职业与健康 ›› 2025, Vol. 41 ›› Issue (6): 756-762.

• 论著 • 上一篇    下一篇

1起由雷公藤引起的中毒事件的快速筛查

寇金蟾1, 孙明月1, 周荣贵2, 林佶3   

  1. 1.大理大学公共卫生学院,云南 大理 671000;
    2.昆明医科大学公共卫生学院,云南 昆明 650500;
    3.云南省疾病预防控制中心理化实验室,云南 昆明 650032
  • 收稿日期:2024-09-10 修回日期:2024-10-08 出版日期:2025-03-15 发布日期:2025-12-16
  • 通信作者: 林佶,主任技师,E-mail:linji666@163.com
  • 作者简介:寇金蟾,男,在读硕士研究生,研究方向为公共卫生。

Rapid screening of a poisoning incident caused by tripterygium wilfordii

KOU Jinchan1, SUN Mingyue1, ZHOU Ronggui2, LIN Ji3   

  1. 1. School of Public Health,Dali University,Dali,Yunnan 671000,China;
    2. School of Public Health,Kunming Medical University,Kunming,Yunnan 650500,China;
    3. Physical and Chemical Laboratory,Yunnan Center for Disease Control and Prevention,Kunming,Yunnan 650032,China
  • Received:2024-09-10 Revised:2024-10-08 Online:2025-03-15 Published:2025-12-16
  • Contact: LIN Ji,Chief technician,E-mail:linji666@163.com

摘要: 目的 利用超高效液相色谱串联四极杆飞行时间质谱(ultra-performance liquid chromatography tandem quadrupole time-of-flight mass spectrometry,UPLC-Q-TOF-MS)技术迅速对1例食品中毒事件进行筛查,为后续雷公藤毒素的鉴定奠定实验基础。方法 采用超声辅助的甲醇萃取方法对2023年5月云南省某市发生的1起中毒事件中雷公藤植株进行毒素提取。实验中,选择ACQUITY UPLC® BEH C18(2.1 mm×50 mm,1.7 μm)色谱柱实现各组分的有效分离,柱温设定为40 ℃。通过0.1%甲酸水溶液(水相)和甲醇(有机相)的梯度洗脱进行分离,流速控制在0.3 mL/min,每次进样量为2.0 μL。结果 在浓度范围5.0~500 ng/mL内,9种目标化合物的线性相关系数(r)均>0.999,表明各物质良好的线性关系,同时,精密度的相对标准偏差≤3.9%,稳定性相对标准偏差≤6.9%,加标回收率为99%~111%,显示出高精度和稳定性。采集患者家中剩余枝叶1份和患者指认的田地现场中鲜枝、枯枝各1份,经形态学鉴定为雷公藤,通过UPLC-Q-TOF-MS快速筛查植物样品中均检测出雷公藤甲素。结论 本次中毒事件为1起误食雷公藤叶引起的食物中毒事件,该检测方法操作简便、灵敏度高、准确、高效。

关键词: 超高效液相色谱-四极杆-飞行时间质谱法, 雷公藤, 中毒

Abstract: Objective To rapidly screen a food poisoning incident,using ultra-performance liquid chromatography tandem quadrupole time-of-flight mass spectrometry(UPLC-Q-TOF-MS) technology,laying an experimental foundation for the subsequent identification of tripterygium wilfordii toxin. Methods The ultrasonic-assisted methanol extraction method was used to extract toxins from tripterygium wilfordii plants in a poisoning incident that occurred in a city in Yunnan Province in May 2023. In the experiment,an ACQUITY UPLC® BEH C18 chromatographic column(2.1 mm×50 mm,1.7 μm) was selected to achieve effective separation of each component,and the column temperature was set at 40 ℃. A gradient elution method was applied with 0.1% aqueous formic acid as the aqueous phase and methanol as the organic phase,maintaining a flow rate of 0.3 mL/min and an injection volume of 2.0 μL. Results The linear correlation coefficients(r) of the nine target compounds were all >0.999 within the concentration range of 5.0-500 ng/mL,indicating a good linear relationship among the substances. At the same time,the relative standard deviation(RSD) of the intra-day precision was ≤3.9%,the RSD of inter-day stability was ≤6.9%,and the spiked recoveries rate was 99%-111%,demonstrating high precision and stability. Collect one remaining branch and leaf in the patient's home and one fresh branch and one dead branch in the field identified by the patient. Morphological identification showed that it was tripterygium wilfordii,and rapid screening of botanical specimens using UPLC-Q-TOF-MS detected triptolide in all samples. Conclusion This poisoning incident stems from the unintentional consumption of tripterygium wilfordii foliage,resulting in a foodborne poisoning case. The detection method is easy to operate,highly sensitive,precision,and efficient.

Key words: Ultra-performance liquid chromatography tandem quadrupole time-of-flight mass spectrometry, Tripterygium wilfordii, Poisoning

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