CONFIRMATION OF LONG TERM EXCRETED METABOLITES OF METANDIENONE BY GAS CHROMATOGRAPHY COUPLED WITH MASS SPECTROMETRY

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U.P.B. Sci. Bull., Series B, Vol. 74, Iss. 2, 212 ISSN 1454-2331 CONFIRMATION OF LONG TERM EXCRETED METABOLITES OF METANDIENONE BY GAS CHROMATOGRAPHY COUPLED WITH MASS SPECTROMETRY Rodica Maria PICU 1, Gabriel-Lucian RADU 2 Metoda folosită de laboratoarele de control doping pentru dovedirea abuzului de Metandienonă în sport se bazează pe detecţia metaboliţilor săi urinari de remanenţă îndelungată 17β-metil-5β-androst-1-ene-3α,17α-diol şi 17βhidroximetil,17α-metil-18-norandrost-1,4,13-trien-3-onă. Dacă în urma unei analize de testare iniţială cu extracţie lichid-lichid, o probă de urină supusă controlului doping este declarată suspectă pe Metandienonă este necesară analiza de confirmare prin care metaboliţii de remanenţă îndelungată ai acestei substanţe sunt izolaţi prin extracţie solid-lichid urmată de îndepărtarea fracţiei libere şi extracţie cu n-pentan şi identificaţi prin cromatografie de gaze cuplată cu spectrometrie de masă de joasă rezoluţie. Îndeplinirea criteriilor de confirmare specifice pentru mai mulţi metaboliţi ai aceluiaşi compus, oferă dovezi suplimentare în sprijinul unei decizii corecte în controlul doping. The method used by doping control laboratories to prove Metandienone abuse in sport is based on the detection of its urinary long-term metabolites 17βmethyl-5β-androst-1-ene-3α,17α-diol and 17β-hydroxymethyl,17α-metil-18- norandrost-1,4,13-trien-3-one. If a urine sample is declared suspect for Metandienone abuse after an initial test analysis with liquid-liquid extraction, it is necessary a confirmation analysis for the long-term metabolites that are isolated by solid-liquid extraction followed by removal free fraction and extraction with n- pentane and identified by gas chromatography coupled with low resolution mass spectrometry. By meeting the specific identification criteria for more than one metabolite of the same parent compound, additional evidence could be obtained in the decision making process in doping control. Keywords: Methandienone, confirmation, GC/MS 1. Introduction The use of anabolic androgenic steroids in sport is prohibited by World Anti-Doping Agency s (WADA) requirements [1]. The abuse of this class of 1 Scientific researcher, The Anti-Doping National Agency, Bucharest, Romania, e-mail: rodiradu@yahoo.com 2 Prof., Faculty of Applied Chemistry and Materials Science, University POLITEHNICA of Bucharest, Romania

22 Rodica Maria Picu, Gabriel-Lucian Radu substances is controlled by analyzing the urine samples collected from the athletes, both in and out of competition, by gas chromatography coupled with mass spectrometry technique (GC/MS). Metandienone (17α-methyl-androsta-1,4- dien-17β-ol-3-one) was reported as the first anabolic androgenous steroid used by the athletes [2], available as tablets with different names as early 1956. Pharmaceutical products containing this substance accelerate muscle growth by anabolic effects and lead to a shorter recovery between training. The Metandienone metabolism was studied intensely and involves many stages: hydrogenation of double bond between C 4 and C 5 by 5β-reductase, reduction of ceto group of C 3 atom by 3α-dehydrogenises and hydrogenation of double bond between C 1 and C 2. Some studies [3-9] showed that the metabolizing results in many compounds that can be used to establish the abuse of Metandienone (Fig. 1). Thus, the researches were focused on confirmation of main Metandienone metabolites detectable in athletes urine, 17α-methyl-5β-androstane-3α,17β-diol (2), 17β-methyl-5β-androst-1-ene-3α,17α-diol (3), 18-nor-17,17-dimethyl-5βandrost-1,13-dien-3α-ol (4) and 17β-hydroxymethyl,17α-methyl-18-norandrost- 1,4,13-trien-3-one (5), excreted as conjugated fraction. As target analytes for the long-term detection of Methandienone abuse were selected 17β-methyl-5βandrost-1-ene-3α,17α-diol (3) and 17β-hydroxymethyl,17α-methyl-18-norandrost- 1,4,13-trien-3-one (5) [1,11]. Following the acceptance criteria established by WADA, a prohibited substance is confirmed by comparing it with a reference material, analyzed in parallel with the suspected sample, while the concentration domains in both sample and reference need to be similar [12]. Technical document TD21IDCR of International Standard for Laboratories ver.6./9 [13] states that a prohibited substance may be reported as present in a suspected sample if the retention time of the analyte in the chromatographic column does not differ with more than 2 (two) percent or ±,1 minutes (whichever is smaller) in comparison with a sample containing the reference substance, while the relative abundances of three diagnosis ions do not differ with more than the figure indicated in Table 1, in comparison with the relative intensities of the same ions obtained from a reference urine and signal/noise ratio of the least intense diagnosis ion to be greater than 3:1 (three to one).

