Dietary supplement for energy and reduced appetite containing the β-agonist isopropyloctopamine leads to heart problems and hospitalisations

Autor: Hans G.J. Mol, Toine F H Bovee, Gerard D van Bruchem, Ron L.A.P. Hoogenboom, H.H. Heskamp, Martin Kooijman, Monique Bienenmann-Ploum, Ruud van Dam, J.J.P. Lasaroms, Leendert A. van Ginkel
Rok vydání: 2016
Předmět:
Novel Foods & Agrochains
Health
Toxicology and Mutagenesis

health risks
enforcement
Biosensing Techniques
02 engineering and technology
Pharmacology
Novel Foods & Agroketens
Toxicology
01 natural sciences
BU Veterinary Drugs
Foodborne Diseases
supplements
BU Contaminants & Toxins
Anabolic Agents
Food Labeling
web shops
Pausinystalia
Radioligand
Medicine
Bioassay
Multiplex
BU Toxicology
Novel Foods & Agrochains

Directie
Nootropic Agents
Netherlands
BU Toxicology
General Medicine
021001 nanoscience & nanotechnology
Hospitalization
BU Toxicologie
Novel Foods & Agroketens

Performance-Enhancing Substances
0210 nano-technology
Rikilt B&T Toxicologie en Effectanalyse
Agonist
Heart Diseases
BU Toxicologie
medicine.drug_class
BU Contaminanten & Toxines
Adrenergic beta-3 Receptor Agonists
Food Contamination
BU Dierbehandelingsmiddelen
Alkaloids
Therapeutic index
Appetite Depressants
Humans
VLAG
business.industry
010401 analytical chemistry
Public Health
Environmental and Occupational Health

General Chemistry
Food Inspection
0104 chemical sciences
Dietary Supplements
Plant Preparations
internet
business
Quantitative analysis (chemistry)
Antipyrine
Biosensor
Food Science
Food contaminant
Zdroj: Food Additives & Contaminants. Pt. A, Chemistry, Analysis, Control, Exposure & Risk Assessment, 33(5), 749-759
Food Additives & Contaminants. Pt. A, Chemistry, Analysis, Control, Exposure & Risk Assessment 33 (2016) 5
ISSN: 1944-0057
1944-0049
DOI: 10.1080/19440049.2016.1167965
Popis: In 2013 the Dutch authorities issued a warning against a dietary supplement that was linked to 11 reported adverse reactions, including heart problems and in one case even a cardiac arrest. In the UK a 20-year-old woman, said to have overdosed on this supplement, died. Since according to the label the product was a herbal mixture, initial LC-MS/MS analysis focused on the detection of plant toxins. Yohimbe alkaloids, which are not allowed to be present in herbal preparations according to Dutch legislation, were found at relatively high levels (400-900 mg kg(-1)). However, their presence did not explain the adverse health effects reported. Based on these effects the supplement was screened for the presence of a β-agonist, using three different biosensor assays, i.e. the validated competitive radioligand β2-adrenergic receptor binding assay, a validated β-agonists ELISA and a newly developed multiplex microsphere (bead)-based β-agonist assay with imaging detection (MAGPIX(®)). The high responses obtained in these three biosensors suggested strongly the presence of a β-agonist. Inspection of the label indicated the presence of N-isopropyloctopamine. A pure standard of this compound was bought and shown to have a strong activity in the three biosensor assays. Analysis by LC-full-scan high-resolution MS confirmed the presence of this 'unknown known' β3-agonist N-isopropyloctopamine, reported to lead to heart problems at high doses. A confirmatory quantitative analysis revealed that one dose of the preparation resulted in an intake of 40-60 mg, which is within the therapeutic range of this compound. The case shows the strength of combining bioassays with chemical analytical techniques for identification of illegal pharmacologically active substances in food supplements.
Databáze: OpenAIRE
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