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2015 ; 107
(ä): 518-25
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N-acetyl-S-(N,N-diethylcarbamoyl) cysteine in rat nucleus accumbens, medial
prefrontal cortex, and in rat and human plasma after disulfiram administration
#MMPMID25720821
Winefield RD
; Heemskerk AA
; Kaul S
; Williams TD
; Caspers MJ
; Prisinzano TE
; McCance-Katz EF
; Lunte CE
; Faiman MD
J Pharm Biomed Anal
2015[Mar]; 107
(ä): 518-25
PMID25720821
show ga
Disulfiram (DSF), a treatment for alcohol use disorders, has shown some clinical
effectiveness in treating addiction to cocaine, nicotine, and pathological
gambling. The mechanism of action of DSF for treating these addictions is unclear
but it is unlikely to involve the inhibition of liver aldehyde dehydrogenase
(ALDH2). DSF is a pro-drug and forms a number of metabolites, one of which is
N-acetyl-S-(N,N-diethylcarbamoyl) cysteine (DETC-NAC). Here we describe a LCMS/MS
method on a QQQ type instrument to quantify DETC-NAC in plasma and intracellular
fluid from mammalian brain. An internal standard, the N,N-di-isopropylcarbamoyl
homolog (MIM: 291>128) is easily separable from DETC-NAC (MIM: 263>100) on C18 RP
media with a methanol gradient. The method's linear range is 0.5-500 nM from
plasma and dialysate salt solution with all precisions better than 10% RSD.
DETC-NAC and internal standards were recovered at better than 95% from all
matrices, perchloric acid precipitation (plasma) or formic acid addition (salt)
and is stable in plasma or salt at low pH for up to 24 h. Stability is observed
through three freeze-thaw cycles per day for 7 days. No HPLC peak area matrix
effect was greater than 10%. A human plasma sample from a prior analysis for
S-(N,N-diethylcarbamoyl) glutathione (CARB) was found to have DETC NAC as well.
In other human plasma samples from 62.5 mg/d and 250 mg/d dosing, CARB
concentration peaks at 0.3 and 4 nM at 3 h followed by DETC-NAC peaks of 11 and
70 nM 2 h later. Employing microdialysis sampling, DETC-NAC levels in the nucleus
accumbens (NAc), medial prefrontal cortex (mPFC), and plasma of rats treated with
DSF reached 1.1, 2.5 and 80 nM at 6h. The correlation between the appearance and
long duration of DETC-NAC concentration in rat brain and the persistence of
DSF-induced changes in neurotransmitters observed by Faiman et al.
(Neuropharmacology, 2013, 75C, 95-105) is discussed.