantages of acid hydrolysis and conventional enzymatic hydrolysis procedures.

Methods: ß-Glucuronidase (GRD; EC 3.2.1.31) and arylsulfatase (ARS; EC 3.1.6.1) were purified and coimmobilized on an agarose gel matrix and packed into columns.

Results: In columns packed with GRD and ARS, the test conjugates 4-nitrophenyl glucuronide and 4-nitrophenyl sulfate added into urine could be completely cleaved within 25 min. Even the relatively stable morphine conjugates could be completely hydrolyzed within 60 min in authentic urine samples. Therefore, an incubation time of 1 h is recommended. Enzyme inhibition by matrix or by rather high concentrations of acetaminophen conjugates was tested and found to be up to 50%. However, a large excess of GRD and ARS was used. The immobilizate columns could be reused for at least 70 incubations and had a storage stability of at least 12 weeks. Carryover of analytes in reused columns could be avoided by rinsing with 200 mL/L methanol in acetate buffer. Thus, five drugs known to be contaminants added in very high concentrations into urine could be completely removed from the columns. A study on the applicability in systematic toxicological analysis showed that 120 different drugs and/or their metabolites could be detected in 35 different authentic urine samples.

Conclusions: Use of immobilized and column-packed GRD and ARS is an efficient alternative for the cleavage of urinary conjugates in clinical toxicology.


   Introduction
Top
Abstract
Introduction
Materials and Methods
Results and Discussion
Determination of free morphine....
References
 
In clinical and forensic toxicology or doping control, drugs and poisons are usually screened and identified in urine. Some substances, e.g., benzodiazepines, opiates, and steroids, are excreted into urine predominantly as conjugates. Such conjugates should be hydrolyzed before extraction to increase and extend the detectability of the corresponding substances. This usually is done by acidic or enzymatic hydrolysis (1). Acid hydrolysis is fast (15 min), complete, and inexpensive, but the use of concentrated acid and high temperature may lead to decomposition of analytes and formation of artifacts (2). Enzymatic hydrolysis using ß-glucuronidase (GRD;1 EC 3.2.1.31) and arylsulfatase (ARS; EC 3.1.6.1) is more specific and can be performed under mild pH and temperature conditions. However, it needs a long incubation time (several hours), and the sample can be contaminated by matrix from the crude enzyme solution (3). Furthermore, the enzyme preparations are relatively expensive.

To improve the enzymatic hydrolysis procedure, we developed a fast, inexpensive, and easy-to-handle procedure based on immobilized GRD and ARS. In previous studies, several attempts had been made to immobilize GRD and ARS. The aim in most of these studies was to compare different immobilization techniques (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15). Application of immobilized GRD and/or ARS for online cleavage of conjugates in pre- or postcolumn reactors in HPLC has also been described (10)(16)(17)(18)(19)(20). Previous studies on the application of immobilized enzymes for cleavage of conjugates in analytical toxicology showed that this was no alternative to acid hydrolysis because an incubation time of 24 h was necessary (21)(22). Furthermore, in these studies only GRD was immobilized, so that sulfate conjugates, e.g., of steroids, could not be cleaved.

Several crude enzyme preparations are on the market. Preparations of Escherichia coli or bovine liver lack ARS and therefore can not be used for the cleavage of sulfate ester conjugates. Preparations of the digestive juice of the snail Helix pomatia, which contain both enzymes, are widely used. GRD and ARS from Patella vulgata were evaluated only as second best because certain conjugates were not cleaved (23) and the optimal pH values differed in a broader range (24)(25).

In this report, a procedure is presented for the fast cleavage of conjugates in urine using immobilized GRD as well as ARS packed in easy-to-handle columns.


   Materials and Methods
Top
Abstract
Introduction
Materials and Methods
Results and Discussion
Determination of free morphine....
References
 
materials
The crude H. pomatia GRD/ARS preparation was purchased from Boehringer Mannheim (BM GRD/ARS) and the preactivated immobilization support Affi-Gel 10 was purchased from Bio-Rad. For protein determinations, the Bio-Rad protein assay was used after calibration with their recommended bovine immunoglobulin G protein calibrator. Acetonitrile (LiChrosolv for chromatography), 4-nitrophenyl-ß-D-glucopyranosiduronic acid [4-nitrophenyl glucuronide (NPG)] and 4-nitrophenyl sulfate [(NPS) both for biochemistry], and all other chemicals (analytical grade) were purchased from E. Merck. The reference substances used were as follows: morphine (Merck), morphine-d3 (Promochem), methaqualone (Sigma-Aldrich), dihydrocodeine (Knoll), ibuprofen (Dolorgiet), acetaminophen (Benechemie), perazine (Lundbeck), and phenobarbital (Siegfried).

procedures
Determination of enzyme activities.
For determination of the activity of GRD, 0.28 mL of the enzyme solution was incubated at 35 °C with 2.52 mL of a solution of 11.1 mmol/L NPG in 0.1 mol/L acetate buffer, pH 5.2, containing 0.5 mol/L sodium chloride (standard acetate buffer). Five 0.5-mL aliquots of the incubation mixture were taken consecutively, and free 4-nitrophenol (NP) was determined after addition of 1.0 mL of 0.5 mol/L NaOH at 405 nm using an Eppendorf UV-Vis photometer (Eppendorf). Linear regression indicating the increase of free NP in the assay was calculated. The activity was calculated from the slope. The activity of ARS was determined in the same way, using 38.0 mmol/L NPS as substrate. For the determination of GRD and ARS activities in urine, the substrates were added to sterile filtered blank urine (pH 5.2).

The enzyme activities of immobilized GRD and ARS were determined in a similar manner: 0.5 mL of an immobilizate suspension was mixed and incubated at 35 °C under gentle agitation with 4.5 mL of substrate solution (NPG or NPS in standard acetate buffer or urine). Five 0.9-mL aliquots of the incubation mixture were taken consecutively and centrifuged at 15 100g for 10 s. Aliquots (0.5 mL) of the supernatant were mixed with 1.0 mL of 0.5 mol/L NaOH, and the absorbance was measured at 405 nm. Again, linear regression indicating the increase of free NP in the assay was calculated. The activity was calculated from the slope. For our studies, we defined the activity of 1 U of GRD or ARS as that amount of enzyme that hydrolyzes 1 µmol NP conjugate/min (35 °C at pH 5.2).

