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This study investigated the potential genotoxic and carcinogenic effects of N-nitrosodimethylamine (NDMA), a hazardous compound found in ranitidine formulations that are used to treat excessive stomach acid. The study first examined the effects of NDMA-contaminated ranitidine formulation on Allium cepa root growth and mitotic activity. The results demonstrated dose-dependent decreases in both root growth and mitotic index indicating genotoxicity and cell division disruption.

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To establish a method for the determination of eight N-nitrosamines (N-nitrosodimethylamine, N-nitrosodimethylamine, N-nitrosomethylmethylamine, N-nitrosodibutylamine, N-nitrosopropylamine, N-nitrosomorpholine, N-nitrosodianiline and N-nitrosopiperidine) in the air of workplace by gas chromatography-tandem mass spectrometry (GC-MS/MS) . From January to August 2023, eight N-nitrosamines in the air of workplace were collected by ThermoSorb/N column, eluted with 4 ml methanol-dichloromethane (1∶1 volume ratio), separated by VF-624 ms capillary column, detected by multiple reaction monitoring mode and quantified by external standard method. The detection limit and precision of the method were also analyzed.

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The finding of N-nitrosodiethylamine (NDEA) and N-nitrosodimethylamine (NDMA) in marketed drugs has led to implementation of risk assessment processes intended to limit exposures to the entire class of N-nitrosamines. A critical component of the risk assessment process is establishing exposure limits that are protective of human health. One approach to establishing exposure limits for novel N-nitrosamines is to conduct an in vivo transgenic rodent (TGR) mutation study.

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Article Synopsis
  • N-Nitroso dimethylamine (NDMA) is a harmful impurity found in ranitidine products, with the potential to form during storage due to the drug's chemical structure, prompting the FDA to recommend antioxidants as a solution.
  • A sensitive liquid chromatography/high-resolution mass spectrometry (LC-HRMS) method was developed for detecting NDMA, achieving high sensitivity and precise quantification of NDMA levels in ranitidine samples.
  • The study confirmed that antioxidants effectively reduce NDMA formation during nitrosation of ranitidine, with ascorbic acid being the most effective, significantly lowering NDMA levels by nearly 97%.
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Article Synopsis
  • Human liver-derived HepaRG cells were used in both 2D and 3D formats to assess mutagenesis by exposing them to the chemical N-nitrosodimethylamine (NDMA) for 72 hours.
  • The study measured cytotoxicity, DNA damage, micronucleus formation, and mutation frequency, finding that the 3D spheroids responded more significantly than the 2D cells.
  • NDMA primarily caused A:T → G:C transitions in mutations, suggesting that the HepaRG models could serve as effective tools for genotoxicity testing, but caution is needed regarding cytotoxic concentration levels.
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