Confirmation of long term excreted metabolites of methandienone by gas chromatography 23 1 2 3 4 5 Fig. 1. Metabolism of Metandienone (1): 17α-methyl-5β-androstane-3α,17β-diol (2), 17β-methyl-5β-androst-1-ene-3α,17α-diol (3), 18-nor-17,17-dimethyl-5β-androst-1,13-dien-3α-ol (4) and 17β-hydroxymethyl,17α-methyl-18-norandrost-1,4,13-trien-3-one (5) Table 1 Maximum Tolerance Windows for Relative Ion Intensities to Ensure Appropriate Confidence in Identification 2. Experimetal Relative (% of base peak) EI-GC/MS; CI-GC/MS; GC/MS n ; LC/MS; LC/MS n >5% +1% (absolute) 25% - 5% +2% (relative) 5% - 25% +5% (absolute) <5% +5% (absolute) Materials The reference substances for Metandienone metabolites and internal standard, methyltestosterone (17β-hydroxy-17α-methylandrost-4-en-3-one) were purchased from National Measurement Institute (Germany). Primary stock solutions (1mg/mL) were prepared in a methanol and stored at < C, protected from light. Intermediate working solutions were obtained through a ten-fold dilution of these primary stock solutions. Derivatization agent N-methyl-N-

24 Rodica Maria Picu, Gabriel-Lucian Radu trimethylsilyltrifluoroacetamide MSTFA (for gas chromatography) was produced by Alfa Aesar GmbH&CohG and the enzyme β-glucuronidase from E.coli was from Roche Diagnostics Manheim. All the other reagents and solvents were of analytical and chromatographic grade and were purchased from Sigma and Merck. A urine sample obtained after orally administration of a single dose of Metandienone (25mg Dianabol) to a healthy male volunteer (3 years) was used for the confirmation analysis. As a human subject was involved, for this study an ethical approval was obtained from the local ethical commission. Isolation of Metandienone metabolites from urine by liquid-liquid extraction Urine samples were prepared for regular doping control analysis adopted after Schänzer and Dönike [14] and implemented in Romanian Doping Control Laboratory according to the internal laboratory standard operating procedures in order to detect anabolic agents. In order to identify the Methandienone metabolites, internal standard (methyltestosterone, 5ng/mL), 1mL phosphate buffer (ph 7) and 25μL of β-glucuronidase from E.Coli solution were added to 2mL of urine. The samples were hydrolyzed during 9 minutes at 5 C. After adjusting the ph to approximately 9 with potassium carbonate the analytes were extracted with tert-butyl-methyl-ether. The samples were shaked mechanically 15 minutes (1oscilations/min) and were centrifuged for 15 minutes at 25rpm and the organic phase was separated and evaporated to dryness under nitrogen stream at 4 C. The samples were dried in a desiccator for 6 minutes and for GC/MS analysis, the dry residues were derivatized using 1μL MSTFA/NH4I/ethanethiol (1/2/3; v/w/v) at 6 C for 3 minutes and 3μL were injected into the gas chromatography/mass spectrometry (GC/MS) system. Isolation of Metandienone metabolites from urine by solid-liquid extraction In order to confirm the abuse of Metandienone, the suspicious urine sample was extracted by solid-liquid extraction (SLE) on Amberlite XAD 2 polystyrene resin with application of additional steps of purification, separation of free fraction and extraction in n-pentane of interest compounds. 2mL of urine sample were submitted to the extraction methodology for the the androgenous anabolic steroids in the conjugated fraction: column extraction containing Amberlit XAD 2 resin activated previously; elution of the interest compounds from the column with 2mL methanol; extraction with tert-butyl-methyl-ether; separation of the ether layer (free fraction); enzymatic hydrolysis with β- glucuronidase from E.Coli; extraction with n-pentane; evaporation and drying of the residue in vacuum; derivatization reaction.

