Topic: forensic toxicology
LU Xiaojun, GUAN Qinglin, LIANG Jiahao, SHI Yanhua, LI Ruijuan, YUN Keming, GUO Zhongyuan, CUI Haiyan
Aconitum is of pharmacological effects, therewith making it be used to exert analgesic, antiepileptic and anti-inflammatory functions at clinic for years. However, aconitum is of high toxicity derived from diester-diterpenoid alkaloids (DDAs) including aconitine, mesaconitine and hypaconitine, usually leaving narrow therapeutic safety-window time. The lethal dose of aconitine is estimated to be only 1-4 mg for human adults so that homicidal and/or suicidal cases are often reported of involving with aconitum. The diester-diterpenoid alkaloids could change their structures and toxicities quickly during in vivo processing and metabolism, having become into monoester-diterpenoid alkaloids or further the alcohol amines. Thus, aconitum alkaloids deserve the in vivo research of their metabolites especially on the time when there haven’t been few studies on postmortem redistribution of aconitum alkaloids in poisoned animal. Consequently, the postmortem redistribution of aconitine, mesaconitine, hypaconitine and their metabolites (benzoylaconine, benzoylmesaconine, benzoylhypaconine, aconine, hypaconine, mesaconine) was here studied. The 18 experimental rabbits were randomly divided into six groups, being poisoned by intragastric administration. On 2 hours after administration, the rabbits were killed by trachea closing and kept in supine position at 25°C, waiting for collection of tested samples (heart blood, peripheral blood, urine, heart, liver, spleen, lung and kidney) at post-death of 0, 4, 8, 12, 24 and 48 h. The high performance liquid chromatography-tandem spectrometry was adopted to determine the collected samples, showng as urine: the benzoylmesaconine and benzoylhypaconine were respective 2.39 and 2.51 times higher of their contents at 48 h than at 0 h; heart blood and peripheral blood: benzoylmesaconine displayed an obvious upward trend, with its content being much higher in peripheral blood than in heart blood; viscera tissues: each substance was significantly higher of content in spleen, liver and kidney than in heart and lung, with hypaconitine and benzoylhypaconine showing overall content-upward trend in spleen, liver and kidney, even demonstrating highest of the two in spleen, plus the benzoylmesaconine at post-death 12 h showing an upward trend in spleen, liver and kidney. Accordingly, the postmortem redistribution of aconitine, mesaconitine, hypaconitine and their metabolites was revealed in rabbits poisoned, potential to provide reference for aconitum alkaloids poisoning cases to select samples and carry out relevant forensic identification. Evidently, urine is the most obvious biological sample for aconitum poisoning, and also harboring the highest content of each substance at the time of death, therefore prominent as the collecting sample in cases of suspected aconitum poisoning. Whereas, when the time of death is long and it is difficult to collect the liquid biological samples, the tissues of spleen, liver and kidney might be used as the canadidate biological samples in aconitum poisoning.