Identification and synthesis of (Z)-3'-hydroxy clomiphene as a new potential doping-relevant metabolite of clomiphene.


Journal

Rapid communications in mass spectrometry : RCM
ISSN: 1097-0231
Titre abrégé: Rapid Commun Mass Spectrom
Pays: England
ID NLM: 8802365

Informations de publication

Date de publication:
15 Sep 2023
Historique:
revised: 14 06 2023
received: 24 05 2023
accepted: 14 06 2023
medline: 16 8 2023
pubmed: 15 8 2023
entrez: 14 8 2023
Statut: ppublish

Résumé

A recent study addressed the possibility of unintentional ingestion of clomiphene through residues in chicken eggs. The method developed here helped distinguish between microdose intake of (E/Z)-clomiphene citrate and consumption of clomiphene-containing eggs by the urinary pattern of four mono-hydroxylated clomiphene metabolites. However, reanalyses of doping-control samples, which showed an adverse analytical finding for clomiphene, revealed a hydroxy clomiphene (HC) isomer that was not found after microdose intake or after consumption of clomiphene-containing eggs and could not be assigned to any of the available reference compounds. The aim of the present follow-up study was to identify this HC isomer and to characterize this metabolite with respect to its potential properties as long-term metabolite in doping controls. (E/Z)-3'-HC and (E/Z)-4'-HC were synthesized involving the McMurry reaction. An ultra-performance liquid chromatography-tandem mass spectrometry (UPLC-MS/MS) method was developed and optimized after a derivatization step with dansyl chloride to separate eight HC isomers. Using this method, urine samples from a controlled clomiphene administration study were analyzed, in which male study participants received therapeutic doses of clomiphene for 30 days and collected urine samples for up to 8 months. Thus, isomer-specific HC elimination profiles could be monitored. The metabolite previously found in doping-control samples was identified as (Z)-3'-HC. The elimination profiles of the different HCs confirmed previous results, with (Z)-3-HC being the most abundant urinary hydroxy metabolite shortly after administration. A new finding was that the data suggest that (Z)-3'-HC is excreted at higher relative concentrations only several weeks after drug intake. These findings might be of particular importance in sport drug testing as they can assist in the decision-making process to distinguish between intentional doping and inadvertent exposure to clomiphene via food contamination.

Identifiants

pubmed: 37580503
doi: 10.1002/rcm.9599
doi:

Substances chimiques

Clomiphene 1HRS458QU2

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e9599

Subventions

Organisme : Manfred-Donike Institute for Doping Analysis
Organisme : Federal Ministry of the Interior of the Federal Republic of Germany
Organisme : Robert Bosch Stiftung, Stuttgart, Germany
Organisme : Partnership for Clean Competition

Informations de copyright

© 2023 The Authors. Rapid Communications in Mass Spectrometry published by John Wiley & Sons Ltd.

