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Proceedings of the International Cyanide Detection Testing Workshop

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are many discrepancies in <strong>the</strong> literature<br />

when evaluating <strong>the</strong> stability <strong>of</strong> cyanide<br />

in biological fl uids under various<br />

conditions (43, 87, 131, 172, 179).<br />

Generally, nucleophilic losses are reduced<br />

by adding sequestering agents (e.g.,<br />

hydroxocobalamin) or chemicals that<br />

produce sequestering agents (e.g. sodium<br />

nitrite to produce me<strong>the</strong>moglobin) (87,<br />

123, 193). One method found to improve<br />

cyanide stability is <strong>the</strong> addition <strong>of</strong> silver<br />

ions to biological samples (87).<br />

2) <strong>Cyanide</strong> concentration varies in biological<br />

components. <strong>Cyanide</strong> in blood primarily<br />

resides in erythrocytes (red blood<br />

cells) (64, 82, 87, 174, 194) by<br />

binding to me<strong>the</strong>moglobin, forming<br />

cyanome<strong>the</strong>moglobin. <strong>Cyanide</strong> may<br />

also be present in plasma, especially<br />

if cyanide concentrations exceed<br />

erythrocyte concentrations (82, 87). To<br />

ensure accurate cyanide concentrations<br />

when analyzing blood, collection<br />

containers that contain anticoagulants<br />

(e.g., heparin) should be used to prevent<br />

clotting. Analysis <strong>of</strong> cyanide from tissues<br />

requires knowledge <strong>of</strong> <strong>the</strong> behavior<br />

<strong>of</strong> cyanide in specifi c organs since <strong>the</strong><br />

enzyme that catalyzes conversion <strong>of</strong><br />

cyanide to thiocyanate has highly variable<br />

concentrations depending on <strong>the</strong> organ.<br />

Therefore, in specifi c organs, <strong>the</strong>re will be<br />

little to no cyanide because <strong>of</strong> extremely<br />

fast metabolism to thiocyanate.<br />

3) Potential for cyanide formation during storage.<br />

Artifactual formation <strong>of</strong> cyanide<br />

may also occur in biological samples<br />

depending on storage conditions (77,<br />

172-174). It has been suggested that<br />

oxyhemoglobin (175), thiocyanate<br />

oxidase (173, 174), and white blood cells<br />

(77) may oxidize thiocyanate to cyanide<br />

and <strong>the</strong>se reactions are dependent<br />

83<br />

on <strong>the</strong> temperature and pH <strong>of</strong> <strong>the</strong><br />

sample. Microorganisms may also be<br />

responsible for cyanide production and<br />

low temperature storage will help to<br />

eliminate <strong>the</strong>ir growth (173).<br />

These considerations are common to all <strong>the</strong><br />

analytical methods for analysis <strong>of</strong> cyanide<br />

from biological samples and certainly<br />

contribute to discrepancies in similar studies<br />

in <strong>the</strong> literature. For post-mortem analysis <strong>of</strong><br />

cyanide, production and transformation <strong>of</strong><br />

cyanide must be considered when interpreting<br />

results along with o<strong>the</strong>r considerations<br />

discussed above (74, 195-198).<br />

Some <strong>of</strong> <strong>the</strong> same issues must also be<br />

considered for thiocyanate, as a number <strong>of</strong><br />

problems with storage <strong>of</strong> samples to be<br />

analyzed for thiocyanate have been found<br />

(56). This may be due to interconversion <strong>of</strong><br />

thiocyanate and cyanide over time and <strong>the</strong><br />

removal and production <strong>of</strong> thiocyanate by<br />

biological processes o<strong>the</strong>r than cyanide<br />

detoxifi cation (24, 58). It has been suggested<br />

that ATCA is not involved in o<strong>the</strong>r biological<br />

processes and it has been found to be stable<br />

during storage (18, 45, 47, 48, 59). While<br />

ATCA may not have <strong>the</strong> storage issues <strong>of</strong><br />

cyanide and thiocyanate, <strong>the</strong>re is little<br />

information on its toxicokinetics, which<br />

currently limits its use as a biomarker for<br />

cyanide exposure. Also, cyanide-protein<br />

adducts have recently been discovered, and<br />

<strong>the</strong>refore little information about <strong>the</strong><br />

toxicokinetics and stability <strong>of</strong> <strong>the</strong>se adducts is<br />

known.<br />

Conclusions<br />

The analytical determination <strong>of</strong> cyanide and<br />

its metabolites is not an easy task due to<br />

chemical properties, biological activities, and<br />

limited research. Numerous methods have<br />

been developed and each has its own<br />

advantages and disadvantages. However, <strong>the</strong>y

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