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Technology to enable rapid screening for radiation exposure has been identified as an important need, and, as a part of a NIH / NIAD effort in this direction, metabolomic biomarkers for radiation exposure have been identified in a recent series of papers. To reduce the time necessary to detect and measure these biomarkers, differential mobility spectrometry – mass spectrometry (DMS-MS) systems have been developed and tested. Differential mobility ion filters preselect specific ions and also suppress chemical noise created in typical atmospheric-pressure ionization sources (ESI, MALDI, and others). Differential-mobility-based ion selection is based on the field dependence of ion mobility, which, in turn, depends on ion characteristics that include conformation, charge distribution, molecular polarizability, and other properties, and on the transport gas composition which can be modified to enhance resolution. DMS-MS is able to resolve small-molecule biomarkers from nearly-isobaric interferences, and suppresses chemical noise generated in the ion source and in the mass spectrometer, improving selectivity and quantitative accuracy. Our planar DMS design is rapid, operating in a few milliseconds, and analyzes ions before fragmentation. Depending on MS inlet conditions, DMS-selected ions can be dissociated in the MS inlet expansion, before mass analysis, providing a capability similar to MS/MS with simpler instrumentation. This report presents selected DMS-MS experimental results, including resolution of complex test mixtures of isobaric compounds, separation of charge states, separation of isobaric biomarkers (citrate and isocitrate), and separation of nearly-isobaric biomarker anions in direct analysis of a bio-fluid sample from the radiation-treated group of a mouse-model study. These uses of DMS combined with moderate resolution MS instrumentation indicate the feasibility of field-deployable instrumentation for biomarker evaluation.
Discovery of small molecule biomarkers for radiation exposure by means of metabolomic studies is the subject of an extensive on-going investigation by an international team of investigators working at the National Cancer Institute (NCI/NIH), Georgetown University and the University of Bern, and overseen by the Center for High-Throughput Minimally-Invasive Radiation Biodosimetry at Columbia University (http://cmcr.columbia.edu/). The current published results [1, 2, 3, 4] identify a number of validated and potential small molecule urinary metabolites that are associated with sub-lethal radiation exposure in mouse models and are potentially useful in human screening. The initial paper in that group  includes a historical overview and a discussion of the sources and impact of radiation exposure. Development of rapid, field-deployable radiation-exposure screening methods is a priority area of research  because of the public health danger of the intentional or accidental release of radioactive material , and limitations of current radiation biodosimetry techniques.
The use of metabolomics for the discovery of biomarkers for radiation exposure are one of the more promising new approaches to radiation biodosimetry, but field-deployable instrumentation with sufficient speed, selectivity and quantitative accuracy is not yet available. To reduce the time necessary to detect and measure these biomarkers, differential mobility spectrometry – mass spectrometry (DMS-MS) systems have been developed and tested.
The use of differential mobility ion filters for mass spectrometry has a long history, dating to 1993 [7, 8, 9, 10], and, as a result, several acronyms are used for devices based on the difference between high and low field ion-mobility coefficients. The term FAIMS (field-asymmetric ion mobility spectrometry) is in common use, especially for electrodes in a cylindrical configuration, while DMS, or PFAIMS (planar FAIMS) are terms often used for the planar configuration. Applications and instrumentation have evolved considerably in the years since the earliest studies, and recent work has been validating 2D DMS-MS as an analytical technique [11, 12, 13, 14, 15, 16]. DMS ion prefiltration selects specific ions based on properties such as conformation, charge distribution, molecular polarizability, and others that cause the mobility coefficient for an ion in a neutral gas or gas mixture to be different in high field than in low field. Because these properties are largely orthogonal to m/z, two-dimensional combinations of DMS with mass spectrometry can be more selective than either instrument separately, and, because DMS can operate on the molecular ion prior to fragmentation, DMS/MS can be significantly more sensitive than MS/MS. Planar DMS separation operates in a few msec and has potential to eliminate mass spectral interferences regardless of their origin. As noted in the discussion of biomarker discovery methods in Lanz et. al. , it is often the case that “[a]n unknown proportion of these ions arises from in-source fragmentation, adducts, dimers, and isotopes.” DMS is able to suppress this type of interference, greatly improving quantitative accuracy, potentially eliminating the need for alternate noise suppression approaches such as high resolution and multiple stages of mass spectrometry.
