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GHENT UNIVERSITY FACULTY OF PHARMACEUTICAL SCIENCES Department of Bio Analysis Laboratory of Food Analysis Master thesis performed at: NATIONAL INSTITUTE OF OCCUPATIONAL HEALTH Department of the Chemical and Biological Work Environment Academic year 2014-2015 UNTARGETED METABOLOMICS IN OCCUPATIONAL HEALTH – THE SEWAGE WORKER CASE Florence GOETHALS First Master of Pharmaceutical Care Promoter: Prof. Dr. Apr. S. De Saeger co-promoter: Dr. S. Uhlig Commissioners: Dr. M. De Boevre Prof. Dr. K. Audenaert
Transcript

GHENT UNIVERSITY

FACULTY OF PHARMACEUTICAL SCIENCES

Department of Bio Analysis

Laboratory of Food Analysis

Master thesis performed at:

NATIONAL INSTITUTE OF OCCUPATIONAL

HEALTH

Department of the Chemical and

Biological Work Environment

Academic year 2014-2015

UNTARGETED METABOLOMICS IN OCCUPATIONAL HEALTH – THE SEWAGE WORKER CASE

Florence GOETHALS

First Master of Pharmaceutical Care

Promoter:

Prof. Dr. Apr. S. De Saeger

co-promoter:

Dr. S. Uhlig

Commissioners:

Dr. M. De Boevre

Prof. Dr. K. Audenaert

GHENT UNIVERSITY

FACULTY OF PHARMACEUTICAL SCIENCES

Department of Bio Analysis

Laboratory of Food Analysis

Master thesis performed at:

NATIONAL INSTITUTE OF OCCUPATIONAL

HEALTH

Department of the Chemical and

Biological Work Environment

Academic year 2014-2015

UNTARGETED METABOLOMICS IN OCCUPATIONAL HEALTH – THE SEWAGE WORKER CASE

Florence GOETHALS

First Master of Pharmaceutical Care

Promoter:

Prof. Dr. Apr. S. De Saeger

Co-promoter:

Dr. S. Uhlig

Commissioners:

Dr. M. De Boevre

Prof. Dr. K. Audenaert

COPYRIGHT

“The author and the promoters give the authorization to consult and to copy parts of this

thesis for personal use only. Any other use is limited by the laws of copyright, especially

concerning the obligation to refer to the source whenever results from this thesis are cited.”

May …, 2015

Promoter Author

Prof. Dr. S. De Saeger Florence Goethals

SUMMARY

Due to the increasing doubt about the safety among sewage workers in occupational

health, there is a need to gain better insight into these workers’ state of health. Previous

investigations already found out that these individuals suffer from headache, lung function

reduction, irritation of the respiratory tract etc. due to daily exposure to potential harmful

contaminants in sewage. With the major objective to investigate these workers’ health more

thoroughly, differences between exposed individuals and others, who work in safe and

healthy environments, had to be established. Therefore, an untargeted HPLC-HRMS

metabolomics approach using serum samples was chosen in order to discover metabolic

changes in sewage workers as a result of the exposures in their working environment.

Serum samples were analyzed by two orthogonal HPLC-HRMS methods employing

either hydrophilic interaction liquid chromatography or reversed-phase HPLC. Raw data

were preprocessed using MZmine in order to create data sets consisting of “true” metabolic

features. Comparison of the two groups (i.e. exposed vs. control), was then performed using

multivariate data analyses included principal component analysis (PCA) and orthogonal

partial least squares – discriminant analysis (OPLS-DA). Extraction of the most significant

variables from the OPLS-DA models resulted finally in 13 potential metabolic markers out of

1000’s. The identity for eight of these could tentatively be established based on calculation

of elemental formulae, database searches and study of MS2 product ion spectra obtained

from data-depending scanning using ion trap MS. The tentatively identified metabolites

were two amino acids (phenylalanine, tyrosine) a dipeptide (phe-phe) and phosphocholines.

Whether or not these metabolites can be used for further elucidation of the adverse effects

connected to working in a sewage environment needs to be shown in the future.

SAMENVATTING

Door de toenemende onzekerheid omtrent de veiligheid van arbeiders in riool- en

afvalwaterzuiveringsfabrieken is er nood aan betere inzichten betreffende de

gezondheidstoestand van deze arbeiders. Eerder onderzoek heeft reeds aangetoond dat

deze individuen gevoelig kunnen zijn aan hoofdpijn, daling in longfunctie, luchtwegirritatie

etc. als gevolg van dagelijkse blootstelling aan potentieel schadelijke verontreinigingen in

afval- en rioolwater. Met als hoofddoelstelling om de gezondheid van deze arbeiders meer

diepgaand te onderzoeken, diende een vergelijking tussen deze blootgestelde individuen en

andere, werknemers in veilige en gezonde werkomstandigheden, gemaakt te worden.

Hiervoor wordt gebruik gemaakt van een untargeted HPLC-HRMS metabolomics methode,

met de bedoeling om metabolische veranderingen te detecteren in het metaboloom van

deze arbeiders als gevolg van blootstelling in hun werkomgeving.

