In vitro metabolism study of ADB‐P‐5Br‐INACA and ADB‐4en‐P‐5Br‐INACA using human hepatocytes, liver microsomes, and in‐house synthesized references
Department of Physics, Chemistry and Biology, Linköping University, Linköping, Sweden
University of Applied Sciences Northwestern, Windisch, Switzerland
Department of Forensic Genetics and Forensic Toxicology, National Board of Forensic Medicine, Linköping, Sweden
Division of Drug Research, Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden
Abstract
Synthetic cannabinoids (SCs) remain a major public health concern, as they continuously are linked to severe intoxications and drug‐related deaths worldwide. As new SCs continue to emerge on the illicit drug market, an understanding of SC metabolism is needed to identify formed metabolites that may serve as biomarkers in forensic toxicology screening and for understanding the pharmacokinetics of the drugs. In this work, the metabolism of ADB‐4en‐P‐5Br‐INACA and ADB‐P‐5Br‐INACA ((S)‐N‐(1‐amino‐3,3‐dimethyl‐1‐oxobutan‐2‐yl)‐5‐bromo‐1‐(pent‐4‐en‐1‐yl)‐1H‐indazole‐3‐carboxamide, (S)‐N‐(1‐amino‐3,3‐dimethyl‐1‐oxobutan‐2‐yl)‐5‐bromo‐1‐pentyl‐1H‐indazole‐3‐carboxamide respectively) were investigated using human hepatocytes in vitro and in‐house synthesized references. Both SCs were incubated with pooled human hepatocytes over 3 h, with the aim to identify unique and abundant metabolites using liquid chromatography–quadrupole time‐of‐flight mass spectrometry (LC‐QTOF‐MS). In total nine metabolites were identified for ADB‐4en‐P‐5Br‐INACA and 10 metabolites for ADB‐P‐5Br‐INACA. The observed biotransformations included dihydrodiol formation, terminal amide hydrolysis, hydroxylation, dehydrogenation, carbonyl formation, glucuronidation, and combinations thereof. The major metabolites were confirmed by in‐house synthesized references. Recommended biomarkers for ADB‐P‐5Br‐INACA and ADB‐4en‐P‐5Br‐INACA are the terminal hydroxy and dihydrodiol metabolite respectively.
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Keywords: ADB‐4en‐P‐5Br‐INACA, ADB‐P‐5Br‐INACA, LC‐QTOF‐MS, metabolism, synthesized references
Graphical
Analyzing hepatocytes and liver microsomes samples along with synthesized references. Complete structure elucidation of major metabolites was possible, and biomarkers for both ADB‐P‐5Br‐INACA and ADB‐4en‐P‐5Br‐INACA were suggested.
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Article notes
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Revised 2024 Jun 28; Received 2024 May 9; Accepted 2024 Jul 5; Issue date 2025 May.
1.INTRODUCTION
New psychoactive substances (NPSs), also known as legal highs or designer drugs, refer to substances that have psychoactive effects that are similar to those of traditional drugs of abuse. 1 One of the largest groups of NPS is synthetic cannabinoids (SCs), also known as synthetic cannabinoid receptor agonists (SCRAs). SCs are designed to mimic the effects of Δ9‐THC, as they act as cannabinoid receptor (CB1 and/or CB2) agonists. However, many SCs have shown to have a greater potency compared to Δ9‐THC. 2 The first SCs appeared in 2004 as herbal mixtures called “spice” all over Europe and gained popularity around 2008 on the illicit drug market. 2 , 3 Since the appearance of SCs, numerous negative effects including seizures, reduced consciousness, anxiety, aggression, tachycardia, heart attack, cardiac arrest, respiratory depression, and death have been linked to SC intake. 4 As of 2022, the total number of reported SCs that are being monitored in Europe is 245. 1
To ensure safe identification of SCs and detection of their abuse via analysis of biomarkers, forensic laboratories require access to reference material of the parent substance and its metabolites. Normally, SCs are rapidly metabolized, and it is therefore often difficult to detect the parent substance in urine samples. However, the metabolites can serve as urinary biomarkers to reveal the abused SC. 5
