Perspective and Value of the Keratin Matrix in the evaluation of the use of New Psychoactive Substances in the addiction treatment population

Journal title MISSION
Author/s Concettina Varango, Francesca Musarella, Mara Cella, Antonella Varango
Publishing Year 2020 Issue 2020/53 Language Italian
Pages 6 P. 39-44 File size 0 KB
DOI 10.3280/mis53-2020oa9242
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The world of drugs is changing. The "cannibal" drug (synthetic cathinones), the "zombie" drug (Krokodil), the "madness" drug (Yaba), the "crisis" drug (Sisa), are just some of the new drugs that are making their entry into the world of drugs. While on the one hand the prevalence of cocaine, heroin and amphetamines worldwide has decreased slightly in recent years, on the other hand we are witnessing an "epidemic" spread of new and more powerful psychoactive substances, with the most disparate chemical structure , synthesized at home or in clandestine laboratories, placed on the market, especially online, and advertised as harmless and capable of inducing extremely pleasant effects. The effects are often intense, not always pleasant, in some devastating cases.Better known as NPS (Novel Psychoactive Substances), they represent an emerging problem at an international level, a constantly evolving phenomenon in which new molecules are continuously placed on the market not only to satisfy new requests from consumers but above all to evade the controls that begin to be established in the various countries by updating the relevant legislation. Lacking analytical reference standards (non-existent or not easily available), the intoxications caused by NPS are extremely difficult to recognize, and even more to treat. This article arises from the need to inform a wider public about the danger represented by these substances, to make NPS known to sector operators (laboratory staff, emergency / emergency staff, health workers, researchers, etc.) in order to to facilitate the analysis of unknown samples and to disseminate scientific data that are beginning to emerge from clinical and preclinical studies on their toxic and pharmacological effects.