Confirmation of long term excreted metabolites of methandienone by gas chromatography 25 Together with the sample, were extracted negative control samples and positive control samples fortified with interest metabolites in concentrations close to those estimated in initial testing, under the same conditions and analyzed by GC/MS. All the samples contained 5ng/mL internal standard methyltestosterone. GC/MS analysis The compounds resulting from the derivate reaction were identified through gas chromatography coupled with mass spectrometry using the system GC/MS Agilent Techologies 689N/5973. 3μL derivatized extract were injected split 1:1 on a capillary column UTRA 1 J&W Scientific (dimethylpolisiloxan cross-linked stationary phase 1%, length 17m, interior diameter dimension,2mm and stationary phase layer thickness,11μm) on a constant flow rate of helium carrier gas of 1ml/min. The oven temperature program was as follows: 16 C (2 min), 5 C/min 255 C ( min), 3 C/min 285 C (5 min) and 6 C/min 3 C (3.75 min). The electron energy was set at 7eV and the ion source temperature was set at 23 C. The acquisition was performed in the SIM mode (selected ion monitoring) by recording two groups of seven (m/z 143, 216, 358, 448, 133, 339, 442), respectively two (m/z 31, 446) mass fragments characteristic for the interest metabolites and internal standard. 3. Resuls and discussions In this study we intended to describe the initial testing and confirmation procedures for Metandienone abuse. Thus, in order to monitor the metabolites of Metandienone, we extracted a sample resulted from an excretion study performed after oral administration of 25mg Metandienone, by liquid-liquid extraction (LLE) and we analyzed it by GC/MS. Out of all Metandienone metabolites (Fig. 1), metabolites 3 and 5 show a particular interest in doping control analysis because they fall out of the body slower, therefore they remain in the body for a longer period of time. Fig. 2 shows the ion chromatogram and mass spectrum for metabolites 3 and 5. By the use of the GC/MS method, the monitored compounds were detected at t R min (3) and t R 15.15 min (5). At retention time corresponding to chromatographic elution of 3 metabolite, the sample shows less intense and not very well shaped peaks, but the mass spectrometer contains this metabolite s characteristic ions m/z 143, 216, 358, 448, while the signals of metabolite 5 characteristic ions are very weak and the mass spectrum shows the presence of other masses with intensities closed to those of m/z 133, 339, 442 characteristic ions. Under these circumstances, the sample may be declared suspect for abuse of

26 Rodica Maria Picu, Gabriel-Lucian Radu Metandienone and can be extracted for the confirmation procedure by SLE extraction and additional purification steps. In GC/MS, the elevated background noise observed after LLE can be reduced through a procedure of purification via Amberlite XAD 2 polystyrene resin and separation of the free fraction. After XAD 2 purification step, the removal of free fraction, the extraction of the interest compound with n-pentane and GC/MS analysis, it was observed a better eluation profile. It should be noticed that the target metabolites are very well distinguished and exhibit clear and symmetrical peaks. Fig. 3 depicts chromatograms generated from the suspicious sample for metabolites 3 and 5. In Fig. 4 chromatograms generated from a blank urine sample spiked at 5ng/mL of metabolites 3 and 5 are shown. It should be noticed that no interferences from matrix exist at the retention time values characteristic for each metabolite. Table 2 and 3 show the compliance between the relative abundances of the transitions and the retention times of the suspicious sample and the 5ng/mL reference and the concentration estimation data for the interest metabolites. Retention times (t R ) and signals height were obtained from chromatograms of the suspicious sample (Fig. 3) and reference urine spiked at 5ng of each metabolite/ml (Fig. 4). The concentrations levels of the metabolites (4,83ng/mL 3 and 14,8ng/mL 5) were estimated by direct comparison of response factors of the base peaks (m/z 143, respectively 133) against the internal standard, in both reference and suspicious sample. For confirmation of Metandienone abuse, criteria of identification requested by WADA [13] were applied, using Excel spreadsheets. The relative ion abundance of at least three diagnostic ions should fulfill the acceptable ranges presented in technical document TD21IDCR and the relative retention time should not differ by more than ± 1% from that of the same substance in reference urine. By introducing the signals height into the Excel, one may notice that their relative abundances are closed to the ones of the reference and they fit the limits of acceptance domain for all the chosen fragments. At the same time, the confirmation criteria for retention time are met. Taking into account that the confirmation criteria for both long term metabolites of Metandienone are met, the sample can be reported as adverse analytical finding for this anabolic steroid.

