Assay of R-apomorphine, S-apomorphine, apocodeine, isoapocodeine and their glucuronide and sulfate conjugates in plasma and urine of patients with Parkinson's disease

J Chromatogr B Biomed Sci Appl. 1997 Nov 21;702(1-2):131-41. doi: 10.1016/s0378-4347(97)00370-8.

Abstract

Analytical methods are described for the selective, rapid and sensitive determination of R- and S-apomorphine, apocodeine and isoapocodeine and the glucuronic acid and sulfate conjugates in plasma and urine. The methods involve liquid-liquid extraction followed by high-performance liquid chromatography with electrochemical detection. The glucuronide and sulfate conjugates are determined after enzymatic hydrolysis. For the assay of R- and S-apomorphine a 10 microm Chiralcel OD-R column is used and the voltage of the detector is set at 0.7 V. The mobile phase is a mixture of aqueous phase (pH 4.0)-acetonitrile (65:35, v/v). At a flow-rate of 0.9 ml min(-1) the total run time is ca. 15 min. The detection limits are 0.3 and 0.6 ng ml(-1) for R- and S- apomorphine, respectively (signal-to-noise ratio 3). The intra- and inter-assay variations are <5% in the concentration range of 2.5-25 ng ml(-1) for plasma samples, and <4% in the concentration range of 40-400 ng ml(-1) for urine samples. For the assay of apomorphine, apocodeine and isoapocodeine, a 5 microm C18 column was used and the voltage of the detector set at 0.825 V. Ion-pairing chromatography was used. The mobile phase is a mixture of aqueous phase (pH 3.0)-acetonitrile (75:25, v/v). At a flow-rate of 0.8 ml min(-1) the total run time is ca. 14 min. The detection limits of this assay are 1.0 ng ml(-1) for apomorphine and 2.5 ng ml(-1) for both apocodeine and isoapocodeine (signal-to-noise ratio 3). The inter-assay variations are 5% in the concentration range of 5-40 ng ml(-1) for plasma samples and 7% in the concentration range of 50-500 ng ml(-1) for urine samples. The glucuronic acid and sulfate conjugates of the various compounds are hydrolysed by incubation of the samples with beta-glucuronidase and sulfatase type H-1, respectively. Hydrolysis was complete after 5 h of incubation. No measurable degradation of apomorphine, apocodeine and isoapocodeine occurred during the incubation. A pharmacokinetic study of apomorphine, following the intravenous infusion of 30 microg kg(-1) for 15 min in a patient with Parkinson's disease, demonstrates the utility of the methods: both the pharmacokinetic parameters of the parent drug and the appearance of apomorphine plus metabolites in urine could be determined.

Publication types

  • Comparative Study

MeSH terms

  • Acetic Acid / pharmacology
  • Antiparkinson Agents / administration & dosage
  • Antiparkinson Agents / analysis*
  • Antiparkinson Agents / chemistry
  • Antiparkinson Agents / metabolism
  • Apomorphine / administration & dosage
  • Apomorphine / analogs & derivatives*
  • Apomorphine / analysis*
  • Apomorphine / chemistry
  • Apomorphine / metabolism
  • Chromatography, High Pressure Liquid / methods*
  • Circadian Rhythm
  • Glucuronates / urine
  • Glucuronic Acid
  • Glucuronidase / metabolism
  • Humans
  • Hydrolysis
  • Infusions, Intravenous
  • Linear Models
  • Male
  • Parkinson Disease / blood*
  • Parkinson Disease / metabolism
  • Parkinson Disease / urine*
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Stereoisomerism
  • Sulfatases / metabolism
  • Sulfates / urine
  • Time Factors

Substances

  • Antiparkinson Agents
  • Glucuronates
  • Sulfates
  • isoapocodeine
  • Glucuronic Acid
  • Sulfatases
  • Glucuronidase
  • Apomorphine
  • apocodeine
  • Acetic Acid