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Examination of Firearms Review: 2007 to 2010 - Interpol

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Other methods <strong>to</strong> detect organophosphorus nerve agents exposure consist <strong>of</strong><br />

refluoridation <strong>of</strong> nerve agents adducted <strong>to</strong> the butyrylcholinesterase prior <strong>to</strong><br />

solid-phase extraction and analysis by iso<strong>to</strong>pe-dilution gas chroma<strong>to</strong>graphymass<br />

spectrometry, 53 or by analysis <strong>of</strong> the dialkylphosphates metabolites<br />

found in urine by GC-MS/MS. 54 The fluoride ion-based regeneration method<br />

has been used successfully in a number <strong>of</strong> cases. For example, it allowed the<br />

quantification <strong>of</strong> VX-butyrylcholinesterase adduct in plasma, resulting from a<br />

relatively low-level accidental human exposure case, by gas chroma<strong>to</strong>graphyhigh<br />

resolution mass spectrometry <strong>of</strong> the resulting biomarker ethyl<br />

methylphosphon<strong>of</strong>luoridate (VX-G), 55 or by GC-MS/MS <strong>of</strong> VX-G in red blood<br />

cells. 56 The same method was applied <strong>to</strong> the detection <strong>of</strong> VX-G in Gottingen<br />

minipig red blood cells after whole-body exposure <strong>to</strong> VX vapour, 57 while VX in<br />

plasma could be identified directly. 58<br />

The fluoride method was also applied <strong>to</strong> analysis <strong>of</strong> soman in rat plasma. 59<br />

The relative <strong>to</strong>xicity <strong>of</strong> the four soman stereoisomers was also investigated. 60<br />

A new method, based on high-performance liquid chroma<strong>to</strong>graphy-mass<br />

spectrometry with negative ion electrospray ionisation and time-<strong>of</strong>-flight<br />

detection (LC-ESI-MS-TOF), has been developed and validated for the<br />

determination <strong>of</strong> isopropyl methylphosphonic acid (IMPA) and cyclohexyl<br />

methylphosphonic acid (CMPA), the metabolic hydrolysis products <strong>of</strong> sarin,<br />

and cyclosarin, respectively. 61<br />

A lab-on-a-chip method has been developed for the detection <strong>of</strong> sarin in<br />

blood, based on continuous-flow micr<strong>of</strong>luidics with sequential stages for lysis<br />

<strong>of</strong> whole blood, regeneration <strong>of</strong> free nerve agent from its complex with blood<br />

cholinesterase, protein precipitation, filtration, enzyme-assisted reaction, and<br />

optical detection. 62<br />

Exposures <strong>to</strong> vesicants such as sulphur mustard (HD) or nitrogen mustard<br />

(HN) can also be determined by metabolites analysis. For example, exposure<br />

<strong>to</strong> HD can be ascertained by measuring thiodiglycol (TDG), TDG-sulphoxide,<br />

and the bis-mercapturate <strong>of</strong> mustard sulphone in urine. 63 Other metabolites<br />

such as adducts <strong>of</strong> HD with albumin, with glutamic and aspartic acids <strong>of</strong><br />

plasma proteins or with haemoglobin have also been extensively<br />

studied, 64,65,66 while detection <strong>of</strong> blood protein adducts can be identified from<br />

the cleavage <strong>of</strong> protein-hydroxyethylthioethyl esters <strong>to</strong> produce thiodiglycol. 67<br />

The albumin-derived adduct biomarkers present in blood samples have also<br />

been investigated for nitrogen mustards (HN-1, HN-2, and HN-3). 68<br />

The determination <strong>of</strong> the sesqui-mustard metabolites bis(2hydroxyethylthio)alkanes<br />

(n = 1-5) and the oxy-mustard metabolite bis(2hydroxyethylthioethyl)ether<br />

in human urine by HPLC-MS/MS could similarly<br />

provide indication <strong>of</strong> exposure <strong>to</strong> sesqui- and oxy-mustards that are potential<br />

chemical weapons because <strong>of</strong> their vesicant properties. 69<br />

534

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