The protein content of enzyme solutions was determined by the Bio-Rad protein assay based on the Bradford method (26) using a photometer SP8–500 from Pye Unicam. The specific enzyme activities could thus be calculated as enzyme activity per milligram of protein (U/mg).

Purification of the crude GRD/ARS enzyme preparation.
Desalting and buffer exchange of 2 mL of the crude BM GRD/ARS preparation (containing approximately 40 U each of GRD and ARS) was performed using a PD10 column from Pharmacia after equilibration with 25 mL of 20 mmol/L bis[2-hydroxyethyl]imino-tris[hydroxymethyl]methane, pH 7.0 (BisTris buffer). The pH of the eluate was adjusted to 7.0 by dilution with the BisTris buffer.

For anion-exchange chromatography, a Pharmacia FPLC system [two P-500 pumps, one P-1 peristaltic pump, a GP-250 gradient controller, and a UV-1 ultraviolet (UV) detector equipped with 280 nm filter] was used with four connected 1-mL Pharmacia HiTrap Q columns. All chromatographic steps were performed at a flow rate of 1 mL/min, and the UV absorbance at 280 nm of the effluent was recorded. The column was equilibrated once with 10 mL of BisTris buffer, once with 15 mL of BisTris buffer containing 2 mol/L NaCl, and thereafter with 20 mL of BisTris buffer. The diluted enzyme solution was injected using the peristaltic pump. After removal of unbound contaminants with BisTris buffer, GRD and ARS were eluted with BisTris buffer containing 150 mmol/L NaCl. Before reequilibration of the column, strongly bound contaminants were removed with BisTris buffer containing 2 mol/L NaCl and further contaminants with five injections of 0.5 mL of 2 mol/L NaOH.

The GRD- and ARS-containing eluate was concentrated using a Centrisart I ultrafiltration device with a 10-kDa polyethersulfone membrane from Sartorius. The buffer of the ultrafiltrate was exchanged with a PD10 column to 0.1 mol/L 3-morpholinopropanesulfonic acid, pH 7.5, containing 80 mmol/L CaCl2 (coupling buffer). This enzyme solution was stored at 4 °C.

Immobilization of GRD and ARS.
Affi-Gel 10 was washed with 10 column volumes of cold 1 mol/L HCl and 10 column volumes of cold deionized water using a VacMaster 10 vacuum manifold from ICT. The wet gel cake was then mixed in a ratio of 2:1 (1 mL of gel cake + 1 mL of enzyme solution) with cold purified enzyme solution containing ~10 kU/L GRD and 10 kU/L ARS. For the immobilization process, the mixture was rotated overnight at 4 °C in an end-over-end Reax 2 shaker from Heidolph. The supernatant was recovered, and after concentration, it could be reused for further immobilizations. The immobilizate was consecutively washed once with coupling buffer, once with 1 mol/L NaCl, pH 7.5, and thereafter with standard acetate buffer until no more enzyme activity was detectable in the eluate. The final immobilizate was stored in standard acetate buffer at 4 °C.

Packing of columns with immobilized GRD and ARS (immobilizate column).
For preparation of immobilizate columns, empty Chromabond 3-mL glass solid-phase extraction (SPE) cartridges from Macherey & Nagel were used. Before use, they were deactivated by incubation with 50 g/kg trimethylchlorosilane in toluene for 1 h and dried for 1 h at 100 °C. Columns were equipped with a polyethylene frit and filled with 3 mL of immobilizate in standard acetate buffer. The gel bed was protected by a second frit. The immobilizate columns were stored at 4 °C.

Handling of column-packed immobilized GRD and ARS for cleavage of conjugates.
A specially designed apparatus (Fig. 1 ) was used for cleavage of conjugates in urine. An immobilizate column was connected to a liquid handling system consisting of a buffer reservoir, a three-way valve, and a thermostated transfer line to the column. The column was thermostated in an aluminum block at 35 °C. Before incubation, urine samples were sterile filtered, and the pH was adjusted to 5.2. One milliliter of urine was injected onto the column, using a disposable syringe, for incubation. Afterward, the urine was eluted from the column with 10 mL of standard acetate buffer by switching the injection valve to the buffer reservoir.



View larger version (22K):
[in this window]
[in a new window]
 
Figure 1. Apparatus for the cleavage of conjugates with immobilizate columns.

(1), stock solution of standard acetate buffer; (2), peristaltic pump; (3), 0.45 µm membrane filter; (4), three-way injection valve with luer fittings; (5), 1-mL disposable syringe; (6), water-thermostated aluminum block; (7), thermostated transfer line (nickel tubing, 1.6 m x 0.9 mm i.d.) with flow adapter (polytetrafluoroethylene) for 8; (8), immobilizate column with polyethylene frits; (9), eluate collection vessel.

Determination of NPG, NPS, and NP in urine.
NPG, NPS, and NP were determined simultaneously by isocratic HPLC using an Hewlett Packard (HP) HP 1050 HPLC system (20-µL sample loop, UV detector, and a DOS/Windows computer with the ChemStation software HP A.02.05.). The three analytes were separated within 16 min from the urine matrix on a Merck Purospher RP18 column (250 x 4 mm i.d.; 5 µm bead size). The mobile phase consisted of 700 mL/L 20 mmol/L (NH4)2HPO4 buffer (pH 6.0)-300 mL/L acetonitrile at a flow rate of 0.8 mL/min. The detection was optimized using a wavelength program with 305 nm for NPG, 278 nm for NPS, and 316 nm for NP. The samples were diluted 3:1 (2 mL of sample + 1 mL of acetonitrile) with acetonitrile, and 100 µL of these mixtures was injected into a 20-µL sample loop. For correction of matrix interferences, the UV chromatogram of the corresponding blank urine was subtracted from that of the sample. Quantification was carried out using a five-point calibration: 0.003, 0.071, 0.143, 0.714, and 1.429 mmol/L for NPG and NPS; and 0.006, 0.143, 0.286, 1.429, and 2.857 mmol/L for NP added to a blank urine sample. The precision and accuracy of the method were determined by measuring three control concentrations (0.174, 0.357, and 1.071 mmol/L for NPG and NPS; and 0.029, 0.714, and 2.143 mmol/L for NP added to blank urine) five times.

