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Proceedings of the International Cyanide Detection Testing Workshop

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Plasma lactate — elevated plasma<br />

lactate concentrations, resulting from<br />

<strong>the</strong> shift to anaerobic metabolism,<br />

have been used to assess <strong>the</strong> severity<br />

<strong>of</strong> cyanide poisoning in humans<br />

(Baud, Borron et al., 2002)<br />

Thiocyanate is <strong>the</strong> major metabolite <strong>of</strong><br />

cyanide, and a number <strong>of</strong> sensitive methods<br />

are available for its measurement in biological<br />

fl uids (see Table 2 and Logue, Kirschten et al.,<br />

2005). Thiocyanate can be a good marker for<br />

cyanide exposure because it is non-volatile<br />

and can be analyzed in blood, urine, and saliva.<br />

However, analytical recovery <strong>of</strong> thiocyanate<br />

from whole blood is not quantitative and<br />

thiocyanate concentrations in blood varied<br />

inconsistently during storage at various<br />

temperatures over a period <strong>of</strong> two weeks<br />

(Logue, Kirschten et al., 2005). In addition,<br />

thiocyanate may be formed by o<strong>the</strong>r modes<br />

<strong>of</strong> metabolism besides cyanide intoxication or<br />

metabolism (Logue, Kirschten et al., 2005).<br />

These same limitations to measuring<br />

thiocyanate as a marker <strong>of</strong> cyanide<br />

concentration could equally be true<br />

for o<strong>the</strong>r metabolites such as formate and<br />

ATCA. All systems that are developed to<br />

detect cyanide will have to demonstrate that<br />

<strong>the</strong>y can differentiate between background,<br />

endogenous sources <strong>of</strong> cyanide, and that<br />

<strong>the</strong>ir concentrations directly correlate with<br />

external cyanide exposure.<br />

One lab (Logue, Kirschten et al., 2005)<br />

is developing a promising possibility for<br />

cyanide detection by looking at <strong>the</strong> cyanide<br />

metabolite 2-aminothiazoline-4-carboxylic<br />

acid (ATCA). ATCA is stable for months in<br />

biological samples at freezing and ambient<br />

temperatures (Logue, Kirschten et al., 2005).<br />

The method analyzes syn<strong>the</strong>tic urine and<br />

swine plasma through cyanide derivatization<br />

and subsequent gas chromatography–mass<br />

103<br />

spectrometry (GC–MS) analysis. The study<br />

identifi ed a detection limit <strong>of</strong> 25 ng/ml. This<br />

lab has also conducted preliminary tests <strong>of</strong><br />

this method <strong>of</strong> fi sh samples (Logue, pers.<br />

com.). However, fur<strong>the</strong>r research is needed<br />

to verify <strong>the</strong> background levels <strong>of</strong> ATCA in<br />

fi sh samples, <strong>the</strong> metabolic clearance rate <strong>of</strong><br />

ATCA in fi sh, and <strong>the</strong> correlation between<br />

cyanide exposure and subsequent ATCA<br />

concentrations.<br />

Summary<br />

The publication <strong>of</strong> <strong>the</strong> Mak et al. (Mak,<br />

Yanase et al., 2005) paper has initiated<br />

a discussion regarding <strong>the</strong> possibility <strong>of</strong><br />

developing an improved cyanide detection<br />

test for marine fi sh. However, it is important<br />

to acknowledge that <strong>the</strong> detection <strong>of</strong> cyanide,<br />

cyanide compounds, or cyanide metabolites<br />

in fi sh tissues is quite diffi cult. Once exposed<br />

to cyanide, <strong>the</strong> fi sh rapidly incorporate and<br />

convert cyanide into thiocyanate (SCN - ).<br />

Shortly <strong>the</strong>reafter, <strong>the</strong> thiocyanate is excreted.<br />

The half-life <strong>of</strong> <strong>the</strong> cyanide is extremely<br />

short. As a result, detection in <strong>the</strong> fi sh tissues<br />

will be a factor <strong>of</strong> <strong>the</strong> amount <strong>of</strong> time that<br />

passes before a test can be performed. Mak et<br />

al. (Mak, Yanase et al., 2005) point out that it<br />

may be that detection <strong>of</strong> total cyanide in fi sh<br />

would occur only under “optimal conditions”<br />

such as extreme cyanide exposure followed by<br />

rapid implementation <strong>of</strong> a cyanide detection<br />

test.

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