Urine is a common matrix for drug‐testing. This is due to the high metabolite concentration in urine, a longer detection window as compared to blood or oral fluid and the noninvasive collection of urine. 5 , 6 , 7 Finding authentic human urine samples containing SC metabolites is often difficult. In the absence of urine samples, in vitro studies using human hepatocytes (HHep) have proven to be successful for metabolism studies of SCs, but also NPS in general. Several studies have shown that HHep can produce the same metabolites that are found in authentic urine samples. Hydroxylated metabolites are some of the metabolites that are often found in both urine and HHep samples. 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 Metabolites that are found in these HHep experiments therefore have the potential to serve as biomarkers in forensic toxicology screening. HHep experiments in combination with synthesis of potential metabolites make it possible to establish the full identity of the metabolites. It is virtually impossible to fully distinguish between different monohydroxylated metabolites without the use of synthesized reference substances. 15
In 2021 China implemented stricter regulations of SCs that involved the regulation of indole and indazole core SCs. 16 As an effect of this, new types of halogenated SCs have entered the recreational drug market. ADB‐P‐5Br‐INACA was reported in Portugal 2022. 17 To the author's knowledge, there is not much information about these compounds. However, substitution of bromide onto the indazole core may greatly increase their potency. 18
In this study, the metabolism of ADB‐P‐5Br‐INACA and its analogue ADB‐4en‐P‐5Br‐INACA was studied using HHep. The samples were analyzed after incubation using ultrahigh performance liquid chromatography–quadrupole time‐of‐flight mass spectrometry (UHPLC‐QTOF‐MS). To fully identify the exact chemical structures of the formed metabolites, potential metabolites were synthesized and analyzed with the same UHPLC‐QTOF‐MS method and obtained retention times, and mass spectral data were compared to the corresponding data of the incubation samples. The aim was to fully characterize key metabolites that have the potential to serve as biomarkers in forensic toxicology screening. The study did also aim at improving the understanding of SC metabolism that could enable prediction of the metabolic pathways of future SCs with a halogenated indazole core.
2.METHODOLOGY
2.1.Chemicals and reagents
Reference substances of ADB‐P‐5Br‐INACA and ADB‐4en‐P‐5Br‐INACA were synthesized in‐house. Williams E medium, L‐glutamine, HEPES buffer, and trypan blue were purchased from Thermo Fisher Scientific (Gothenburg, Sweden). Human liver microsomes (HLM), InVitroGro HT thawing medium and mixed gender primary HHep were obtained from BioIVT (West Sussex, UK). NADPH Regenerating System Solutions A and B were purchased from Corning Discovery Labware (Arizona, USA). 96‐well plates for incubation and subsequent analysis were purchased from Agilent Technologies (Sundbyberg, Sweden). Sodium hydride (NaH), triethylamine (EtN), alkylating agents (bromides), and solvents were obtained from Merck (Stockholm, Sweden). L‐tert‐leucine methyl ester hydrochloride, L‐tert‐leucinamide hydrochloride, and 2‐(1H‐Benzotriazole‐1‐yl)‐1,1,3,3‐tetramethylaminium tetrafluoroborate (TBTU) were obtained from Flurochem (Hadfield, UK), while 5‐bromo‐1H‐indazole‐3‐carboxylic acid was from VWR (Karlskoga, Sweden). Acetonitrile LC–MS grade was purchased from VWR (Stockholm, Sweden), and formic acid for LC–MS was obtained from Fisher Scientific (Gothenburg, Sweden).
2.2.Instrumentation
LC‐QTOF analyses were made on an Agilent 1290 Infinity UHPLC system coupled to an Agilent 6550 iFunnel QTOF mass spectrometer with an AJS Jet Stream Technology ion source, all from Agilent Technologies (Sundbyberg, Sweden). The chromatographic separation was performed on an ACQUITY Premier HSS T3 column (1.8 μm, 2.1 × 150 mm) equipped with an ACQUITY Premier HSS T3 pre‐column (1.8 μm, 2.1 × 5 mm), obtained from Waters (Solna, Sweden) that was maintained at 60°C. The mobile phase (0.5 mL/min) consisted of water with 0.1% formic acid (solvent A) and acetonitrile with 0.1% formic acid (solvent B). The gradient profile was as follows: 1% B (0–0.6 min), 1%–20% (0.6–0.7 min), 20%–75% (0.7–13.0 min), 75%–95% (13–15 min), 95% (15–18.0 min), 95%–1% (18–18.1 min), and 1% (18.1–19.0 min).
