LC-MS Quantitative Screening Method for 18 Anabolic Steroids in Oral Fluid
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Part I Biopharmaceuticals
1 Part I Biopharmaceuticals Translational Medicine: Molecular Pharmacology and Drug Discovery First Edition. Edited by Robert A. Meyers. © 2018 Wiley-VCH Verlag GmbH & Co. KGaA. Published 2018 by Wiley-VCH Verlag GmbH & Co. KGaA. 3 1 Analogs and Antagonists of Male Sex Hormones Robert W. Brueggemeier The Ohio State University, Division of Medicinal Chemistry and Pharmacognosy, College of Pharmacy, Columbus, Ohio 43210, USA 1Introduction6 2 Historical 6 3 Endogenous Male Sex Hormones 7 3.1 Occurrence and Physiological Roles 7 3.2 Biosynthesis 8 3.3 Absorption and Distribution 12 3.4 Metabolism 13 3.4.1 Reductive Metabolism 14 3.4.2 Oxidative Metabolism 17 3.5 Mechanism of Action 19 4 Synthetic Androgens 24 4.1 Current Drugs on the Market 24 4.2 Therapeutic Uses and Bioassays 25 4.3 Structure–Activity Relationships for Steroidal Androgens 26 4.3.1 Early Modifications 26 4.3.2 Methylated Derivatives 26 4.3.3 Ester Derivatives 27 4.3.4 Halo Derivatives 27 4.3.5 Other Androgen Derivatives 28 4.3.6 Summary of Structure–Activity Relationships of Steroidal Androgens 28 4.4 Nonsteroidal Androgens, Selective Androgen Receptor Modulators (SARMs) 30 4.5 Absorption, Distribution, and Metabolism 31 4.6 Toxicities 32 Translational Medicine: Molecular Pharmacology and Drug Discovery First Edition. Edited by Robert A. Meyers. © 2018 Wiley-VCH Verlag GmbH & Co. KGaA. Published 2018 by Wiley-VCH Verlag GmbH & Co. KGaA. 4 Analogs and Antagonists of Male Sex Hormones 5 Anabolic Agents 32 5.1 Current Drugs on the Market 32 5.2 Therapeutic Uses and Bioassays -
Testosterone: a Metabolic Hormone in Health and Disease
D M KELLY and T H JONES Testosterone metabolic hormone 217:3 R25–R45 Review Testosterone: a metabolic hormone in health and disease Daniel M Kelly1 and T Hugh Jones1,2 Correspondence should be addressed to 1Department of Human Metabolism, Medical School, The University of Sheffield, Sheffield S10 2RX, UK 2Robert T H Jones Hague Centre for Diabetes and Endocrinology, Barnsley Hospital NHS Foundation Trust, Gawber Road, Barnsley S75 Email 2EP, UK [email protected] Abstract Testosterone is a hormone that plays a key role in carbohydrate, fat and protein metabolism. Key Words It has been known for some time that testosterone has a major influence on body fat " metabolism composition and muscle mass in the male. Testosterone deficiency is associated with an " testosterone increased fat mass (in particular central adiposity), reduced insulin sensitivity, impaired " type 2 diabetes glucose tolerance, elevated triglycerides and cholesterol and low HDL-cholesterol. All these " metabolic syndrome factors are found in the metabolic syndrome (MetS) and type 2 diabetes, contributing to cardiovascular risk. Clinical trials demonstrate that testosterone replacement therapy improves the insulin resistance found in these conditions as well as glycaemic control and also reduces body fat mass, in particular truncal adiposity, cholesterol and triglycerides. The mechanisms by which testosterone acts on pathways to control metabolism are not fully clear. There is, however, an increasing body of evidence from animal, cell and clinical studies that testosterone at the molecular level controls the expression of important regulatory proteins involved in Journal of Endocrinology glycolysis, glycogen synthesis and lipid and cholesterol metabolism. The effects of testosterone differ in the major tissues involved in insulin action, which include liver, muscle and fat, suggesting a complex regulatory influence on metabolism. -
Title 16. Crimes and Offenses Chapter 13. Controlled Substances Article 1