Because the DMS ion filter is generally operated at atmospheric pressure, DMS can be used in combination with other separation techniques such as GC [17, 18] and LC , and with any atmospheric pressure ionization (API) source, including ESI, MALDI, radioactive sources, UV , discharge, and others . In addition, DMS-filtered ions can be detected by any appropriate detector including mass spectrometry, electrometer detection, surface-enhanced Raman , and other techniques. The radiation-exposure biomarker discovery work has so far made use of time-of-flight mass spectrometry (TOFMS) in combination with high-resolution ultra-performance liquid chromatography (UPLC) [ 1, 2,4], and capillary gas chromatography combined with mass spectrometry (GCMS) following derivatization , but these techniques are costly and are too time-consuming for rapid screening applications. The use of a fast and effective separation technique like DMS API ion filtration can reduce the time necessary for the LC or GC steps, and allow use of simplified mass spectrometer technology.
This report presents selected DMS-MS experimental results, including resolution of test mixtures of isobaric compounds, separation of charge states, separation of isobaric biomarkers (citrate and isocitrate), and DMS-MS performance in direct analysis of a bio-fluid sample from the radiation-treated group of a mouse-model study. Our results show that planar differential mobility ion filters is a powerful addition to mass spectrometric methods for biomarker detection.
Planar differential mobility interfaces were constructed for single quadrupole (Waters ZQ) and for time-of-flight instruments (JEOL Accutof), following the design shown in Figure 1. Gas loads for the two instruments are 600 cc/min and 1000 cc/min, respectively. The microspray ion source uses a Proxeon stainless steel emitter (ES561) connected to a syringe pump (Harvard Apparatus) using Valco micro-volume fittings. Ions from the electrospray plume enter a desolvation region preceding the DMS ion filter that is supplied with heated nitrogen gas. In this system, DMS and mass spectrometer operate independently, with DMS parameters controlled by serial interface and Sionex Expert 2.4.2 software, and the mass spectrometers by vendor software. A system fully integrating DMS parameters into the AB/Sciex Analyst hardware and software has been developed and is described in a separate publication8. The DMS high-frequency separation voltage (SV) and DC compensation voltage (CV) are provided by a half-cycle flyback-type generator that provides a clipped sinusoidal waveform (Sionex, Bedford MA). SV operates at a fixed frequency of 1.25 MHz and covers a mean-to-peak amplitude range of 0–1500 V with CV capable of scanning at each SV over a range from −43V to +15V. In our sign convention, the applied field is of the form,
where f(t) is the unit-peak time dependence of the SV waveform, and ES and EC are the applied SV and CV voltages divided by the gap dimension. Optimal shape parameters for this type of waveform and methods of generation are considered in more detail in Krylov et. al. .
For the Waters Micromass ZQ single quadrupole system, the ions generated by the ion source are entrained in the transport gas flow of 600 cc/min generated by the mass spectrometer vacuum drag. The DMS voltage is applied transverse to the gas flow in an analytical region of dimension 0.5 mm (gap height) by 3.0 mm (width) by 10 mm (length). The micro-electrospray ion source used a Proxeon ES561 stainless steel emitter with flows of 300 nL/min and electrospray voltages of 1400 V unless otherwise stated. The temperature of the N2 desolvation gas was maintained at 50°C with flows of approximately 100 cc/min unless otherwise stated. Although our newer integrated configurations on AB/Sciex instrumentation provide a counter-flow curtain gas that is highly effective in ensuring desolvation under higher liquid flows, the results reported here did not employ it. The importance of complete ion desolvation to eliminate widely heterogenous cluster distributions for DMS operation is discussed in Schneider et. al.. In some cases, a drift gas modifier was added to the desolvation gas using a headspace vapor delivery system as discussed in the references [14, 15]. A more extensive discussion of the resolution enhancement due to drift-gas-modifier effects is provided in Schneider et. al.[ 22, 26]. For the JEOL Accutof time-of-flight system, the configuration was similar, but additional nitrogen flow was introduced between the DMS filter and the mass spectrometer orifice to adjust the DMS transport flow from the 1100 cc/min JEOL Accutof inlet flow to approximately 600 cc/min, thereby maintaining DMS resolution. The drift gas modifier used was 1,2,3-trichloropropane, which provides enhancement of DMS resolution for anions similar to the more commonly used methylene chloride, but at lower concentration.