The QTOF was operated in positive electrospray mode (gas temperature: 150°C; gas flow: 18 L/min; nebulizer: 50 psi; sheath gas temperature: 375°C; sheath gas flow: 11 L/min). MS data were obtained using Data Dependent Auto MSMS (scan rate: 6 spectra/s (MS) and 10 spectra/s (MSMS); scan range: m/z 100–950 (MS) and m/z 50–950 (MSMS); precursor intensity threshold: 5000 counts; precursor number per cycle: 5, within m/z 200–800; fragmentor voltage: 380 V; collision energy: 3 eV at m/z 0 ramped up by 8 eV per m/z 100).
Details of NMR and single quadrupole LC–MS analysis are shown in the Supporting Information.
2.3.HHep incubation
Hepatocyte incubations, to investigate the metabolism of the compounds, were performed according to previously published protocols with minor modifications. 19 , 20 Briefly, HHep were thawed at 37°C, diluted in 48 mL thawing medium and pelleted by centrifugation at 100 ×g. The pellet was washed with 50 mL incubation medium and subsequently resuspended again in 2 mL incubation medium (Williams E medium supplemented with 2mM L‐glutamine and 20mM HEPES). The cell concentration was then adjusted to 2 × 106 viable cells per milliliter, after determination with the trypan blue exclusion method. 21 Working solutions of the SCs were prepared by dissolving the compound in methanol, followed by dilution using the incubation medium to a concentration of 10 μM. In a 96‐well plate, 50 μL of the working solution was mixed with 50 μL of the cell suspension in duplicate, resulting in a final substrate concentration of 5 μM and 1 × 106 cells per milliliter. The cells were incubated for 0, 0.5, 1, and 3 h at 37°C. Incubation was terminated by the addition of 100 μL ice‐cold acetonitrile, and the samples were placed in a freezer for at least 10 min. For the 0 h samples, ice‐cold acetonitrile was added prior to the cell suspension. Diclofenac at a concentration of 10 μM was used as a positive control. Negative samples (without drug) and degradation samples (without cells) were incubated for 3 h. All samples were centrifuged at 1100 ×g for 15 min at 4°C. A volume of 120 μL was transferred to an injection plate and stored at −20°C until LC‐QTOF analysis.
2.4.Human liver microsomes incubation
ADB‐4en‐P‐5Br‐INACA and ADB‐P‐5Br‐INACA were also incubated with human liver microsomes for conformation analysis using synthesized reference standards. Stock solutions of ADB‐4en‐P‐5Br‐INACA and ADB‐P‐5Br‐INACA were prepared at a concentration of 500 μM in DMSO. ADB‐4en‐P‐5Br‐INACA (4 μL) or ADB‐P‐5Br‐INACA (4 μL) was then added to a solution containing 80 μL 0.5 M potassium phosphate buffer pH 7.4, 20 μL NADPH System Solution A, 4 μL NADPH System Solution B, and 282 μL water. After incubating the tubes at 37°C for 5 min, 10 μL human liver microsomes or 10 μL water was added resulting in a total reaction volume of 400 μL. The solution was mixed by inverting the tubes twice. The tubes were incubated at 37°C for 1 h before stopping the reaction by adding 400 μL acetonitrile and putting the tubes on ice. After a short centrifugation step (12,000 ×g, 3 min), the supernatants were collected and analyzed by LC‐QTOF.