Determination of free morphine in urine.
Four milliliters of 0.1 mol/L K2HPO4 and 0.1 mL of a methanolic 1 mg/L morphine-d3 solution were added to 2 mL of urine sample. This mixture was extracted at a flow rate of 6 mL/min, using a BenchMate sample preparation robot from Zymark and a 3-mL Chromabond C18ec 200 mg SPE column from Macherey & Nagel. The column was conditioned with 2 mL of methanol and then with 1 mL of deionized water at a flow rate of 30 mL/min. After addition of the urine sample, the column was rinsed with 1 mL of deionized water and 1 mL of a 50 g/L NaHCO3 solution, followed by 1 mL of deionized water at a flow rate of 30 mL/min. The column was then dried with nitrogen (300 kPa) for 5 min. The analyte was eluted with 3 mL of dichloromethane-acetone (1 mL of dichloromethane + 3 mL of acetone) at 6 mL/min. The extract was evaporated to dryness and derivatized with 100 µL of pyridine-acetic acid anhydride (3 mL of pyridine + 2 mL of acetic acid anhydride) for 30 min at 65 °C. The derivatization mixture was evaporated, and the residue was dissolved in 100 µL of methanol. One microliter of the redissolved residue was injected into an HP 5890 Series II gas chromatograph equipped with an HP autosampler 6890 and coupled to a HP 5989 Engine B mass spectrometer. The gas chromatography (GC) conditions were as follows: splitless injection mode; HP-1 capillary column (12 m x 0.2 mm i.d.); 280 °C injection port temperature; helium as carrier gas at a flow rate of 1.0 mL/min; programmed column temperature, 100–310 °C, ramped at 30 °C/min; 3 min initial time; and 4 min final time. The mass spectrometry (MS) conditions were as follows: 70 eV ionization energy; 220 °C ion source temperature; capillary direct interface heated at 280 °C; selected-ion monitoring mode with the selected ions m/z 327 and 369 for acetylated morphine and m/z 330 and 372 for the acetylated internal standard morphine-d3. Quantification was based on an eight-point calibration curve with 83, 104, 208, 1038, 3114, 5190, 10 380, and 15 570 µg/L of morphine in blank urine. The accuracy and the intraday precision of the quantification method were determined by measuring three control concentrations (519, 2076, and 8304 µg/L morphine) in blank urine five times.

Influence of urine matrix or xenobiotics on the activities of GRD and ARS.
Blank urine samples from 10 different persons (5 females and 5 males) were collected in the morning. Samples of all these blank urines were supplemented with either 11.1 mmol/L NPG or 38.0 mmol/L NPS. Aliquots of GRD/ARS immobilizate were dispersed in each of these urinary substrate solutions and incubated as described for enzyme activity determination. These enzyme activities were compared with those obtained in standard acetate buffer containing the same concentration of NPG and NPS and the same amount of enzymes. The differences between the enzyme activities in buffer and urine indicated the inhibiting effect of endogenous compounds in urine.

For testing the influence of high concentrations of xenobiotic conjugates on the GRD/ARS activity, urine samples after the ingestion of acetaminophen were used. After four healthy volunteers (one female and three males) were informed according to the declaration of Helsinki and gave written consent, they each received a single oral dose of 1 g of acetaminophen in the evening and the first urine samples were collected the next morning. As described above, GRD and ARS activities were determined in these four urine samples and were compared with the enzyme activities in standard acetate buffer.

Efficiency of conjugate cleavage with immobilizate columns.
The efficiency of the cleavage of NP conjugates in urine was tested with blank urine supplemented with 10 mmol/L each of NPG and NPS (NPG/NPS urine). Aliquots (1 mL) of this urine were incubated for increasing time periods in an immobilizate column. The residual NPG and NPS concentrations were then determined, and the hydrolysis yields of both conjugates were calculated. For each incubation time, five incubations were made. The efficiency of the conjugate cleavage was also investigated with morphine conjugates. An authentic urine sample of a morphine-treated patient was used containing 1490 µg/L free morphine and 10 740 µg/L total morphine, indicating a conjugation rate of 86%. The total morphine concentration was determined as described for free morphine after acid hydrolysis according to the method of Maurer and co-workers (27)(28). Aliquots (1 mL) of the authentic urine (morphine-conjugate urine) were hydrolyzed in an immobilizate column for increasing incubation times. Five samples were incubated for each incubation time. The hydrolysis yields of the morphine conjugates were calculated as the percentage of free morphine in the total morphine concentration.

Influence of the substrate concentration on the hydrolysis rate.
The NPG/NPS urine and dilutions of this urine with blank urine were prepared to contain NPG and NPS in concentrations of 10, 5, 2.5, and 1 mmol/L. Five 1-mL aliquots of each of the four urine samples were incubated in an immobilizate column for 5 min. The residual NPG and NPS concentrations were determined as described above, and the hydrolysis yields of both conjugates were calculated.

Reproducibility of conjugate cleavage with immobilizate columns.
The reproducibility of the cleavage of conjugates with immobilizate columns was tested with four immobilizate columns from different batches. Aliquots (1 mL) of NPG/NPS urine were incubated in the columns for 5 min (n = 5). In another series, 1-mL aliquots of the morphine-conjugate urine were incubated in the columns for 15 min (n = 5). The hydrolysis yields were determined in the eluates.

Stability and reusability of immobilizate columns in routine analysis.
The stability of the immobilized enzymes and the reusability of an immobilizate column were investigated with an immobilizate column that was used continuously for a total of 70 h under routine analysis conditions. This meant consecutive 1-h incubations of morphine-conjugate urine samples up to the 70th h. In regular intervals, the activities of the immobilized GRD and ARS were determined by measuring the hydrolysis yields of NPG and NPS after incubation of 1-mL aliquots of the NPG/NPS urine for 5 min in the columns. The hydrolysis yields of the morphine conjugates were determined in regular intervals after the 1-h incubations, and they were used as an indicator of the reusability.