Analyse van serum stalen werd uitgevoerd met behulp van twee orthogonale HPLC-

HRMS methoden, enerzijds hydrofilic interaction liquid chromatography en anderzijds

reversed-phase HPLC. Met behulp van MZmine werd de onbewerkte data behandeld, met

de bedoeling om data sets te ontwikkelen waarin informatie over de optimaal bruikbare

metabolieten aanwezig is. Vergelijking tussen de twee groepen (i.e. blootgesteld vs.

controle) was vervolgens mogelijk door gebruik te maken van multivariate data analyse,

betreffende principal component analysis (PCA) en orthogonal partial least squares –

discriminant analysis (OPLS-DA). Extractie van de meest significante variabelen van de OPLS-

DA modellen resulteerde uiteindelijk in 13 potentiele metabolomische biomarkers uitgaande

van meer dan duizenden metabolieten. De identiteit van acht van deze metabolieten kon

onder voorbehoud vastgesteld worden, gebaseerd op het bepalen van de elementaire

compositie, database zoekopdrachten en het bestuderen van de MS2 ion spectra. De

voorlopig geïdentificeerde metabolieten waren twee aminozuren (phenylalanine, tyrosine)

een dipeptide (phenylalanine-phenylalanine) en fosfocholines. Of deze metabolieten al dan

niet kunnen gebruikt worden voor verdere verduidelijking van de schadelijke effecten die

verbonden zijn aan de risicovolle werkomgeving, dient aangetoond te worden in de

toekomst.

THANKS TO

First of all, I would like to thank Prof. Dr. S. De Saeger for giving me the opportunity to work

and write on my thesis abroad. In particular I would like to thank Dr. S. Uhlig for the excellent

guidance concerning all the work, for everything I learned during the past few months and

most of all that he would take a lot of time for correcting and giving feedback on my thesis.

Apart from this, I would like to thank everybody at STAMI, for being warm-hearted and

helpful and especially, for all the experience I gained during work. Besides this, I also like to

thank all the people I met during my stay in Norway, for all the experiences and the beautiful

memories. I want to thank my family for giving me the possibility and the faith in me to study

abroad. At last I want to thank my boyfriend for the visits and his support.

TABLE OF CONTENTS

1 INTRODUCTION.......................................................................................................... 1

1.1 METABOLOMICS .......................................................................................................... 1

1.1.1 Background .................................................................................................. 1

1.1.2 Systems Biology ........................................................................................... 2

1.1.2.1 Genomics .................................................................................................................................. 3

1.1.2.2 Transcriptomics ........................................................................................................................ 3

1.1.2.3 Proteomics ................................................................................................................................ 3

1.1.2.4 Metabolomics ........................................................................................................................... 4

1.1.3 Analytical Methodologies ............................................................................. 5

1.1.3.1 Target Analysis.......................................................................................................................... 5

1.1.3.2 Metabolite Profiling .................................................................................................................. 5

1.1.4 Analytical platforms for detection of metabolites ......................................... 6

1.1.4.1 MS based metabolomics .......................................................................................................... 6

1.1.4.2 NMR based metabolomics ....................................................................................................... 7

1.2 THE SEWAGE WORKERS PROJECT ............................................................................... 7

1.2.1 Background .................................................................................................. 7

1.2.2 Contaminants ............................................................................................... 8

1.2.2.1 Non-infectious biological agents .............................................................................................. 8

1.2.2.2 Toxic gases ................................................................................................................................ 8

1.2.2.3 Infectious bacteria (pathogens) and viruses ............................................................................ 9

1.2.2.4 Chemical agents ....................................................................................................................... 9

2 OBJECTIVES .............................................................................................................. 10

3 METHODS AND MATERIALS ...................................................................................... 11

3.1 SAMPLING (SAMPLE COLLECTION) ............................................................................ 11

3.2 SAMPLE PREPARATION .............................................................................................. 11

3.2.1 Protein precipitation and preparation of samples for HILIC-HRMS ............... 12

3.2.2 Preparation of samples for RP-HPLC-MS ..................................................... 12

3.2.3 Lyophilisation ............................................................................................. 12

3.3 LIQUID CHROMATOGRAPHY-MASS SPECTROMETRY (DATA ACQUISITION) ............. 13

3.3.1 Abstract ..................................................................................................... 13

3.3.1.1 UHPLC ..................................................................................................................................... 13

3.3.1.2 The Q Exactive benchtop Orbitrap mass spectrometer ......................................................... 14

3.3.2 RP-HPLC ..................................................................................................... 16

3.3.3 HILIC .......................................................................................................... 17

3.3.4 High-resolution mass spectrometry (HRMS) ................................................ 17

3.3.5 Linear ion trap mass spectrometry (ITMS) ................................................... 18

3.4 MASS SPECTROMETRY DATA PROCESSING ............................................................... 18

3.4.1 Raw data file conversion ............................................................................ 18

3.4.2 Data processing in MZmine ........................................................................ 18

3.4.2.1 Peak detection/ peak picking ................................................................................................. 19

3.4.2.2 Deisotoping ............................................................................................................................ 20

3.4.2.3 Peak list alignment ................................................................................................................. 20

3.4.2.4 Gap filling ................................................................................................................................ 21

3.4.2.5 Peak list filtering ..................................................................................................................... 22

3.4.2.6 Identification .......................................................................................................................... 22

3.4.3 File export and normalization ..................................................................... 23

3.5 DATA ANALYSIS .......................................................................................................... 24

