Novel Biomarkers of Prenatal Methamphetamine Exposure in Human Meconium

Meconium analysis can detect fetal exposure to drugs taken by the mother during pregnancy. Methamphetamine (MAMP) and amphetamine (AMP) have previously been observed in meconium of MAMP-exposed neonates; the presence of other metabolites has not been investigated. Detection of such analytes may lead...

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Main Authors: Gray, T., Kelly, Tamsin, LaGasse, L., Smith, L., Derauf, C., Haning, W., Grant, P., Shah, R., Arria, A., Stauss, A., Lester, B., Huestis, M.
Format: Journal Article
Published: Lippincott Williams and Wilkins 2009
Online Access:http://hdl.handle.net/20.500.11937/15017
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author Gray, T.
Kelly, Tamsin
LaGasse, L.
Smith, L.
Derauf, C.
Haning, W.
Grant, P.
Shah, R.
Arria, A.
Stauss, A.
Lester, B.
Huestis, M.
author_facet Gray, T.
Kelly, Tamsin
LaGasse, L.
Smith, L.
Derauf, C.
Haning, W.
Grant, P.
Shah, R.
Arria, A.
Stauss, A.
Lester, B.
Huestis, M.
author_sort Gray, T.
building Curtin Institutional Repository
collection Online Access
description Meconium analysis can detect fetal exposure to drugs taken by the mother during pregnancy. Methamphetamine (MAMP) and amphetamine (AMP) have previously been observed in meconium of MAMP-exposed neonates; the presence of other metabolites has not been investigated. Detection of such analytes may lead to more sensitive identification and thus improved medical treatment of affected infants. Forty-three MAMP-positive meconium specimens were analyzed for newly identified MAMP biomarkers, p-hydroxymethamphetamine, p-hydroxyamphetamine, and norephedrine. Due to MAMP adulteration in illicit ecstasy and to simultaneously monitor 3,4-methylenedioxymethamphetamine and MAMP prenatal exposure, 3,4-methylenedioxymethamphetamine, its metabolites, and related sympathomimetic amines were assayed. MAMP, AMP, and unconjugated p-hydroxymethamphetamine were the most prevalent and abundant analytes present in meconium; however, unconjugated p-hydroxyamphetamine and norephedrine also were identified. It is possible that one of these additional analytes could be important for predicting toxicity or maternal or neonatal outcome measures in fetuses exposed to MAMP at specific gestational ages or with different metabolic capabilities. Although these new biomarkers were present in lower concentrations than MAMP and AMP in the meconium of previously confirmed specimens, additional research will determine if inclusion of these analytes can increase identification of MAMP-exposed neonates. Novel methamphetamine biomarker concentrations were characterized in meconium of infants exposed in utero to MAMP.
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spelling curtin-20.500.11937-150172018-03-29T09:06:09Z Novel Biomarkers of Prenatal Methamphetamine Exposure in Human Meconium Gray, T. Kelly, Tamsin LaGasse, L. Smith, L. Derauf, C. Haning, W. Grant, P. Shah, R. Arria, A. Stauss, A. Lester, B. Huestis, M. Meconium analysis can detect fetal exposure to drugs taken by the mother during pregnancy. Methamphetamine (MAMP) and amphetamine (AMP) have previously been observed in meconium of MAMP-exposed neonates; the presence of other metabolites has not been investigated. Detection of such analytes may lead to more sensitive identification and thus improved medical treatment of affected infants. Forty-three MAMP-positive meconium specimens were analyzed for newly identified MAMP biomarkers, p-hydroxymethamphetamine, p-hydroxyamphetamine, and norephedrine. Due to MAMP adulteration in illicit ecstasy and to simultaneously monitor 3,4-methylenedioxymethamphetamine and MAMP prenatal exposure, 3,4-methylenedioxymethamphetamine, its metabolites, and related sympathomimetic amines were assayed. MAMP, AMP, and unconjugated p-hydroxymethamphetamine were the most prevalent and abundant analytes present in meconium; however, unconjugated p-hydroxyamphetamine and norephedrine also were identified. It is possible that one of these additional analytes could be important for predicting toxicity or maternal or neonatal outcome measures in fetuses exposed to MAMP at specific gestational ages or with different metabolic capabilities. Although these new biomarkers were present in lower concentrations than MAMP and AMP in the meconium of previously confirmed specimens, additional research will determine if inclusion of these analytes can increase identification of MAMP-exposed neonates. Novel methamphetamine biomarker concentrations were characterized in meconium of infants exposed in utero to MAMP. 2009 Journal Article http://hdl.handle.net/20.500.11937/15017 10.1097/FTD.0b013e318195d7cb Lippincott Williams and Wilkins restricted
spellingShingle Gray, T.
Kelly, Tamsin
LaGasse, L.
Smith, L.
Derauf, C.
Haning, W.
Grant, P.
Shah, R.
Arria, A.
Stauss, A.
Lester, B.
Huestis, M.
Novel Biomarkers of Prenatal Methamphetamine Exposure in Human Meconium
title Novel Biomarkers of Prenatal Methamphetamine Exposure in Human Meconium
title_full Novel Biomarkers of Prenatal Methamphetamine Exposure in Human Meconium
title_fullStr Novel Biomarkers of Prenatal Methamphetamine Exposure in Human Meconium
title_full_unstemmed Novel Biomarkers of Prenatal Methamphetamine Exposure in Human Meconium
title_short Novel Biomarkers of Prenatal Methamphetamine Exposure in Human Meconium
title_sort novel biomarkers of prenatal methamphetamine exposure in human meconium
url http://hdl.handle.net/20.500.11937/15017