Samples were prepared in HPLC quality 50:50 methanol/water solutions from standards obtained from Sigma-Aldrich (USA or Canada) unless otherwise noted. The urine samples obtained from γ-irradiation mouse-model protocols[1,2,4], were diluted 1:4 with 50:50 acetonitrile/water, centrifuged, and further diluted 1:9 with an acetonitrile/methanol/water solvent (5:45:50) prior to analysis by electrospray at 300 nL/min. The samples were stored at −80°C, except for one month after collection at −10°C, as described in Tyburski et. al. .
The data was analyzed both using instrument-specific software from JEOL (Mass Center v1.3.0n) and from Waters (MassLynx 4.0), and by an extensive set of custom MATLAB (Mathworks, Natick MA) applications. The MATLAB applications accessed the MS data in netCDF form using the SNCTOOLS/MEXNC interface . The netCDF translations of native format MS data were generated by MS vendor software, JEOL Data Manager and Waters DataBridge, components of Mass Center and MassLynx, respectively.
A planar DMS-MS system for biomarker detection can provide performance advantages in selectivity and in sensitivity, as well as ease of use. These advantages include the following.
The following sections describe the DMS-MS experimental tests that have been performed to verify these expectations in the context of biomarker detection. We analyze DMS-MS performance for the separation of isobaric compounds, describing how DMS-MS with fragmentation at the MS inlet following DMS ion selection can operate in a mode like MS/MS of a triple-quadrupole instrument. We then examine separation of charge states, separation of biomarkers that are structural isomers, and give an example of DMS-MS applied to one of the urine samples used in biomarker discovery.
The need to make quantitative measurements of multiple species occurring at nearly the same m/z or in the presence of isobaric interferents arising from chemical noise is one of the factors that drive the usage of very high resolution, and high cost, mass spectrometers. As a result, many diagnostic or analytical measurements cannot be made in field settings. If compounds close in m/z can be separated by DMS pre-filtration, high mass resolution is less important. In addition, quantification with triple-quadrupole MS/MS methods requires calibration based on production scans of each target compound, while MS/MS sensitivity is reduced by loss of signal in the fragmentation step that is highly compound dependent.
As a reference point for isobaric separations, we have analyzed two different mixtures, one of five isobaric compounds of mass 315 Da, and a second group of six nearly isobaric compounds of mass 308–309 Da. The first group of five compounds all appear in positive mode ESI-MS at the same unit m/z. Table 1 and Table 2 provide the chemical identity and structure of the five compounds, each of which has been measured in DMS-MS under low fragmentation conditions at m/z 316 (as the protonated molecules, [MH]+1). Table 1 also gives the exact mass for the compounds and protonated molecules, as well as the m/z difference between ions, and the resolution required to resolve them.
We recorded DMS-MS spectra of each of the compounds separately at several separation voltages in order to identify compensation voltage peak positions for each compound. In order to visualize the challenge presented by the mixture, Figure 2(A) presents the mixture mass spectrum under conditions that minimize fragmentation with no DMS separation (DMS-transparent mode, SV=0, CV=0 which passes all ions), obtained on the single-quadrupole Waters Micromass ZQ. The mass spectrum consists of a single peak group with isotopic satellite peaks. If the observations are examined in detail (zoomed inset to the figure), we see that the mass spectrum could be incorrectly interpreted as arising from a single ion, not five chemically distinct ions, with a isotope distribution typical of organic compounds in this mass range. Figure 2(B) shows the DMS compensation voltage (CV) tuning characteristics at SV 1400 V of MS ion count for the base peak, m/z 316 [MH]+, and for the next two higher m/z values, indicating the distribution of isotopic masses. The carrier of each peak is identified based on the DMS CV characteristics of standard samples. Four separate peaks are observed for the five compounds, with fendiline and chlorprothixene remaining unresolved. Of the five compounds only chlorprothixene contains chlorine. The presence of chlorprothixene (C18H18ClNS) overlapped with fendiline in the CV = +2V peak is evident from the high relative intensity of m/z 318 [MH + 2]+ due to 37Cl. Absence of chlorine in the other 3 peaks is demonstrated by low m/z 318 intensity compared to the m/z 316 base peak and m/z 317 intensities for the other ions.