3.5.1 Principal component analysis (PCA) ............................................................ 24

3.5.2 Orthogonal partial least squares – discriminant analysis ............................. 24

3.5.3 Identification of potential metabolite markers ........................................... 24

4 RESULTS AND DISCUSSION ....................................................................................... 26

4.1 SAMPLE SELECTION AND SAMPLE PREPARATION ..................................................... 26

4.2 LC-HRMS ANALYSES AND DATA PROCESSING ........................................................... 27

4.3 MULTIVARIATE DATA ANALYSES ............................................................................... 28

4.4 SELECTION OF POTENTIAL METABOLOMIC MARKERS OF EXPOSURE ...................... 34

4.5 TENTATIVE IDENTIFICATION OF METABOLITES ......................................................... 36

4.6 INSTRUMENTAL DRIFT AND REPRODUCIBILITY ......................................................... 44

5 CONCLUSION ........................................................................................................... 47

6 BIBLIOGRAPHY ......................................................................................................... 48

7 APPENDIX ................................................................................................................ 55

LIST OF ABBREVIATIONS

CRP C-Reactive Protein

CSF Cerebrospinal Fluid

ESI Electrospray Ionization

FT-IR Fourier Transform- Infrared Spectroscopy

GC Gas Chromatography

H2S Hydrogen Sulfide

HESI Heated-Electrospray Ionization

HILIC Hydrophilic Interaction Liquid Chromatography

ITMS Ion Trap Mass Spectrometry

LC Liquid Chromatography

LPS Lipopolysacharide

MS Mass Spectrometry

MVA Multivariate Statistical Analysis

NMR Nuclear Magnetic Resonance

OPLS-DA Orthogonal Partial Least Squares – Discriminant Analysis

PAR Pareto-scaling

PC Principal Component

PCA Principal Component Analysis

QC Quality Control

RDB Ring Double Bond Equivalent

RP Reversed Phase

RSD Relative Standard Deviation

RT Retention Time

UHPLC Ultra High-Performance Liquid Chromatography

UV Unit Variance

VIP-plot Variable Importance in the Projection-plot

1

1 INTRODUCTION

1.1 METABOLOMICS

1.1.1 Background

Metabolomics is the comprehensive analysis in which all small molecule metabolites

of a biological system are systematically identified and quantified. Such an approach aims to

reveal the metabolome (or part of it) of a biological system1 2. The metabolome is referred

to be the sum of all small metabolites in a biological system such as a cell culture or a living

organism. Taking a closer look at the metabolome, it has been taken for granted that it’s

inconceivable to detect all of the metabolites in a biological sample with only one single

technology3 4 5. When examining metabolites, an enormous variation in chemical structures

with different physicochemical properties can be seen. This diversity in physicochemical

properties is attributed to the existence of various types of molecules i.e. proteins, lipids,

nucleotides, sugars etc. Additionally, even though all these molecules differ in functional

groups, size and hydrophilicity, they also tend to exist in a very broad concentration range6.

It is estimated that the human metabolome comprises over nearly 11 magnitudes of

concentration (approximately pmol-mmol)7.

Metabolomics was first introduced by Oliver et al. in 1998 and research about this

topic had begun emerging at the end of the 20th century, a few decades after the

introduction of genomics and proteomics8 9. This assumes that both the technology and the

research on genomics and proteomics is yet much more advanced compared to

metabolomics6. This backlog in the developing technologies for the metabolomics approach

in comparison with the other more progressive ‘omics’ investigations, is in accordance with

the fact that there is no availability of a single technology that is able to identify all

metabolites of the metabolome at once6. Also, for the improvement and the broadening of

the application of metabolomic studies, limitations in metabolomics technology such as

sample preparation, the lack of LC-MS databases and metabolite standards need to be

resolved10.

The most commonly analyzed biofluids in metabolomics investigations are plasma,

serum, urine and cerebrospinal fluid (CSF), but also other tissues or fluids such as saliva or

2

seminal fluid could be applied11. Of these, urine is generally the most often used due to the

possibility of non-invasive collection, the uncomplicated preparation and the low protein

content12. Collecting CSF samples is very invasive and therefore undesirable when a large

number of samples are acquired. Plasma and serum samples have the advantage to be less

invasive than CSF collection and also cover the largest part of the metabolome of a living

organism11.

1.1.2 Systems Biology

Besides several other ‘omics’, e.g. genomics, transcriptomics and proteomics,

metabolomics is a component of the biological field, which is also called ‘the omics cascade’

by Dettmer et al.6 (Fig. 1.1). All these components can be used for illustrating the association

between the genotype and the phenotype of organisms3.

Figure 1. 1 The ‘omics cascade’6.

The metabolomics approach has created a new dimension for research in many

branches of life science. The importance of metabolomics with regard to the inspection of

3

food quality has been confirmed by Ryan et al. (2005), and also for the discovery of novel

drugs and bioactive molecules it offers major opportunities13. For functional genomics,

which tries to identify the function and the activity of genes by establishing a better

understanding of the association between genes and the functional phenotype, it also

became a useful complementary tool9 13 14. Metabolomics also is an essential part of systems

biology and revealed many secrets of biological systems. In fact, functional genomics and

systems biology are using analogous approaches, but the latter one has the main goal to

integrate genomics, transcriptomics, proteomics and metabolomics for a more global

comprehension of biological systems and to discover the structure of the entire system

under investigation13 15. To be more specific, systems biology focuses itself on the behavior

and the relationships of all interacting elements and the environment in a biological system

rather than examining individual genes, proteins or metabolites. Thus, systems biology tries

to reveal the impact of particular perturbations such as biological, genetical or chemical

perturbations at the genomic, proteomic and metabolomics level5 13 16.

