Urinary excretion of cyclohexanediol, a metabolite of the solvent cyclohexanone, by infants in a special care unit

Clin Chem. 1990 Jun;36(6):870-4.

Abstract

Using gas chromatography-mass spectrometry, we investigated the urinary excretion of organic acids of 278 newborn babies in a special care unit to obtain reference data and monitor metabolism. In 101 of 584 urine samples analyzed, we found isomers of cyclohexanediol. trans-1,2-Cyclohexanediol was always most abundant, with small amounts of 1,3- and 1,4-cyclohexanediol and, sometimes, traces of cis-1,2-cyclohexanediol. Glucuronide conjugates were not detected. The probable source was the solvent cyclohexanone, which was found as a contaminant of intravenous dextrose and the parenteral feeding solution, and was also leached into the infusion fluids from the administration set. We recovered 0.89 mg (range 0.74-0.98 mg, n = 5) of cyclohexanone from 150 mL of dextrose pumped through the infusion apparatus over 24 h, the normal rate for a 1-kg premature baby. Although this is well below toxic doses reported for mature animals, more data are needed for the newborn, particularly preterm infants who have a decreased capacity for glucuronide conjugation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cyclohexanes / metabolism*
  • Cyclohexanols / urine*
  • Cyclohexanones / metabolism*
  • Drug Contamination
  • Gas Chromatography-Mass Spectrometry
  • Humans
  • Infant
  • Infant, Newborn / urine*
  • Infant, Premature / urine*
  • Intensive Care Units, Neonatal
  • Intensive Care, Neonatal*

Substances

  • Cyclohexanes
  • Cyclohexanols
  • Cyclohexanones
  • cyclohexane-1,3-diol
  • 1,4-cyclohexanediol
  • cyclohexanone
  • 1,2-cyclohexanediol