To activate the molecular ions, approximating MS/MS conditions but without initial m/z selectivity, we increased the inlet cone voltage to induce fragmentation at the atmospheric-pressure to vacuum interface of the mass spectrometer after the DMS filter. We refer to this method as DMS-CID-MS (DMS collision-induced dissociation mass spectrometry). Both DMS-CID-MS and DMS-MS (no fragmentation) are two-dimensional separation techniques because a full or selected mass spectrum is recorded at each setting of DMS SV and CV tuning parameters. DMS-CID-MS fragment identifications are obtained by first DMS-selecting specific ion species and then passing them into the mass spectrometer with additional energy from the inlet cone voltage difference. This provides a level of specificity similar to a triple-quadrupole instrument. Fragments obtained in this way originate from the DMS-selected ion only, by may require some extra scrutiny because of possible ion reactions in the MS inlet area and DMS selectivity can be limited by overlapping features in DMS CV tuning.
Figure 3(A) presents the DMS-CID-MS results for each of the five compounds in the five-component mixture obtained at SV 1200 V by using CV values of −6.15 V, −1.65 V, −0.08 V, +2.22 V, and 3.8 V for DMS selection of oxefendazole, flusilazole, fendiline, chlorprothixene, and pamaquine, respectively. To minimize effects from the overlap of fendiline and chlorprothixene DMS peak shapes, CV values at the edges of the feature were used. The “All Ions” trace was computed by summing mass spectra at all CV values recorded across the CV scan. Dominant fragments selected from these results allow us to use fragment MS spectra to evaluate in another way the selectivity achieved by DMS. Table 3 shows peak positions observed for separation voltages of 1200 V (106 Td at 1 atm, 50°C), and 1400 V (123 Td). DMS compensation voltages for these compounds with SV 1200 V span approximately 10 V, with peak widths of 1.2 to 1.5 V. In Figure 3(B), using the characteristic fragment ions in the table, each of the five ions is separately detected. Fendiline and chlorprothixene are overlapped, as expected from the previous figure. All ions are resolved, but signal intensities detected through the CID fragment spectrum for these five compounds are typically 30% of the signals observed using DMS-MS for the same species.
We have also tested DMS-MS performance on a set of six compounds of approximately the same mass. These six compounds, benoxinate, bestatin, nifenazone, phenylbutazone, quinoxyfen, and warfarin have molecular weights of 308 Da, except for quinoxyfen at 307 Da. All formulas, structure, and computed isotope ratios for the ion species related to this mixture are given in the supplemental material for this paper. Figure 4 shows the DMS-MS analysis at characteristic m/z values for the base peaks and isotopes, similar to Figure 2(B), of nanoESI of the 6-component mixture. Conditions minimizing fragmentation at the DMS-MS transition were used so that the MS contained only [MH]+ and [MNa]+ base peaks, maximizing sensitivity. The [MH]+ base peak of quinoxyfen is m/z 308 and [MH]+ is m/z 309 for bestatin, benoxinate, nifenazone, and phenylbutazone. The mass spectrum near m/z 309 without DMS separation is shown in the inset to the figure. [Warfarin·Na]+ and [phenylbutazone·Na]+ were also observed and appear at m/z 331, as labeled. All but one pair of ions (benoxinate, nifenazone) are resolved by the combined DMS-MS performance (DMS alone at m/z 331 for warfarin·Na+ and phenylbutazone·Na+, and at m/z 308-9 for protonated quinoxyfen, bestatin and phenylbutazone). Benoxinate and nifenazone remain unresolved at 1400V. They are partially separated by 1 V CV at SV 1200V (peak FWHM ~1.6 V) but separation of the other ions is reduced at the lower separation voltage.
For the six compound mixture, characteristic fragment ions could not easily be identified by DMS-CID-MS to distinguish each compound from all others. Because DMS separation is based on the ion before fragmentation, it is not ambiguous in this way, but peak positions must be identified by the use of standards, as was done to determine the labels in Figure 4. In this mixture, quinoxyfen contains two chlorine atoms, resulting in a very different pattern of intensities of isotopic peaks from other components of the mixture. This makes it possible to test the quality of the quinoxyfen separation by measuring isotope ratios. The observed and predicted isotopic peak intensities for [quinoxyfen·H]+ and for [phenylbutazone·H]+ are shown in Figure 5, and the agreement with predictions is good.