Références

Brown J, Farquhar C. Clomiphene and other antioestrogens for ovulation induction in polycystic ovarian syndrome. Cochrane Database Syst Rev. 2016;2017(1):CD002249. doi:10.1002/14651858.CD002249.pub5
Wheeler KM, Smith RP, Kumar RA, Setia S, Costabile RA, Kavoussi PK. A comparison of secondary polycythemia in hypogonadal men treated with clomiphene citrate versus testosterone replacement: a multi-institutional study. J Urol. 2017;197(4):1127-1131. doi:10.1016/j.juro.2016.10.068
Huijben M, Lock M, de Kemp VF, Beck JJH, De Kort LMO, van Breda HMK. Clomiphene citrate: a potential alternative for testosterone therapy in hypogonadal males. Endocrinology, Diabetes & Metabolism. 2023;6(3):e416. doi:10.1002/edm2.416
Kim M-J, Byeon J-Y, Kim Y-H, et al. Effect of the CYP2D6*10 allele on the pharmacokinetics of clomiphene and its active metabolites. Arch Pharm Res. 2018;41(3):347-353. doi:10.1007/s12272-018-1005-7
Mazzarino M, Biava M, de la Torre X, Fiacco I, Botre F. Characterization of the biotransformation pathways of clomiphene, tamoxifen and toremifene as assessed by LC-MS/(MS) following in vitro and excretion studies. Anal Bioanal Chem. 2013;405(16):5467-5487. doi:10.1007/s00216-013-6961-7
Mazzarino M, Fiacco I, de la Torre X, Botre F. A mass spectrometric approach for the study of the metabolism of clomiphene, tamoxifen and toremifene by liquid chromatography time-of-flight spectroscopy. Eur J Mass Spectrom (Chichester). 2008;14(3):171-180. doi:10.1255/ejms.921
Oueslati F, Maatki M, Osman Z, Loueslati Z. Identification by LC-ESI-MS/MS of new clomifene metabolites in urine. In: Schänzer W, Geyer H, Gotzmann A, Mareck U, eds. Recent advances in doping analysis. Sport und Buch Strauß; 2008:333-336.
Kroner P, Heinkele G, Kerb R, Igel S, Schwab M, Murdter TE. Stereoselective quantification of phase 1 and 2 metabolites of clomiphene in human plasma and urine. Talanta. 2021;221:121658. doi:10.1016/j.talanta.2020.121658
Mürdter TE, Kerb R, Turpeinen M, et al. Genetic polymorphism of cytochrome P450 2D6 determines oestrogen receptor activity of the major infertility drug clomiphene via its active metabolites. Hum Mol Genet. 2011;21(5):1145-1154. doi:10.1093/hmg/ddr543
Ji M, Kim K-R, Lee W, Choe W, Chun S, Min W-K. Genetic polymorphism of CYP2D6 and clomiphene concentrations in infertile patients with ovulatory dysfunction treated with clomiphene citrate. J Korean Med Sci. 2016;31(2):310-314. doi:10.3346/jkms.2016.31.2.310
Handelsman DJ. Indirect androgen doping by oestrogen blockade in sports. Br J Pharmacol. 2008;154(3):598-605. doi:10.1038/bjp.2008.150
[WADA] World Anti-Doping Agency. The Prohibited List (2004-2023).
[WADA] World Anti-Doping Agency. Anti-Doping Testing Figures Report, 2012-2020. https://www.wada-ama.org/en/resources/laboratories/anti-doping-testing-figures-report
Guddat S, Görgens C, Geyer H, Pfanner T, Thevis M. Clomiphene-targeting of the unchanged drug results in unusual prolonged detection windows in urine. In: Thevis M, Geyer H, Mareck U, eds. Recent advances in doping analysis Sportverlag Strauß. Hellenthal; 2018:118-121.
Miller GD, Moore C, Nair V, et al. Hypothalamic-pituitary-testicular axis effects and urinary detection following clomiphene administration in males. J Clin Endocrinol Metabol. 2018;104(3):906-914. doi:10.1210/jc.2018-01159
McGinnis CH, Wallace LD. The effect of clomiphene citrate in chickens: 1. Androgenic and estrogenic activity. Poult Sci. 1971;50(5):1475-1480. doi:10.3382/ps.0501475
McGinnis CH Jr, Wallace LD. The effect of clomiphene citrate in chickens. 2. Gonadotropic activity. Poult Sci. 1973;52(2):712-718. doi:10.3382/ps.0520712
Robinzon B, Shafir Z, Perek M, Snapir N. The effect of clomiphene-citrate on broody Turkey hens. Poult Sci. 1984;63(11):2268-2270. doi:10.3382/ps.0632268
Urom SMOC. Egg production performance of naturally mated Nigerian indigenous hens treated with clomiphene citrate (CLOMID®). Niger J Agric Food Environ. 2016;12:185-187.
Seyerlein L, Gillard N, Delahaut P, Pierret G, Thomas A, Thevis M. Depletion of clomiphene residues in eggs and muscle after oral administration to laying hens. Food Addit Contam Part a. 2021;38(11):1875-1882. doi:10.1080/19440049.2021.1949497
Euler L, Gillard N, Delahaut P, et al. Assessing human urinary clomiphene metabolites after consumption of eggs from clomiphene-treated laying hens using chromatographic-mass spectrometric approaches. Anal Chim Acta. 2022;1202:339661. doi:10.1016/j.aca.2022.339661
Ganchev B, Heinkele G, Kerb R, Schwab M, Mürdter TE. Quantification of clomiphene metabolite isomers in human plasma by rapid-resolution liquid chromatography-electrospray ionization-tandem mass spectrometry. Anal Bioanal Chem. 2011;400(10):3429-3441. doi:10.1007/s00216-011-5045-9

Auteurs

Luisa Euler (L)

Institute of Biochemistry/Center for Preventive Doping Research, German Sport University Cologne, Cologne, Germany.

Thomas Mürdter (T)

Dr. Margarete Fischer-Bosch-Institute of Clinical Pharmacology, Stuttgart, Germany.
University of Tübingen, Tübingen, Germany.

Georg Heinkele (G)

Dr. Margarete Fischer-Bosch-Institute of Clinical Pharmacology, Stuttgart, Germany.
University of Tübingen, Tübingen, Germany.

Matthias Schwab (M)

Dr. Margarete Fischer-Bosch-Institute of Clinical Pharmacology, Stuttgart, Germany.
Departments of Clinical Pharmacology and of Biochemistry and Pharmacy, University of Tübingen, Tübingen, Germany.

Geoffrey D Miller (GD)

Sports Medicine and Research Testing Laboratory, South Jordan, Utah, USA.

Daniel Eichner (D)

Sports Medicine and Research Testing Laboratory, South Jordan, Utah, USA.

Andreas Thomas (A)

Institute of Biochemistry/Center for Preventive Doping Research, German Sport University Cologne, Cologne, Germany.

Mario Thevis (M)

Institute of Biochemistry/Center for Preventive Doping Research, German Sport University Cologne, Cologne, Germany.
European Monitoring Center for Emerging Doping Agents (EuMoCEDA), Cologne/Bonn, Germany.

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