Brain/blood ratios of methadone and ABCB1 polymorphisms in methadone-related deaths.
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ABSTRACT: Methadone is an opioid that often leads to fatalities. Interpretation of toxicological findings can be challenging if no further information about the case history is available. The aims of this study were (1) to determine whether brain/blood ratios can assist in the interpretation of methadone findings in fatalities; (2) to examine whether polymorphisms in the gene encoding the P-glycoprotein (also known as multidrug resistance protein 1 (MDR1) or ATP-binding cassette sub-family B member 1 (ABCB1)), which functions as a multispecific efflux pump in the blood-brain barrier, affect brain/blood ratios of methadone. Femoral venous blood and brain tissue (medulla oblongata and cerebellum) from 107 methadone-related deaths were analysed for methadone by gas chromatography-mass spectrometry. In
SUBMITTER: Iwersen-Bergmann S
PROVIDER: S-EPMC7870766 | biostudies-literature | 2021 Mar
REPOSITORIES: biostudies-literature
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