Keywords: keratin matrix; novel psychoactive substances

  1. Kintz P., Villain M., Cirimele V. (2006). Hair analysis for drug detection. Ther Drug Monit, Jun, 28(3): 442-6. Review. PubMed PMID: 16778731.
  2. Kintz P. (2004). Value of hair analysis in postmortem toxicology.
  3. Forensic Sci Int, Jun 10, 142(2-3): 127-34. Review. PubMed PMID: 15172076.
  4. Baumgartner A.M., Jones P.F., Baumgartner W.A., Black C.T. (1979). Radioimmunoassay of hair for determining opiate-abuse histories. J Nucl Med, 20: 748-52.
  5. Cooper G.A., Kronstrand R., Kintz P. (2012). Society of Hair Testing guidelines for drug testing in hair. Forensic Sci Int, May 10, 218(1-3): 20-4. Epub 2011 Nov 15. PubMed PMID: 22088946.
  6. Dufaux B., Agius R., Nadulski T., Kahl H.G. (2012). Comparison of urine and hair testing for drugs of abuse in the control of abstinence in driver’s license re-granting. Drug Test Anal, Jun, 4(6): 415-9.
  7. EMCDDA (2015). Europol Joint Report on a new psychoactive substance: 1-phenyl-2-(1-pyrrolidinyl)-1-pentanone (α-PVP). EMCDDA, September.
  8. Friguls B., Joya X., Garcia-Serra J., Gómez-Culebras M., Pichini S., Martinez S., Vall O., Garcia-Algar O. (2012). Assessment of exposure to drugs of abuse during pregnancy by hair analysis in a Mediterranean island. Addiction, Aug, 107(8): 1471-9. DOI: 10.1111/j.1360-0443.2012.03828.x. Epub 2012 May 8. PubMed PMID: 22296208
  9. Leonardi C., Assi C., Bandini C. et al. (2008). Studio multicentrico nazionale per la valutazione della potenza analitica di un metodo di dosaggio delle sostanze d’abuso in matrice cheratinica. Mission, 28: 19-22.
  10. Linea VMA-T Comedical (2010). Linea di prodotti per l’analisi delle droghe d’abuso nei capelli con tecniche immunometriche di screening. Brochure VMA-T Comedical s.a.s.
  11. Lotti A., Gottardi M. (a cura di) (2015). La matrice cheratinica. Perché è conveniente nei Ser.D. Milano: Ce.R.Co Edizioni.
  12. Luginbühl M., Bekaert B., Suesse S. et al. (2019). Detox Shampoos for EtG and FAEE in Hair - Results from in vitro Experiments. Drug Test Anal, Jan 18. DOI: 10.1002/dta.2570
  13. Joya X., Friguls B., Ortigosa S., Papaseit E., Martínez S.E., Manich A., Garcia-Algar O., Pacifici R., Vall O., Pichini S. (2012). Determination of maternal-fetal biomarkers of prenatal exposure to ethanol: a review. J Pharm Biomed Anal, Oct, 69: 209-22. Epub 2012 Jan 16. PubMed PMID: 22300909.
  14. Joya X., Papaseit E., Civit E., Pellegrini M., Vall O., Garcia-Algar O., Scaravelli G., Pichini S. (2009). Unsuspected exposure to cocaine in preschool children from a Mediterranean city detected by hair analysis. Ther Drug Monit, Jun, 31(3): 391-5. PubMed PMID: 19333147.
  15. Kintz P. (2007). Bioanalytical procedures for detection of chemical agents in hair in the case of drug-facilitated crimes. Anal Bioanal Chem, Aug, 388(7): 1467-74. Epub 2007 Mar 6. Review. PubMed PMID: 17340077.
  16. Kintz P. (2010). Consensus of the Society of Hair Testing on hair testing for chronic excessive alcohol consumption 2009. Forensic Sci Int, Mar 20, 196(1-3): 2. Epub 2010 Jan 8. PubMed PMID: 20060250.
  17. Kintz P. (1998). Hair testing and doping control in sport. Toxicol Lett, Dec 28, 102-103: 109-13. Review. PubMed PMID: 10022241.
  18. Kintz P., Villain M., Cirimele V. (2006). Hair analysis for drug detection. Ther Drug Monit, Jun, 28(3): 442-6.
  19. Llaquet H., Pichini S., Joya X., Papaseit E., Vall O., Klein J., Garcia-Algar O. (2010). Biological matrices for the evaluation of exposure to environmental tobacco smoke during prenatal life and childhood. Anal Bioanal Chem, Jan, 396(1): 379-99. Epub 2009 May 24. Review. PubMed PMID: 19466395.
  20. Morini L., Varango C., Filippi C., Rusca C., Danesino P., Cheli F., Fusini M., Iannello G., Groppi A. (2011). Chronic excessive alcohol consumption diagnosis: comparison between traditional biomarkers and ethyl glucuronide in hair, a study on a real population. Ther Drug Monit, Oct, 33(5): 654-7. PubMed PMID: 21912328.
  21. Morini L., Politi L., Acito S., Groppi A., Polettini A. (2009). Comparison of ethyl glucuronide in hair with carbohydratedeficient transferrin in serum as markers of chronic high levels of alcohol consumption. Forensic Sci Int, July 188(1-3): 140-3. Epub 2009 May 1. PubMed PMID: 19410394.
  22. Morini L., Politi L., Polettini A. (2009). Ethyl glucuronide in hair. A sensitive and specific marker of chronic heavy drinking. Addiction, Jun, 104(6): 915-20. Epub 2009 Apr 9. PubMed PMID: 19392911.
  23. Pichini S., De Luca R., Pellegrini M., Marchei E., Rotolo M.C., Spoletini R., D’Aloja P., Pacifici R., Mortali C., Scaravelli G. (2012). Hair and urine testing to assess drugs of abuse consumption in couples undergoing assisted reproductive technology (ART). Forensic Sci Int, May 10, 218(1-3): 57-61. Epub 2011 Oct 20. PubMed PMID: 22018744.
  24. Pichini S., Poudevida S., Pujadas M., Menoyo E., Pacifici R., Farré M., de la Torre R. (2006). Assessment of chronic exposure to MDMA in a group of consumers by segmental hair analysis. Ther Drug Monit, Feb, 28(1): 106-9. PubMed PMID: 16418703.
  25. Pichini S., Ventura M., Pujadas M., Ventura R., Pellegrini M., Zuccaro P., Pacifici R., de la Torre R. (2004). HAIRVEQ: an external quality control scheme for drugs of abuse analysis in hair. Forensic Sci Int, Oct 29, 145(2-3): 109-15. PubMed PMID: 15451081.
  26. Pichini S., Zuccaro P., Pellegrini M., Lopez A., Pacifici R. (2000). Analysis of drugs and abuse substances in the keratinic matrix. Ann Ist Super Sanita, 36(1): 17-27. Review. Italian. PubMed PMID: 11070605.
  27. Pichini S., Pacifici R. (a cura di) (2013). Linee guida per la determinazione delle sostanze d’abuso nella matrice pilifera. Istituto superiore di Sanità Roma.
  28. Politi L., Morini L., Leone F., Polettini A. (2006). Ethyl glucuronide in hair: Is it a reliable marker of chronic high levels of alcohol consumption? Addiction, Oct, 101(10): 1408-12. PubMed PMID: 16968341.
  29. Polla M., Stramesi C., Pichini S., Palmi I., Vignali C., Dall’Olio G. (2009). Hair testing is superior to urine to disclose cocaine consumption in driver’s licence regranting. Forensic Sci Int, Aug 10, 189(1-3): e41-3. Epub 2009 May 15. PubMed PMID: 19446971.
  30. Pragst F., Auwaerter V., Sporkert F., Spiegel K. (2001). Analysis of fatty acid ethyl esters in hair as possible markers of chronically elevated alcohol consumption by headspace solid-phase microextraction (HSSPME) and gas chromatography-mass spectrometry (GC-MS). Forensic Sci Int, Sep 15, 121(1-2): 76-88.
  31. Pragst F. (2006). Balikovama. State of the art in hair analysis for detection of drug and alcohol abuse. Clin Chim Acta, 370: 17-49.
  32. Pujadas M., Pichini S., Poudevida S., Menoyo E., Zuccaro P., Farré M., de la Torre R. (2003). Development and validation of a gas chromatography-mass spectrometry assay for hair analysis of amphetamine, methamphetamine and methylenedioxy derivatives. J Chromatogr B Analyt Technol Biomed Life Sci, Dec 25, 798(2): 249-55. PubMed PMID: 14643504.
  33. Relazione Europea sulla droga. Tendenze e sviluppi. L’osservatorio europeo delle droghe, 2018.
  34. Report off International Narcotics Control Board on the Availability off Internationally Controlled Drugs: Ensuring Adequate Access for Medical and Scientific Purposes, 2011.
  35. Society of Hair Testing, Cooper G., Moeller M., Kronstrand R. (2008). Current status of accreditation for drug testing in hair. Forensic Sci Int, Mar 21, 176(1): 9-12. Epub 2007 Nov 19. PubMed PMID: 18024039.
  36. Umani Ronchi F. (2006). Analisi tossicologica dei capelli: stato dell’arte e considerazioni operative. Biochimica clinica, 30(2): 148-154.

Concettina Varango, Francesca Musarella, Mara Cella, Antonella Varango, Prospettiva e Valore della matrice Cheratinica nella valutazione dell’utilizzo di Nuove Sostanze Psicoattive nella popolazione che afferisce ai SERD in "MISSION" 53/2020, pp 39-44, DOI: 10.3280/mis53-2020oa9242