TITLE 16. CRIMES AND OFFENSES CHAPTER 13. CONTROLLED SUBSTANCES ARTICLE 1. GENERAL PROVISIONS § 16-13-1. Drug related objects (a) As used in this Code section, the term: (1) "Controlled substance" shall have the same meaning as defined in Article 2 of this chapter, relating to controlled substances. For the purposes of this Code section, the term "controlled substance" shall include marijuana as defined by paragraph (16) of Code Section 16-13-21. (2) "Dangerous drug" shall have the same meaning as defined in Article 3 of this chapter, relating to dangerous drugs. (3) "Drug related object" means any machine, instrument, tool, equipment, contrivance, or device which an average person would reasonably conclude is intended to be used for one or more of the following purposes: (A) To introduce into the human body any dangerous drug or controlled substance under circumstances in violation of the laws of this state; (B) To enhance the effect on the human body of any dangerous drug or controlled substance under circumstances in violation of the laws of this state; (C) To conceal any quantity of any dangerous drug or controlled substance under circumstances in violation of the laws of this state; or (D) To test the strength, effectiveness, or purity of any dangerous drug or controlled substance under circumstances in violation of the laws of this state. (4) "Knowingly" means having general knowledge that a machine, instrument, tool, item of equipment, contrivance, or device is a drug related object or having reasonable grounds to believe that any such object is or may, to an average person, appear to be a drug related object. -
Precursor Ion Scanning for the Detection of New Steroid Markers
“Precursor ion scanning for the detection of new steroid markers. Routine application for the open screening of anabolic steroids and evaluation of population factors in the detectability of these markers” P. Mendoza, F. Delbeke, K. Deventer, P. Meuleman, J. Segura, R. Ventura (Fondacio IMIM, Barcelona, Spain) K. Deventer, P. Van Eenoo, O. Pozo Mendoza (Ghent University, Belgium) PROJECT REVIEW This project aims at four goals: A. Interpretation and evaluation of precursor ion scanning chromatograms (urine profile recognition) In the field of anti-doping control, chromatograms from target steroid-analysis are generally evaluated and interpreted visually by the analyst which is trained for this purpose. A similar approach will be adopted for evaluating the precursor scanning chromatograms. To get acquainted with the chromatograms, around 50 blank samples will be analysed. In a second step precursor ion scan chromatograms obtained from controlled administration studies (e.g. methyltestosterone, methanedienone,…) and from adverse analytical findings from routine target screening will also be investigated to get acquainted with positive samples. The applicability of instrument software for this purpose will be evaluated. B. Application to real samples Urine-samples will be analysed. These samples will include all out of competition samples and both out of competition samples and in competition samples C. Study of the influence of different population factors in the detectability of different markers for several anabolic steroids A single dose of the previously studied steroids (stanozolol and methyltestosterone) will be administered to six volunteers belonging to different population groups. Urine will be collected for three weeks and a method including all feasible markers will be applied. -
University of Groningen Multi-Residue Analysis of Growth Promotors In
University of Groningen Multi-residue analysis of growth promotors in food-producing animals Koole, Anneke IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version below. Document Version Publisher's PDF, also known as Version of record Publication date: 1998 Link to publication in University of Groningen/UMCG research database Citation for published version (APA): Koole, A. (1998). Multi-residue analysis of growth promotors in food-producing animals. s.n. Copyright Other than for strictly personal use, it is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), unless the work is under an open content license (like Creative Commons). Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim. Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons the number of authors shown on this cover page is limited to 10 maximum. Download date: 25-09-2021 APPENDIX 1 OVERVIEW OF RELEVANT SUBSTANCES This appendix consists of two parts. First, substances that are relevant for the research presented in this thesis are given. For each substance CAS number (CAS), molecular weight (MW), bruto formula (formula) and if available UV maxima and alternative names are given. In addition, pKa values for the ß-agonists are listed, if they were available. -