DMS is especially useful in combination with mass spectrometry because its separation mechanism is complementary to m/z. The presented examples show how useful DMS can be in resolving mixtures that are difficult for mass spectrometry, in this case without the use of clustering modifiers in the DMS transport gas. The use of polar modifiers in the drift gas results in 8 to 10 fold improvement in DMS resolution, as discussed in more detail below for the citrate-isocitrate separation, and in Schneider et. al. 
In complex samples ionized in atmospheric pressure sources, ions may be created with more than one charge state. Heavier ions that are multiply charged by the ion source appear in the same m/z range as lighter species. For small molecule biomarkers, this aliasing of heavier species into the m/z range of the biomarker causes errors in intensities, and adds complexity to the mass spectrum. This resulting degradation of the mass spectrum is similar in effect to the interference from chemical noise that is generated when heavy ions fragment into lighter ions in the biomarker range. Both effects can be reduced by a DMS prefilter. Multiply-charged ions typically have compensation voltages that are more positive than singly-charged ions with the same m/z. Two effects are involved in this result: (1) multiply-charged ions are field-accelerated more strongly, so the hard-collision limit is reached more rapidly, and (2) larger ions often have internal van der Waals interactions that reduce the strength of interactions with the drift gas, making ion-neutral interactions more hard-sphere-like [22,26]. In addition, ions within chemical series also tend to move to positive CV as mass increases, but for similar m/z values the separation between charge states is large.
With DMS, we frequently observe a reduction in chemical noise, in which low intensity mass peaks are suppressed and correct isotope ratios are restored for a particular target species. For this particular example, we have observed DMS separation of two charge states that occur at similar m/z values. The sample was a mixture of the tetrapeptide methionine-arginine-phenylalanine-alanine (MRFA) and polyethylene glycols (PEG) from 400 to 600 Da, in 50/50 methanol/water. Figure 6 shows DMS resolution of [MRFA·H3O]+1 at m/z 524.2 from a doubly charged species at m/z 522.7 and from a doubly-charged ion of lower m/z, on a JEOL Accutof TOF. The complete mass spectrum is not shown, but is complicated with many near coincidences and contains a variety of MRFA/PEG clusters and fragments. The two species that are nearly coincident in mass-to-charge ratio (z=+1, m/z =524.2 [MRFA·H3O]+1, and z=+2, m/z 522.7 (PEG related)) are separated by +6.2 V in DMS compensation voltage. It is of less practical importance for DMS-MS applications because the species are separated by low-resolution mass spectrometry alone, but Figure 6 also shows DMS-MS characteristics for the doubly-charged species [MRFA·H3O·H]+2, which is separated by an additional 8.5 V from the singly-charged species. For the nearly-coincident peaks near m/z 524, DMS is able to select either species, completely suppressing the other. In Figure 7, DMS filtered mass spectra in the range from m/z 520 to 530 for the MRFA/PEG mixture are shown at the compensation voltages that select each peak (1200 V SV): +5.6 V in the upper panel, selecting [MRFA·H3O]+1, and +11.8 V in the lower panel selecting the doubly-charged species. Both doubly-charged and singly-charged ions, within chemical series tend to move to positive CV as mass increases, but for similar m/z values the separation between charge states is large, with the higher charge state to more positive CV. These specific CV values depend on the concentration of neutral solvent modifier molecules in the transport gas stream, but are stable under standardized conditions, as we have discussed in other publications [22, 26].
Citrate and / or isocitrate have been identified as potential biomarkers both by the LC/MS studies  and the GC/MS study using classification techniques such as orthogonal partial least squares and random forests, and are associated with some of the largest metabolomic signals. Citric acid and isocitric acid are important in the citric acid cycle, in glycolysis, and in cellular respiration.. Citric acid is achiral, but isocitric acid can have both D and L forms. Our sample of citric acid was the citric acid monohydrate while isocitrate was obtained as the tri-sodium salt of DL-isocitric acid.
Because these two compounds are structural isomers, with identical chemical compositions, both appear in the anion mass spectrum at m/z 191, as [M-H]−. Nonetheless, at high separation voltages, we find that the citrate and isocitrate ions appear to be weakly separated by DMS under the conditions used here. This separation cannot be achieved by mass spectrometry, or by low field ion-mobility techniques. This result is shown in Figure 8(A). The citrate and isocitrate samples were prepared identically and run sequentially. Nonetheless, this weak separation would be expected to have some dependence on spray conditions and this small separation would not be reliable in production analytical applications. A modification to the technique which would increase the separation is necessary for applications, and we find that use of a transport gas modifier is effective.
