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Detection of Drugs of Abuse in Saliva by Surface-Enhanced Raman Spectroscopy


(SERS)

Article  in  Applied Spectroscopy · September 2011


DOI: 10.1366/11-06310 · Source: PubMed

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Detection of Drugs of Abuse in Saliva by Surface-Enhanced
Raman Spectroscopy (SERS)
FRANK INSCORE, CHETAN SHENDE, ATANU SENGUPTA, HERMES HUANG, and
STUART FARQUHARSON*
Real-Time Analyzers, Inc., 362 Industrial Park Rd #8, Middletown, Connecticut 06457

Eighty drugs of abuse and metabolites were successfully measured by under the influence of drugs, a Drug Recognition Expert (DRE)
surface-enhanced Raman spectroscopy (SERS) using gold- and silver- may be called to the scene to profile behavior to decide if the
doped sol-gels immobilized in glass capillaries. A method was developed person warrants clinical tests (blood or urine) to determine drug
that provided consistent detection of 50 ppb cocaine in saliva in a focused levels. Besides the legal implications, these processes are time
study. This general method was successfully applied to the detection of a
consuming and expensive. The availability of a rapid drug-
number of additional drugs in saliva, such as amphetamine, diazepam,
screening device that uses saliva as the sample would simplify
and methadone.
analysis and potentially eliminate the need for the medical
Index Headings: Drugs of abuse; Saliva; Surface-enhanced Raman
practitioner or DRE and unnecessary tests.
spectroscopy; SERS.
Toward developing such a device, we have been investigat-
ing the potential of surface-enhanced Raman spectroscopy
(SERS) to both identify and quantify drugs and their
metabolites in saliva.9,10 The expected success of this approach
INTRODUCTION is based on the extreme sensitivity of SERS,11,12 the ability to
During the past decade there has been a considerable measure very small samples (e.g., 0.1 mL), and the ability to
increase in the abuse of illicit and prescription drugs, the latter identify molecular structures of drugs through the rich
enhanced by internet sales.1 One of the greatest dangers of drug vibrational information provided by Raman spectroscopy.13
use is combining it with driving. More than 11% of drivers in a The potential for measuring and differentiating the parent drug
2007 National Highway Traffic Safety Administration’s and its major metabolites would also provide a method of
(NHTSA) roadside survey tested positive for illicit drugs,2 estimating how long a drug has been in the body. In an effort to
while 18% of drivers killed in accidents tested positive for produce a SERS-active sampling system, we have developed
illicit, prescription, or over-the-counter drugs according to a and patented a method to incorporate silver and gold
2009 NHTSA survey.3 Consequently, there is a need for a nanoparticles in a porous glass structure immobilized in glass
noninvasive roadside drug testing device, similar to the capillaries.14,15 In contrast to most SERS substrates, the sample
does not have to be dried to achieve enhancement16 but can be
breathalyzers used by law enforcement officials to measure
drawn into the capillary and immediately measured. Further-
and estimate the blood alcohol concentration levels of impaired
more, electronegative gold and electropositive silver can be
drivers.4 Ideally, such a device will be able to correctly identify
used to attract positively and negatively charged chemical
the primary drugs of concern and their metabolites at relevant
groups, respectively, to ensure interaction of the drugs with the
concentrations (the current accepted cut-off threshold for
plasmon field, which is critical to enhancement. While a
detection of most drugs in saliva falls within the 10–50 ppb
number of researchers have employed liquid chromatography
(10–50 ng/mL) range as defined by the U.S. Substance Abuse for chemical separations and SERS for detection in a laboratory
and Mental Health Services Administration or SAMHSA)5 setting,17–19 we believe that the use of solid-phase extraction
without false positives or negatives, in just a few minutes. It (SPE) will allow separating the drugs from saliva in a field
should also be portable and easy to use. The last requirement environment.20 With this in mind we have been investigating
can be best met using saliva (oral fluid) as the sample medium. the ability of this combination with the goal of developing a
This is a reasonable approach because drugs are represented in roadside drug-screening device using an SPE-based sampling
saliva at concentrations similar to blood plasma,6,7 saliva is system, a SERS-active substrate, and a portable Raman
99.5% water, making it easy to chemically analyze,8 and analyzer. Here we present the detection of several drug classes,
simple saliva collectors are available.  including stimulants, antidepressants, opioids, and hallucino-
Currently, police must take a person suspected of driving gens, extracted from saliva, by SERS, with a focus on cocaine.
under the influence of drugs to a police station, draw a blood
sample, and perform analysis using standard laboratory EXPERIMENTAL
equipment, such as gas chromatography coupled with mass
spectroscopy. In many countries such as the United Kingdom, All drugs listed in Table Ià were obtained from Cerilliant
a medical practitioner must determine whether the driver’s (Austin, TX) as 1 mg/mL methanol or acetonitrile forensic
condition is likely due to drugs and a test is warranted. In the samples and diluted in water for measurements. The chemicals
United States if a police officer suspects a person of driving and solvents used to prepare the sol-gels were obtained at their
purest commercially available grade from Sigma-Aldrich
(Milwaukee, WI) and used as received. The SPE material
Received 28 March 2011; accepted 31 May 2011.
was obtained from United Chemical Technology (Bristol, PA).
* Author to whom correspondence should be sent. E-mail: stu@RTA.biz.
DOI: 10.1366/11-06310
  à
For example, Medimpex United Inc. (Bensalem, PA) Part of RTA’s SERS Library.