Confirmation of long term excreted metabolites of methandienone by gas chromatography 27 Table 2 The criteria for the identification of 17β-methyl-5β-androst-1-ene-3α,17α-diol (3) Reference sample- 5ng/mL (3) Sample T R (min) m/z Relative Relative Signal`s Acceptance Signal`s T abundence abundentce R height range (%) height (min) (%) (%) 12.46 143 9244 1. 1. 164 12.41 T R -SI 216 1442 15.6 1.6-2.6 17.9 195 T R -SI 16.72 358 1595 11.5 6.5-16.5 12.7 1347 16.63 T RR 448 2432 2.6 1.3-3.9 2.9 38 T RR.745.746 Internal standard: MT %T RR Reference sample - 5ng/mL 33971.14% (3) Sample 44972 %T R -.4% Concentration of (3) ΔT R Reference sample: 5 ng/ml -.5' Sample: 4.83 ng/ml Table 3 The criteria for the identification of 17β-hydroxymethyl,17α-methyl-18-norandrost-1,4,13- trien-3-one (5) T R (min) Reference sample - 5ng/mL (5) Relative Signal`s m/z abundence height (%) Acceptance range (%) Relative abundence (%) Sample Signal`s height T R (min) 15.23 133 1746 1. 1. 3791 15.17 T R -SI 339 599 47.5 38-56.9 45.3 1719 T R -SI 16.72 442 3 18.6 13.6-23.6 16.3 619 16.63 T RR.91.912 Internal standard: MT %T RR Reference sample - 5ng/mL (5) 33971.15% Sample 44972 %T R -.39% Concentration of (5) ΔT R Reference sample: 5 ng/ml -.6' Sample: 14.8 ng/ml T RR

28 Rodica Maria Picu, Gabriel-Lucian Radu Ion 143. (142.7 to 143.7): 298FT.D Ion 133. (132.7 to 133.7): 297FT.D 12.712.1 12.18 12.24 12.32 12.4912.53 12.59 12.6812.71 Ion 216. (215.7 to 216.7): 298FT.D 8 15.15 15.28 15.37 14.85 14.9 14.95 15. 15.5 15.1 15.15 15.2 15.25 15.3 15.35 15.4 15.45 1 8 6 9 8 7 6 5 12.6 12.19 12.32 12.54 12.61 12.65 12.71 12.74 12.3 12.912.14 12.19 12.22 12.28 Ion 358. (357.7 to 358.7): 298FT.D 12.51 12.56 12.6 12.7 Ion 448. (447.7 to 448.7): 298FT.D 15 1 5 Ion 339. (338.7 to 339.7): 297FT.D 15.16 15.39 14.85 14.9 14.95 15. 15.5 15.1 15.15 15.2 15.25 15.3 15.35 15.4 15.45 Ion 442. (441.7 to 442.7): 297FT.D 55 5 45 12.4 12.9 12.14 12.17 12.21 12.26 12.32 12.41 12.5 12.53 12.58 12.61 12.64 12.71 12 1 12 2 12 3 12 4 12 5 12 6 12 7 1 8 6 4 2 15.16 15.29 15.38 14.85 14.9 14.95 15. 15.5 15.1 15.15 15.2 15.25 15.3 15.35 15.4 15.45 18 143 Scan 127 (12.396 min): 297FT.D 8 75 133 Scan 1326 (15.153 min): 297FT.D 1 7 65 1 55 1 5 1 45 8 35 169 3 25 m/ z--> 194 216 358 241 377 272 448 315 429 45 491 52 14 16 18 22 24 26 28 3 32 34 36 38 42 44 46 48 5 52 m/ z--> 15 1 5 26 37 12 14 16 18 22 24 26 28 3 32 34 36 38 42 44 46 48 5 52 339 43 464 36 377 412 522 Fig. 2. Ion chromatogram and mass spectrum for 17β-methyl-5β-androst-1-ene-3α,17α-diol (3) and 17β-hydroxymethyl,17α-methyl-18-norandrost-1,4,13-trien-3-one (5) in the suspicious sample after liquid-liquid extraction Ion 143. (142.7 to 143.7): 297FC.D Ion 143. (142.7 to 143.7): 297FC.D 3 3 1 12.1 12.19 12.2112.26 12.32 12.51 12.61 1 12.1 12.19 12.2112.26 12.32 12.51 