Carryover of analytes.
Blank urine samples were supplemented with the known contaminants acetaminophen, dihydrocodeine, phenobarbital (250 000 µg/L each), ibuprofen (25 000 µg/L), and perazine (125 000 µg/L). Aliquots (1 mL) of this urine were incubated in an immobilizate column and eluted with 10 mL of standard acetate buffer. The column was then washed with 10, 20, or 30 mL of 200 mL/L methanol in standard acetate buffer and then twice with 10 mL of standard acetate buffer. In the last eluate, the presence of the test substances was checked by GC-MS as described below.

Eluate (10 mL; pH 5.2) was extracted with 10 mL of a mixture of dichloromethane-isopropanol-ethyl acetate (10 mL of dichloromethane + 10 mL of isopropanol + 30 mL of ethyl acetate). The remaining aqueous phase was then adjusted to pH 8.5–9 with 1 mol/L NaOH solution and extracted again. The combined organic extracts were evaporated, and the residue was dissolved in 100 µL of methanol and derivatized with 100 µL of an ethereal diazomethane solution for 10 min at room temperature (2). After evaporation, the residue was additionally derivatized with 100 µL of acetic acid anhydride-pyridine (3 mL of acetic acid anhydride + 2 mL of pyridine) for 30 min at 60 °C. After evaporation, the extract was dissolved in 100 µL of methanol containing 0.5 g/L methaqualone as internal standard. A 1-µL aliquot of this solution was injected into the GC-MS apparatus as described above. The GC-MS peak areas were measured with the HP G1034C MS ChemStation software by autointegration of the peaks in the mass fragmentograms of the following selected ions: m/z 235 for methaqualone, m/z 161 for methylated ibuprofen, m/z 232 for methylated phenobarbital, m/z 109 for acetylated acetaminophen, m/z 343 for acetylated dihydrocodeine, and m/z 339 for perazine. A methanolic solution containing 250 000 µg/L of each drug was used as the external calibrator.

Studies on the applicability in systematic toxicological analysis (STA).
Thirty-five different authentic urine samples were selected from urine samples submitted to our department for STA. STA was performed either for emergency toxicology or for monitoring of drug or medication abuse. Aliquots (1 mL) of these urine samples were analyzed using three different sample preparation procedures: enzymatic hydrolysis with an immobilizate column, enzymatic hydrolysis with soluble BM enzyme solutions [H. pomatia enzymes (1000 Fishman units (FU)/mL of urine at 37 °C for 24 h)] or without cleavage of conjugates. The samples were extracted at pH 8–9, acetylated as described above, and analyzed by GC-MS in scan mode. The data were evaluated as described in Refs. (1)(29)(30)(31)(32).

statistics
Differences were tested for significance by either the Student t-test or ANOVA, whichever applied.


   Results and Discussion
Top
Abstract
Introduction
Materials and Methods
Results and Discussion
Determination of free morphine....
References
 
The aim of this study was to develop and evaluate an improved method for gentle and fast cleavage of conjugates in urine to be a part of a STA procedure. To overcome the disadvantages of common enzymatic hydrolysis, we developed a fast and easy-to-handle procedure based on immobilized GRD and ARS.

purification of the crude grd/ars enzyme preparation
Immobilization of commercial crude GRD/ARS preparations from H. pomatia yielded poor enzyme activity per immobilizate volume because other enzymes/proteins blocked binding sites of the immobilization support. Therefore, the crude enzyme preparation was first purified. Common gel filtration and hydrophobic interaction chromatography did not yield the desired purification effect. However, anion-exchange chromatography at pH 7 was suitable for purification. The eluate fraction of such anion-exchange chromatography contained 84% ± 9% of the GRD and 91% ± 3% of the ARS (expressed as the percentage of the enzyme activity in the crude GRD/ARS preparation). Only 34% ± 2% of the total protein amount of the crude preparation was retained, so that the relative amount of GRD/ARS markedly increased. After buffer exchange and a concentration step, the enzyme activity in the final coupling buffer used for immobilization was 72% ± 6% of that in the crude preparation for GRD and 75% ± 5% for ARS with CVs <8% (n = 10 over 7 days). When stored in the coupling buffer at 4 °C, both enzymes were stable for at least 5 months with an activity loss of only 1% ± 13% for GRD and 5% ± 4% for ARS (n = 5).

immobilization of grd and ars
Agarose beads activated with N-hydroxysuccinimide (Affi-Gel) were chosen as a suitable immobilization support for the purified enzymes. The coupling reaction was simple and yielded stable amide bonds (33). The portion of the enzymes that was not immobilized could be reused after ultrafiltration of the supernatant. Thus, with minimized use of purified enzyme, the immobilizate activities could be maximized. To determine the best coupling conditions, GRD/ARS solutions with increasing enzyme concentrations were used in several coupling reactions and the enzyme activities in the resulting immobilizates, were measured. We found that coupling of purified enzyme solutions containing 7–10 kU/L GRD and ARS yielded the best enzyme activities (up to 3.3 kU/L GRD and 2.9 kU/L ARS) in the immobilizate. The relation of the coupled GRD to ARS remained the same as in the solution before coupling. The protein content of such purified enzyme solutions was 20–30 g/L. GRD and ARS were stable during the coupling reaction because the total of the enzyme activities could be recovered in the immobilizate plus the supernatant. The immobilizates were stable for at least 12 weeks without loss of enzyme activity when stored at 4 °C in a solution of 2 mol/L ammonium sulfate, pH 6.0, or in standard acetate buffer.

For investigation of the reproducibility of the coupling process, including purification, 2.0 mL of each of five independently purified enzyme solutions were incubated separately with ~4 mL of Affi-Gel. This volume was necessary for filling of the immobilizate columns. The coupling yields were 38% ± 4% for GRD and 33% ± 4% for ARS. The resulting immobilizate activities were 3.0 ± 0.2 kU/L for GRD and 2.4 ± 0.1 kU/L for ARS. The reproducibility of the immobilization including the purification step was satisfactory with a CV <11%.

handling of column-packed immobilized grd and ars for cleavage of conjugates
The application of immobilizates in the form of suspended particles in urine was not very efficient (21)(22). Our aim was to use as much immobilized enzyme activity as possible for a certain volume of urine. The simplest way to do this was to put the immobilizate into empty 3-mL SPE glass cartridges, which could be handled easily by most of the robots used for automated SPE. The cartridges were silanized to minimize adsorption of analytes and could be filled with up to 3 mL of immobilizate, leaving 1 mL of volume for the urine sample to be cleaved. As shown in Fig. 1Up , a special aluminum heating block was constructed to ensure thorough thermostatic control of the immobilizate in the column, the urine samples, and the standard acetate buffer before they entered the column. Thermostatic control was essential for good reproducibility of the hydrolysis yields. The apparatus allowed the application of urine with disposable syringes via one inlet of a three-way valve. The urine could be eluted with standard acetate buffer, using a peristaltic pump on the other inlet of the valve. A homemade flow adapter allowed simple connection of the column to or disconnection of the column from the liquid handling system. To minimize carryover of analytes in the flow path, only polytetrafluoroethylene and nickel tubing were used.

determination of the test conjugates and their cleavage products in urine
Determination of NPG, NPS, and NP.
The HPLC method for the quantification of the NP conjugates NPG and NPS and their cleavage product NP was simple and sufficient. The validation data of the quantitative method are given in Table 1 .