0003-7028/11/6509-1004$2.00/0
1004 Volume 65, Number 9, 2011 Ó 2011 Society for Applied Spectroscopy APPLIED SPECTROSCOPY
TABLE I. List of 80 relevant drugs and metabolites measured by SERS.

Stimulants Hallucinogens Benzodiazepines Antidepressants


Cocaine (HCl)c PCPc Alprazolamc Amitriptylinec
Cocaine (base)c LSDc Clonazepamc Anesthetics
Benzoylecgoninec Mescalinec Diazepamc Etomidateb
Ecgonine methyl esterb Psilocinc Flurazepamc Ketaminec
Ecgonine HClc Opiates/Opioids Flunitrazepamc GHBa
Ecgonine ethyl esterb Morphineb Lorazepamc Dextromethorphanc
Amphetaminec Heroinb Midazolamc Sedative/Pain Relief
MDAc 6-MAMc Nordiazepamc Promethazinec
Methamphetamineb Oxymorphonec Oxazepamc Scopolamineb
MDMAb Hydromorphoneb Temazepamc Diphenhydramineb
MDEAc Oxycodoneb Triazolamc Acetaminophenc
Ephedrine HClb Hydrocodoneb Estazolamb AMGa
Caffeinec Codeineb Barbiturates Naproxenec
Nicotinec Norcodeinec Amobarbitalc Ibuprofenc
Methylphenidateb Buprenorphineb Barbituric acida Acetylsalicylic acida
Phenterminec Methadoneb Barbitala Salicylic acida
Additives Meperidineb Butabarbitala Cannabinoids
Lidocaineb Fentanylc Butalbitala D9-THCb
Benzocainec Hypnotic Sedatives Hexobarbitala 11-OH-D9-THCb
Procainec Methaqualoneb Pentobarbitala 11-nor-D9-THC-CAb
Mannitolc Antipsychotics Phenobarbitalc Cannabinolb
Quininec Clonazipinec Secobarbitala Cannabidiolb
a
Active on silver.
b
Active on gold.
c
Active on both silver and gold.
Italics indicate a metabolite; nordiazepam, oxazepam, and temazepam are psychoactive metabolites of diazepam. MDA ¼ 3,4-methylenedioxyamphetamine,
MDMA ¼ 3,4-methylenedioxymethamphetamine, MDEA ¼ 3,4-methylenedioxyethylamphetamine, PCP ¼ 1-(1-phenylcyclohexyl) piperidine, LSD ¼ lysergic acid
diethylamide, 6-MAM ¼ 6-acetylmorphine, GHB ¼ c-4-hydroxybutyric acid, AMG ¼ acetaminophen glucuronide, THC ¼ tetrahydrocannabinol, 11-nor-D9-THC-
CA ¼ 11-nor-D9-THC-9-COOH.