12.61 Ion 216. (215.7 to 216.7): 297FC.D Ion 216. (215.7 to 216.7): 297FC.D 12.8 12.18 12.25 12.58 12.69 12.8 12.18 12.25 12.58 12.69 Ion 358. (357.7 to 358.7): 297FC.D Ion 358. (357.7 to 358.7): 297FC.D 12.49 12.8 12.49 12.8 Ion 448. (447.7 to 448.7): 297FC.D Ion 448. (447.7 to 448.7): 297FC.D 15 12.41 15 12.41 1 12.3 12.8 12.15 12.16 12.21 12.26 12.51 12.6 12.6712.7 12.7112.74 5 1 12.3 12.8 12.15 12.16 12.21 12.26 12.51 12.6 12.6712.7 12.7112.74 5

Confirmation of long term excreted metabolites of methandienone by gas chromatography 29 45 143 Scan 2341 (3 min): 297FC.D 17 133 1 Scan 2851 (15.164 min): 297FC.D 15 1 35 13 1 3 11 1 25 9 8 7 339 15 5 m/ z--> 1 216 358 5 272 434 448 14 16 18 22 24 26 28 3 32 34 36 38 42 44 m/ z--> 3 1 14 16 18 22 24 26 28 3 32 34 36 38 42 44 Fig. 3. Ion chromatogram and mass spectrum for 17β-methyl-5β-androst-1-ene-3α,17α-diol (3) and 17β-hydroxymethyl,17α-methyl-18-norandrost-1,4,13-trien-3-one (5) in the suspicious sample after solid-liquid extraction 318 442 6. Conclusions - Extraction methods and complex analytical techniques were used allowing proving the abuse of Metandienone by confirming the two long-term metabolites. - The efficient removal of interferences due to biological matrix by solid-liquid extraction followed by removing the free fraction and extracting the metabolites of Metandienone in n-pentane determined a more precise identification of interest compounds. - The metabolite 17β-methyl-5β-androst-1-ene-3α,17α-diol has been in the focus of the determination of Methandienone abuse by GC/MS approaches due to the long-term retrospective accomplished with it as well as its good gas chromatographic behaviour obtained after derivatization. Now it becomes possible to have good confirmation results for a second long-term metabolite, 17β-hydroxymethyl,17α-methyl-18-norandrost-1,4,13-trien-3-one. The meeting the identification criteria for more long-term metabolites of the same parent compound, could be used for a fair decision in doping control. - For the confirmation of Metandienone abuse we consider more efficient to apply solid-liquid extraction and gas chromatography coupled with mass spectrometry analysis in current control doping. R E F E R E N C E S [1]. *** WADA The 211 Prohibited List, http://www.wada-ama.org/ [2]. J.P. De Mondenard, Historique et evolution du dopage, Ann Toxicol Anal, XII,, pp. 5 18