1.1.2.1 Genomics

‘The omics cascade’ is initiated with genomics (Fig. 1.1). Genomics research deals

with investigating an organisms’ whole DNA-set. Commonly the entire genome is under

study even though one’s intention is to clarify the function of single genes, their activity and

abundance in the genome17. Hence genomics data are associated primarily with the

genotype.

1.1.2.2 Transcriptomics

The second part in the ‘omics cascade’ is transcriptomics. The transcriptome includes

the whole set of transcripts in a cell, i.e. mRNA, small RNA and non-coding RNA18. The

transcriptome reproduces the expression levels of genes under a variety of developmental

or physiological conditions and it is the key fundament for the synthesis of proteins9 19.

1.1.2.3 Proteomics

The characterization of the proteome, which is referred to as the collection of all

proteins in an organism including their downstream modifications, is the subject of the

proteomics approach20 21. The analysis of the proteins is not straightforward. One reason for

this is that proteins are composed of amino acids with different physicochemical properties

4

complicating their analysis22. Another important reason is the fact that the proteome is

rather complex, as proteins may degrade, become enzymatically or chemically modified, get

spliced or may form complexes with other proteins22.

1.1.2.4 Metabolomics

The aim of the metabolomics approach is to identify and characterize endogenous

and exogenous low-molecular-weight metabolites in biological samples (typically lower than

1.500 Da)3 8 23. The metabolites that can be found in such samples, can be either organic or

inorganic compounds and either primary or secondary metabolites3 4. A metabolomics study

tries to elucidate either the whole or part of the metabolome. It has been stated that

metabolomics may supply the most ‘functional’ information of all ‘omics’ because

metabolites are the end products of regulatory processes in cells1 13. The metabolite levels

can be considered as the final response of biological systems to environmental and genetic

changes, and hence, define more closely the phenotype of an organism1 24 25. The measured

(part of the) metabolome is not solely comprised of metabolites that are encoded by the

genome. This is because also exogenously acquired molecules and their products from

biotransformation will be present in the sample, among which are drugs, and compounds

from foods such as food additives etc.25. As already mentioned, it is therefore that

metabolomics analysis is not straightforward due to the enormous complexity of the

metabolome6. While the proteome and the transcriptome, on the molecular scale are an

assembly of 20 amino acids and four nucleotides, respectively the metabolome contains a

much greater variability. Thus, for its analysis one needs to carry out particular steps for the

preparation of samples, depending on the choice of the analytical technique(s)1 6.

Metabolome analysis enables, among others, the identification of metabolites

involved in disease pathophysiology. This means that such an analysis may reveal metabolic

changes in the studied individuals and thereby identify predictive biomarkers that could

provide valuable insights into the disease mechanisms and result in earlier intervention26 27

28. Therefore, in order to detect those metabolic differences, robust analytical methods are

required29. Kume et al. (2015) for example used metabolomics analysis to identify diagnostic

biomarkers of chronic fatigue in humans. Results have shown that the metabolites which

were found to be significantly different between an affected and a control group, may be

promising diagnostic biomarkers for chronic fatigue27.

5

1.1.3 Analytical Methodologies

There exist two basic analytical approaches in metabolomics, which are target

analyses and metabolite profiling. Metabolite profiling can be subdivided into metabolic

fingerprinting and metabolic footprinting5 24.

1.1.3.1 Target Analysis

Target analysis is the analytical approach that aims to detect and quantify a

predefined metabolite or fewest of predefined metabolites in biological samples, which are

related to a specific metabolic reaction or pathway4 5 13 24. Consequently, signals from the

other, not targeted, metabolites are disregarded because the approach is not aimed at the

detection of as many metabolites as possible13 30. For that reason, the sample preparation

and separation method is designed to ensure that unnecessary metabolites are removed

because otherwise they may cause interference during the investigation1 4. This approach is

often used when there is the need to have low detection limits1 4. The number of

metabolites that may be included in a target approach is nowadays high, i.e. up to several

hundred different metabolites can be detected with acceptable precision and accuracy5 30 31.

1.1.3.2 Metabolite Profiling

Metabolite profiling, which is also known as metabolomic profiling, is generally used

for the qualitative and semi-quantitative screening of a large amount of metabolites of

known or unknown identity5 13 24. This approach is widely used for drug discovery, metabolic

biotransformation and for the elucidation of metabolic responses of therapeutic

treatments4.

1.1.3.2.1 Metabolic Fingerprinting

This subclass is a non-targeted methodology that keeps up with the global high-

throughput analysis of biological samples, in order to classify samples in consistence with

their origin (i.e. healthy/disease) or biological status (i.e. control/case)4 1 32. This means that

the intention of this kind of investigation is to compare patterns of metabolites or

fingerprints that could differ due to the response to a disease, and due to genetic or

environmental alterations6 33. This approach seems to be very useful for diagnostic

purposes, quality control of products and for the screening of mutant collections1.

6

1.1.3.2.2 Metabolic Footprinting

From a technical point of view is metabolic footprinting similar to metabolic

fingerprinting, but the main difference is that metabolic fingerprinting is focused on the

intracellular metabolites (i.e the endometabolome) and metabolic footprinting is focused on

the extracellular metabolites which are left behind or secreted into the medium by the

cells(i.e. the exometabolome)5 24 34 35.

