Journal of Analytical Toxicology,Vol. 25, October2001 Hydrolysis of Conjugated Metabolites of Buprenorphine. I. The Quantitative Enzymatic Hydrolysis of Buprenorphine-3@D-Glucuronide in Human Urine Shixia Feng, Mahmoud A. ElSohly,and David T. Duckworth EISohly Laboratories, Incorporated, 5 Industrial Park Drive, Oxford, Mississippi 38655 Abstract Buprenorphine, which is a powerful analgesic, a substitution drug for opioids widely used in Europe, and a promising new drug currently undergoing clinical trials in the treatment of opioid dependence in the U.S., is excreted in human urine mainly as glucuronide conjugates. In gas chromatographic-mass spectrometric analysis, the urine specimens must be first hydrolyzed to release buprenorphine from its glucuronide conjugates. Jn order to evaluate the existing hydrolysis methods and to find the optimal hydrolysis conditions, buprenorphine3-13-D-glucuronide (B3G) was synthesized. Urine fortified with synthetic B3G was hydrolyzed using acid, base, and ~-glucuronidases from different source species, including Helix pomatia, Escherichia coli, and Patella vulgata. Glusulase| a preparation containing both [3-glucuronidase (H. pomatia) and sulfatase, was also tested. Whereas both acidic and basic hydrolysis were ineffective, quantitative hydrolysis could be achieved by using ~-glucuronidases under appropriate conditions. However, we found that there was a marked difference in the reactivity of these enzymes (E. coli > H. pomatia >> P. vulgata). The optimal incubation conditions for enzymatic hydrolysis of B3G were 2 h at 37~ for E. coli and 4 h at 60~ or 16 h at 37~ for H. pomatia. Using 1000 Fishman units of either of these two enzymes, effective hydrolysis could be achieved even when the B3G concentration was as high as 2000 ng/mL. Glusulase was equally effective toward B3G if the fortified urine samples were incubated with 25 pL of this enzyme for I h at 60~ Introduction Buprenorphine is a synthetic thebaine derivative that has both analgesic and opiate antagonist properties (1). Under the trade names Buprex| in the U.S. and Temgesic| in European countries, it has been widely prescribedas a pain-killersince the early 1980s. Since 1996, under the trade name Subutex| high- dose tablets (0.4-, 2-, and 8-mg tablets for sublingual use) have been used in France as a maintenance drug for opioids as an economic alternative to methadone (2). In the U.S., it is currently undergoing clinical trials for this specific indication, and the results are very promising (3-5). Recently, fatal overdose and abuse of buprenorphine has been reported (6,7). Buprenorphine is metabolized in humans to norbuprenorphine and to conjugated buprenorphine and norbuprenorphine. Cone et al. (8) reported that no free buprenorphine was detected in urine after human subjects were administered buprenorphine in various dosage forms and by different routes. Another study (9) reported that concentrations of free buprenorphine and norbuprenorphine in urine may be less than 1 ng/mL after therapeutic administration, but can range up to 20 ng/mL in abuse situations. Gas chromatographic-mass spectrometric (GC-MS) analysis requires a hydrolysis step to cleave buprenorphine and norbuprenorphine from their glucuronide conjugates prior to extraction. Recently,Vincent et al. (10) reported the use of an enzymatic method commonly used for morphine-3-13-D-glucuronide(M3G) to hydrolyze the urine samples for buprenorphine analysis. In the method, urine samples were incubated with 13-glucuronidasefrom Helixpomatia for 20 h at 37~ However,the extent of hydrolysisof buprenorphine conjugates was not known. It is well known that the rates of enzymatic reactions are largely dependent on the substrates. Although buprenorphine and morphine share some structural similarity in that they both have the morphinan skeleton, buprenorphine is quite unique. It has 6-methoxy and N-cyclopropylmethylgroups instead of 6-hydroxyand/V-methyl groups in morphine, and it contains a 6,14-ethano bridge and a 7-(2-hydroxy-3,3-dimethyl-2-butyl)group, both of which are lacking in morphine. Therefore, it is questionable whether the hydrolysis conditions (including both acidic and enzymatic hydrolysis) suitable for morphine glucuronide conjugates are also suitable for buprenorphine glucuronide conjugates. The reported procedure (10) did not mention the use of any hydrolysis Reproduction(photocopying)of editorialcontentof thisjournalis prohibitedwithoutpublisher'spermission. 