Cross-reactivity of the epimers of 11-nor-9-carboxy-hexahydrocannabinol, metabolites of hexahydrocannabinol, with panel tests for urinary Δ9-tetrahydrocannabinol metabolites
摘要
The epimers of 11-nor-9-carboxy-hexahydrocannabinol (HHC-COOH) have been identified as metabolites of hexahydrocannabinol (HHC) in human urine. Owing to the similarity of chemical structures to 11-nor-9-carboxy-Δ9-tetrahydrocannabinol (Δ9-THC-COOH), a major urinary metabolite of Δ9-tetrahydrocannabinol (Δ9-THC), HHC-COOH may show cross-reactivity in panel tests for urinary Δ9-THC metabolites. The authors have evaluated the cross-reactivity of HHC-COOH epimers in three commercial panel tests.
MethodsHuman urine spiked with 9α- and 9β-HHC-COOH (final concentrations: 20–500 ng/mL) was subjected to three panel tests (Driven Flow THC L50, IVeX-Screen THC L50-S, and AccuSign THC) with a nominal cutoff concentration of 50 ng/mL for Δ9-THC-COOH. Additionally, an intact urine sample from an alleged HHC user was used.
ResultsThe lowest concentrations judged as positive were 100–500 ng/mL for 9α-HHC-COOH and 50–100 ng/mL for 9β-HHC-COOH. Intact urine samples from an alleged HHC user, whose 9α-/9β-HHC-COOH concentrations (ng/mL) were < 4.0/25.5 before alkaline hydrolysis and 13.4/132.2 after alkaline hydrolysis, were positive for all three panel tests.
ConclusionsBoth epimers of HHC-COOH showed cross-reactivity in three panel tests. The reactivity of 9β-HHC-COOH was found to be higher than that of 9α-HHC-COOH. The urine test results from the alleged HHC user suggested that the acyl glucuronides of HHC-COOH also exhibited cross-reactivity. Users of panel tests for urinary Δ9-THC metabolites should pay attention to false positives potentially caused by HHC metabolites.