Human toxicokinetic study of zeranol and zearalenone for a rigorous discrimination between doping and mycotoxins-contaminated food
By
Investigateur principal
P.
Van Eenoo
Ghent University
Belgique
―
2024
―
En vigueur
Sommaire
Code: 241C01PV
Zeranol (α-ZAL), a prohibited anabolic agent by the World Anti-Doping Agency (WADA), can be present in human urine as a metabolite of zearalenone (ZEN), a mycotoxin occurring in several food commodities. Distinguishing between doping intake and ZEN-contaminated food consumption is challenging. To establish evidence-based criteria, a human intervention trial and toxicokinetic (TK) modeling are fundamental. Up to 74.6% of ZEN is excreted in human urine as reductive metabolites and phase II conjugates. Limited evidence suggests that α-ZAL is metabolized primarily, but not exclusively, into β-ZAL and zearalenone (ZAN) in mammals. Monitoring α-ZAL concentrations relative to other ZEN metabolites helps differentiate illicit intake from food contamination, but WADA LT04 lacks transparent criteria for confident α-ZAL doping identification. This project proposes two independent human intervention trials with 10 healthy adults each to study αZAL and ZEN toxicokinetics. After a wash-out period of two days, the volunteers will ingest a bolus containing α-ZAL or ZEN at the TDI (250 ng/kg bw). From the exposure onwards, the volunteers are requested to collect individual urine and capillary blood samples for 48 hours. ZEN, ZAN, α/β-zearalenol (α/β-ZEL), and α/β-ZAL will be quantified, after extraction and hydrolysis of phase II-conjugates, using GC-MS/MS and GC-HRMS methods validated at ultra-trace levels. We aim to determine the human metabolic excretion profiles over time and use it to build two TK models with Hierarchical Bayesian population structure. The resulting population concentration/time profiles will enable calculating confidence intervals for ZEN/α-ZAL, α-ZEL/α-ZAL, and β-ZEL/β-ZAL ratios, refining WADA report guidelines for Adverse Analytical Finding in urine and capillary blood collected via VAMS Mitra tips. The models will provide population TK parameters of α-ZAL and ZEN and the possibility to estimate intake doses, offering additional proof in legal adjudication.
Long-term detection of methyltestosterone administration: unambiguous metabolite identification in a controlled trial
By
Investigateur principal
M.
Kristina Parr
Freie Universitaet Berlin
Allemagne
―
2024
―
En vigueur
Sommaire
Code: 241C05MP
Recently, the success of the integration of new long-term markers for anabolic steroids such as metandienone greatly improved the detectability of their misuse in sports. Tetrahydromethyltestosterone-sulfate (THMTS) was proposed as a promising long-term marker for methyltestosterone administration, however, reference material for direct analysis of the intact conjugates is not available for all diastereomers. Reportedly, the longest detectable diastereomer was tentatively assigned as 3α5α17epiTHMTS after solvolysis using GCMS and literature reported Kovac indices for diastereomer allocation. Our preliminary data from intact sulfoconjugate analysis suggest 3α5βTHMTS instead. It remains open until now weather this difference is due to potential epimerization by solvolysis, sample pre-treatment or interindividual variability. Additionally, A-Ring reduced 17β-hydroxymethyl-13-ene (20OHNorTHMT) metabolites have not yet been consequently investigated after methyltestosterone administration. Analogous metabolites resulted in drastic extension of the detection window after Oral Turinabol administration.
Within the project the analysis of tetrahydromethyltestosterone (THMT) diastereomers as classically monitored metabolites of methyltestosterone, A-Ring reduced 17β-hydroxymethyl-13-ene metabolites (20OHNorTHMT), as well as intact sulfoconjugates, will be included in the analysis to evaluate the best suited metabolites after an administration of methyltestosterone.
Therefore, methods will be optimized for sensitive and selective detection using the various diastereomeric sets of target analytes. Furthermore, the suitability of different possibilities for sample preparation will be evaluated specially focusing on the sulfoconjugates. Their diastereomeric structure will unambiguously be confirmed by direct analysis of the intact conjugates and comparison with references of all diastereomers. Full characterization of the relevant THMTS diastereomers with LC-HRMS and NMR will be provided after chemical synthesis and purification. Including postadministration samples from six volunteers will help for investigation of interindividual variabilities of metabolite excretions.
Carbon stable isotope analysis of 7-Keto-DHEA doping targeting both glucuronated and sulfoconjugated metabolites
By
Investigateur principal
J-F.
