Validation of an Enzyme Immunoassay for Detection and Semiquantification of Cannabinoids in Viva voce Gas [Drug Monitoring and Toxicology] <<>>

Written by Schwope, D. M., Milman, G., Huestis, M. A. on January 1, 1970 – 1:00 am -

Background: Oral non-static (OF) is gaining importance as an different matrix for monitoring drugs of self-pollution in the workplace, convict justice, and driving at the mercy of the persuade of drugs programs. It is egotistical to delineate assay performance and limitations of screening techniques for 9-tetrahydrocannabinol (THC) in OF.

Methods: We comfortable OF specimens by use of the QuantisalTM OF amassment device from 13 regular cannabis users after controlled pronounced cannabinoid management. All specimens were tested with the Immunalysis Sweat/OF THC Direct ELISA and confirmed by 2-dimensional GC-MS.

Results: The limit of detection was <1 µg/L THC equivalent, and the assay demonstrated linearity from 1 to 50 µg/L, with semiquantification to 200 µg/L. Intraplate imprecision (n = 7) ranged from 2.9% to 7.7% CV, and interplate imprecision (n = 20) was 3.0%–9.1%. Cross-reactivities at 4 µg/L were as follows: 11-hydroxy-THC, 198%; 8-tetrahydrocannabinol (8-THC), 128%; 11-nor-9-carboxy-THC (THCCOOH), 121%; THC (target), 98%; cannabinol, 87%; THCCOOH-glucuronide, 11%; THC-glucuronide, 10%; and cannabidiol, 2.4%. Of 499 tested OF specimens, 52 confirmed absolute (THC 2.0–290 µg/L), with 100% diagnostic sensitivity at the proposed Haecceity Self-contamination and Theoretical Health Services Direction screening cutoff of 4 µg/L cannabinoids and GC-MS cutoff of 2 µg/L THC. Forty-seven specimens screened cheerful but were not confirmed by 2D-GC-MS, acquiescent 89.5% diagnostic specificity and 90.6% diagnostic expertise. Thirty-one of 47 unconfirmed immunoassay unqualified specimens were from 1 specific and unperturbed >400 ng/L THCCOOH, potentially contributing to cross-reactivity.

Conclusions: The Immunalysis Sweat/OF THC Matter-of-fact ELISA is an moving screening standard operating procedure for detecting cannabinoids in OF.

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