The Use of Stems in the Selection of International Nonproprietary Names (INN) for Pharmaceutical Substances
WHO/PSM/QSM/2006.3 The use of stems in the selection of International Nonproprietary Names (INN) for pharmaceutical substances 2006 Programme on International Nonproprietary Names (INN) Quality Assurance and Safety: Medicines Medicines Policy and Standards The use of stems in the selection of International Nonproprietary Names (INN) for pharmaceutical substances FORMER DOCUMENT NUMBER: WHO/PHARM S/NOM 15 © World Health Organization 2006 All rights reserved. Publications of the World Health Organization can be obtained from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: [email protected]). Requests for permission to reproduce or translate WHO publications – whether for sale or for noncommercial distribution – should be addressed to WHO Press, at the above address (fax: +41 22 791 4806; e-mail: [email protected]). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. -
Oxandrolone Protects Against the Development of Multiorgan Failure
b u r n s 4 5 ( 2 0 1 9 ) 6 7 1 – 6 8 1 Available online at www.sciencedirect.com ScienceDirect jo urnal homepage: www.elsevier.com/locate/burns Oxandrolone protects against the development of multiorgan failure, modulates the systemic inflammatory response and promotes wound healing during burn injury a b,c a,c, Akbar Ahmad , David N. Herndon , Csaba Szabo * a Department of Anesthesiology, The University of Texas Medical Branch, Galveston, TX, USA b Department of Surgery, The University of Texas Medical Branch, Galveston, TX, USA, c Shriners Hospital for Children, Galveston, TX, USA a r t i c l e i n f o a b s t r a c t Article history: Oxandrolone is a synthetic oral non-aromatizable testosterone derivative. This drug has Accepted 4 October 2018 been used successfully for several decades to safely treat growth delays in various diseases including Turner’s syndrome. Currently the use of oxandrolone is under clinical testing in children with burn injury; the available data indicate that the anabolic steroid increases net muscle protein balance, maintains lean body mass, and reduces intensive care unit stay. Keywords: Although oxandrolone is already in clinical trials in burn patients, preclinical burn-related studies with oxandrolone– especially those that go beyond muscle-related parameters and Anabolic steroids focus on burn-associated organ dysfunction, inflammatory response and wound healing – Oxidative stress Inflammation remain to be conducted. In the current project, using a well-characterized murine model of Burns third-degree burn, we have tested the effect of oxandrolone on indices of organ injury, Angiogenesis clinical chemistry parameters and plasma levels of inflammatory mediators. -
Pharmaceutical Appendix to the Tariff Schedule 2
Harmonized Tariff Schedule of the United States (2006) – Supplement 1 (Rev. 1) Annotated for Statistical Reporting Purposes PHARMACEUTICAL APPENDIX TO THE HARMONIZED TARIFF SCHEDULE Harmonized Tariff Schedule of the United States (2006) – Supplement 1 (Rev. 1) Annotated for Statistical Reporting Purposes PHARMACEUTICAL APPENDIX TO THE TARIFF SCHEDULE 2 Table 1. This table enumerates products described by International Non-proprietary Names (INN) which shall be entered free of duty under general note 13 to the tariff schedule. The Chemical Abstracts Service (CAS) registry numbers also set forth in this table are included to assist in the