2.5.Data analysis
Data analysis was performed using MassHunter software for Qualitative Analysis (version B.07.00). The search for metabolites was performed using a library containing the known biotransformations together with the find by formula algorithm that is utilized by the MassHunter Qualitative Analysis software. The database library contained known biotransformations for SCs, including hydroxylations, dihydrodiol formation, (de)methylation, dehydrogenation, N‐dealkylation, amide hydrolysis, glucuronidation, defluorination, sulfation, and combinations thereof. Only peaks with mass error <5 ppm were considered unless the peak was saturated. Compounds detected in the negative and the degradation controls were not evaluated as metabolites.
2.6.References synthesis
Reference substances of potential metabolites were synthesized to confirm the exact chemical structures of the metabolites formed in the HHep and HLM experiments. A total of eight potential metabolites were synthesized (Figures 1, 2, 3), four metabolites for each of the SCs ADB‐P‐5Br‐INACA (10, 14, 18, and 22) and ADB‐4en‐P‐5Br‐INACA (7, 15, 21, and 38a/38b). The synthesis are similar to previously presented method but with some modifications. 22 , 23 In general (except compound 38), each synthetic procedure started with an amide coupling of compound 3 (Figures 1, 2) using either L‐tert‐Leucine methyl ester hydrochloride or (2S)‐2‐amino‐3,3‐dimethylbutanamide hydrochloride, together with TBTU, TEA and acetonitrile/dimethylformamide (ACN/DMF). This was followed by an alkylation procedure using an organobromide and potassium carbonate (K2CO3). A more detailed description of each synthetic procedure can be found in the Supporting Information.
Compound 38 started with alkylation of compound 3 using 1‐bromopropanol together with NaH in DMF (Figure 3). Compound 33 was then converted into its corresponding methyl ester compound 34, followed by oxidation with Dess–Martin reagent giving compound 35 (Figure 3). Grignard reaction giving 36, which was followed by basic hydrolysis giving compound 37 (Figure 3). Compound 38 was then obtained as a diastereomeric pair 38a/38b via amide coupling. A more detailed description of the synthetic procedure of each of the specific compounds can be found in the Supporting Information.
3.RESULT AND DISCUSSION
4.LIMITATIONS
There are some limitations of the LC‐QTOF‐MS method that were applied in this metabolic study. Although LC‐QTOF‐MS is a sensitive and selective technique, the different ionization efficiencies of various metabolites mean that also the response factors of these metabolites will vary. In practice, this means that a large peak area does not necessarily mean that a metabolite is more abundant than another metabolite with smaller peak area. Hence, ranking of metabolites according to their abundance based on their peak area might not be fully correct. Moreover, the metabolites identified in the HHep and HLM incubations have not yet been confirmed through the analysis of authentic urine samples that would strengthen the in vitro data. Nonetheless, the data corresponds well with previously conducted metabolic studies on similar compounds, that is, ADB‐PINACA and ADB‐4en‐PINACA.
5.CONCLUSION
Ten metabolites of ADB‐P‐5Br‐INACA and nine metabolites of ADB‐4en‐P‐5Br‐INACA were detected in metabolism studies using HHep. Metabolic pathways for the two substances have been proposed. These new SCs showed similar metabolic pathways as other previously studied SCs, and common biotransformations were hydroxylation, dihydrodiol formation, carbonyl formation, terminal amide hydrolysis, dehydrogenation, and glucuronidation. The locations of hydroxy groups were spread between tail and head moieties. Due to their structural uniqueness and high abundance, the recommended biomarkers for ADB‐P‐5Br‐INACA and ADB‐4en‐P‐5Br‐INACA would be Buchler et al. 18 (A5) and Rautio et al. 15 (B5), respectively.
CONFLICT OF INTEREST STATEMENT
Authors have no conflict of interest to report.
Supporting information
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Rautio T, Obrist R, Krebs L, et al. In vitro metabolism study of ADB‐P‐5Br‐INACA and ADB‐4en‐P‐5Br‐INACA using human hepatocytes, liver microsomes, and in‐house synthesized references. Drug Test Anal. 2025;17(5):701‐712. doi: 10.1002/dta.3773
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Footnote Group
DATA AVAILABILITY STATEMENT
The data for this article is available in the article and the online Supporting Information.
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Associated Data
Supplementary Materials
Data Availability Statement
The data for this article is available in the article and the online Supporting Information.