1.1.4 Analytical platforms for detection of metabolites

Nowadays several analytical platforms have been developed, e.g. Nuclear magnetic

resonance (NMR), Fourier transform- infrared spectroscopy (FT-IR) and MS coupled to

separation techniques, including NMR, GC-MS, LC-MS, FT-MS and UPLC-MS, which could be

useful for metabolomics investigations36. Among those, nuclear magnetic resonance (NMR)

spectroscopy, gas chromatography (GC) and liquid chromatography (LC) coupled to mass

spectrometry (MS) are the most widely applied. Each of these three techniques has its own

advantages and drawbacks to be used in metabolomics investigations23 36.

1.1.4.1 MS based metabolomics

Mass spectrometry coupled with chromatography techniques is the most commonly

used technology in metabolomics studies4 36. In general, this technology provides the ability

to identify metabolites in samples by rapid, high sensitive and high selective quantitative and

qualitative analyses4. MS-based techniques without the application of high-throughput

separation techniques also gives these advantages, but the sample preparation in this case

can cause metabolite loss36. Although it’s better to combine MS with a certain separation

technique, there are differences depending on the applied chromatography technique, of

which GC and LC are most often utilized.

The main principle of GC-MS , is to separate thermally stable and volatile compounds

by GC before they become detected by MS4. Although most compounds need to be

derivatized to acquire this thermal stability and volatility before analysis by GC-MS4 23.The

elaborate sample preparation is a significant disadvantage in the applicability of this

technique4. On the other side, GC-MS has the ability to provide efficient and reproducible

analyses23 36.

7

LC-MS is the other MS based technology which is widely applied in metabolomics

studies. Since this one has the advantage that it can avoid the extensive chemical

derivatization of molecules, it’s more often used than GC-MS36. An elucidation about the LC-

MS principle can be found in section 3.3.1.

1.1.4.2 NMR based metabolomics

NMR-spectroscopy is another frequently used analytical platform. This one is known to have

less sensitivity compared to the MS-platform, but it has the benefit to require no or only a

simple sample preparation and no derivtization37. This technique is highly reproducible, non-

destructive and doesn’t come into direct contact with the platforms’ operational

components6 23 30. Thus, contamination is infinitesimal and this enables also the routine and

high-throughput analysis of great amounts of samples23.

1.2 THE SEWAGE WORKERS PROJECT

1.2.1 Background

To counteract for the ever increasing pollution of the environment, and to prevent

possible diseases in the human population and unhygienic conditions, there’s a considerable

need for waste control. Treatment of sewage is an important section in this waste control

and it includes the removal of various harmful contaminants in sewage by using biological,

physical and chemical processes38. Physical processes for the removal of contaminants are

operations that are based on sedimentation of contaminants in wastewater. Chemical

processes are those where chemical reactions occur such as flocculation into bigger particles

before sedimentation. All these processes contribute in the reforming of sewage water into

clean water and the rest product, which is sludge. As a consequence of these processes,

chemicals and microorganisms may appear in the atmosphere of sewage treatment plants

and may be harmful for workers when inhaling38.

A rising doubt about the safety of health among workers who work in sewage treatment

plants, has already led to various different investigations concerning these sewage workers’

health. This all has been done because sewage workers may be chronically exposed to a

variety of contaminants during work. These contaminants comprise toxic gases from

microbial degradation, chemical agents, infectious biological agents as well as non-infectious

biological agents39 40. A brief enlightenment about these pollutants can be found in section

8

1.2.2. The complex and variable exposure of different contaminants and a broad diversity of

health hazards reported among the workers handling the waste water, makes it very difficult

to study the associations between exposure and health effects40.

1.2.2 Contaminants

1.2.2.1 Non-infectious biological agents

Endotoxins or lipopolysaccharides (LPS) are the most important exposure agents among

sewage workers, and are therefore most studied as causative agents for changes in the state

of health among these individuals. Endotoxins are the outer membrane components of

gram-negative bacteria, which type of bacteria dominates the bacterial exposure in

sewage39. These components are released when the bacteria die and the cell wall

disintigrates41. They can be present in sewage treatment plants in amounts that exceed

those that give rise to symptoms and illness38 42. The primary target of endotoxins are the

lungs and the inhalation of endotoxin aerosols can lead to acute airflow obstruction, shock

and death since they have a high pro-inflammatory potency and they produce an

inflammatory response when inhaled38 43. Besides the respiratory intake of endotoxins,

traces of these components can be found in food and water, but this type of exposure is less

common in sewage treatment plants41. Rylander (1999) confirmed data from previous

studies on an increased incidence of diarrhea, fatigue and airway symptoms among sewage

workers exposed to endotoxins43.

1.2.2.2 Toxic gases

Potentially harmful gases such as hydrogen sulfide (H2S) and ammonia are produced

by microbial degradation in sewage and sludge38 39. Of these toxic gases, Hydrogen sulfide is

probably the most examined in this type of studies, but the overall amount of studies that

have measured the H2S concentration is low. H2S is well-known as a colorless gas with the

specific odor of rotten eggs and harmful to human health44 45. It’s the sulfur analog of water

and its development depends on the presence of sulfur in organic matter and the depletion

of oxygen in a specific environment44 46. Hence, this gas is frequently encountered in sewage

treatment plants44.