DMS resolution can be improved by additions known as modifiers to the composition of the transport gas used to carry ions through the DMS into the mass spectrometer. This is a technique that is applicable to essentially all systems, but is especially useful when chemical and structural differences are small [22, 26, 14, 15]. The choice of modifier depends on ion polarity and, to a lesser degree, on the chemical structure of the target ions. These modifiers participate in field-dependent clustering and declustering in the DMS separation field, increasing the difference between high and low field mobilities, thereby increasing the compensation voltage. For negative ions, chloride-based modifiers are frequently effective. By adding a small partially-chlorinated aliphatic hydrocarbon (~0.1% 1,2,3-trichloropropane in this case) to the desolvation gas, we have found that citrate can be detected separately from isocitrate, as shown in Figure 8(B). Chlorine-containing modifiers have been used for some time in a number of contexts such as explosives detection , to enhance DMS separation of anions and are believed to be mediated by chloride anion.
The use of drift gas modifiers to enhance separation for cations and for anions in planar DMS instrumentation is an active area of investigation and has recently been shown to lead to an order of magnitude increase in selectivity when evaluated over a wide spectrum of target ions in for complex mixtures. The enhanced citrate-isocitrate separation shown here is another example of the general utility of the technique.
The most recent radiation biomarker paper identifies several aliphatic dicarboxylic acids as down-regulated biomarkers (adipic, pimeric, suberic, azelaic acids (HO2C-(CH2)j-CO2H, for j=4,5,6,7). The dicarboxylic acids appear as anions with negative compensation voltages, near −10 V CV for 1000 V SV (88 Td). This characteristic distinguishes them from many of the other biomarkers, and from typical interferences. In addition, these ions are detected with high sensitivity under low-CID conditions. In analyzing a standard, we found that the azelaic acid sample contained traces of other dicarboxylic acids, with j=5 to 10, and provided an interesting demonstration of DMS separation of a related series of compounds. Figure 9 shows DMS separation of dicarboxylic acids appearing in azelaic acid sample obtained for 1000 V SV. The acids are HO2C(CH2)jCO2- for j=5 to 10, (j=5 (pimelic acid), j=6 (suberic acid), j=7 (azelaic acid), j=8 (sebacic acid), j=9 (undecanedioic acid) and j=10 (dodecanedioic acid)) appearing as the deprotonated molecules. Each of the DMS peaks is separated by 1 V or more in compensation voltage. The curve peaking at −10 V under the conditions of Figure 9 is azelaic acid. Shorter chain acids appear at more negative compensation voltages, longer chains at more positive values. In Figure 9, the peaks are labeled by relative intensities of the separate ion signals in the DMS-transparent and DMS-filtered mass spectra, and show a dynamic range of approximately 500.
Radiation-exposure biomarker discovery by high-resolution ultra-performance liquid chromatography time-of-flight mass spectrometry (UPLC –TOFMS) described in the first two of the recent group of papers is based on a comparison of urine samples from exposed and sham-treated mice, with doses ranging from 0 to 8 Gy .
Both of these studies identified N-hexanoylglycine as a relevant biomarker, along with a number of other candidate or validated biomarkers. The most recent study, based on a rat model, uses chemical derivatization followed by GC-MS, did not identify this compound, which may be unstable under these conditions, but does have a number of other biomarker identifications in common with the LC-MS work. As an example of the performance of DMS-MS on biological samples, we examine the DMS-MS negative ion spectrum using the single-quadrupole Waters ZQ of a urine sample from the treated group in the mass range that includes both N-hexanoylglycine, and suberic acid. These molecules are identified as biomarkers by LC-MS and GC-MS studies, respectively.
Suberic acid DMS-MS properties in negative ion mode are shown in Figure 9 along with those of several other dicarboxylic acids, for nanospray from methanol/water solution. N-hexanoylglycine also appears most strongly in negative ion mode. In the medical and scientific literature, N-hexanoylglycine is associated with medium-chain acyl-coA dehydrogenase deficiency (MCAD, Reyes syndrome), with dicarboxylic aciduria, and with a few other conditions. This compound has also been the subject of previous GC-MS studies in a medical context.
The DMS-MS results for the urine sample from the treated group are shown in Figure 10 under three different conditions: no DMS selectivity (inset), DMS selecting N-hexanoylglycine, and DMS selecting suberic acid. [M-H]− signals for N-hexanoylglycine and suberic acid appear at m/z 172 and 173, respectively.