identification of the products concerned. For purposes of the tariff schedule, any references to a product enumerated in this table includes such product by whatever name known. Product CAS No. Product CAS No. ABACAVIR 136470-78-5 ACEXAMIC ACID 57-08-9 ABAFUNGIN 129639-79-8 ACICLOVIR 59277-89-3 ABAMECTIN 65195-55-3 ACIFRAN 72420-38-3 ABANOQUIL 90402-40-7 ACIPIMOX 51037-30-0 ABARELIX 183552-38-7 ACITAZANOLAST 114607-46-4 ABCIXIMAB 143653-53-6 ACITEMATE 101197-99-3 ABECARNIL 111841-85-1 ACITRETIN 55079-83-9 ABIRATERONE 154229-19-3 ACIVICIN 42228-92-2 ABITESARTAN 137882-98-5 ACLANTATE 39633-62-0 ABLUKAST 96566-25-5 ACLARUBICIN 57576-44-0 ABUNIDAZOLE 91017-58-2 ACLATONIUM NAPADISILATE 55077-30-0 ACADESINE 2627-69-2 ACODAZOLE 79152-85-5 ACAMPROSATE 77337-76-9 ACONIAZIDE 13410-86-1 ACAPRAZINE 55485-20-6 ACOXATRINE 748-44-7 ACARBOSE 56180-94-0 ACREOZAST 123548-56-1 ACEBROCHOL 514-50-1 ACRIDOREX 47487-22-9 ACEBURIC -
Pharmaceutical Appendix to the Tariff Schedule 2
Harmonized Tariff Schedule of the United States (2007) (Rev. 2) Annotated for Statistical Reporting Purposes PHARMACEUTICAL APPENDIX TO THE HARMONIZED TARIFF SCHEDULE Harmonized Tariff Schedule of the United States (2007) (Rev. 2) Annotated for Statistical Reporting Purposes PHARMACEUTICAL APPENDIX TO THE TARIFF SCHEDULE 2 Table 1. This table enumerates products described by International Non-proprietary Names (INN) which shall be entered free of duty under general note 13 to the tariff schedule. The Chemical Abstracts Service (CAS) registry numbers also set forth in this table are included to assist in the identification of the products concerned. For purposes of the tariff schedule, any references to a product enumerated in this table includes such product by whatever name known. ABACAVIR 136470-78-5 ACIDUM LIDADRONICUM 63132-38-7 ABAFUNGIN 129639-79-8 ACIDUM SALCAPROZICUM 183990-46-7 ABAMECTIN 65195-55-3 ACIDUM SALCLOBUZICUM 387825-03-8 ABANOQUIL 90402-40-7 ACIFRAN 72420-38-3 ABAPERIDONUM 183849-43-6 ACIPIMOX 51037-30-0 ABARELIX 183552-38-7 ACITAZANOLAST 114607-46-4 ABATACEPTUM 332348-12-6 ACITEMATE 101197-99-3 ABCIXIMAB 143653-53-6 ACITRETIN 55079-83-9 ABECARNIL 111841-85-1 ACIVICIN 42228-92-2 ABETIMUSUM 167362-48-3 ACLANTATE 39633-62-0 ABIRATERONE 154229-19-3 ACLARUBICIN 57576-44-0 ABITESARTAN 137882-98-5 ACLATONIUM NAPADISILATE 55077-30-0 ABLUKAST 96566-25-5 ACODAZOLE 79152-85-5 ABRINEURINUM 178535-93-8 ACOLBIFENUM 182167-02-8 ABUNIDAZOLE 91017-58-2 ACONIAZIDE 13410-86-1 ACADESINE 2627-69-2 ACOTIAMIDUM 185106-16-5 ACAMPROSATE 77337-76-9 -
Control Be Implemented. the First Large-Scale Systematic Olympic Games
Br J Sports Med: first published as 10.1136/bjsm.11.4.162 on 1 December 1977. Downloaded from 162 Brit. J. Sports Med. - Vol. 1 1, No. 4, December 1977, pp. 162-169 RADIOIMMUNOASSAY OF ANABOLIC STEROIDS: AN EVALUATION OF THREE ANTISERA FOR THE DETECTION OF ANABOLIC STEROIDS IN BIOLOGICAL FLUIDS Robert DUGAL, Ph.D., Claire DUPUIS, Ph.D. and Michel J. BERTRAND, Ph.D. Centre de Recherches en Sciences de la Sante, Institut National de la Recherche Scientifique, Centre Hospitalier Louis-H. Lafontaine, Montrdal, Quebec, Canada ABSTRACT Recently developped radioimmunoassays (RIA) for the analysis of anabolic steroids and their metabolites in biological fluids were tested for cross-reactivity with other types of steroids. Results show that the degree of desirable cross-reactivity within the two classes of orally active anabolic steroids vary widely and that the antiserum for 19-Nortestosterone (the active principle of intramuscular, preparations) has a very high degree of undesirable cross- reactivity with components of oral contraceptives. Single and multiple dose studies in human volunteers demonstrate that the detection level and degree of retrospectivity are likewise variable but that the test easily detects most anabolic steroids during treatment. At the present time, the combination of the three antisera for the assay of a sample appears to be a relatively rapid and economic method for screening large numbers of samples in situations where doping control of anabolic steroids is required. The importance of utilizing physico-chemical means for identification of RIA potential positives is emphasized. INTRODUCTION (Sumner, 1974: Brooks et al, 1975) and identification procedures for a limited number of them have also been copyright. -
