In vitro metabolism studies on mephedrone and analysis of forensic cases

Drug Test Anal. 2013 Jun;5(6):430-8. doi: 10.1002/dta.1369. Epub 2012 May 9.

Abstract

The stimulant designer drug mephedrone is a derivative of cathinone - a monoamine alkaloid found in khat - and its effect resembles that of 3,4-Methylenedioxymethamphetamine (MDMA). Abuse of mephedrone has been documented since 2007; it was originally a 'legal high' drug, but it has now been banned in most Western countries. Using cDNA-expressed CYP enzymes and human liver microsomal preparations, we found that cytochrome P450 2D6 (CYP2D6) was the main responsible enzyme for the in vitro Phase I metabolism of mephedrone, with some minor contribution from other NAPDH-dependent enzymes. Hydroxytolyl-mephedrone and nor-mephedrone were formed in vitro, and the former was purified and identified by nuclear magnetic resonance (NMR). In four forensic traffic cases where mephedrone was detected, we identified hydroxytolyl-mephedrone and nor-mephedrone again; as well as 4-carboxy-dihydro-mephedrone, which has been previously described; and two new metabolites: dihydro-mephedrone and 4-carboxy-mephedrone. Fragmentation patterns for all detected compounds were determined by a UPLC-QTOF/MS(E) system, and a fragmentation pathway via a conjugated indole structure was proposed for most of the metabolites. Blood concentrations in the forensic traffic cases ranged from 1 to 51 µg/kg for mephedrone, and from not detected to 9 µg/kg for hydroxytolyl-mephedrone. In one case, urine concentrations were also determined to be 700 µg/kg for mephedrone and 190 µg/kg for hydroxytolyl-mephedrone. All compounds were detected or quantified with an ultra performance liquid chromatography-tandem mass spectrometry (UPLC-MS/MS) system and an ultra performance liquid chromatography-time of flight/mass spectrometry (UPLC-TOF/MS) system.

MeSH terms

  • Central Nervous System Stimulants / blood
  • Central Nervous System Stimulants / metabolism*
  • Central Nervous System Stimulants / urine
  • Chromatography, High Pressure Liquid
  • Cytochrome P-450 CYP2D6 / metabolism
  • Designer Drugs / metabolism*
  • Designer Drugs / pharmacokinetics
  • Forensic Medicine
  • Humans
  • Illicit Drugs / blood
  • Illicit Drugs / metabolism*
  • Illicit Drugs / urine
  • Methamphetamine / analogs & derivatives*
  • Methamphetamine / blood
  • Methamphetamine / metabolism
  • Methamphetamine / urine
  • Microsomes, Liver / metabolism
  • Tandem Mass Spectrometry

Substances

  • Central Nervous System Stimulants
  • Designer Drugs
  • Illicit Drugs
  • Methamphetamine
  • mephedrone
  • Cytochrome P-450 CYP2D6