The gold and silver sol-gels were prepared according to Approximately 1 mL of saliva was collected in 1 minute by this
previously published procedures14,15 by mixing a metal–ligand process. The pH was measured at 6.95 to 7.05, but the exact
precursor (e.g., silver amine or gold chloride) with a silicon composition was not determined.
alkoxide precursor (octadecyltrimethoxy-silane, tetramethyl Drug-doped saliva samples were prepared in plastic
orthosilicate, or methyltrimethoxysilane (MTMS)) in methanol. centrifuge tubes by spiking a small amount of aqueous drug
The SERS capillaries were prepared by drawing 20 lL of the at the required concentration into saliva and gently vortexing
gold- or silver-doped sol-gels into 10 cm long, 1 mm diameter the sample for 10 seconds for uniform mixing. For example, 10
glass capillaries to produce ;1 cm plugs. The plugs were lL of 1 ppm aqueous cocaine was added to 0.990 mL of saliva
allowed to gel and cure, after which the incorporated silver or to yield a 1 mL 10 ppb cocaine doped saliva sample. The
gold ions were reduced with dilute NaBH4. samples were allowed to equilibrate for 30 minutes at room
The SPE packed capillary columns (10 cm long, 1 mm temperature. Samples were measured within 60 minutes of
diameter) were prepared by first drawing ;5 lL of MTMS into saliva collection.
one end of a glass capillary by syringe to form a porous sol-gel frit Surface-enhanced Raman spectra for all of the drugs were
as a support for the SPE material. Second, ;100 lL of 20 mg/mL measured using a Fourier transform Raman spectrometer
SPE/ethanol slurry was drawn into the capillary to form an
(RTA, model RamanPro) that provided 100 to 3350 cm1
approximately 5 cm plug. And third, a second 5 lL of MTMS was
spectral coverage with constant 8 cm1 resolution to provide a
drawn into the capillary to secure the SPE material. The SPE
basic, searchable spectral library. The SERS-active capillaries
capillary column was preconditioned by sequentially flowing 1
were fixed horizontally to an XY positioning stage (Conix
mL each of methanol, water, and 10 mM acetic acid. Each
experiment was performed by drawing the test sample through the Research, Springfield, OR) mounted above a fiber-optic probe.
SPE capillary column, washing the column to remove any The probe delivered 75 mW of 785 nm laser excitation to the
interferents, and, just prior to the final elution step using 2% capillary and collected the 1808 scattered radiation. Raman
ammonium hydroxide in acetonitrile, the SERS capillary was spectra of cocaine residue were also measured using this
attached to the SPE capillary column so that the extracted drugs spectrometer with 300 mW laser power and a 5 min acquisition
could be eluted directly onto the SERS capillary. time. Further instrument details have been published.13 To
Saliva used in preparing artificial samples was collected demonstrate field measurement capability, cocaine was also
from consenting employees at Real-Time Analyzers, Inc. measured using a 5 lb battery-operated, hand-held dispersive
(RTA, Middletown, CT), using oral swabs obtained from Raman analyzer (RTA, model SERS-ID) that provided 517–
Medimpex United Inc. (Bensalem, PA). The swabs consisted 1753 cm1 spectral coverage with variable resolution from 1.03
of a foam head attached to a syringe plunger. To collect saliva, to 1.55 cm1. The SERS capillary was fixed horizontally in the
the foam head was placed into the person’s mouth and gently sample compartment of the portable analyzer, which delivered
moved around for approximately one minute to let sufficient 45 mW of 785 nm excitation laser to the capillary and collected
saliva collect in the foam. The swab was then placed into the the 1808 scattered radiation. Figure 1 compares the SERS of
plastic syringe tube, and pressed to expel the saliva into a vial. cocaine measured using the two different Raman instruments.

