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SOFT 2004 Meeting Abstracts - Society of Forensic Toxicologists

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M45 <br />

DETECTION OF COTININE IN EXHALED BREATH BY GAS CHROMATOGRAPHY-MASS<br />

SPECTROMETRY: A PRELIMINARY STUDY<br />

3<br />

Michele L. Merves J *, Chris W. Chronister l , Bruce A. Goldberger l • , Richard J. Melker and Mark S. Gold 3 • 4 :<br />

University <strong>of</strong> Florida College <strong>of</strong> Medicine, IDepartment <strong>of</strong> Pathology, Immunology and Laboratory Medicine;<br />

2Department <strong>of</strong> Anesthesiology; JDepartment <strong>of</strong> Psychiatry, Division <strong>of</strong> Addiction Medicine; 4Departrnents <strong>of</strong><br />

Neuroscience, Community Health and Family Medicine; 'Gainesville, FL; 4800 S.W. 35 th Street, Gainesville,<br />

FL 32608.<br />

Exhaled breath analysis is a very useful diagnostic tool in the fields <strong>of</strong> medicine and forensic science. Exhaled<br />

breath is routinely used to detect markers <strong>of</strong> disease, as well as correlate ethanol concentrations with effects on<br />

human performance and behavior (DUI). Compared to other biological specimens, the collection <strong>of</strong> exhaled<br />

breath is simple and non-invasive, with minimal exposure to infectious material. Because exhaled breath is a<br />

physiological waste product, the quantity available exceeds those <strong>of</strong> other biological matrices such as blood and<br />

urine. In addition, little sample preparation is required. Finally, exhaled breath accounts for all routes <strong>of</strong> drug<br />

exposure including oral ingestion, injection, inhalation, and dermal absorption.<br />

This is a preliminary study to determine if cotinine, an oxidative metabolite <strong>of</strong> nicotine, is detectable in exhaled<br />

breath <strong>of</strong> humans. Cotinine was chosen as a metabolic marker <strong>of</strong> nicotine use because <strong>of</strong> its long half-life<br />

compared to nicotine. Exhaled breath specimens were collected onto commercially-available XAD-4 traps<br />

(Supelco) and analyzed by gas chromatography-mass spectrometry (GC-MS). The resin, XAD-4, is a polymeric<br />

adsorbent available as beads within a small glass tube (70 mm x 6 mm). Upon collection <strong>of</strong> the exhaled breath,<br />

the resin was removed, fortified with drcotinine (Cerilliant Corporation), and sonicated in methanol for 30<br />

minutes. The organic layer was separated from the resin and dried under a gentle stream <strong>of</strong> nitrogen at 40°C. The<br />

residue was reconstituted in phosphate buffer (PH 6). The cotinine was isolated from the buffer utilizing<br />

CleanScreen® solid-phase· extraction (SPE) cartridges (ZSDAU020) manufactured by United Chemical<br />

Technologies, Inc. Following elution from the SPE cartridges using a solution <strong>of</strong>methylene chloride, isopropanol,<br />

and ammonium hydroxide, the extracts were dried under a gentle stream <strong>of</strong> nitrogen at 40°C and reconstituted in<br />

methanol. The extracts were subjected to GC-MS analysis using an Agilent Technologies 6890N series gas<br />

chromatograph equipped with a Agilent Technologies 5973 network mass spectrometer operated in electron<br />

ionization and selected ion monitoring (SIM) modes. Helium was used as the carrier gas at a constant flow rate <strong>of</strong><br />

1.0 mLimin. Automated injections (2-3 ).iL) were made onto a capillary GC column. The ions (mlz) monitored<br />

for cotinine were 98.1, 175.1 and 176.1, and the ions (mlz) monitored for d 3 -cotinine were lOLl and 179.1.<br />

Initial studies have demonstrated cotinine in the exhaled breath <strong>of</strong> cigarette smokers, while cotinine was not<br />

detected in control (non-smokers) exhaled breath. These data will serve as a model for detection <strong>of</strong> other<br />

compounds (drugs and their metabolites) present in exhaled breath which may be beneficial for many other<br />

medical, forensic, and toxicological applications.<br />

Keywords: Cotinine, Exhaled Breath, GC-MS<br />

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