of the modification site. As was shown in recent publications, the
electrochemical oxidation of drug compoundsssimulating the
CYP catalyzed oxidative metabolismscan provide valuable infor-
mation about metabolically labile sites in a molecule, particularly
in an online coupling with electrochemistry/liquid chromatogra-
phy/mass spectrometry (EC/LC/MS).16-21 The use of a mi-
crospray device connected to a mass spectrometer for tagging
cysteine residues in synthetic or tryptic peptides22,23 or in proteins
in a nanospray24 or a microspray electrode25 with electrogenerated
benzoquinone is published as well. However, the reaction products
generated in the electrospray interface are obtained only in low
yield and cannot be synthesized on a preparative scale for further
characterization. Until now, nothing was reported about the use
of an EC/(LC)/MS system for the investigation of a drug
compound in terms of its tendency to covalently modify proteins.
Therefore, we decided to set up an online EC/LC/MS system
for assessing the risk of covalent protein binding of drug
metabolites. Three model compounds that are known for bioac-
tivation to reactive metabolites were selected for validation of the
EC/LC/MS setup. Paracetamol is an analgesic and antipyretic
drug that is oxidized by CYP to the reactive N-acetyl-p-benzo-
quinoneimine (NAPQI), which is known for covalent protein
binding thus causing hepatotoxicity.26,27 For this reason, it was
recently decided by the German Federal Institute for Pharma-
ceuticals and Medical Products to classify paracetamol, which was
so far a classical over-the-counter drug, in package sizes of more
than 10 g as a prescription drug.28 The antimalarial agent
amodiaquine undergoes bioactivation to a respective quinoneimine
(AQQI) and has been withdrawn from malaria prophylaxis due
to the occurrence of agranulocytosis and hepatotoxicity,29 and
clozapine which is an antipsychotic agent that is used for the
treatment of schizophrenia is metabolized by CYP to a reactive
electrophilic nitrenium ion30 (Figure 1a). The oxidative metabo-
lism of all model compounds as well as the detoxification of the
reactive species by addition of glutathione has been successfully
Figure 1. (a) Structures of the reactive metabolites of paracetamol
(N-acetyl-p-quinoneimine, NAPQI), amodiaquine (amodiaquine quino-
neimine, AQQI), and clozapine (clozapine nitrenium ion, CLZox). (b)
Principle of covalent protein binding of drugs after activation by
cytochrome P450 (CYP) enzymes to reactive metabolites.
mimicked in EC/(LC)/MS systems.31-34 In the present work, a
setup for the online synthesis of covalent drug-protein adducts
that are subsequently detected and characterized by mass
spectrometric techniques is developed.
EXPERIMENTAL SECTION
Reagents and Materials. ꢀ-Lactoglobulin A from bovine milk,
human serum albumin, and trypsin from bovine pancreas
(g10000 BAEE units/mg of protein) were purchased from Sigma-
Aldrich Chemie GmbH (Steinheim, Germany) and were used
without further purification. All chemicals and solvents were
ordered from Sigma-Aldrich Chemie GmbH, Fluka Chemie GmbH
(Buchs, Switzerland), ABCR (Karlsruhe, Germany), or Molekula
(Shaftesbury, U.K.) in the highest quality available. Disposable
PD-10 Sephadex G-25 M desalting columns were obtained from
GE Healthcare (Buckinghamshire, U.K.). Water used for HPLC
was purified using a Milli-Q Gradient A 10 system and filtered
through a 0.22-µm Millipak 40 (Millipore, Billerica, MA).
Online Electrochemical Generation of Drug-Protein Ad-
ducts. A solution containing a 1 × 10-4 M concentration of the
desired drug compound in 20 mM aqueous ammonium formate
(adjusted to pH 7.4 with ammonia) and acetonitrile (50/50, v/v)
was pumped with a flow rate of 10 µL min-1 through a com-
mercially available electrochemical flow-through cell (model 5021,
conditioning cell, ESA Biosciences Inc., Chelmsford, MA). The
potential at the working electrode was controlled by a Coulochem
II potentiostat (ESA Biosciences). Paracetamol was oxidized at
600 mV, amodiaquine at 300 mV, and clozapine at 400 mV versus
Pd/H2 in the EC cell. Via a T-piece, a solution containing the
protein of interest (2 × 10-5 M) in 8 M urea was added after the
EC cell at the same flow rate, and the combined solutions were
allowed to react in a reaction coil (Teflon tubing, 0.762-mm inner
diameter, 438-mm length) for 10 min. The effluent from the
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