View this table:
[in this window]
[in a new window]
 
Table 1. Validation data of the HPLC method for the simultaneous quantification of NP, NPG, and NPS in urine.


   Determination of free morphine. The method for the quantification of free morphine in urine was also simple and sufficient. The validation data of the quantification method are given in Table 2 .
Top
Abstract
Introduction
Materials and Methods
Results and Discussion
Determination of free morphine....
References
 
influence of urine matrix or xenobiotics on the activities of grd and ars
The influence of urine matrix and/or of high concentrations of xenobiotic conjugates on the GRD/ARS activity was investigated. For these studies, the first urine samples in the morning were taken from 10 different drug-free persons or from 4 volunteers after ingestion of acetaminophen the previous evening. The first urine samples in the morning were taken because these samples typically contain the highest concentrations of matrix and xenobiotics/metabolites. Blank urine samples were chosen because urine may contain inhibitors for GRD, e.g., D-glucaro-1,4-lactone, and for ARS, e.g., sulfate and phosphate ions (34)(35). Acetaminophen urine samples were chosen because acetaminophen is excreted in urine predominantly as conjugates (~55% as glucuronide and ~35% as sulfate ester) (36) and it is used frequently and highly dosed. The activities of immobilized GRD and ARS were determined in the blank urine samples and in the acetaminophen urine samples compared with standard acetate buffer. The results were calculated as the percentages of the activities in standard acetate buffer. We found that in urine both enzymes were markedly inhibited. In the blank urine samples, the GRD inhibition was 9–39%, and the ARS inhibition was 10–47%, with means (SD) of 25% ± 10% and 27% ± 14%, respectively. In the acetaminophen urine samples, the GRD inhibition was 39–50%, and the ARS inhibition was 25–50%, with means (SD) of 44% ± 5% and 35% ± 11%, respectively. Our findings indicated that both enzymes were markedly inhibited by endogenous urine compounds and/or xenobiotic conjugates. However, this is a general problem for all enzymatic hydrolysis procedures and can only be overcome or at least reduced using an excess of GRD and ARS. In our immobilizate columns, up to 45-fold more enzymes activity was available compared with most of the common procedures using soluble preparations. In addition, it should be kept in mind that in cases with very high conjugate concentrations (e.g., in overdose cases), the amount of unconjugated analytes is so high that a complete conjugate cleavage is not necessary to avoid false-negative results. This was confirmed by our study on the applicability (see below), in which no analyte was overlooked after cleavage of conjugates by the immobilizate column compared with 24-h hydrolysis using soluble enzymes.


View this table:
[in this window]
[in a new window]
 
Table 2. Validation data of the GC-MS method for the quantification of free morphine in urine after automated SPE and acetylation.

efficiency of the conjugate cleavage with column-packed immobilized grd and ars
For determination of the cleavage efficiency of column-packed immobilizate, urine samples supplemented with 10 mmol/L each of NPG and NPS were used (NPG/NPS urine). The conjugate concentrations were in a molar concentration range as expected for acetaminophen conjugates (36).

In addition, the efficiency of the cleavage of morphine conjugates in an authentic urine sample was tested because morphine is extensively conjugated (36) and its conjugates need strong conditions for enzymatic hydrolysis compared with other conjugates (3)(25)(37). Authentic urine samples (morphine-conjugate urine) were preferred in contrast to supplemented samples to have authentic conditions. Therefore, the cleavage yield in this urine was calculated from the morphine concentration after conjugate cleavage in relation to the total morphine concentration.

The cleavage efficiency was estimated by determining the time for complete conjugate cleavage. Therefore, both types of urine samples (n = 5) were incubated in an immobilizate column for increasing times, and the hydrolysis yields were determined. The relative hydrolysis yields of NPG, NPS, and morphine conjugates in urine in relation to the incubation times are shown in Fig. 2 . After 15 min of incubation, >90% of both NP conjugates were hydrolyzed. After 25 min, the NP conjugates were completely cleaved. As expected, hydrolysis of the morphine conjugates took longer than hydrolysis of the NP conjugates. However, after 60 min, the morphine conjugates were almost completely hydrolyzed. After 15 min, only 40% were cleaved, and after 30 min, 65% were cleaved. However, in emergency cases in clinical toxicology, the latter cleavage yields should be sufficient to find all relevant drugs, poisons, and/or their metabolites. Nevertheless, an incubation time of 1 h is recommended. This incubation time provides a drastic time reduction compared with the 24-h incubation time recommended for immobilized GRD by Buszewicz (22). The fastest method for cleavage of morphine conjugates using soluble enzymes from P. vulgata at high temperature needed 3 h for complete cleavage of conjugates (25). Acceleration of enzymatic hydrolysis using a two- or threefold amount of enzyme solution introduced much more matrix into the extracts (3). Our immobilizate columns allowed 5- to 15-fold higher enzyme activities per milliliter of urine, producing fast cleavage, clean extracts, and reduced cost by repetitive use.



View larger version (18K):
[in this window]
[in a new window]
 
Figure 2. Relative hydrolysis yields of NP conjugates (NPG and NPS) in supplemented urine samples and of morphine conjugates in authentic urine samples, using immobilizate columns in relation to the incubation time (n = 5).

