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Assay of R-apomorphine, S-apomorphine, apocodeine, isoapocodeine and their glucuronide and sulfate conjugates in plasma and urine of patients with Parkinson's disease.

Abstract
Analytical methods are described for the selective, rapid and sensitive determination of R- and S-apomorphine, apocodeine and isoapocodeine and the glucuronic acid and sulfate conjugates in plasma and urine. The methods involve liquid-liquid extraction followed by high-performance liquid chromatography with electrochemical detection. The glucuronide and sulfate conjugates are determined after enzymatic hydrolysis. For the assay of R- and S-apomorphine a 10 microm Chiralcel OD-R column is used and the voltage of the detector is set at 0.7 V. The mobile phase is a mixture of aqueous phase (pH 4.0)-acetonitrile (65:35, v/v). At a flow-rate of 0.9 ml min(-1) the total run time is ca. 15 min. The detection limits are 0.3 and 0.6 ng ml(-1) for R- and S- apomorphine, respectively (signal-to-noise ratio 3). The intra- and inter-assay variations are <5% in the concentration range of 2.5-25 ng ml(-1) for plasma samples, and <4% in the concentration range of 40-400 ng ml(-1) for urine samples. For the assay of apomorphine, apocodeine and isoapocodeine, a 5 microm C18 column was used and the voltage of the detector set at 0.825 V. Ion-pairing chromatography was used. The mobile phase is a mixture of aqueous phase (pH 3.0)-acetonitrile (75:25, v/v). At a flow-rate of 0.8 ml min(-1) the total run time is ca. 14 min. The detection limits of this assay are 1.0 ng ml(-1) for apomorphine and 2.5 ng ml(-1) for both apocodeine and isoapocodeine (signal-to-noise ratio 3). The inter-assay variations are 5% in the concentration range of 5-40 ng ml(-1) for plasma samples and 7% in the concentration range of 50-500 ng ml(-1) for urine samples. The glucuronic acid and sulfate conjugates of the various compounds are hydrolysed by incubation of the samples with beta-glucuronidase and sulfatase type H-1, respectively. Hydrolysis was complete after 5 h of incubation. No measurable degradation of apomorphine, apocodeine and isoapocodeine occurred during the incubation. A pharmacokinetic study of apomorphine, following the intravenous infusion of 30 microg kg(-1) for 15 min in a patient with Parkinson's disease, demonstrates the utility of the methods: both the pharmacokinetic parameters of the parent drug and the appearance of apomorphine plus metabolites in urine could be determined.
AuthorsR van der Geest, P Kruger, J M Gubbens-Stibbe, T van Laar, H E Bodde, M Danhof
JournalJournal of chromatography. B, Biomedical sciences and applications (J Chromatogr B Biomed Sci Appl) Vol. 702 Issue 1-2 Pg. 131-41 (Nov 21 1997) ISSN: 1387-2273 [Print] Netherlands
PMID9449564 (Publication Type: Comparative Study, Journal Article)
Chemical References
  • Antiparkinson Agents
  • Glucuronates
  • Sulfates
  • isoapocodeine
  • Glucuronic Acid
  • Sulfatases
  • Glucuronidase
  • Apomorphine
  • apocodeine
  • Acetic Acid
Topics
  • Acetic Acid (pharmacology)
  • Antiparkinson Agents (administration & dosage, analysis, chemistry, metabolism)
  • Apomorphine (administration & dosage, analogs & derivatives, analysis, chemistry, metabolism)
  • Chromatography, High Pressure Liquid (methods)
  • Circadian Rhythm
  • Glucuronates (urine)
  • Glucuronic Acid
  • Glucuronidase (metabolism)
  • Humans
  • Hydrolysis
  • Infusions, Intravenous
  • Linear Models
  • Male
  • Parkinson Disease (blood, metabolism, urine)
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Stereoisomerism
  • Sulfatases (metabolism)
  • Sulfates (urine)
  • Time Factors

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