Testosterone Products – New Warning
Testosterone Products – New Warning • On October 25, 2016, the FDA announced the approval of class-wide labeling changes for all prescription testosterone products, including a new warning and updating the Abuse and Dependence section to include new safety information from published literature and case reports regarding the risks associated with abuse and dependence of testosterone and other anabolic androgenic steroids (AAS). • Prescription testosterone products are schedule III controlled substances and are FDA-approved as hormone replacement therapy for men who have low testosterone due to certain medical conditions. Examples of these conditions include failure of the testicles to produce testosterone because of genetic problems, or damage to the testicles from chemotherapy or infection. — FDA-approved testosterone formulations include topical gel (eg, AndroGel®, Fortesta®, Testim®, Vogelxo™), topical solution (Axiron®), transdermal patch (eg, Androderm®), buccal system (Striant®), injection (eg, testosterone cypionate), nasal gel (Natesto™), and an implantable pellet (Testopel®). • According to the National Institute on Drug Abuse, testosterone, nandrolone, oxandrolone, oxymethalone, and stanozolol are some of the most frequently abused AAS. • The new warning will alert prescribers to the abuse potential of testosterone and related serious adverse outcomes, especially those that affect the heart and mental health. The Abuse and Dependence section will be updated with similar information. • The Warning and Precautions section will also advise prescribers of the importance of measuring serum testosterone concentration if abuse is suspected. • Testosterone and other AAS are abused by adults and adolescents, including athletes and body builders. Abuse of testosterone, usually at doses higher than those typically prescribed and usually in conjunction with other AAS, is associated with serious safety risks affecting the heart, brain, liver, mental health, and endocrine system. -
Current P SYCHIATRY
Current p SYCHIATRY CASES THAT TEST YOUR SKILLS Excessive anabolic steroid use has been a hard habit to break for Mr. A, despite resultant legal, physical, and mental problems. Keeping such patients in treatment poses a challenge to the clinician. ▼ Steroid abuse: a ‘hidden’ health hazard William P. Carter, MD Harrison G. Pope, Jr., MD Instructor in psychiatry Professor of psychiatry Harvard Medical School Boston, MA Initial visit Road rage or ‘roid’ rage? virtually impossible to achieve a level of muscle mass compa- r. A, 25, was arrested after police interrupted an rable to what Mr. A exhibited without the use of anabolic M altercation between him and a senior citizen at a steroids.1 stoplight. He had emerged from his car, walked over to Remarkably, however, most people—including Mr. A’s the older driver in front of him, ripped open the car door, parents, law enforcement personnel, and even some mem- and pulled the man out of the car and onto the street. He bers of the treatment team—failed to diagnose Mr. A’s steroid was still yelling at the victim when a passing officer inter- use. He somehow convinced them that his extreme muscu- vened. larity was the result of hard work, dedication, and scrupulous Mr. A was charged with assault. After a plea bargain, attention to diet. This suggests that steroid abuse cases he was sentenced to probation and fined. He had been involving serious violence—such as that of Mr. A—frequent- seeing his probation officer every 2 weeks, but his par- ly go unreported and undiagnosed and are probably more ents were worried about his erratic and sometimes defi- common than we suspect.