In a further study, the influence of the substrate concentration on the hydrolysis efficiency was investigated. Blank urine samples containing 10, 5, 2.5, and 1 mmol/L each of NPG and NPS were incubated for 5 min. The hydrolysis yields increased with decreasing conjugate concentrations: for NPG, 70% for 10 mmol/L, 80% for 5 mmol/L, 90% for 2.5 mmol/L, and 100% for 1 mmol/L; for NPS, 60% for 10 mmol/L, 70% for 5 mmol/L, 80% for 2.5 mmol/L, and 90% for 1 mmol/L. These results show that the hydrolysis yield of 1 mmol/L NPG and NPS after a 5-min incubation was the same as for 10 mmol/L after 15 min. The fact that the relative hydrolysis yield was higher at lower concentrations may be advantageous when low analyte concentrations must be analyzed.

reproducibility of conjugate cleavage with immobilizate columns
Urine samples were incubated for only short time periods (5 min for NPG/NPS urine, 15 min for morphine-conjugate urine) because variations attributable to the procedure should be detectable only if complete cleavage is not achieved. For each of the four columns and for each conjugate, five replicates were performed. Within the columns, the CVs were 0.5–1.7% for cleavage of NPG, 0.4–3.0% for cleavage of NPS, and 1.7–8.0% for cleavage of morphine conjugates. The overall hydrolysis yields for the four different columns were 66–84% for NPG with a CV of 7.9%, 72–86% for NPS with a CV of 6.2%, and 33–48% for morphine conjugates with a CV of 9.4%. ANOVA showed significant differences (P <0.001) between the columns. However, these differences are of less relevance because a routine incubation time of 1 h is recommended and only the total cleavage yield is important for toxicological analysis.

stability and reusability of immobilizate columns in routine analysis
For the determination of the stability and the reusability of column-packed immobilized GRD and ARS during routine operation, an immobilizate column was used continuously for the cleavage of conjugates up to a total of 70 h. During this time, a decrease of the enzyme activities could be observed down to ~80% of the initial values for GRD and ~65% for ARS. However, the hydrolysis yields of morphine conjugates did not markedly change, indicating that the columns had sufficient hydrolyzing capacity remaining. The immobilizate column could thus be reused for at least 70 incubations, giving a reproducible hydrolysis yield of morphine conjugates of 97% ± 5% (n = 30). In the meantime, we have seen that the immobilizate column could be reused for a much longer time when used only 8 h a day and when stored at 4 °C overnight. The reusability of the columns markedly reduces the costs, so that they are in the same range as those for using soluble enzymes.

carryover of analytes in reused immobilizate columns
Carryover of analytes is a common problem that arises from the reuse of apparatus or materials in analytical procedures. This means that analytes from one sample can be adsorbed and afterward desorbed into the next sample, producing false-positive results. To study how analyte carryover could be avoided, blank urine samples supplemented with high concentrations of ibuprofen, acetaminophen, dihydrocodeine, phenobarbital, and perazine were incubated in an immobilizate column. These substances were chosen because they are widely used and applied in high doses. Furthermore, in our experience, they all are known for analyte carryover. The work-up of the eluate was according to the common STA procedure (1)(2).

Simple elution with 10 mL of standard acetate buffer was not sufficient to completely remove these substances from the immobilizate column. To study where the analytes were bound, columns packed with Affi-Gel but without immobilized enzymes were used. Because no carryover was observed in these columns, the analyte carryover should be attributable to the immobilized proteins. Similar results had already been reported for immobilized GRD from E. coli (16). However, the authors could solve the problem by rinsing with mobile phase containing 115 mL/L methanol. We had seen in preliminary studies that the activities of GRD and ARS from H. pomatia were not markedly influenced by methanol solutions up to 200 mL/L. Therefore, we tried to eliminate analyte carryover in immobilizate columns by a simple rinsing step between incubations. To study the efficiency of this rinsing step, 10, 20, or 30 mL of 200 mL/L methanol in standard acetate buffer was used for rinsing after incubation and routine elution of the supplemented test urine. The analyte carryover was expressed as the percentages of the analyte concentrations in the standard acetate buffer eluate after the rinsing step compared with the concentrations in the supplemented urine sample. As shown in Table 3 , one-time washing with 30 mL (10 column volumes) of a solution of 200 mL/L methanol in standard acetate buffer was sufficient to completely remove the test analytes from the column.


View this table:
[in this window]
[in a new window]
 
Table 3. Analyte carryover.1

studies on the applicability of the immobilizate columns for cleavage of conjugates in sta
A study on the applicability of immobilizate columns for cleavage of urinary conjugates in STA was performed to determine whether a broad range of drugs and their conjugates could be detected in various different authentic urine samples. Aliquots of these urine samples were analyzed using three different sample preparation procedures: enzymatic hydrolysis with an immobilizate column and enzymatic hydrolysis with soluble enzymes or without cleavage of conjugates, followed by extraction, acetylation, and full-scan GC-MS analysis. When immobilizate columns were used, the following different drugs and/or their metabolites (120 in all) could be detected in the 35 urine samples: the sedative-hypnotics temazepam, nordiazepam, diazepam, oxazepam, lormetazepam, lorazepam, bromazepam, clomethiazole, diphenhydramine, and doxylamine; the opioids morphine, codeine, dihydrocodeine, methadone, pethidine, and tramadol; the nonopioid analgesics acetaminophen, acetylsalicylic acid, diclofenac, ibuprofen, and metamizol; the antidepressants doxepin, amitriptyline, trimipramine, opipramol, and viloxazine; the neuroleptics promethazine, perazine, chlorprothixene, clozapine, and haloperidol; the antiepileptics carbamazepine, phenytoin, primidone, and phenobarbital; the drugs of abuse amphetamine, 3,4-methylene dioxyamphetamine, 3,4-methylene dioxyethylamphetamine, and cocaine; or the antiarrhythmics verapamil and quinidine. The same compounds could also be detected after conventional enzymatic hydrolysis using soluble GRD/ARS. In several cases, the following substances were detectable only after cleavage of conjugates: oxazepam, temazepam, lormetazepam, morphine, codeine, hydroxypromethazine, norhydroxypromethazine, nordoxepin, norhydroxydoxepin, hydroxytrimipramine, viloxazine, or hydroxyviloxazine. Other substances, such as acetaminophen, ambroxol, dihydrocodeine, codeine, hydroxyphenobarbital, or hydroxyphenytoin, could also be detected in unhydrolyzed urine samples, but the peak areas were much higher after cleavage of conjugates. This study demonstrated that the cleavage of conjugates using immobilizate columns was suitable for STA, so that in future studies, its applicability for automated sample preparation can be tested.