Given that most organ systems are susceptible for the effects of H2S, it’s often

regarded as a broad-spectrum toxicant. The degree of susceptibility varies among the

9

different organ systems46. Tissues with high oxygen demand are usually most susceptible for

H2S toxicity44 46. Acute exposure to low H2S concentrations can elicit irritation of the eyes

and respiratory tract. Higher concentrations concerning acute exposure can cause symptoms

such as dizziness, headache, convulsions and unconsciousness or even death44 46. Chronic

exposure to low concentrations may affect the lung function47. Symptoms after chronic

exposure to H2S is less known, but the development of symptoms from the central nervous

system such as tiredness and concentration difficulties have also been reported among

workers handling waste water46. Based on self-reported symptoms, Jeroen Douwes et al.

(2001) studied the associations between symptoms and possible exposure among sewage

workers40. The results demonstrated that neurological symptoms such as chronic fatigue and

forgetfulness may be a result of possible exposure to especially the neurotoxic gases such as

H2S. Also other studies suggested the association between exposure to toxic gases and the

neurological symptoms44 48.

1.2.2.3 Infectious bacteria (pathogens) and viruses

Besides exposure to non-infectious biological agents, there is also the infectious-

parasitic type. The infectious and parasitic biological agents comprises for example hepatitis

A virus, Helicobacter bacteria, Giardia protozoans etc.40. A number of studies already

investigated whether or not the sewage workers run a greater risk of contracting infectious

diseases, especially hepatitis A49. Although some of those studies showed that sewage

workers have an increased risk for acquiring hepatitis A infection, disease risks are generally

low40 50 51.

1.2.2.4 Chemical agents

At last, an enormous diversity of chemical agents is present in sewage treatment plants.

These chemical agents include chemicals that are used for treatment of sewage, chemicals

that are used in the cleaning and the maintaining of plants and chemical contaminants with

which the sewage has been polluted38 52. The association between chemical exposure and

health effects is usually studied after industrial accidents took place through which sewage

workers were exposed to extraordinary high concentrations40.This type of contaminants is

less important for exposure and less studied compared to all the others.

10

2 OBJECTIVES

Biomarker identification is an important domain in metabolomics, which allows

clarifying metabolic changes due to disease or exposure to xenobiotics among individuals.

Once significant biomarkers have been discovered, they could be used to predict the state of

health among humans and thus result in an earlier intervention during the onset of a

conceivable disease and help elucidating disease mechanisms.

The aim of this investigation was to 1) test the suitability of an untargeted HPLC-

HRMS based metabolomics approach for an occupational health problem and 2) reveal

predictive biomarkers in a group of individuals, which is chronically exposed to sewage and

its contaminants. Clarification of the significant metabolic changes among this group of

workers, will be important to get a better understanding about the frequently encountered

diseases concerning sewage workers.

11

3 METHODS AND MATERIALS

This chapter comprises the discussion of the materials, the instruments and the

methodology.

Table 3. 1: List of chemicals used during the sample and mobile phase preparation.

Chemicals

Name Specification Manufacturer Origin

Acetonitrile

Optima LC/MS Fisher Scientific, Thermo

Fisher Scientific, Inc.

Sunnyvale, CA, USA

Ammonium carbonate

For HPLC ≥ 30 % NH3 basis

Sigma-Aldrich St. Louis, MO,

USA

Formic acid puriss. p.a., ≥98% Sigma-Aldrich St. Louis, MO,

USA

Methanol for analysis Merck KGaA Darmstadt, Germany

3.1 SAMPLING (SAMPLE COLLECTION)

Serum samples were taken from 146 sewage workers from sewage plants and sewage

net systems situated in big cities and small communities in the surroundings of the cities.

Based on a questionnaire of job operations, 21 of these workers were characterized as little

or not exposed and served as a control group. Personal exposure to endotoxins and bacteria

was measured during different work operations. Biomarkers of systemic inflammation, C-

reactive protein (CRP), measured by HS-MicroCRP assay and lung function by spirometry test

(SPIRARE) were also studied among the workers. The blood was obtained by veinpuncture

and the particular blood samples were kept for 60-120 minutes at room temperature in 10

mL tubes (vacutainers) without additives (BD Diagnostics, Plymouth, UK) for the coagulation.

After this period, the samples were centrifuged for 15 minutes at 1500 g and the serum

supernatant of each tube had been collected into NUNC® cryotubes (NUNC, Roskilde,

Denmark). The obtained serum samples were stored at -80°C until analysis.

3.2 SAMPLE PREPARATION

Serum samples from 50 exposed workers and 21 controls had been chosen to include

in our investigation. Out of these, two different sets of samples were prepared for two

different types of HPLC, i.e. hydrophilic interaction chromatography (HILIC) and reverse-

phase chromatography (RP-HPLC).

12

3.2.1 Protein precipitation and preparation of samples for HILIC-HRMS

Samples were allowed to thaw at room temperature for 30 minutes, followed by

precipitation of high-molecular-weight compounds, present in the samples. This is described

as the deproteinization step23. In order to achieve this, an organic solvent, namely methanol

was added to the samples in a 3:1 (vol/vol) ratio .

In more detail, 250 µL of each sample was transferred to labeled Eppendorf tubes.