APPLIED SPECTROSCOPY 1005


FIG. 1. SERS of 10 ppm cocaine measured on (A) hand-held Raman analyzer FIG. 3. Comparison of SERS for (A) 100 ppb cocaine (as cocaineHCl) in
(RTA, model SERS-ID) and (B) Fourier transform Raman spectrometer (RTA, gold-doped sol-gel capillary and (B) 50 ppm cocaine in silver-doped sol-gel
model RamanPro). Conditions: (A) 45 mW at 785 nm (50 lm diameter spot), 5 capillary to (C) RS of pure cocaine. Conditions: (A and B) as in Fig. 2; (C) 300
s acquisition, 1.03–1.55 cm1 resolution and (B) 75 mW at 785 nm (250 lm mW of 785 nm, 5 min acquisition, 8 cm1 resolution. Spectra were intensity
diameter spot), 1 min acquisition, 8 cm1 resolution. normalized for this stack plot by setting the baseline to 0 and the 999 cm1 peak
height to 1.

RESULTS AND DISCUSSION


hydroxybutyric acid (GHB, date rape drug), lysergic acid
Eighty drugs of abuse and metabolites were measured using diethylamide (LSD), and 3,4,5-trimethoxyphenethylamine (mes-
both silver- and gold-doped sol-gel capillaries. Although many caline), the majority of the drugs were active on gold, such as
drugs were highly active on silver, such as phenobarbital, c- diazepam (Valium), 3,4-methylenedioxyamphetamine (MDA), 1-
(1-phenylcyclohexyl) piperidine (PCP), and heroin (Fig. 2).
Cocaine was active on both metals, but considerably more so on
gold (Fig. 3). It was easily measured at 100 ppb (;6 pg in the 60
nL scattering volume) on gold, but only at 50 ppm on silver.
Enhancement factors were calculated to be 3.1 3 106 and 1.1 3
104, respectively, by comparing these spectra to the normal Raman
spectrum (RS) of pure cocaine and taking into account the relative
999 cm1 peak intensities (baseline corrected), laser power, and
concentrations. Consequently, gold-doped sol-gel capillaries were
chosen for further method development.
In an effort to determine the idealized sensitivity of the analysis,
cocaine samples diluted in water to 10 ppb were measured using
five capillaries at each concentration. It was found that consistent
spectra were obtained at 50 ppb and higher (Fig. 4), whereas
measurements at 10 ppb produced sporadic results. Furthermore,
the spectral intensities (baseline-corrected peak heights), could be

FIG. 2. SERS of (A) phenobarbital, (B) GHB, (C) LSD, (D) mescaline, (E)
diazepam, (F) MDA, (G) PCP, and (H) heroin. Conditions: 1 ppm in water,
(A–D) in silver-doped sol-gel capillaries, (E–H) in gold-doped sol-gel FIG. 4. SERS of cocaine on gold-doped sol-gel filled capillaries at 100, 75, 50,
capillaries; 75 mW at 785 nm (250 lm diameter spot), 1 min acquisition, 8 25, and 0 ppb (top to bottom). All spectra are averages of 5 capillary
cm1 resolution. measurements. Spectral conditions: as in Fig. 2.