589 Journal of Analytical Toxicology, Vol. 25, October 2001 control in the analysis. This is in contrast to the common practice of morphine analysis in which the procedures are validated by monitoring the extent of hydrolysis of a control containing a known amount of M3G (11-13). This study was designed to compare the effectivenessof commonly used hydrolysisconditions for opiates and to determine the optimal hydrolysis conditions for B3G. Urine samples Negative urine (2 mL) was fortified with B3G equivalent to 100-2000 ng/mL of free buprenorphine. The calibrators at 50, 100, 150, and 2000 ng/mL were prepared by fortifyingnegative urine with buprenorphine standard solutions. Buprenorphined4, the internal standard (40 IJL at 5 IJg/mL),was addedprior to hydrolysis to give 100 ng/mL of buprenorphine-d4. Hydrolysismethods Experimental Materials [3-Glucuronidasesfrom Helb:pomatia (type H-l, catalog# G0751, Lot # 119H3380), Escherichia coli (type IX-A,catalog # G-7396, Lot # 30K8612), and Patella vulgata (type L-l, catalog # G-8132, Lot # 60K3780) were purchased from Sigma Chemical Company (St. Louis, MO) as dry powders, and enzyme solutions were prepared at 10,000 or 25,000 Fishman units/mL by dissolvingeach in an appropriate buffer (TableI). Glusulasewas obtained from DuPont Chemical Company as a solution that contains approximately10,000 units/mL of sulfatase and 90,000 units/mL of [3-glucuronidase.All solvents were high-performance liquid chromatography (HPLC) grade and purchased from Fisher Scientific (Pittsburgh, PA).Reference standard solutions of buprenorphine and buprenorphine-d4 were obtained from Cerilliant (formerly Radian, Austin, TX) at 1001Jg/mL in methanol and were diluted to working solutions of 5 1Jg/mL. B3G, whose structure is shown in Figure 1, was synthesized by EISohly Laboratories, Inc. (Oxford, MS) using buprenorphine and methyl(2,3,4-tri-O-acetyl-(z-D-glucopyranosylbromide)uronate as starting materials. The structure of the synthetic material was characterized by spectral methods and the chemical purity was greater than 99% by HPLC. Stock solutions of B3G at 137.5 tJg/mL (equivalent to 100 IJg/mL of buprenorphine) and working solutions at 6.875 ]Jg/mL(equivalent to 5 tJg/mLof buprenorphine) were prepared in methanol. Enzymatic hydrolysis. Each urine sample was aliquoted into a 15-mL centrifuge tube, and an appropriate buffer was added. Table I shows the type and volume of the buffer added for each enzyme. Then, 1000 Fishman units of a [~-glucuronidase(100 1JL of 10,000 Fishman units/mL or 40 IJL of 25,000 Fishman units/mL) were added. The samples were capped and incubated in an oven for 1-20 h. The amount of enzyme,temperature, and time varied in experiments to compare the effectivenessof the hydrolysis conditions in order to determine the optimal conditions. Acidic hydrolysis. To each sample was added 0.5 mL of concentrated HC1.The sample was heated. The temperature and time varied in experiments. The sampleswere neutralized with 10N KOH followinghydrolysis. Basic hydrolysis. To each sample was added 0.5 mL of 10N KOH. The sample was incubated at 50~ for 0.5 h. The samples were neutralized with concentrated HC1followinghydrolysis. Extraction and derivatization One milliliter of 40% phosphate buffer (pH 9) was added to each hydrolyzedsample. The samples were gently shaken with 6 mL of CHClJisopropanol (9:1). The top aqueous layerwas discarded, and the organic layer was washed with 1 mL of deionized water. The organic layer was then transferred to a clean 10-mL tube and evaporated to - 1 mL at 50~ under nitrogen. The samples were then transferred to GC vials, evaporated to dryness, and derivatized with BSTFA containing 1% TMSC Table I. Optimal pH and Buffers Used for Each [3-Glucuronidase EnzymeOrigin pH Buffer Helix pomatia Escherichia coli Patella vulgata Glusulase 5.0 6.8 3.8 5.2 1.0M Acetate buffer (1 mL) 0.1M Phosphate buffer (2 mL) 0.25M Phosphatebuffer (1 mL) 1.1M Acetate buffer (1 mL) Ion 450.00 (449.70 to 450.70): P105-024.D Ion 482.00 (481.70 to 482.70): P105-024.D Ion 506.00 (505.70 to 506.70): P105-024.D Ion 454.00 (453.70 to 454p0): P105-024.D Ion 486.00 (485.70 to 486/}'0): P105-024.D Ion 510.00 (509.70 to 510I~'0):P105-024.D +oooo~ mmoo1 soooo~ 4.sooo~ 0 0 +I 39)00 25OOO i 2oooo~ 15OOO H3)3 H 1 ~ / / ~ " ~_,,)' ' 'CC(CH3)3 HO~C, . O ~ . . " - - - ' k OH HO.+..]--~-/.... O u OCH3 HO..../.~ ~-OH 2 Figure 1. Chemical structures of buprenorphine (1) and buprenorphine3@D-glucuronide (2). 590 1oo001J 5ooo! O' I . . . . . .I . . i . . . . r . . . . .i .' .I . . i . . . . i . . . . I . . . . ~ . . . . I . . . . 