Naud
Institut national de la recherche scientifique (INRS)
Canada
―
2024
―
En vigueur
Sommaire
Code: 242A12JFN
7-keto-DHEA is a performance enhancing anabolic androgenic steroid on the WADA prohibited list and abuse by athletes can be detected unambiguously using carbon stable isotope analysis after urine sample purification and isotope ratio mass spectrometric analysis. Stable isotope confirmation is required as 7-keto-DHEA and its primary metabolites can be formed through microbial transformation of naturally produced endogenous steroids. As the 13C content of steroids is conserved during their metabolism, the 13C content of the metabolites and parent compound excreted in urine will reflect that of the source of the compounds (either endogenous through in situ microbial reworking or exogenous through doping). Existing methods for detecting 7-keto-DHEA doping target multiple metabolites found principally as free form or glucuronidated metabolites. Due to method artifacts, it is possible that the proportion of sulfoconjugated metabolites of 7-keto-DHEA is currently being under reported. During initial scouting investigations, a significant increase in recovery of the analytes of interest has been observed using an acidic hydrolysis involving tetrahydrofuran and methanol as solvents. We aim to develop and validate a GC/C/IRMS confirmation method targeting the principal metabolites of 7-keto-DHEA in both the sulfoconjugated and glucruonidated steroid fractions. We will analyze a series of anonymized athlete urine samples which contain high concentrations of either 7α-OH-DHEA and 7β-OH-DHEA during our routine initial testing procedure over the last 5 years. This will serve as a reference population for North American athletes and will be of use in the context of determining positivity thresholds for inclusion in future WADA technical documents.
Evaluating alcohol effects on Blood Steroid Profile by simultaneous measurement of EAAS doping and alcohol consumption markers via LC-MS
By
Investigateur principal
F.
Ponzetto
University of Turin
Italie
―
2024
―
En vigueur
Sommaire
Code: 242D07FP
The longitudinal monitoring of Testosterone and Androstenedione blood concentrations was introduced in the Steroidal Module of Athlete Biological Passport in 2023 as a complementary tool to the urinary module. Although this approach has proven to increase the detection capability of endogenous anabolic androgenic steroids doping, limited information is currently available regarding confounding factors of blood steroid profiling. In this context, alcohol consumption is one of the exogenous confounding factors in urinary steroid analysis, but its influence on blood steroid profile has not yet been investigated in detail. The aim of this project is therefore to fill this gap by firstly focusing on the development of a novel LC-MS method for the simultaneous quantification of Testosterone, Androstenedione, and two markers of alcohol consumption, Ethyl glucuronide and Ethyl sulfate. Mass spectrometric parameters will be fine-tuned to achieve maximal sensitivity, and chromatographic conditions will be optimized to find the best compromise between resolution and analysis time. Once the developed method is validated according to WADA's requirements and transferred to a WADA-accredited laboratory, it will be employed in both laboratories to analyze real serum samples collected during a dedicated clinical study, allowing for inter-laboratory comparison. The clinical study will involve 20 healthy volunteers, who will be administered a moderate dose of alcohol. For each participant, both alcohol and placebo will be administered in two separate sessions. Serum and urine samples will be collected before the intervention and at 5 consecutive time points during the day of administration, with an additional sample collected the morning after the intervention. The results obtained from serum samples analyzed with the novel method and from urine samples analyzed using the routine method of WADA-accredited laboratory will then be investigated to characterize the effect of alcohol consumption on both parts of the Steroidal Module.
Investigation of the Metabolic Fate of Nandrolone’s Prohormone 19-Nor-DHEA.
By
Investigateur principal
D.
Kletsas
National Centre For Scientific Research Demokritos
Grèce
―
2024
―
En vigueur
Sommaire
Code: 242C06DK
Understanding the metabolism of a drug is essential for the development of analytical assays, as it can reveal metabolic markers that can significantly increase the sensitivity of detection and extend detection times. 19-Nordehydroepiandrosterone (19-nor-DHEA) is an unlicensed steroid currently available for online purchase and is a combined derivative of the androgen/anabolic steroid nandrolone (19-nortestosterone) and the androgen prohormone dehydroepiandrosterone (DHEA), both of which are on the WADA Prohibited List. 19-Nor-DHEA is not on the WADA Prohibited List and its metabolism has never been reported in humans. It can be categorized as a nandrolone prohormone where, according to TD2021NA, the target metabolite to detect its abuse is 19-norandrosterone (19-NA) in its glucuronide conjugate, which is currently monitored by routine analytical methods. However, quantities of 19-nor steroid metabolites are also excreted in the sulphate fraction and their detection may help to improve long-term detection of their misuse. This study aims to elucidate the metabolic fate of 19-nor-DHEA, with a particular interest in obtaining the most abundant metabolites and those that can be excreted over a longer period. The study will focus on the detection, in addition to 19-NA and 19-NE, of metabolites expected from the metabolism of its 19-methyl analogue, DHEA, in both the glucuronide and sulphate fractions. Long-term markers for the 19-methyl counterpart, DHEA, have been reported in the sulphate fraction and their detection and identification on 19-nor-DHEA is the main objective of this study. The characterization of these metabolites is also a critical point of this study.
The effect of formoterol on blood, urine and muscle metabolism, prolonged endurance performance and sprinting ability in trained endurance athletes
By
Investigateur principal
P.
Bellinger
Griffith University
Australie
―
2024
―
En vigueur
Sommaire
Code: 242C05PB
Beta2-agonists are commonly used by elite endurance athletes to counteract asthma and exercise-induced bronchoconstriction, whereby more than 50% of athletes experience lower airways dysfunction. Inhaling long acting beta2-agonists (such as formoterol) is an efficient administration route that achieves high systemic concentrations and has the potential to be ergogenic to exercise performance. Concerningly, recent reports suggest that Olympic athletes who use beta2-agonists outperform their non-user competitors. Therefore, given the potential performance-enhancing and health-related adverse effects of formoterol, WADA has further restricted formoterol intake allowance (2025 WADA Prohibited List) in an attempt to limit the ergogenic effects. Nonetheless, compared to other beta2-agonists, such as salbutamol and terbutaline, the ergogenic potential of formoterol has been less studied. Furthermore, most of the research has focused on short duration, strength and sprint-type exercise, providing minimal data assessing the ergogenic potential of formoterol on endurance events. As such, more research is required to investigate the performance effects of different doses of formoterol that reflect the new 12-hourly dosing intervals and different combinations of divided doses over a 24-hr period. This line of research can confirm whether the 2025 Prohibited List Guidelines are appropriate such that the symptoms of asthma and exercise-induced bronchoconstriction can be minimized, without providing a substantial ergogenic effect on exercise performance. There is also a need to better understand the mechanisms underpinning the performance-induced changes of formoterol administration. Therefore, the aims of this project are to investigate the ergogenic potential (prolonged endurance, and sprint ability) and characterize the resultant blood, muscle and urine metabolite changes induced by different single and divided doses of formoterol administration, compared to a placebo device.
Investigation of the applicability of dried blood spots for the analysis of glucocorticoids
By
Investigateur principal
W.
C-W Chang
Kaohsiung Medical University
Taïwan
―
2024
―
En vigueur
Sommaire
Code: 242C03WCWC
Glucocorticoids (GCs) are widely used in medicine among athletes and are prohibited in competition only when administered orally, rectally, or by injection. However, an in-competition urine sample may show GC levels above the established laboratory reporting levels even if the administration occurred out-of-competition. Urinary washout periods have been established to mitigate this risk. Since blood levels correlate better with substance exposure than urine, dried blood spots (DBSs) collected through microsampling may provide valuable support in determining the timing of GC administration.
This study aims to investigate and compare the concentration changes of GCs in DBSs and urine during the washout period following GC administration. A rapid and sensitive UPLC-MS/MS-based method has been developed for the simultaneous quantitation of six common GCs in DBSs, with the extraction procedure optimised to ensure favourable recoveries. DBSs and urine samples are then collected from subjects receiving oral prednisolone, intramuscular dexamethasone, and locally injected triamcinolone acetonide. The pharmacokinetics and detection windows of each GC in DBSs are established, and reference ranges are suggested. The DBS data are compared with those from urine. The developed analytical method and the resulting elimination datasets are readily deliverable to anti-doping labs and authorities, enhancing the applicability of DBS for GC testing.
Analysis and evaluation of black market nasal sprays containing peptides and proteins
By
Investigateur principal
C.
Reichel
Seibersdorf Labor GmbH
Autriche
―
2024
―
En vigueur
Sommaire
Code: 242B02CR
Chapter S2 of WADA’s Prohibited List 2024 (“Peptide hormones, growth factors, related substances, and mimetics”) lists under sub-chapters 2 and 3 “Peptide hormones and their releasing factors” and “Growth factors and growth factor modulators” as prohibited substances. Chapter S4 “Hormone and metabolic modulators”, sub-chapter 3 (“Agents preventing activin repetor IIB activation) additionally mentions “Activin receptor IIB competitors” (e.g. ACE-031) and “Myostatin inhibitors” (e.g. follistatin, myostatin propeptide) as prohibited proteins. Most of these compounds have not been pharmaceutically approved but are available on the black market. In the past, only studies on injectable black market peptides and proteins were performed. They led to the identification of unknown compounds with doping relevance and revealed the presence of “tags”, which made them clearly distinguishable from the body's own proteins (e.g. follistatin with His-tags, myostatin propeptide with GST-tags). Recently, an increasing amount of nasal sprays containing growth promoting peptides and proteins (e.g. AOD-9694, ACE-031, CJC-1295, Follistatin 344, GDF-8) appeared on the black market. So far, no comprehensive study on these products has been performed. Hence, it is unclear whether the compounds contained in nasal sprays are detectable with the current methods or not. For example, some might contain “tag-free” proteins that pass through mucous membranes more easily but are undetectable using existing methods. Within the scope of this project, ca. 50 peptide/protein-based nasal sprays will be purchased on the black market and analyzed with high resolution mass spectrometry and gel-electrophoresis. Subsequently, their detectability with the currently applied methods will be evaluated. In case of unknown compounds, top-down and bottom-up proteomics will be applied for identification. For compounds which cannot be detected with the current methods, alternative strategies will be proposed.
In vitro SR9011 metabolism using 3D cell culture and tandem mass spectrometry
By
Investigateur principal
J-F
Naud
Laboratoire de contrôle du dopage - INRS
Canada
―
2024
―
En vigueur
Sommaire
Code: 241C03JFN
The REV-ERB alpha and beta agonist SR9011 was initially synthesized to explore the relations between sleep disorders and circadian rhythm in rodent models. In parallel, studies highlighted that SR9011 ameliorates muscular growth and affects mitochondrial composition, making this compound attractive to athletes who desire to improve their sports performance. Consequently, SR9011 was placed on the WADA prohibited substance list in 2018. However, only the compound was included because of poorly understood and characterized metabolism. Since January 2024, some metabolites of SR9011 have been included in the WADA list of banned substances. So far, two publications have suggested structures some metabolites, although their structure must be re-examined. The first objective of this project is to adapt our previous protocol using human subcellular liver fractions to spheroid cell culture to corroborate the presence of oxidative metabolites. By this, we aimed to refine our previously suggested metabolites to reinforce those susceptible to be detected in urine samples. The spheroid which are terminally differentiated hepatic cells derived from a human hepatic progenitor cell line will be used to obtain metabolites. To achieve metabolites generation, spheroid and SR9011 will be incubated in a cell culture medium. In parallel, considering the phase II metabolism of SR9011 has not been addressed to date, the investigation of glucuronide conjugates on SR9011 will constitute the second objective. Finally, since WADA has included four oxidative metabolites in the list of banned substances and considering that no reference materials are currently available, the third objective of this proposal consists of adapting small-scale synthesis routes to large-scale production of those metabolites in readiness to provide enough reference material to worldwide anti-doping laboratories.
Advancing non-invasive detection of doping via in vivo genome editing
By
Investigateur principal
K.
Cromer
Regents of the University of California
États-Unis
―
2024
―
En vigueur
Sommaire
Code: 242E03KC
Gene doping, which is banned by WADA, is the alteration of an athlete’s DNA in order to obtain athletic advantage. Rapid advances in genome editing technologies pose a significant future threat to fair competition and athlete safety. This project aims to address this challenge by focusing on detecting performance-enhancing genome modifications.
This research will begin with animal models to study how effectively genome editing can be achieved in tissues relevant for doping and then be detected non-invasively. From there, the research will work towards developing accurate, affordable, and scalable methods to detect genome editing in humans in the context of performance enhancement.
The project consists of three main objectives:
Animal studies. Using state-of-the-art genomic technologies, we will perform genome editing experiments in mice. This will help us assess the efficiency of genome editing across different tissues and identify non-invasive detection methods.
Human genome editing detection assay. We will create a targeted deep sequencing tool to detect edits in 20-30 human genes linked to doping. We will develop software to differentiate genuine edits from experimental errors and naturally occurring variations.
Validation. We will validate the assay by applying it to lab-edited primary human hematopoietic stem cells and employing a blinded computational analysis to identify genome editing events.
This pioneering research will provide crucial insights into how new genomic technologies could be used in doping and on the factors that affect editing detectability. Our goal is to create novel, cost-effective methods for detecting genome editing in humans, supporting anti-doping efforts worldwide.