Une nouvelle méthode d'extraction en phase solide (SPE) couplée à une technique d'analyse ultrarapide a été développée pour la détermination simultanée de neuf contaminants émergents (l'atrazine, le déséthylatrazine, le 17(béta)-estradiol, l'éthynylestradiol, la noréthindrone, la caféine, la carbamazépine, le diclofénac et le sulfaméthoxazole) provenant de différentes classes thérapeutiques et présents dans les eaux usées. La pré-concentration et la purification des échantillons a été réalisée avec une cartouche SPE en mode mixte (Strata ABW) ayant à la fois des propriétés échangeuses de cations et d'anions suivie d'une analyse par une désorption thermique par diode laser/ionisation chimique à pression atmosphérique couplée à la spectrométrie de masse en tandem (LDTD-APCI-MS/MS). La LDTD est une nouvelle méthode d'introduction d'échantillon qui réduit le temps total d'analyse à moins de 15 secondes par rapport à plusieurs minutes avec la chromatographie liquide couplée à la spectrométrie de masse en tandem traditionnelle (LC-MS/MS). Plusieurs paramètres SPE ont été évalués dans le but d'optimiser l'efficacité de récupération lors de l'extraction des analytes provenant des eaux usées, tels que la nature de la phase stationnaire, le débit de chargement, le pH d'extraction, le volume et la composition de la solution de lavage et le volume de l'échantillon initial. Cette nouvelle méthode a été appliquée avec succès à de vrais échantillons d'eaux usées provenant d'un réservoir de décantation primaire. Le recouvrement des composés ciblés provenant des eaux usées a été de 78 à 106%, la limite de détection a été de 30 à 122 ng L-1, alors que la limite de quantification a été de 88 à 370 ng L-1. Les courbes d'étalonnage dans les matrices d'eaux usées ont montré une bonne linéarité (R2 > 0,991) pour les analytes cibles ainsi qu’une précision avec un coefficient de variance inférieure à 15%. / A new solid phase extraction (SPE) method coupled to a high throughput sample analysis technique was developed for the simultaneous determination of nine selected emerging contaminants (atrazine, desethylatrazine, 17(beta)-estradiol, ethynylestradiol, northindrone, caffeine, carbamazepine, diclofenac and sulfamethoxazole) comprising drugs from different therapeutic classes present in wastewater. Sample pre-concentration and clean-up was performed with a mixed-mode SPE cartridge (Strata ABW) having both cation and anion exchange properties followed by analysis by laser diode thermal desorption/atmospheric pressure chemical ionization coupled to tandem mass spectrometry (LDTD-APCI-MS/MS). The LDTD is a new high-throughput sample introduction method, which reduces total analysis time to less than 15 seconds compared to minutes with traditional liquid-chromatography coupled to tandem mass spectrometry (LC-MS/MS). Several SPE parameters were evaluated in order to optimize recovery efficiencies when extracting analytes from wastewater, such as the nature of stationary phase, the loading flow rate, the extraction pH, the various volume and composition of the washing solution and the initial sample volume. The method was successfully applied to real wastewater samples from a primary sedimentation tank. Recoveries of target compounds from wastewater ranged from 78 to 106 %, the limit of detection ranged from 30 to 122 ng L-1 while the limit of quantification ranged from 88 to 370 ng L-1. Calibration curves in wastewater matrix showed good linearity (R2 > 0.991), for all target analytes, and precision (intraday and interday) showed a coefficient of variance below 15%.

The goal of this research work was to understand the clinical-pharmacology based treatment approaches for sorafenib. Treatment with sorafenib is associated with high inter-patient variability in pharmacokinetic exposures, efficacy and toxicity. We explored the demographic, laboratory, clinical and pharmacogenetic factors to elucidate the sources of variability. In addition, we examined the impact of pharmacogenetic variation in VEGFR2, an important mediator of the VEGF pathway, on risk of prostate cancer. To support these investigations, (mainly single-dose) pharmacokinetic, pharmacogenetic, efficacy and toxicity information were collected from patients with solid tumors, enrolled in five phase I / II clinical trials at National Cancer Institute. Non-compartmental analysis-general linear modeling (NCA-GLM), population pharmacokinetic analysis and several correlative studies were performed to characterize the sources of variability in pharmacokinetics and response. The role of prostate specific antigen (PSA) and ex-vivo anti-angiogenic activity as efficacy markers was evaluated, respectively, for patients with prostate cancer treated with sorafenib and patients with solid tumors treated with combination of sorafenib and bevacizumab. Sweat concentrations of sorafenib were measured to study its association with development of hand-foot skin reaction (HFSR). Only body weight was a significant covariate for volume of distribution by population pharmacokinetic analysis, while BSA, albumin and UGT1A9*3 appeared to be significant by NCA-GLM. However, the contribution of these covariates in overall exposure variability was very small; hence, these were considered clinically irrelevant. The association of sorafenib exposure with efficacy in patients with prostate cancer, colorectal cancer and combined solid tumors were not significant; exposure-efficacy relationship for lung cancer patients requires further evaluation. Sorafenib exposures appeared to be associated with incidences of rash in single agent trials and with HFSR in trials involving treatment with sorafenib and bevacizumab combination. In-vitro cell-line experiments determined that prostate specific antigen (PSA) is not a suitable marker of efficacy in patients with prostate cancer treated with sorafenib. The ex-vivo anti-angiogenic activity, measured by rat-aortic ring assay using patient serum samples, appeared to be not associated with clinical response. Sorafenib concentration in sweat, upto ≥5 ng/mL, apparently was not associated with HFSR. The VEGFR2 H472Q polymorphism was associated with progression-free survival (PFS) (with an apparent heterozygous advantage for survival) and toxicities in patients treated with drugs against the VEGF pathway. Patients who developed hypertension and HFSR on bevacizumab and sorafenib therapy, respectively, appeared to have longer PFS. Therefore, these side effects should be effectively managed to avoid/delay the treatment discontinuation. The VEGFR2 H472Q and V297I genotype were not predictive of risk of prostate cancer in Caucasian subjects.

Measuring urinary tobacco specific nitrosamine 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL) and its glucuronide conjugate may provide the best biomarker of tobacco smoke lung carcinogen metabolism. Existence of differences in the extent of NNAL metabolism rates may be potentially related to an individuals’ lung cancer susceptibility. Low concentrations of NNAL in smokers urine (<1 ng/mL) require sensitive and selective methods for analysis. Traditionally, this involves extensive, time-consuming sample preparation that limits throughput and adds to measurement variability. Molecularly imprinted polymers (MIPs) have been developed for the analysis of urinary NNAL by offline cartridge extraction combined with LC-MS/MS. This method when reproduced demonstrated problems with matrix effects. In the first part of this work, investigation of matrix effects and related problems with sensitivity for the published offline extraction method has been conducted. In order to address the need to improve throughput and other analytical figures of merit for the original method, the second part of this work deals with development of a high-throughput online microfluidic method using capillary-columns packed with MIP beads for the analysis of urinary NNAL. The method was validated as per the FDA guidance, and enabled low volume, rapid analysis of urinary NNAL by direct injection on a microfluidic column packed with NNAL specific MIP beads. The method was used for analysis of urinary NNAL and NNAL-Gluc in smokers. Chemometric methods were used with this data to develop a potential cancer-risk-assessment tool based on pattern recognition in the concentrations of these compounds in urine. In the last part, method comparison approaches for the online and the offline sample extraction techniques were investigated. A ‘fixed’ range acceptance criterion based on combined considerations of method precision and accuracy, and the FDA bioanalytical guidance limits on precision and accuracy was proposed. Data simulations studies to evaluate the probabilities of successful transfers using the proposed criteria were performed. Various experimental designs were evaluated and a design comprised of 3 runs with 3 replicates each with an acceptance range of ±20% was found appropriate. The off-line and the on-line sample extraction methods for NNAL analysis were found comparable using the proposed fixed range acceptance criteria.

A venlafaxina (VEN), em razão de sua eficácia e brandos efeitos adversos, tem sido um dos antidepressivos mais prescritos no tratamento da depressão e ansiedade. Neste trabalho, um método analítico empregando as técnicas MISPE miniaturizada e cromatografia líquida acoplada à espectrometria de massas em Tandem, foi utilizado para a determinação de VEN e seus principais metabólitos em amostras de plasma para fins de monitorização terapêutica. A fase MIP foi sintetizada via polimerização radicalar por precipitação, fazendo uso de VEN (molécula molde), ácido metacrílico (monômero funcional), etileno glicol dimetacrilato, (reagente reticulante) e 2,2 azobisisobutironitrila (iniciador radicalar) em tolueno (solvente). Para controle utilizou-se o polímero não impresso (NIP), sintetizado por procedimento análogo ao do MIP, porém sem o uso da molécula molde. A caracterização química e estrutural dos polímeros foi realizada por espectroscopia no infravermelho com transformada de fourier e microscopia eletrônica de varredura. A otimização das variáveis de MISPE miniaturizada favoreceu a detectabilidade analítica e diminuiu o efeito de memória. As extrações realizadas com MIP apresentaram taxa de recuperação de 84% para VEN e de 2-28% para os antidepressivos (clorpromazina, fluoxetina, clomipramina, imipramina e sertralina). O polímero não impresso apresentou baixa recuperação para a VEN (taxa de recuperação: 49%) e para os demais antidepressivos (taxas de recuperação menores que 40%). Estes experimentos comprovam a seletividade da fase MIP desenvolvida. O método padronizado apresentou linearidade na faixa de 3 a 700 ng mL-1 para VEN, 5 a 700 ng mL-1 para O-desmetilvenlafaxina (ODV) e de 3 a 500 ng mL-1 para N-desmetilvenlafaxina (NDV), precisão com coeficientes de variação menores que 15% e exatidão com valores de erro padrão relativo na faixa de -11,8 a 16,01 %. As concentrações correspondentes aos limites inferiores de quantificação para VEN (3 ng mL-1) e ODV ( 5 ng mL-1) foram inferiores aos intervalos terapêuticos preconizados. O método desenvolvido, quando comparado a aos métodos da literatura para determinação de VEN e metabolitos, apresentou maior seletividade, menor consumo de amostra e de solventes orgânicos e permitiu a reutilização da fase extratora. Segundo os parâmetros de validação analítica avaliados e amostras de pacientes em terapia com VEN analisadas, o método proposto é adequado para determinação de VEN, ODV e NDV em amostras de plasma para fins de monitorização terapêutica. / Venlafaxine elicits a small number of adverse effects, so it is one of the most frequently prescribed drugs to treat major depression, generalized anxiety, and social anxiety disorders in adults. In this study, venlafaxine (VEN), O-desmethylvenlafaxine (ODV), and N-desmethylvenlafaxine (NDV) were pre-concentrated with the aid of miniaturized SPE based on MIPs as extraction phase. MIPs are synthetic polymers with cavities specifically designed to hold a target molecule or structurally similar compounds. The molecularly imprinted polymers were prepared by addition of VEN, metacrylic acid (MAA, monomer), ethylene glycol dimethacrylate (EGDMA, cross-linker), and 2,2-azobisisobutyronitrile (AIBN, initiator) to toluene (solvent). The non-imprinted polymer (NIP), used for comparison, was also synthesized by following exactly the same procedure, but excluding the template VEN from the formulation. The polymer was characterized by Fourier transform infrared spectroscopy and scanning electron microscopy (SEM). Optimization of the MIP phase extraction variables favored miniaturized analytical detectability and reduced the memory effect. The extractions performed with the synthesized MIP showed recovery rate of 84% for VEN and 2-28% for other antidepressants (chlorpromazine, fluoxetine, clomipramine, imipramine, and sertraline). The non-imprinted polymer provided low recovery of VEN (recovery rate: 49%) and other antidepressants (recovery rates lower than 40%). These experiments demonstrated the selectivity of the developed MIP phase. The standardized method was linear in the range of 300 - 700 ng mL-1 for VEN, 5-700 ng mL-1 for ODV, and 3 to 500 ng mL-1 for NDV. Precision had coefficients of variation smaller than 15%; the accuracy standard error values ranged from -11.8 to 16.01%. Compared with literature methods, the developed method was more selective for determination of VEN and metabolites, required lower consumption of sample and organic solvents, and enabled reuse of the extraction phase. According to the assessed analytical validation parameters and to the analysis of samples obtained from patients undergoing therapy with VEN, the proposed method is suitable to determine VEN, NDV, and ODV in plasma samples for therapeutic drug monitoring.

O consumo dos diferentes tipos de drogas está associado a problemas sociais, econômicos e de saúde pública, em todas as regiões no mundo. Dentre os problemas de saúde pública, podemos destacar a alta prevalência de comorbidade entre o uso de drogas e os transtornos mentais. A Cannabis, a cocaína e o crack são as drogas ilícitas mais consumidas no Brasil. A utilização do cabelo como matriz biológica para determinação destas drogas permite avaliar o uso crônicos pelos indivíduos, uma vez que o cabelo é uma matriz estável, de fácil manipulação e a janela de detecção depende apenas do comprimento do cabelo. Entretanto, a análise em cabelo ainda representa um desafio analítico. Foram desenvolvidos dois métodos para a detecção das diferentes drogas no cabelo, com diferentes enfoques analíticos. O primeiro método (desenvolvido durante o estágio de doutorado sanduíche na Itália) identificou e quantificou cocaína e metabólitos usando a técnica de column switching e detecção por LC-MS/MS. O segundo método foi desenvolvido para determinação de canabinóides nas amostras de cabelo utilizando GC-MS. O diferencial deste método foi a utilização de um novo dispositivo de extração em fase sólida (as ponteiras DPX) para concentração e purificação do extrato, utilizando menor quantidade de solventes. A determinação dos canabinóides e cocaínicos foi realizada nas amostras de cabelo da população atendida no CAPS - AD de Ribeirão Preto, São Paulo. Além da coleta da amostra de cabelo, o sujeito foi submetido a uma entrevista, onde os seguintes instrumentos de avaliação foram aplicadas: Questionário sobre a saúde do Paciente 9, Inventário de fobia social, Self Report Questionnaire, Questionário de Ansiedade de Beck, Inventário de Depressão de Beck e Questionário sobre o uso da Cannabis, bem como um questionário elaborado pelo pesquisador para coleta de dados sociodemográficos, consumo de substâncias e dados sobre a amostra de cabelo, como comprimento, cor, tintura ou coloração. As amostras de cabelo foram analisadas e a média das concentrações de cada droga encontrada no cabelo foi correlacionada com os indicadores clínicos de transtorno mentais, obtidos através dos instrumentos de avaliação psiquiátrica. A maior prevalência de indicadores clínicos positivos para transtornos psiquiátricos entre a população estudada foi de transtornos mentais comuns, entre eles a ansiedade e depressão. A comparação da média de concentração de Cannabis, cocaína e crack no cabelo com os indicadores clínicos positivos para os transtornos não apresentou resultados estatisticamente significantes. Entretanto, podemos inferir que os sujeitos que apresentaram maior concentração média de Cannabis e cocaína no cabelo possuíam mais indicadores clínicos positivos para sintomas mentais comuns e depressão maior enquanto que os sujeitos usuários de crack possuíam mais indicadores clínicos positivos para sintomas ansiedade. Apesar de algumas limitações, podemos concluir que o estudo possibilitou estimar a prevalência da morbidade entre abuso de drogas ilícitas e transtornos psiquiátricos na população atendida no Centro de Atenção Psicossocial Álcool e drogas de Ribeirão Preto. / Different kinds of drug use have been associated to social, economic and health public problems worldwide. Among the high prevalent public health problems is the comorbidity between drug abuse and psychiatric disorders. Cannabis, cocaine and crack are the most consumed illicit drugs in Brazil. Hair use as the biological matrix for the determination of these drugs allows to evaluate chronic use, once hair is a stable matrix, easy to manipulate and the window detection only depends on the size of the hair. However, hair analysis still represents an analytical challenge. It was developed two methods for the detection of the drugs in hair, with different analytical approach. The first method (developed during doctoral stage in Italy) had identified and quantified cocaine and metabolites using column switching technique and LCMS/ MS detection. The second method was developed for determination of cannabinoids in hair samples using GC-MS. Decontamination procedure was the same cited above. The differential of this method was the use of a new device in solid phase extraction (DPX tips) for the extracts concentration and purification, using less solvents volumes. Cannabinoids and cocaine analysis were performed in hair samples from people who were enrolled in the CAPS - AD of Ribeirão Preto, São Paulo. Besides hair collection, the individual was submitted to an interview, where it was applied the following evaluation scales: Patient health questionnaire - 9, Social phobia inventory, Self report questionnaire, Beck anxiety inventory, Beck depression inventory and Cannabis research questionnaire as well as a questionnaire made by the author to collect sociodemographic data, substance consume and hair data. Hair samples were analyzed and the concentrations were correlated with positive clinical factors of mental disorders obtained through evaluation scales. The highest prevalence of positive clinical indicators for psychiatric disorders among the population studied was of common mental disorders, including anxiety and depression. The comparison of the average concentration of Cannabis, cocaine and crack in the hair with the positive clinical indicators for the disorders did not show statistically significant results. However, we can infer that the subjects who had higher average concentration of Cannabis and cocaine in hair had showed positive indicators for common mental symptoms and major depression as well as the subjects who had higher average concentration of crack in hair had showed positive indicators for anxiety. Despite of some limitations, we can conclude that the study had allowed estimating the prevalence of morbidity among illicit drugs abuse and psychiatric disorders in the population enrolled in the psychosocial care center in Ribeirão Preto.

The development of early diagnostics and prevention strategies for preterm birth is an important global health challenge with the potential to impact over 15 million children annually, by improving health outcomes and reducing economic burden. Advances in microbial sequencing technology have opened the door to 16S rRNA gene survey, whole metagenomics, and whole transcriptomics, providing molecular evidence that the composition of the vaginal microbiome affects pregnancy outcomes in women, particularly those of African descent. A current gap in our molecular level understanding of the vaginal microbiome as it relates to healthy pregnancies is the metaproteome which comprises proteins from both the woman and colonizing microorganisms. Herein, I describe the development of a label-free mass spectrometry-based workflow for preparing and analyzing the vaginal metaproteome as sampled from vaginal swab extracts. The workflow was applied to two longitudinal cohorts of vaginal swab samples collected during the VCU MOMS-PI study. The work presented herein demonstrates for the first time that sufficient vaginal-specific biomaterial can be extracted from swabs for metaproteomics analysis as evidenced by high proteome coverage (>1790 human and >1609 microbial proteins), quantitative readouts for over 37% of identified proteins, and the identification of candidate protein biomarkers that change with gestational age and parturition status.

<p>This thesis examines the isolation and characterisation (biological and chemical) of polypeptides from plants. A fractionation protocol was developed and applied on 100 plant materials with the aim of isolating highly purified polypeptide fractions from small amounts of plant materials. The polypeptide fractions were analysed and evaluated for peptide content and biological activities. A multitarget functional bioassay was optimised as a method for detecting substances interacting with the inflammatory process of activated neutrophil granulocytes. In this assay, the neutrophil was challenged with an inflammatory mediator, <i>N</i>-formyl methionyl-leucyl-phenylalanine (fMLP), or with platelet activating factor (PAF), to induce exocytotic release of the enzyme elastase, which then was quantified by photometric determination of the product p-nitroanilide (pNA) formed from a chromogenic substrate for elastase. Of the tested extracts, 41% inhibited pNA formation more than 60%, and 3% stimulated formation.</p><p>Phoratoxin B and four new peptides, phoratoxins C-F, were isolated from <i>Phoradendron tomentosum</i>. In addition, the cardiac glycoside digitoxin was isolated from <i>Digitalis purpurea</i>. All these substances expressed cytotoxicity and a neutrophil challenging activity.</p><p>Phoratoxins C-F were similar to earlier described phoratoxins A and B, which belong to the group of thionins. All the peptides were evaluated for cytotoxicity in a human cell line panel. Phoratoxin C was the most potent towards the cell lines (mean IC₅₀: 160 nM), and was therefore investigated further on tumour cells from patients. Correlation analysis of the log IC₅₀ values indicated a mechanism of action different from clinically used archetypal cytotoxic drugs. Phoratoxin C also showed selective toxicity to the solid tumours when compared to the haematological cancer types. The phoratoxin C was 18 times more potent towards the solid tumour samples from breast cancer cells (87 nM) compared to the tested haematological malignancies.</p><p>The structure-activity relationship concerning cytotoxicity was evaluated for digitoxin and related cardiac glycosides. Digitoxin was shown to be potent, with the average IC₅₀ 37 nM being within the therapeutic concentration used for cardiac congestion (13-45 nM). Digitoxin expressed selective toxicity towards solid tumours from patients compared to haematological malignancies.</p>

This thesis examines the isolation and characterisation (biological and chemical) of polypeptides from plants. A fractionation protocol was developed and applied on 100 plant materials with the aim of isolating highly purified polypeptide fractions from small amounts of plant materials. The polypeptide fractions were analysed and evaluated for peptide content and biological activities. A multitarget functional bioassay was optimised as a method for detecting substances interacting with the inflammatory process of activated neutrophil granulocytes. In this assay, the neutrophil was challenged with an inflammatory mediator, N-formyl methionyl-leucyl-phenylalanine (fMLP), or with platelet activating factor (PAF), to induce exocytotic release of the enzyme elastase, which then was quantified by photometric determination of the product p-nitroanilide (pNA) formed from a chromogenic substrate for elastase. Of the tested extracts, 41% inhibited pNA formation more than 60%, and 3% stimulated formation. Phoratoxin B and four new peptides, phoratoxins C-F, were isolated from Phoradendron tomentosum. In addition, the cardiac glycoside digitoxin was isolated from Digitalis purpurea. All these substances expressed cytotoxicity and a neutrophil challenging activity. Phoratoxins C-F were similar to earlier described phoratoxins A and B, which belong to the group of thionins. All the peptides were evaluated for cytotoxicity in a human cell line panel. Phoratoxin C was the most potent towards the cell lines (mean IC50: 160 nM), and was therefore investigated further on tumour cells from patients. Correlation analysis of the log IC50 values indicated a mechanism of action different from clinically used archetypal cytotoxic drugs. Phoratoxin C also showed selective toxicity to the solid tumours when compared to the haematological cancer types. The phoratoxin C was 18 times more potent towards the solid tumour samples from breast cancer cells (87 nM) compared to the tested haematological malignancies. The structure-activity relationship concerning cytotoxicity was evaluated for digitoxin and related cardiac glycosides. Digitoxin was shown to be potent, with the average IC50 37 nM being within the therapeutic concentration used for cardiac congestion (13-45 nM). Digitoxin expressed selective toxicity towards solid tumours from patients compared to haematological malignancies.

Title from second page of PDF document. Includes bibliographical references (p. 144-152).

Pseudoexfoliation (PEX) syndrome is an age-related condition characterized by the production and accumulation of extracellular fibrillary material in the anterior segment of the eye. PEX predisposes for several pathological conditions, such as glaucoma and complications during and after cataract surgery. The pathogenesis of PEX is not yet fully understood. It is multifactorial with genetics and ageing as contributing factors. We aimed to study the proteome in aqueous humor (AH) in PEX in order to increase the knowledge about its pathophysiology. Therefore, we developed sampling techniques and evaluated separation methods necessary for analyzing small sample volumes. Other objectives were to study the lens capsule in eyes with PEX regarding small molecules, and to investigate the association between PEX and cataract surgery in a population-based 30-year follow-up study. Samples of AH from eyes with PEX and control eyes were collected during cataract surgery. In pooled, and individual samples, various liquid based separation techniques and high resolution mass spectrometry were utilized. For quantitation, various methods for labeling, and label free techniques were applied. Lens capsules were collected from some of the patients, and analysed by imaging mass spectrometry. A cohort of 1,471 elderly individuals underwent a comprehensive ophthalmological examination at baseline. Medical information was obtained by questionnaires, and from medical records. Incident cases of cataract surgery were identified by review of medical records. In the initial study, several techniques were explored for protein detection, and a number of proteins were identified as differentially expressed. In the individually labelled samples, changes in the proteome were observed. Eyes with PEX contained higher levels of proteins involved in inflammation, oxidative stress, and coagulation, suggesting that these mechanisms are involved in the pathogenesis in PEX. The levels of β/γ-crystallins were significantly increased in PEX, which is a novel finding. In the lens capsules from individuals with PEX, changes in the lipid composition was observed with time-of-flight secondary ion mass spectrometry. These changes remain to be elucidated. By multivariate analysis, lens opacities were the first, and PEX the second most important predictor for cataract surgery, the later accounting for a 2.38-fold increased risk for cataract surgery.