9.20 9.40 9.60 9.80 1@00 10.20 10.40 10.60 10.80 11.00 11,20 Time (min) Figure 2. A typical GC-MS ion chromatogram of buprenorphine analysis. I Journal of Analytical Toxicology, Vol. 25, October 2001 (50 pL) at 70~ for 30 rain. After cooling to room temperature, the samples were transferred to GC vial inserts, and the vials were recapped. The TMS derivatives (1 ]aL) were analyzed by GC-MS. GC-MS analysis Analysis was performed on a Hewlett-Packard (Palo Alto, CA) 5890 GC interfaced with a Hewlett-Packard 5970 mass selective detector equipped with a 10-m x 0.18-ram i.d. DB-1 capillary column (0.18-pro film thickness). The initial oven temperature was held at 180~ for 0.5 min, and then increased to 265~ at 30~ with a final temperature hold of 9 rain. The ions monitored were m/z 450, 482, and 506 for buprenorphine and m/z 454, 486, and 510 for buprenorphine-d4. The retention times for buprenorphine-d4 and buprenorphine were 10.27 rain and 10.23 min, respectively. A typical ion chromatogram is shown in Figure 2. Concentrations of buprenorphine cleaved from B3G by hydrolysis were calculated using calibration curves of buprenorphine constructed by plotting drug/internal standard area ratios versus concentration ratios. The curves were linear over the concentration range with r 2 > 0.999. Results and Discussion First, we tested the acid, base, and an enzymatic hydrolysis procedure using [~-glucuronidase (H. pomatia) at 37~ for 20 h reported by Vincent et al. (10). The experiments were carried out in triplicate on the urine fortified with 100 ng/mL of B3G. A control group that was not subjected to any hydrolysis treatment was also included. As shown in Figure 3, the basic treatment with 10N KOH at 50~ for 0.5 h and acidic treatment with concentrated HC1 at room temperature for 16 h resulted in no recovery of buprenorphine. At higher temperature (50~ acid is capable of cleaving the ether bond of B3G, but the rate is very slow with only 2% of buprenorphine recovered after 2 h. When the temperature was further increased to 70~ both internal standard (buprenorphine-d4) and buprenorphine suffered complete loss. This suggested the degradation of buprenorphine had occurred with acid at this temperature. One study (14) reported that buprenorphine and other 6,14endo-ethanotetrahydrooripavine compounds could undergo an acid-catalyzed rearrangement, which involved the loss of a molecule of methanol and formation of a tetrahydrofuran ring. B3G is very likely to undergo such structural rearrangement too. This is in contrast with morphine glucuronides which can Iooi .~ 95 i~ 0 2000 80 9 A m -=25uon t of enzyme (Fishman units) Figure4. Effect of amount of I~-glucuronidase (H. pomatia) on the percent hydrolysis of B3G. 100 lOO 80 80 60 ~ eo r 40 ~ 40 20 20 m Base Acid (1) Acid (2) m i NT H. pomatia Treatment Figure 3. Effectof different hydrolysis methods on B3G in human urine. Acid (1) representssamplesthat were treatedwith 0.5 mL of concentrated HCI at rt for 16 h. Acid (2) representssamplesthat were treatedwith 0.5 mL of concentrated HCI at 50~ for 2 h. NT representssamplesthat were not subjected to any hydrolysis treatment. 4 6 8 10 T i m e (h) 12 lEo coil oH. pomatla AP. 14 16 18 vulgata[ Figure5. Effect of incubation time on the hydrolysis of B3G with three different ~-glucuronidases from E. coli, H. pomatia, and P vulgata at 37~ 591 Journal of Analytical Toxicology, Vol. 25, October 2001 be effectively hydrolyzed with concentrated HC1 at _> 100~ (13,15-17). As opposed to the acidic and basic hydrolysis, the [3-glucuronidase treatment at 37~ for 20 h completely hydrolyzed B3G and gave quantitative recovery of buprenorphine. These initial findings answered one of our original questions. That is, the acidic hydrolysis which is effective for morphine glucuronides is ineffective for B3G, and therefore, B3G must be hydrolyzed enzymatically. In Vincent and co-workers' procedure (10), the samples were hydrolyzed with 250 I~L of I~-glucuronidase(H. pornatia) solution prepared from 15 mg of enzyme powder dissolved in I mL of acetate buffer. The exact 10C 80 R 0 a. 9 20 -t 01 0 1 2 3 4 Time (h) [oH. pomatia .P. vulgata] Figure 6. Effect of incubation time on the hydrolysis of B3G with ~-glucuronidases from H. pomatiaand P. vulgataat 60~ 100 g 8O ffl "~ 60 Re4o g. 20 i 500 1000 2000 Concentration (ng/mL) [mE. Coli IHelix pomatia E~Glusulase[ Figure 7. Effect of substrate concentration on the enzymatic hydrolysis. The incubation time and temperature were 2 h and 37~ for E. coli, 4 h and 60~ for H. pomatia,and 1 h and 60~ for Glusulase. 