Evidence map›Paper›PMID 41150523›Full record

ReviewToxics2025

Biomarkers of Gamma-Hydroxybutyric Acid (GHB) Exposure: A Comprehensive Review of Analytical and Forensic Advances.

Alice Voisin, Caroline Solas-Chesneau, Anne-Laure Pélissier-Alicot, Nicolas Fabresse

Abstract readReview
In one paragraph

Review in Toxics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. An in-silico study to design CScientific reports · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Alice VoisinLaboratory of Pharmacokinetics and Toxicology, La Timone University Hospital, 264 Rue Saint Pierre, 13385 Marseille Cedex 5, France.
Caroline Solas-ChesneauLaboratory of Pharmacokinetics and Toxicology, La Timone University Hospital, 264 Rue Saint Pierre, 13385 Marseille Cedex 5, France.ORCID 0000-0002-0943-9648
Anne-Laure Pélissier-AlicotLegal Medicine Department, La Timone University Hospital, 13005 Marseille, France.ORCID 0000-0002-2466-6750
Nicolas FabresseLaboratory of Pharmacokinetics and Toxicology, La Timone University Hospital, 264 Rue Saint Pierre, 13385 Marseille Cedex 5, France.ORCID 0000-0001-9131-2306

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gamma-hydroxybutyric acid (GHB) is a short-chain fatty acid with both endogenous and exogenous origins, complicating its detection in clinical and forensic toxicology. Due to its rapid metabolism and short detection window in conventional biological matrices, identifying reliable biomarkers of GHB exposure is crucial. This literature review aims to assess current knowledge on potential GHB biomarkers that may extend the detection window or improve specificity. A systematic search of scientific databases was conducted to identify studies investigating GHB metabolites, conjugates, and related biochemical markers using advanced analytical techniques such as LC-MS/MS and GC-MS. The review highlights promising candidates, including glycolic acid, carnitin-GHB, and glycin-GHB, as well as 3,4-dihydroxybutyric acid, which show potential for distinguishing exogenous intake. However, significant interindividual variability and limited validation studies hinder their widespread implementation. Despite promising findings, further research is needed to confirm the specificity, stability, and reproducibility of these biomarkers. This review underscores the importance of developing standardized protocols to enhance GHB exposure detection in both clinical and forensic settings.

Indexed as

biomarkersdetection windowforensic toxicologyGHBmass spectrometry

Identifiers

PMID41150523
PMCPMC12567942

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.