comparison of the costs for conjugate cleavage using immobilizate columns or soluble preparations
For comparison of the costs of our new procedure vs those of other published procedures, the enzyme activities used in this report must be converted to FU. One milliliter of the crude BM enzyme preparation contained 100 000 FU of GRD as indicated by the manufacturer. This corresponded to 20 U as defined in this report. This means that 1 U corresponds to 5000 FU. The immobilizate columns each contained a total enzyme activity of ~45 000 FU, which was used for the cleavage of conjugates in 1 mL of urine. Meatherall (3) used 1000–5000 FU/mL of urine. One milliliter of the crude BM enzyme preparation costs ~$15 US ($0.15–0.75 US per milliliter of urine). Considering that 25% of the enzymes were lost during purification and that 3 mL of Affi-Gel cost ~$15 US, one immobilizate column costs ~$ 20 US. One column could be reused at least for 70 incubations, with a cost of $0.30 US per hydrolysis of 1 mL of urine. Therefore, the costs are comparable, although in our procedure the enzyme activity was up to 45-fold higher.

In conclusion, an improved method for the cleavage of conjugates in urine was developed using immobilized GRD and ARS packed into columns. This method combined the specificity of enzymatic hydrolysis with the speed of acid hydrolysis, leading to a fast, gentle cleavage. The production of the immobilizate columns consisted of an enzyme purification step followed by immobilization and column packing. The purified enzyme solutions and the immobilized enzymes could be stored for months without relevant loss in enzyme activities. The hydrolysis yields of NPG, NPS, and morphine conjugates in urine were sufficiently reproducible for a single column as well as for different columns even from different batches. The immobilizate columns could be reused at least 70 times without loss in the hydrolysis yields of morphine conjugates. Analyte carryover could be excluded by introducing a simple rinsing step with 200 mL/L methanol in standard acetate buffer. For cleavage of urinary conjugates using column-packed immobilized GRD and ARS, an incubation time of 1 h is recommended. Thus, this procedure was faster than using common enzymatic hydrolysis procedures because the applied enzyme activity was up to 45-fold higher. A study on the applicability in STA showed that conjugates of different drugs could be sufficiently cleaved in different authentic urines. Because the immobilizate columns could be reused, the costs for one hydrolysis were comparable to those of common procedures. Future studies will show the applicability of these immobilizate columns for automated sample preparation.


   Acknowledgments
 
We thank Nicole Toennes, Joerg Bickeboeller-Friedrich, Thomas Kraemer, Armin Weber, and Peter Wollenberg for suggestions and help.


   Footnotes
 
1 Nonstandard abbreviations: GRD, glucuronidase; ARS, arylsulfatase; BM, Boehringer Mannheim; NPG, 4-nitrophenyl glucuronide; NPS, 4-nitrophenyl sulfate; NP, 4-nitrophenol; BisTris, bis[2-hydroxyethyl]imino-tris[hydroxymethyl]methane; UV, ultraviolet; SPE, solid-phase extraction; HP, Hewlett Packard; GC, gas chromatography; MS, mass spectrometry; STA, systematic toxicological analysis; and FU, Fishman units.


   References
Top
Abstract
Introduction
Materials and Methods
Results and Discussion
Determination of free morphine....
References
 

