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Drug testing and analysis2024; 17(6); 786-795; doi: 10.1002/dta.3785

Enhanced analysis of equine plasma for the presence of recombinant human erythropoietin – Implementation of an improved workflow.

Abstract: An improved screening workflow and a robust capillary flow LC-MS confirmatory method for the detection of recombinant human erythropoietin (rHuEPO) has been implemented to increase the sensitivity of rHuEPO detection and to reduce the number of suspect samples committed to confirmatory testing. The influence of repeated dosing of epoetin-β on the detection window of rHuEPO in equine plasma was assessed using the optimised method. Samples were initially assessed using an economical R&D Human EPO Duo-Set ELISA Development System. Samples indicating a result greater than the batch baseline were analysed using the complementary R&D Human EPO Quantikine IVD ELISA kit. All samples recording an abnormal screening result were subjected to confirmatory analysis. Confirmation of rHuEPO in plasma (≥2.5 ml) in the range of 4-13 mIU/ml (n = 6) was achieved using immunoaffinity enrichment, tryptic digestion, and capillary flow LC-MS/MS. Four horses were administered a single dose of epoetin-β (10,000 IU) via the subcutaneous and intravenous routes, on two occasions, seven days apart. The excretion profile was rapid with epoetin-β detection times of 48 to 72 h following each administration, with no appreciable difference observed between the two routes of administration. This workflow has been shown as an effective anti-doping strategy related to rHuEPO misuse and supports the use of out-of-competition testing of horses in the 2 to 3-day period prior to race-day.
Publication Date: 2024-08-04 PubMed ID: 39097987DOI: 10.1002/dta.3785Google Scholar: Lookup
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  • Journal Article

Summary

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Overview

  • This study developed and implemented an improved method to detect recombinant human erythropoietin (rHuEPO) in horse blood plasma, enhancing sensitivity and reducing false positives.
  • The research also evaluated how repeated dosing of epoetin-β affects the detection window in horses, confirming the method’s usefulness for anti-doping testing before races.

Background and Purpose

  • Recombinant human erythropoietin (rHuEPO) is a synthetic hormone that stimulates red blood cell production and can enhance athletic performance.
  • In horse racing, misuse of rHuEPO is a doping concern, so sensitive and reliable detection methods are important for fair competition and animal welfare.
  • The study aimed to improve existing workflows for screening and confirming the presence of rHuEPO in equine plasma, increasing sensitivity and reducing unnecessary confirmatory testing.
  • It also sought to understand how repeated epoetin-β dosing affects how long rHuEPO can be detected in horse plasma.

Methods

  • Screening Workflow:
    • Used a cost-effective ELISA kit (R&D Human EPO Duo-Set ELISA Development System) for initial screening of plasma samples.
    • Samples with results above the baseline were further analyzed using a second ELISA kit (R&D Human EPO Quantikine IVD ELISA) for confirmation.
  • Confirmatory Testing:
    • All samples with abnormal screening results underwent confirmatory testing using a robust capillary flow liquid chromatography-tandem mass spectrometry (LC-MS/MS) method.
    • The confirmatory protocol involved immunoaffinity enrichment of rHuEPO, tryptic digestion of proteins, and sensitive mass spectrometry analysis.
    • This approach substantially enhanced detection sensitivity, allowing confirmation of rHuEPO levels as low as 4-13 mIU/ml in plasma volumes of ≥2.5 ml.
  • In Vivo Study:
    • Four horses were each given two doses of 10,000 IU epoetin-β—administered subcutaneously and intravenously—seven days apart.
    • Plasma samples taken at intervals were tested using the optimized workflow to assess detection windows and compare the routes of administration.

Results

  • The improved screening workflow was effective at detecting rHuEPO in equine plasma with greater sensitivity.
  • The confirmatory LC-MS/MS method reliably quantified rHuEPO at low concentrations, improving confidence in positive findings.
  • The detection window for epoetin-β was relatively short, with drugs detectable for 48 to 72 hours after administration via both subcutaneous and intravenous injection.
  • No significant difference in detection time was observed between the two routes of administration.

Implications and Applications

  • The improved testing workflow reduces false positives and allows for more focused and cost-effective confirmatory testing of suspect samples.
  • The short detection window suggests that out-of-competition testing within 2-3 days before race day is effective for identifying rHuEPO doping in horses.
  • This method supports anti-doping agencies and regulatory bodies in maintaining integrity and fairness in equine sports.
  • The approach can be adapted or serve as a model for detecting similar performance-enhancing substances in other animals or potentially in human anti-doping contexts.

Summary

  • By integrating an improved ELISA-based screening followed by sensitive capillary flow LC-MS/MS confirmation, the study established a robust and sensitive workflow for detecting recombinant human erythropoietin in horse plasma.
  • The in vivo dosing study demonstrated that detection windows are limited to around 2-3 days after epoetin-β administration regardless of injection method, guiding effective doping control testing schedules.
  • This research contributes to better anti-doping strategies and protection of equine athletes against illicit performance enhancement with rHuEPO.

Cite This Article

APA
Richards S, Palmer D, Cawley A, Wainscott M, Keledjian J. (2024). Enhanced analysis of equine plasma for the presence of recombinant human erythropoietin – Implementation of an improved workflow. Drug Test Anal, 17(6), 786-795. https://doi.org/10.1002/dta.3785

Publication

ISSN: 1942-7611
NlmUniqueID: 101483449
Country: England
Language: English
Volume: 17
Issue: 6
Pages: 786-795

Researcher Affiliations

Richards, Stacey
  • Australian Racing Forensic Laboratory, Racing NSW, Sydney, NSW, Australia.
Palmer, David
  • New Zealand Racing Laboratory Services Ltd, Avondale, Auckland, New Zealand.
Cawley, Adam
  • Australian Racing Forensic Laboratory, Racing NSW, Sydney, NSW, Australia.
Wainscott, Martin
  • Harness Racing NSW, Bankstown, NSW, Australia.
Keledjian, John
  • Australian Racing Forensic Laboratory, Racing NSW, Sydney, NSW, Australia.

MeSH Terms

  • Animals
  • Erythropoietin / blood
  • Erythropoietin / administration & dosage
  • Horses / blood
  • Recombinant Proteins / blood
  • Recombinant Proteins / administration & dosage
  • Tandem Mass Spectrometry / methods
  • Humans
  • Chromatography, Liquid / methods
  • Substance Abuse Detection / methods
  • Substance Abuse Detection / veterinary
  • Enzyme-Linked Immunosorbent Assay / methods
  • Doping in Sports
  • Workflow
  • Limit of Detection

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