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1.
Crit Rev Clin Lab Sci ; 59(8): 517-554, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-35575431

RESUMO

Vitamin D has a well-known role in the calcium homeostasis associated with the maintenance of healthy bones. It increases the efficiency of the intestinal absorption of dietary calcium, reduces calcium losses in urine, and mobilizes calcium stored in the skeleton. However, vitamin D receptors are present ubiquitously in the human body and indeed, vitamin D has a plethora of non-calcemic functions. In contrast to most vitamins, sufficient vitamin D can be synthesized in human skin. However, its production can be markedly decreased due to factors such as clothing, sunscreens, intentional avoidance of the direct sunlight, or the high latitude of the residence. Indeed, more than one billion people worldwide are vitamin D deficient, and the deficiency is frequently undiagnosed. The chronic deficiency is not only associated with rickets/osteomalacia/osteoporosis but it is also linked to a higher risk of hypertension, type 1 diabetes, multiple sclerosis, or cancer. Supplementation of vitamin D may be hence beneficial, but the intake of vitamin D should be under the supervision of health professionals because overdosing leads to intoxication with severe health consequences. For monitoring vitamin D, several analytical methods are employed, and their advantages and disadvantages are discussed in detail in this review.


Assuntos
Raquitismo , Deficiência de Vitamina D , Humanos , Vitamina D/metabolismo , Vitamina D/uso terapêutico , Cálcio , Deficiência de Vitamina D/complicações , Deficiência de Vitamina D/tratamento farmacológico , Vitaminas , Raquitismo/complicações , Raquitismo/tratamento farmacológico , Cálcio da Dieta
2.
J Anal Toxicol ; 42(3): 192-206, 2018 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-29244080

RESUMO

The quantification of drugs of abuse in keratinized matrices is becoming of special relevance for monitoring consumption and for post-mortem investigations. We aimed to implement an analytical method for the simultaneous detection of morphine (MORF), 6-monoacetylmorphine (6-MAM), methadone (MET), 2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine (EDDP) and 2-ethyl-5-methyl-3,3-diphenylpyrrolidine (EMDP) in nails. After decontamination, the nail samples (30 mg) were submitted to an alkaline digestion followed by a two-step liquid-liquid and SPE extraction using mixed-mode cation exchange cartridges. The analytes were eluted with 5% NH4OH/methanol. After derivatization with N-methyl-N-(trimethylsilyl) trifluoroacetamide, the analytes were quantified by gas chromatography-mass spectrometry. The method was optimized and fully validated only for MET, EDDP and EMDP, since for MOR and 6-MAM it was not possible to obtain adequate recovery rates after extraction, although detection of MOR was still possible. The method was selective, accurate and precise. Regression analysis demonstrated linearity over a concentration range of 20.8-333.3 ng/mg for MET and 10.4-166.7 ng/mg for EDDP and EMDP. Limits of detection and quantification values ranged from 3.3 to 6.0 ng/mg and 10.4 to 20.8 ng/mg, respectively, and recovery rates ranged from 82% to 98%. The applicability of the method was demonstrated by analyzing nail and urine samples obtained from heroin consumers under substitution therapy with MET.


Assuntos
Analgésicos Opioides/metabolismo , Monitoramento de Medicamentos/métodos , Dependência de Heroína/reabilitação , Metadona/metabolismo , Unhas/metabolismo , Tratamento de Substituição de Opiáceos/métodos , Detecção do Abuso de Substâncias/métodos , Adulto , Analgésicos Opioides/uso terapêutico , Analgésicos Opioides/urina , Biotransformação , Cromatografia por Troca Iônica , Monitoramento de Medicamentos/normas , Feminino , Cromatografia Gasosa-Espectrometria de Massas , Dependência de Heroína/diagnóstico , Dependência de Heroína/metabolismo , Dependência de Heroína/urina , Humanos , Limite de Detecção , Modelos Lineares , Masculino , Metadona/uso terapêutico , Metadona/urina , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Reprodutibilidade dos Testes , Extração em Fase Sólida , Detecção do Abuso de Substâncias/normas
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