1006 Volume 65, Number 9, 2011


FIG. 6. SERS of (A) 50 and (B) 0 ppb cocaine in saliva after using SPE
FIG. 5. Plot of 999 cm1 peak height as a function of cocaine concentration pretreatment. Spectral conditions: as in Fig. 2.
(A) in saliva (SPE treated, green squares) and (B) in water (red diamonds,
corresponding to spectra in Fig. 4). The average standard deviation for all
concentrations was (A) approximately 625 ppb for cocaine in saliva and (B) gold-doped sol-gel. (4) The SERS capillary was placed in the
615 ppb for cocaine in water. sample compartment of a Raman analyzer and measured. The
entire process took less than 10 minutes for each sample. Using
fit with a straight line below 100 ppb (Fig. 5) but followed a this procedure, cocaine could again be consistently measured at
Langmuir–Blodgett curve at higher concentrations (i.e., rolled- 50 ppb and higher and sporadically at 10 ppb. However, this
over as monolayer coverage of the surface was approached).9 The time the 999 cm1 cocaine peak heights were consistently
average standard deviation for all of the measurements was higher by approximately a factor of 2 than those obtained for
approximately 615 ppb. water (Figs. 5 and 6), suggesting that the SPE material not only
Next, a series of saliva samples doped with cocaine separated the cocaine from the mucins and alpha acid
beginning at 1000 ppm, then diluted by factors of 10, was glycoproteins but also concentrated it.
measured. Again, five gold-doped sol-gel capillaries were used To test this idea, cocaine samples in water were also
for each concentration. The lowest concentration that gave measured using the above SPE method. It was found that the
consistent measurements was 10 ppm. This was expected, since signal intensities were approximately four times those obtained
salivary mucins (a class of high molecular weight glycosylated without the SPE. This indicates that not all of the cocaine is
proteins) can trap drug molecules due to their highly viscous successfully extracted from saliva. Furthermore, it was found
nature and clog the sol-gel pores, as well as block the metal that saliva samples devoid of cocaine produced a fairly flat
surface. Furthermore, certain basic drugs can also bind to alpha background, but that the baseline-corrected peak height at 999
acid glycoproteins in saliva,21,22 thus making the bound drug cm1 was not always zero, presumably due to baseline noise
molecules unavailable to the metal surface. (Fig. 6). Nevertheless, cocaine could be detected at the required
Previously, several methods were investigated to break up concentration of 50 ppb. In fact, this is best illustrated by a
mucins and release drugs from proteins, and it was found that receiver-operator characteristic (ROC) curve (Fig. 7, often used
the combination of acetic or sulfuric acid and heat or sonication by government agencies24). A ROC curve is a plot of the
was effective.10 However, towards the goal of developing an specificity versus sensitivity, which is expressed as the
easy-to-perform field method, alternative pretreatment methods probability for a binary system of false positive detection (x-
were examined, specifically, solid-phase extraction. SPE
capillary columns were prepared using 1 mm glass capillaries
to match, and be used in-line with, the SERS-active capillaries.
An SPE material consisting of silica particles functionalized
with octyl groups and benzyl sulfonic acid groups was chosen
because it has been successfully used to separate numerous
drugs including cocaine from biological fluids.23
Again, a series of saliva samples doped with cocaine was
prepared, pretreated using SPE capillary columns, and
measured (five times at each concentration). For this method,
the following steps were preformed. (1) A 1 mL saliva sample
(500 lL of saliva plus 500 lL of 10 mM acetic acid) was
drawn through a 1 micrometer filter into a SPE capillary
column, depositing the cocaine and passing some of the saliva
components. (2) 1 mL each of 10 mM acetic acid, methanol,
and water were drawn through the SPE capillary column
removing any residual saliva components. (3) A 20 lL 2%
ammonium hydroxide in acetonitrile solution was drawn FIG. 7. Receiver-operator characteristic curves for cocaine in saliva at (A) 75,
through the SPE capillary column into a SERS capillary, (B) 50, and (C) 25 ppb. The dashed line represents a 50/50 chance of true and
extracting the cocaine from the SPE, and depositing it on the false positive detection.

APPLIED SPECTROSCOPY 1007


ACKNOWLEDGMENTS
The authors are grateful for the support of the National Science Foundation
(DMI-0215819), National Institutes of Health (1R43CA94457-01), the UK
Home Office Scientific Development Branch, and Drs. Helen Turner and Sarah
Lamping for insightful discussions.

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1008 Volume 65, Number 9, 2011

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