  1. Maurer HH. Systematic toxicological analysis of drugs and their metabolites by gas chromatography-mass spectrometry [Review]. J Chromatogr 1992;580:3-41. [Web of Science][Medline] [Order article via Infotrieve]
  2. Maurer HH. Methods for GC-MS. Pfleger K Maurer HH Weber A. eds. Mass spectral and GC data of drugs, poisons, pesticides, pollutants and their metabolites 2nd ed. 1992:3-32 VCH Weinheim. .
  3. Meatherall R. Optimal enzymatic hydrolysis of urinary benzodiazepine conjugates. J Anal Toxicol 1994;18:382-384. [Web of Science][Medline] [Order article via Infotrieve]
  4. Clifford C, Johnson DB. Immobilization of ß-glucuronidase on inorganic supports. Biotechnol Bioeng 1980;22:2441-2442.
  5. Hirose S, Hayashi M, Tamura N, Karube I, Suzuki S. Preparation and properties of ß-glucuronidase immobilized on a poly (vinyl chloride) membrane. J Mol Catal 1980;9:115-124.
  6. Bowers LD, Johnson PR. Characterization of immobilized ß-glucuronidase in aqueous and mixed solvent systems. Biochim Biophys Acta 1981;661:100-105.
  7. Pelsy G, Klibanov AM. Preparative separation of {alpha}- and ß-naphthols catalyzed by immobilized sulfatase. Biotechnol Bioeng 1983;25:919-928.
  8. Iino N, Yoshida K. Chromatography of ß-glucuronidase from bovine liver. A study of the enzyme binding sites of prepared adsorbents. Chem Pharm Bull Tokyo 1992;40:1852-1859. [Medline] [Order article via Infotrieve]
  9. Iino N, Yoshidomi M, Yoshida K. Properties of ß-glucuronidase bound to p-aminophenyl 1-thio-ß-D-glucopyranosiduronic acid-CH-Sepharose 4B. Chem Pharm Bull 1984;32:3710-3714.
  10. Boppana VK, Fong K-LL, Ziemniak JA, Lynn RK. Use of a post-column immobilized ß-glucuronidase enzyme reactor for the determination of diastereomeric glucuronides of fenoldopam in plasma and urine by high-performance liquid chromatography with electrochemical detection. J Chromatogr 1986;353:231-247. [Web of Science][Medline] [Order article via Infotrieve]
  11. Ishikawa H, Kurose K, Oogaito M, Hikita H. Kinetics and mechanism of free and immobilized sulfatase from Helix pomatia. J Chem Eng Jpn 1988;21:613-620.
  12. Rapatz E, Ambros M, Kopp B, Pittner F. Studies on the immobilization of glucuronidase. Part 2. Cleavage of hardly soluble substrates in organic solvents. Appl Biochem Biotechnol 1988;19:235-242. [Web of Science][Medline] [Order article via Infotrieve]
  13. Rapatz E, Travnicek A, Fellhofer G, Pittner F. Studies on the immobilization of glucuronidase. Part 1. Covalent immobilization on various carriers (a comparison). Appl Biochem Biotechnol 1988;19:223-234. [Web of Science][Medline] [Order article via Infotrieve]
  14. Canales I, Manjon A, Iborra JL. Immobilization of ß-glucuronidases on an epoxy-activated polyacrylic matrix. Biotechnol Tech 1990;4:205-210.
  15. Canales I, Manjon A, Iborra JL. Immobilization of ß-glucuronidase on pellicular nylon. Biocatalysis 1991;4:277-290.
  16. Bowers LD, Johnson PR. Immobilized ß-glucuronidase as an on-line precolumn modification reagent for high-performance liquid chromatography. Anal Biochem 1981;116:111-115. [Web of Science][Medline] [Order article via Infotrieve]
  17. Bowers LD, Johnson PR. On-line cleavage of urinary estriol conjugates with immobilized ß-glucuronidase before liquid-chromatographic analysis. Clin Chem 1981;27:1554-1557. [Abstract/Free Full Text]
  18. Boppana VK, Lynn RK, Ziemniak JA. Immobilized sulfatase: ß-glucuronidase enzymes for the qualitative and quantitative analysis of drug conjugates. J Pharm Sci 1989;78:127-131. [Web of Science][Medline] [Order article via Infotrieve]
  19. Di-Marco MP, Felix G, Descorps V, Ducharme MP, Wainer IW. On-line deconjugation of glucuronides using an immobilized enzyme reactor based upon ß-glucuronidase. J Chromatogr B 1998;715:379-386.
  20. Pasternyk M, Ducharme MP, Descorps V, Felix G, Wainer IW. On-line deconjugation of chloramphenicol-ß-D-glucuronide on an immobilized beta-glucuronidase column. Application to the direct analysis of urine samples. J Chromatogr A 1998;828:135-140. [Web of Science][Medline] [Order article via Infotrieve]
  21. Buszewicz G. Examination of the usefulness of immobilized ß-glucuronidase in serial, toxicological urine analysis. Arch Med Sad I Krym 1990;40:86-90.
  22. Buszewicz G. The use of immobilized beta-glucuronidase for hydrolysis of chosen drugs coupled with glucuronic acid in urine of poisoned person. Arch Med Sad I Krym 1990;40:81-85.
  23. Roy AB. Enzymological aspects of steroid conjugation. Bernstein S Solomon S eds. Chemical and biological aspects of steroid conjugation 1970:106-130 Springer Verlag Berlin. .
  24. Fish F, Hayes TS. Hydrolysis of morphine glucuronide. J Forensic Sci 1974;19:676-683. [Medline] [Order article via Infotrieve]
  25. Combie J, Blake JW, Nugent TE, Tobin T. Morphine glucuronide hydrolysis: superiority of ß-glucuronidase from Patella vulgata. Clin Chem 1982;28:83-86. [Abstract/Free Full Text]
  26. Bradford MM. A rapid and sensitive method for the quantitation of microgram quantities of protein utilizing the principle of protein-dye binding. Anal Biochem 1976;72:248-254. [Web of Science][Medline] [Order article via Infotrieve]
  27. Maurer H, Pfleger K. Screening procedure for the detection of opioids, other potent analgesics and their metabolites in urine using a computerized gas chromatographic-mass spectrometric technique. Fresenius Z Anal Chem 1984;317:42-52.
  28. Maurer HH. On the metabolism and the toxicological analysis of methylenedioxyphenylalkylamine designer drugs by gas chromatography-mass spectrometry. Ther Drug Monit 1996;18:465-470. [Web of Science][Medline] [Order article via Infotrieve]
  29. Maurer HH. Toxicological analysis of drugs and poisons by GC-MS. Spectrosc Eur 1994;6:21-23.
  30. Maurer HH, Arlt JW, Kraemer T, Schmitt CJ, Weber AA. Analytical development for low molecular weight xenobiotic compounds. Arch Toxicol 1997;19(Suppl):189-197.
  31. Pfleger K, Maurer HH, Weber A. Mass spectral and GC data of drugs, poisons, pesticides, pollutants and their metabolites, 3rd ed. Weinheim: Wiley-VCH, 1999:4400 pp..
  32. Pfleger K, Maurer HH, Weber A. Mass spectral library of drugs, poisons, pesticides, pollutants and their metabolites, 3rd ed 1999 Hewlett Packard Palo Alto, CA. .
  33. LaPorte DC, Rosenthal KS, Storm DR. Inhibition of Escherichia coli growth and respiration by polymyxin B covalently attached to agarose beads. Biochemistry 1977;16:1642-1648. [Medline] [Order article via Infotrieve]
  34. Levvy GA, Conchie J. ß-Glucuronidase and the hydrolysis of glucuronides. Dutton GJ eds. Glucuronic acid 1966:301-364 Academic Press New York. .
  35. Hoffmann-Ostenhof O. Schwefelsäureester-Hydrolasen (Sulfatasen; Schwefelsäure-Esterasen). Hoppe-Seyler F Thierfelder H eds. Handbuch der physiologisch-und pathologisch-chemischen Analyse 10th ed. 1966:1103-1123 Springer Verlag Berlin. .
  36. BPI. Fachinfo CD Ver. 97/2. Aulendorf, Germany: Editio Cantor Verlag, 1997..
  37. Graef V, Fuchs M. Studies on the complete enzymatic hydrolysis of steroid conjugates in urine. Z Klin Chem Klin Biochem 1975;13:163-167. [Web of Science][Medline] [Order article via Infotrieve]



The following articles in journals at HighWire Press have cited this article:


Home page
Clin. Chem.Home page
R. Siebers
How Accurate Are References in Clinical Chemistry?
Clin. Chem., March 1, 2001; 47(3): 606 - 607.
[Full Text] [PDF]


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Web of Science (6)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Toennes, S. W.
Right arrow Articles by Maurer, H. H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Toennes, S. W.
Right arrow Articles by Maurer, H. H.
Related Collections
Right arrow Drug Monitoring and Toxicology


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS