A monitorização terapêutica permite a individualização do regime de dosagem, assegurando a eficácia clínica e minimizando os efeitos adversos dos fármacos prescritos. Atualmente, as estatinas têm sido monitoradas, pois, embora eficazes e muito utilizadas, apresentam alguns efeitos adversos não desejáveis. Neste trabalho, as técnicas SPME e cromatografia gasosa acoplada à espectrometria de massas (GC-MS) foram avaliadas para a análise de estatinas (fluvastatina, simvastatina e atorvastatina) em plasma humano para fins de monitorização terapêutica. As condições de extração e derivatização foram otimizadas empregando planejamento experimental e avaliando a influência dos principais parâmetros envolvidos. Para otimização das condições de extração avaliou-se parâmetros como tempo e temperatura de extração, pH, volume de solução tampão e força iônica; e para otimização das condições de derivatização avaliou-se parâmetros como volume de reagente derivatizante, volume de agente pareador iônico e pH. A extração foi realizada utilizando fibras de PDMS-DVB, e a dessorção feita termicamente no injetor do cromatógrafo a gás. O método desenvolvido foi validado segundo normas da ANVISA, apresentando linearidade na faixa de 20 a 500 ng mL-1, precisão com coeficientes de variação menor que 14% e recuperação relativa de 20 a 40%. Concluída a validação analítica, a metodologia proposta foi aplicada em amostras reais de plasma de pacientes em terapia com simvastatina concedidas pelo Laboratório Médico Dr. Maricondi e pela Casa de Saúde de São Carlos. / Therapeutic drug monitoring allows individualization of dosage regimen, ensuring the clinical efficacy and minimizing the adverse effects of prescribed drugs. Currently, statins have been monitored; despite they are effective, some statins have undesirable adverse effects. In this work, SPME technique and gas chromatography / mass spectrometry (GC-MS) were evaluated for analysis of statins (fluvastatin, simvastatin and atorvastatin) in human plasma for therapeutic drug monitoring. The extraction and derivatization conditions were optimized using experimental design and evaluating the influence of the main parameters involved in the SPME procedure. To optimize the extraction conditions were evaluated parameters such as time and extraction temperature, pH, volume of buffer and ionic strength, and to optimize the derivatization conditions were evaluated parameters as derivatization reagent volume, ionic agent pareador volume and pH. The extraction was performed using PDMS-DVB fibers, and thermal desorption performed in the injector of the gas chromatograph. The method was validated according to ANVISA, showing linearity in the range 20 to 500 ng mL-1, the precision with coefficients of variation less than 14% and relative recovery from 20 to 40%. The proposed methodology was applied to real samples of plasma from patients on therapy with simvastatin provided by the Laboratório Médico Dr. Maricondi and Casa de Saúde of São Carlos.

A monitorização terapêutica permite a individualização do regime de dosagem, assegurando a eficácia clínica e minimizando os efeitos adversos dos fármacos prescritos. Atualmente, as estatinas têm sido monitoradas, pois, embora eficazes e muito utilizadas, apresentam alguns efeitos adversos não desejáveis. Neste trabalho, as técnicas SPME e cromatografia gasosa acoplada à espectrometria de massas (GC-MS) foram avaliadas para a análise de estatinas (fluvastatina, simvastatina e atorvastatina) em plasma humano para fins de monitorização terapêutica. As condições de extração e derivatização foram otimizadas empregando planejamento experimental e avaliando a influência dos principais parâmetros envolvidos. Para otimização das condições de extração avaliou-se parâmetros como tempo e temperatura de extração, pH, volume de solução tampão e força iônica; e para otimização das condições de derivatização avaliou-se parâmetros como volume de reagente derivatizante, volume de agente pareador iônico e pH. A extração foi realizada utilizando fibras de PDMS-DVB, e a dessorção feita termicamente no injetor do cromatógrafo a gás. O método desenvolvido foi validado segundo normas da ANVISA, apresentando linearidade na faixa de 20 a 500 ng mL-1, precisão com coeficientes de variação menor que 14% e recuperação relativa de 20 a 40%. Concluída a validação analítica, a metodologia proposta foi aplicada em amostras reais de plasma de pacientes em terapia com simvastatina concedidas pelo Laboratório Médico Dr. Maricondi e pela Casa de Saúde de São Carlos. / Therapeutic drug monitoring allows individualization of dosage regimen, ensuring the clinical efficacy and minimizing the adverse effects of prescribed drugs. Currently, statins have been monitored; despite they are effective, some statins have undesirable adverse effects. In this work, SPME technique and gas chromatography / mass spectrometry (GC-MS) were evaluated for analysis of statins (fluvastatin, simvastatin and atorvastatin) in human plasma for therapeutic drug monitoring. The extraction and derivatization conditions were optimized using experimental design and evaluating the influence of the main parameters involved in the SPME procedure. To optimize the extraction conditions were evaluated parameters such as time and extraction temperature, pH, volume of buffer and ionic strength, and to optimize the derivatization conditions were evaluated parameters as derivatization reagent volume, ionic agent pareador volume and pH. The extraction was performed using PDMS-DVB fibers, and thermal desorption performed in the injector of the gas chromatograph. The method was validated according to ANVISA, showing linearity in the range 20 to 500 ng mL-1, the precision with coefficients of variation less than 14% and relative recovery from 20 to 40%. The proposed methodology was applied to real samples of plasma from patients on therapy with simvastatin provided by the Laboratório Médico Dr. Maricondi and Casa de Saúde of São Carlos.

Estrogens, alkylphenols and bisphenol-A, enter the environment through waste water systems and waste disposal of manufactured products e.g. detergents, paints, polycarbonates and flameretardants. These analytes disrupt the endocrine function of living organisms affecting their reproductive health and those of future generations. Gas phase low molecular- mass aldehydes and amines are typically eye, nose, and throat irritants. Formaldehyde is classified as a probable human carcinogen. Given their negative impact on human health it is urgent to monitor pollutants at extremely low levels in both air and water. The aqueous pollutants are often concentrated using solid phase extraction cartridges or liquid-liquid extraction followed by derivatization. Methods that can most effectively and selectively pre-concentrate aldehydes and amines involve in situ derivatization. Unfortunately, the derivatizing reagents as well as their associated solvents or adsorbents, are responsible for problems encountered with these methods. Polydimethylsiloxane (PDMS) has emerged as the ideal concentration and reaction medium for trace analysis. However the expensive commercial devices such as SPME and SBSE both require the samples to be returned to the laboratory for concentration. Due to the open tubular nature of the PDMS multichannel trap (MCT), developed in our laboratory, it is ideally suited for on-site and online sampling. The MCTs have a high analyte capacity owing to the large volume of PDMS available for concentration. The derivatization reaction can be performed in situ providing a “onepot concentration and reaction device”. This allows for reduced risk of contamination of / or losses of the sample and a sampling method that can cater for both air and water samples. To demonstrate the versatility of the PDMS MCT, two approaches for concentration in PDMS were investigated in this study, namely, 1) the on-line concentration and in situ derivatization of volatile polar analytes from air followed by REMPI-TOFMS detection, and 2) the concentration of phenolic lipophilic analytes from water requiring derivatization prior to analysis by GC/MS. 1) Analyte and derivatizing reagent were simultaneously introduced into the PDMS trap using a ypress- fit connector. The reaction occurs in situ followed by thermal desorption using a thermal modulator array alone or in conjunction with a thermal desorption unit. The aldehydes and amine derivatives were successfully detected by the REMPI-TOFMS. Reaction efficiencies were determined at room temperature without catalysts. Formaldehyde yielded a low reaction/concentration efficiency of 41 % with phenylhydrazine in PDMS, while acetaldehyde, acrolein and crotonal displayed much improved values of 92, 61 and 74 % respectively. Both propylamine and butylamine yielded 28 % reaction/concentration efficiency with benzaldehyde in the PDMS matrix. Detection limits obtained with this technique were significantly lower than the permissible exposure limits set by the Occupational Safety and Health Administration. It should be noted that the detection limits were not determined by actual measurement but by extrapolation from a larger signal. 2) Aqueous analytes were concentrated in the PDMS MCT using a gravity flow rate of ~50 ìl/min. The trap was dried and 5 ìl derivatizing reagent added. At room temperature and without the presence of a catalyst, the reaction of alkylphenols with trifluoroacetic acid anhydride in the PDMS matrix was 100% complete after 5 minutes. Bisphenol-A reacted less than 50 % to completion during this period, but the amount of derivative formed remained constant. This study revealed that extraction efficiencies of the alkylphenols and bisphenol-A off the PDMS trap have poor batch-tobatch repeatability indicating that the PDMS matrix was not homogenous. For two different PDMS batches: tert-octylphenol displayed an extraction efficiency of 70 and 79%, nonylphenol displayed 84 and 43% while Bisphenol-A displayed 10 and 26% respectively. The thermally desorbed derivatives were analysed by GC/MS. Despite background contamination in the desorption unit, detection limits were at the ppt level. Detection limits were not determined by actual measurement but by extrapolation from a larger signal. / Thesis (PhD)--University of Pretoria, 2009. / Chemistry / unrestricted