Kw. Turteltaub et Js. Vogel, Bioanalytical applications of accelerator mass spectrometry for pharmaceutical research, CUR PHARM D, 6(10), 2000, pp. 991-1007
Accelerator mass spectrometry (AMS) is a mass spectrometric method for quan
tifying isotopes. It has had great impact in the geosciences and is now bei
ng applied in the biomedical fields. AMS measures radioisotopes such as C-1
4, H-3, C-41, and Cl-36, and others, with attomole sensitivity and high pre
cision. Its use is allowing absorption, distribution, metabolism and elimin
ation studies, as well as detailed pharmacokinetics, to be carried out dire
ctly in humans with very low chemical or radiological hazard. It is used in
combination with standard separation methodologies, such as chromatography
, in identification of metabolites and molecular targets for both toxicants
and pharmacologic agents. AMS allows the use of very low specific activity
chemicals (less than or equal to 1 mCi/mmol), creating opportunities to us
e compounds not available in a high specific activity form, such as those t
hat must be biosynthesized, produced in combinatorial libraries, or made th
rough inefficient synthesis. AMS is allowing studies to be carried out with
agents having low bioavailability, low systemic distributions, or high tox
icity where administered doses must be kept low (less than or equal to 1 mu
g/kg). It may have uses in tests for idiosyncratic metabolism, drug intera
ction, or individual susceptibility, among others. The ability to use very
low chemical doses, low radiological doses, small samples and conduct multi
ple dose studies may help move drug candidates into humans faster and safer
than before. The uses of AMS are growing and its potential for drug develo
pment is only now beginning to be realized.