摘要

Controversial results have been reported in the literature regarding the behavior of two testosterone (T) metabolites (3 alpha-glucuronide-6 beta-hydroxyandrosterone and 3 alpha-glucuronide-6 beta-hydroxyetiocholanolone) excreted after T administration. Due to their potential as biomarkers of T misuse, a UHPLCeMS/MS method for the direct quantification of these glucuronides was developed and validated. In addition, the main phase II metabolites of T that compose the steroid profile used for doping control purposes (glucuronides of T, epitestosterone, androsterone and etiocholanolone) were included. The method was found to be linear and with suitable LODs and LOQs for all metabolites. The average accuracies were between 86% and 120%, the RSDs for the intra-and inter-day precision were below 15% and 25% respectively. The method showed low matrix effect. Samples obtained before and after the administration of T were analyzed by both the developed UHPLCeMS/ MS method and the GCeMS/MS method currently used by anti-doping laboratories. Relevant disagreements between the results obtained for 3 alpha-glucuronide-6 beta-hydroxyandrosterone and 3 alpha-glucuronide-6 beta-hydroxyetiocholanolone quantitation were observed. These markers seemed to be more suitable for the screening of T misuse when detected by UHPLCeMS/MS. These discrepancies were further investigated in 50 urine samples from healthy volunteers. The two methods gave highly correlated results for all metabolites that are currently included in the athlete's steroid profile confirming the reliability of the UHPLCeMS/MS method. However, the quantification of 3 alpha-glucuronide-6 beta-hydroxyandrosterone and 3 alpha-glucuronide-6 beta-hydroxyetiocholanolone, was only possible by using the UHPLCeMS/MS method since three interfering compounds were observed when performing the GCeMS/MS analysis with the most intense ion transitions. These results confirm the potential of the resistant glucuronides as biomarkers of T misuse. Additionally, they suggest that previously reported reference ranges for these metabolites should be reevaluated.

  • 出版日期2015-10-1