Without DMS selectivity, each peak intensity is due to some intensity from the desired peaks, but also includes additional intensity from main and isotope peaks of compounds nearby or identical in mass and fragments and clusters originating from other compounds in the complex matrix, which are transformed into the biomarker mass range either in the ionization process or in the mass spectrometer interface. Quantitative measurement is difficult under these conditions, especially for low concentrations.
With DMS, these interferents are suppressed and the spectra at m/z 172 and 173 are observed separately, at distinct DMS compensation voltages. The identity of hexanoylglycine in the DMS-filtered mass-spectrum was verified by observing identical fragmentation patterns of the DMS-selected mass peak in the biosample in comparison with that of a pure standard, and by comparison of the DMS compensation voltage from a standard. Suberic acid was not verified by MS/MS in this series of tests, but the DMS compensation voltage is in agreement with the value from a standard. In addition, the intensity of the [M+1] isotope peak for the separated compounds is in agreement with the predicted [M+1]/[M] ratio within 1%. Because it is possible to verify that selected intensity observed from the urine sample is due to the target biomarker, the measurement accuracy is improved, especially for biomarkers that appear at low concentrations where they may be completely lost in chemical noise. To perform the same analysis without DMS necessitates very high resolution, and/or MS/MS, and some other preseparation techniques like LC or derivitization/GC.
Sensitivity and selectivity of DMS-MS is clearly adequate for these two biomarkers. For other biomarkers, the sensitivity depends on concentrations and is reduced by ion suppression effects that occur in a complex matrix . Concentrations of the biomarker components in urine samples have been given as part of the biomarker discovery reports for only a few of the identified species. Tyburski et. al. list the concentrations relative to creatinine (typ. 3 mM) of N-hexanoylglycine as 400 μM/mM, of taurine as 8 mM/mM, and of β-thymidine as 6–10 μM/mM. Even considering suppression effects, the concentrations of N-hexanoylglycine and taurine are readily detectable, and are quantifiable by controlled addition. β-thymidine has not yet been detected in our DMS-MS testing of biofluids. Thymidine is subject to significant suppression effects, occurs at a low concentration, and has not always been detected in animal model testing. Quantitative measurements of concentrations for other biomarkers would be useful, but is not currently available.
The results given in this paper provide representative DMS-MS experimental results that test system performance in the context of biomarker detection. DMS-MS is effective in suppressing chemical noise and separating interfering ions in chemical mixtures containing several ions of similar molecular weight and mass to charge ratio, and in complex biological samples. We have presented a wide range of results relevant to instrumentation for metabolomic small-molecule radiation-exposure biomarkers. These controlled experimental results have included the separation of isobars, the separation of charge states, the separation of biomarker candidates citrate and isocitrate, and the separation of a series of dicarboxylic acids.
For the biofluid sample, we have also demonstrated suppression of chemical noise and separation of near-isobars. From both sensitivity and selectivity points of view, as discussed in the previous section, DMS-MS appears to be effective for direct analysis of some identified biomarkers in biosamples with minimal sample preparation.
Additional testing and development is necessary before it becomes possible to apply rapid DMS-MS in field conditions as an alternative to lab processing with UPLC-TOFMS or similar time-consuming and expensive techniques. Nonetheless, DMS-MS promises to be rapid and powerful for radiation exposure and possibly other biomarker screening applications. We believe that DMS-MS allows the development of field-portable devices based on mass spectrometers of moderate resolution that will obtain results equivalent to more sophisticated lab-based instrumentation. A field-portable DMS-MS system would automate the preparation and processing of biofluid samples to determine concentration relative to an internal reference (e.g. creatinine) of a few metabolomic biomarkers for radiation exposure. Based on the on-going discovery efforts and additional analysis of experimental data to determine the statistical validity of multiple simultaneously-determined biomarker concentrations, a DMS-MS instrument of the proposed type would be able to identify cases of radiation exposure at levels requiring therapeutic intervention.
This work was supported by the Columbia University Center for Medical Countermeasures against Radiation (Principal Investigator Prof. David Brenner), and funded by NIH / NIAID grant U19 AI067773-02. We would especially like to thank Jeffrey R. Idle for support of Sionex participation in this project and for his contribution to the identification of the biomarkers described in references [1, 2, 3].
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