PMID- 26705142 OWN - NLM STAT- MEDLINE DCOM- 20161114 LR - 20161230 IS - 1535-3907 (Electronic) IS - 1535-3893 (Linking) VI - 15 IP - 2 DP - 2016 Feb 5 TI - A Metabolomics Study of Retrospective Forensic Data from Whole Blood Samples of Humans Exposed to 3,4-Methylenedioxymethamphetamine: A New Approach for Identifying Drug Metabolites and Changes in Metabolism Related to Drug Consumption. PG - 619-27 LID - 10.1021/acs.jproteome.5b01023 [doi] AB - The illicit drug 3,4-methylenedioxymethamphetamine (MDMA) has profound physiological cerebral, cardiac, and hepatic effects that are reflected in the blood. Screening of blood for MDMA and other narcotics are routinely performed in forensics analysis using ultra-performance liquid chromatography with high-resolution time-of-flight mass spectrometry (UPLC-HR-TOFMS). The aim of this study was to investigate whether such UPLC-HR-TOFMS data collected over a two-year period could be used for untargeted metabolomics to determine MDMA metabolites as well as endogenous changes related to drug response and toxicology. Whole blood samples from living Danish drivers' positive for MDMA in different concentrations were compared to negative control samples using various statistical methods. The untargeted identification of known MDMA metabolites was used to validate the methods. The results further revealed changes of several acylcarnitines, adenosine monophosphate, adenosine, inosine, thiomorpholine 3-carboxylate, tryptophan, S-adenosyl-l-homocysteine (SAH), and lysophospatidylcholine (lysoPC) species in response to MDMA. These endogenous metabolites could be implicated in an increased energy demand and mechanisms related to the serotonergic syndrome as well as drug induced neurotoxicity. The findings showed that it was possible to extract meaningful results from retrospective UPLC-HR-TOFMS screening data for metabolic profiling in relation to drug metabolism, endogenous physiological effects, and toxicology. FAU - Nielsen, Kirstine L AU - Nielsen KL AD - Department of Forensic Medicine, Section for Forensic Chemistry, Aarhus University , Palle Juul-Jensens Boulevard 99, DK-8200 Aarhus N, Denmark. FAU - Telving, Rasmus AU - Telving R AD - Department of Forensic Medicine, Section for Forensic Chemistry, Aarhus University , Palle Juul-Jensens Boulevard 99, DK-8200 Aarhus N, Denmark. FAU - Andreasen, Mette F AU - Andreasen MF AD - Department of Forensic Medicine, Section for Forensic Chemistry, Aarhus University , Palle Juul-Jensens Boulevard 99, DK-8200 Aarhus N, Denmark. FAU - Hasselstrom, Jorgen B AU - Hasselstrom JB AD - Department of Forensic Medicine, Section for Forensic Chemistry, Aarhus University , Palle Juul-Jensens Boulevard 99, DK-8200 Aarhus N, Denmark. FAU - Johannsen, Mogens AU - Johannsen M AD - Department of Forensic Medicine, Section for Forensic Chemistry, Aarhus University , Palle Juul-Jensens Boulevard 99, DK-8200 Aarhus N, Denmark. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20160108 PL - United States TA - J Proteome Res JT - Journal of proteome research JID - 101128775 RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Chromatography, Liquid/methods MH - Forensic Toxicology/*statistics & numerical data MH - Humans MH - Mass Spectrometry/methods MH - Metabolomics/*methods MH - N-Methyl-3,4-methylenedioxyamphetamine/*blood/*metabolism MH - Reproducibility of Results MH - Retrospective Studies MH - Substance Abuse Detection/methods OTO - NOTNLM OT - 3,4-methylenedioxymethamphetamine (MDMA) OT - S-adenosyl-l-homocysteine OT - UPLC-HR-TOFMS OT - acylcarnitine OT - ecstasy OT - metabolism OT - metabolomics OT - thiomorpholine 3-carboxylate OT - tryptophan EDAT- 2015/12/26 06:00 MHDA- 2016/11/15 06:00 CRDT- 2015/12/26 06:00 PHST- 2015/12/26 06:00 [entrez] PHST- 2015/12/26 06:00 [pubmed] PHST- 2016/11/15 06:00 [medline] AID - 10.1021/acs.jproteome.5b01023 [doi] PST - ppublish SO - J Proteome Res. 2016 Feb 5;15(2):619-27. doi: 10.1021/acs.jproteome.5b01023. Epub 2016 Jan 8.