Then, 750 µL of methanol was added, and the samples were vortexed for about 15 seconds

and then centrifuged for 15 minutes at 20 °C and at 15,000 × g using a Sigma 4K15 centrifuge

(Sigma, Osterode, Germany) to separate the supernatant, which was assumed to contain the

majority of all metabolites, and the precipitate23. After centrifugation, 200 µL of the

supernatant from each Eppendorf tube was transferred to separate chromatography vials

with inserts and sealed. This sample set was used for HILIC-HRMS.

The serum was exchanged with purified water in order to prepare a blank sample. The

blank was otherwise treated in the same way as the serum samples. A quality control (QC)

sample was prepared by pooling 20 µL from each Eppendorf tube in a chromatography

vial23.

3.2.2 Preparation of samples for RP-HPLC-MS

In order to prepare samples for RP-HPLC-HRMS the samples were processed further.

After the deproteinization step (cfr.3.2.1), 600 µL of each sample was transferred into new

labeled Eppendorf tubes. The samples were then evaporated under a gentle stream of

nitrogen until approximately 150 µL of solvent remained in the tubes.

The remaining solvent comprised of water. All Eppendorf tubes were sealed with

Parafilm before storing them in the freezer at – 80°C.

3.2.3 Lyophilisation

The residual water in the samples was removed by lyophilisation. Lyophilisation or

freeze-drying is the technique in which water or another solvent of high boiling point (e.g.

dimethyl sulfoxide) is sublimed under vacuum. The frozen samples were placed in a HetoVac

freeze-dryer (Heto InterMed, Birkerod, Denmark) for one day, after which all of the water

present in the samples and the blank had been removed. According to the literature it is

13

advantageous to dry biological fluids using lyophilisation in order to avoid metabolite

degradation23.

In order to assure good chromatography from RP-HPLC the samples were

reconstituted in 200 µL of purified water by vortexing for about 15 seconds followed by

sonication for 5 minutes23. Finally, all the samples were centrifuged again at 15 000 × g for

15 minutes at room temperature, and then 150 µL of each centrifuged sample was

transferred to a chromatography vial. Also, a QC was prepared for the RP-HPLC sample set,

for which 15 µL of each sample was pooled in a chromatography vial.

3.3 LIQUID CHROMATOGRAPHY-MASS SPECTROMETRY (DATA ACQUISITION)

3.3.1 Abstract

In this study, human serum samples have been analyzed using two slightly different

methods. All the compounds in the samples were at first separated by high-performance

liquid chromatography (HPLC) before analyzing the metabolites by high resolution mass

spectrometry (HRMS). A Dionex Ultimate™ 3000 RS UHPLC (Thermo Fisher Scientific,

Sunnyvale, CA, USA) and either an Exactive or a Q Exactive™ Mass Spectrometer (Thermo

Fisher Scientific, Bremen, Germany) were used for the analysis of the samples. While the

former instrument was used for previous analyses of the serum samples at the University of

Strathclyde, Glasgow, the latter instrument was used at the Norwegian Veterinary Institute,

Oslo.

Two different types of columns (RP and pHILIC) have been used for HPLC and for that

reason, different types of mobile phases were used. The mass spectrometry part is the same

for the two methodologies. The Xcalibur software (version 2.2 for instrument control, version

2.3 for data processing, Thermo Fisher Scientific, Inc., Waltham, MA, USA) was used for

instrument control and basic MS data processing. The serum samples were injected randomly.

Each sequence started with two blank injections followed by four QC injections. The QC sample

was then repeatedly run every 20-25th injection in order to monitor instrumental drift.

3.3.1.1 UHPLC

The separation of the metabolites in the serum samples has been achieved by HPLC.

This section gives a brief explanation of the main principle of HPLC and UHPLC (Figure 3. 1).

14

In a HPLC/UHPLC machine, the mobile phase from the reservoir is pumped through

the column with a continuous flow, most often with a constant flow rate and at high

backpressure. A small amount of a test sample (commonly 1-20 µL for analytical

applications) is being injected in the mobile phase before it enters the column. The mobile

phase and the sample solution are now guided together through the column. Depending on

the polarity of the analytes in the sample, the mobile phase and the stationary phase in the

column, analyte molecules will get separated in time. For example, analytes with a similar

polarity as the packing material of the stationary phase, will generally elute later due to

interactions. The separation is, however, also dependent on secondary effects such as π-

interactions. For this reason not all analytes spend as much time in the column, and different

retention times are obtained. When the analytes leave the column, they are detected by a

detector. In this study the detector was a mass spectrometer. http://www.waters.com/waters/en_US/How-

Does-High-Performance-Liquid-Chromatography-Work%3F/nav.htm?cid=10049055(20-04-2015)

Figure 3. 1: Schematic presentation of the main principle of HPLC/UHPLC. (http://www.waters.com/waters/en_US/How-Does-High-Performance-Liquid-Chromatography-Work%3F/nav.htm?cid=10049055 (20-04-2015))

3.3.1.2 The Q Exactive benchtop Orbitrap mass spectrometer

After HPLC separation, the eluting metabolites were analyzed using an Exactive™ or

Q Exactive™ HRMS (Thermo Scientific, Bremen, Germany) (Figure 3. 2).

Figure 3. 2: Representation of a Q exactive mass spectrometer. (http://www.textronica.com/lcline/q_exactive_prodspec.pdf (20-04-2015))

15

The compounds that elute from the column are first ionized in heated-electrospray

ionization probe (HESI-II). The generation of ions with such a probe is shown in Figure 3. 3.