592 amount of enzyme in Fishman units was not clear. It is known that enzymatic reactions sometimes can be problematic since the enzyme activity varies because of the lot variation of the preparation. Earlier studies (18-20) showed that enzyme concentration could influence the recovery of the desired analytes. To determine roughly how much enzyme is needed to hydrolyze B3G, we added varying amounts off/. pomatia to 2 mL of buffered urine fortifiedwith 100 ng/mL of B3G and incubated samples for 20 h at 37~ The results (Figure 4) showed that the average percent hydrolysis of B3G was higher for 1000-unit (99.3%) and 2500-unit (99.5%) groups as compared with the 250-unit group (88.5%), and that 1000 Fishman units ofH. pomatia should be sufficient to effectively hydrolyze the urine samples. Besides/-/. pornatia, several other types of 13-glucuronidases from source origins including E. coli and P. vulgata have been studied for hydrolysisof morphine conjugates (11,13,16-18). All three enzymes are reportedly able to quantitatively hydrolyze M3G, although their rates of hydrolysis differ considerably. We investigated the influence of source origins of l~-glucuronidases on B3G hydrolysis.Figure 5 shows the percent hydrolysisof B3G after a 16-h incubation at 37~ with [3-glucuronidases from three different sources using 1000 Fishman units of each. The experiments were carried out at the reported (21) optimal pH for each enzyme (H. pomatia, 5.0; E. coli, 6.8;P. vulgata, 3.8). The fastest rate was achieved by E. coli, which hydrolyzed ~ 95% of B3G after incubating for only 2 h. For/-/. pomatia, hydrolysis was complete after incubating for 16 h. ForP. vulgata, the rate was much slower compared with E. coli and H. pomatia. Only 26% of B3G was hydrolyzed after a 16-h incubation. One factor that influences the enzyme activityis temperature. Combie et al. (18) reported that the incubation time for hydrolysis of morphine-3-glucuronide with P. vulgata could be reduced from 24 h to 3 h by increasing the temperature from 35~ to 65~ Romberg and Lee (17) reported the optimal temperature was 60~ for/-/, pomatia, and forE. coli, although the enzyme showed highest activity at 50~ the difference in activity was very small between 37 and 50~ Therefore, we compared the influence on the percent hydrolysis of B3G by H. pomatia and P. vulgata at 60~ Figure 6 shows that the time required for complete hydrolysis with H. pomatia at 60~ was only 4 h as compared to 16 h at 37~ With P. vulgata, although the rate at 60~ was five times the rate at 37~ the percent hydrolysis still only reached 35% after incubating for 4 h. Therefore, the hydrolysis rate for B3G is much slower than M3G with P. vulgata. These results further demonstrated the substrate- and source-dependent nature of enzymatic hydrolysis using ~-glucuronidases. A recent study (7) reported that the concentrations of buprenorphine in some postmortem urine samples could reach over 1000 ng/mL. Because one of the objectives of this study was to develop a practical hydrolysis procedure, we compared the effectiveness of hydrolysis of B3G at three higher concentration levels (500, 1000, and 2000 ng/mL) with E. coli, H. pomatia, and Glusulase, a common alternative to H. pomatia. The amount of each enzyme used was 1000 Fishman units for both E. coli and H. pomatia and 25 lJL for Glusulase. Figure 7 shows that the three enzymes were almost equally effective at all Journal of Analytical Toxicology,Vol. 25, October 2001 levels. By using 25 I~L of Glusulase, quantitative hydrolysisof B3G couldbe achieved after a 1-h incubation at 60~ In additionto buprenorphine glucuronide conjugates, there are apparently significant levels of norbuprenorphine glucuronide conjugatespresent in human urine (7,8,10).The concentrations of the latter vary depending on the individual. Studies are underway in this laboratory to evaluate the enzymatic hydrolysisof norbuprenorphine glucuronide conjugates with [3-glucuronidases. In conclusion,whereas acidicand basic hydrolysisof B3G are ineffective,quantitative hydrolysis can be achieved enzymatically using[5-glucuronidasesfromE. coli or H. pomatia. Glusulase is equallyeffectiveunder appropriate conditions. References 1. R.C. Heel, R.N. Brogden, T.M. Speight, and G.S. Avery. Buprenorphine: a review of its pharmacological properties and therapeutic efficacy. Drugs 17:81-110 (1979). 2. P. Kopp, C. Rumeau-Pichon, and P.C. Le. 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