21 Rodica Maria Picu, Gabriel-Lucian Radu [3]. H.W. Durbeck, I. Buker, Studies on anabolic steroids. The mass spectra of 17α-methyl-17βhydroxy-1,4-androstadien-3-one (Dianabol) and its metabolites, Biomed. Mass Spectrom., vol. 7, no.1, 198, pp. 437-445 [4]. W. Schanzer, H. Geyer, M. Donike, Metabolism of Metandienone in man: identification and synthesis of conjugated excreted urinary metabolites, determination of excretion rates and gas chromatographic-mass spectrometric identification of bis-hydroxylated metabolites, J. Steroid Biochem. Molec. Biol., vol. 38, no. 4, 1991, pp. 441-464 [5]. W. Schanzer, M. Donike, Metabolism of anabolic steroids in man: synthesis and use of reference substances for identification of anabolic steroid metabolites, Anal. Chim. Acta, 273, 1993, pp. 23-48 [6]. D. Hooijerink, R. Schilt, R. Hoogenboom, M. Huveneers-Oorsprong, Identification of metabolites of the anabolic steroid methandienone formed by bovine hepatocytes in vitro, Analyst, 123(12), 1998, pp. 2637-2641 [7]. G. Fußholler, U. Mareck, A. Schmechel, W. Schanzer, Long-term detection of metandienone abuse by means of the new metabolite 17β-hydroxymethyl,17α-methyl-18-norandrost- 1,4,13-triene-3-one in Recent Advances in Doping Analysis, Proceedings of the Manfred Donike Workshop, 25 th Cologne Workshop on Dope Analysis, Eds. W.Schanzer, H.Geyer, A.Gotzmann, U.Mareck, Cologne, vol. 15, 7, pp. 393-396 [8]. M.K. Parr, G. Opfermann, P. Piper, W. Schanzer, Characterisation of steroid metabolites recently detected in doping control analyses in Recent Advances in Doping Analysis, Proceedings of the Manfred Donike Workshop, 25 th Cologne Workshop on Dope Analysis, Eds. W.Schanzer, H.Geyer, A.Gotzmann, U.Mareck, Cologne, vol. 15, 7, pp. 143-152 [9]. O.J. Pozo, P. Van Eenoo, K. Deventer, F.T. Delbeke, Detection and characterization of anabolic steroids in doping analysis by LC-MS, Trends Anal. Chem., 27, 8, pp. 657-671 [1]. M. Lamor, I.F. Dumitru, Study of metandienone metabolization and the renal excretion of its metabolites, J.Med.Biochem, vol.3, no.4, 1999, pp. 327-332 [11]. W. Schanzer, H. Geyer, G. Fuβholler, N. Halatcheva, M. Kohler, M.K. Parr, S. Guddat, A. Thomas, M. Thevis, Mass spectrometric identification and characterization of a new longterm metabolite of metandienone in human urine, Rapid Commun. Mass Spectrom., no.2, 6, pp. 2252-2258 [12]. P. Van Eenoo, F.T. Delbeke, Chromatographic and Mass Spectrometric criteria in doping and related areas in in Recent Advances in Doping Analysis, Proceedings of the Manfred Donike Workshop, 21 th Cologne Workshop on Dope Analysis, Eds. W.Schanzer, H.Geyer, A.Gotzmann, U.Mareck, Cologne, vol. 11, 3, pp. 149-159 [13]. *** WADA Technical document TD21IDCR, Identification criteria for qualitative assays incorporating column chromatography and mass spectrometry, vers.1/1 September 21, http://www.wada-ama.org/. [14]. M. Dönike, H. Geyer, A. Gotzmann, M. Kraft, F. Mandel, E. Nolteernsting, G. Opfermann, G. Sigmund, W. Schänzer, J. Zimmermann, Official Proceedings of the International Athletic Foundation Word Symposium on Doping in Sport, Florenz, 1987, eds. P. Belloti, G. Benzi, A. Ljungquist, International Athletic Foundation, Monte Carlo, 1988, pp.53-8.