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Rapid screening of tetrodotoxin in urine and plasma of patients with puffer fish poisoning by HPLC with creatinine correction
Authors:Chung-Him Yu  Chun-Fai Yu  Sidney Tam  Peter Hoi-Fu Yu
Affiliation:1. Environmental Biotechnology Laboratory, Department of Applied Biology and Chemical Technology , The Hong Kong Polytechnic University , Hong Kong, China vincentyu@ymail.com;3. Environmental Biotechnology Laboratory, Department of Applied Biology and Chemical Technology , The Hong Kong Polytechnic University , Hong Kong, China;4. Division of Clinical Biochemistry, Queen Mary Hospital , The University of Hong Kong , Hong Kong, China
Abstract:A rapid and simple detection method for tetrodotoxin (TTX) in urine and plasma of patients with puffer fish poisoning was developed using commercially pre-packed solid-phase extraction (SPE) cartridges (C18 and weak cation exchange columns) and subsequent analyses by HPLC with UV detection. The detection limit of the standard TTX, TTX-spiked urine and plasma samples were all 10 ng/ml and the average TTX recovery in urine and plasma samples after SPE were 90.3 ± 4.0 and 87.1 ± 2.9%, respectively. It was noticed that the creatinine-adjusted urinary TTX levels obtained within the first 24 h of presentation apparently correlated much better with the severity of poisoning than the urinary TTX concentration without adjusting for variations in concomitant creatinine excretion.
Keywords:chromatography  HPLC  clean-up  SPME  toxicology  natural toxicants  fish and fish products  seafood
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