The HESI is used as the ion source to create ions in the gas phase out of a liquid sample. A

high voltage is applied when the liquid reaches the probe, and as a result the liquid is

sprayed out of the probe as aerosols with an electric charge. Heated gas (nitrogen of 97-99%

purity) is applied to help the evaporation of solvents in the droplets. When the solvent

becomes more evaporated, the density of the charge at the surface of the droplets

increases. At a certain point, the charge density becomes so high that the electrical

repulsion, due to similar charges, overcomes the surface tension. Hence, the droplets will

shatter into smaller droplets. The shattering of droplets into smaller droplets continues for a

certain time and every time a droplet “explodes”, small gas phase ions are generated. The

probe can be used both in positive and negative polarity mode53. The formed ions are now

guided via an ion transfer tube to the S-lens. Here they are focused into a small ion beam,

which is led to the hyperbolic quadrupole mass filter54.

(http://www.thermoscientific.com/content/dam/tfs/ATG/CMD/cmd-support/tsq-quantum-access-max/manuals/HESI-II-Probe-User.pdf

(20-04-2015))

Figure 3. 3: H-ESI in the positive mode. (http://www.thermoscientific.com/content/dam/tfs/ATG/CMD/cmd-support/tsq-quantum-access-max/manuals/HESI-II-Probe-User.pdf (20-04-2015))

The quadrupole mass filter is implemented in the circuit to filter the formed ions

coming from HESI, based on their mass-to-charge ratio (m/z). The quadrupole consists of

four hyperbolic rods with a small space in the middle where the ions are passing through.

The pairs of opposite rods are each held at the same potential. There is the possibility to

apply different voltages to the rods, and therefore, depending on the mass-to-charge ratio,

some of the ions will reach the end of the quadrupole, yet others will get defocused from

their track and strike a rod. By applying a specific voltage, ions with a prescribed mass-to-

16

charge ratio will get focused, while the others get eliminated. Additionally it’s also possible

to employ alterations in the voltage, so ions with a certain range of mass-to-charge ratios

can be filtered55.

For a full scan analysis, the ions are accumulated in the C-trap after they went

through the quadrupole and are now led to the orbitrap, while clustering into a small ion

cloud. In the orbitrap, the ions circulate in an orbital motion between a central and a coaxial

electrode. This motion creates an image current that is detected, and the chromatograms

are built after Fourier-transformation of the measured current. In order to perform MS

fragmentation experiments, selected ions may be transferred to a higher-collision

dissociation (HCD) cell where fragmentation occurs, before the product ions are analyzed in

the orbitrap55 56.

3.3.2 RP-HPLC

Two different RP-HPLC columns have been used in this study. In previous analyses,

performed at the University of Strathclyde, an ACE Excel3 Super C18 column was used

(Advanced Chromatography Technologies Ltd., Aberdeen, Scotland; 150 × 3.0 mm i.d.). For

RP-HPLC-HRMS analyses in Oslo, the column of choice was a Kinetex™ XB-C18 column

(Phenomenex, Torrance, CA, USA; 100 × 2.1 mm i.d., 1.7 µm particle size). Both stationary

phases had a pore size of 100 Å.

The mobile phase consisted of 0.1% formic acid in purified water (mobile phase A)

and acetonitrile (mobile phase B)23 57.

A 5-µL aliquot of each sample was injected, and the column was kept at 30°C during

the entire run. The column was eluted using a linear gradient as shown in Table 3. 2.

Table 3. 2: The multi-step gradient for the RP-HPLC analysis using the Kinetex XB-C18 column.

Multi-step gradient RP-HPLC

Time (min) Flow (ml/min) % A % B

0.000 0.300 95.0 5.0 0.500 0.300 95.0 5.0

30.000 0.300 2.0 98.0 35.000 0.300 2.0 98.0 35.200 0.300 95.0 5.0 40.000 0.300 95.0 5.0

17

3.3.3 HILIC

For HILIC-HRMS, a ZIC®-pHILIC HPLC column (Merck KGaA, Darmstadt, Germany;

150 × 4.6 mm, 5 µm particle size) has been used. In this type of column the stationary phase

contains zwitterionic sulphobetaine functional groups.

The mobile phase consisted of 20 mM ammonium carbonate in purified water

(mobile phase A) and acetonitrile (mobile phase B). The linear gradient used for elution of

the column is shown in Table 3. 3.

Table 3. 3: The multi-step gradient for the HILIC analyses.

Multi-step gradient HILIC

Time (min) Flow-rate (ml/min)

% A % B

0.000 0.3 20 .0 80.0 30.000 0.3 80.0 20.0 31.000 0.3 92.0 8.0 36.000 0.3 92.0 8.0

37.000 0.3 20.0 80.0 46.000 0.3 20.0 80.0

As listed in Table 3. 3, the flow-rate of the eluents remained constant i.e. 0.3 ml/min

during the entire run. A 5-µL aliquot of each sample was injected, and the column was kept

at 30°C during the entire run.

3.3.4 High-resolution mass spectrometry (HRMS)

As described in section 3.3.1.2, the metabolites have been analyzed either with an

Exactive™ or with a Q Exactive™ mass spectrometer. The instrument has been run in the full

scan mode with a scan range of 75-1125 m/z in connection with HILIC or 100-1200 m/z in

connection with RP-HPLC. Table 3. 4 contains important instrumental parameters for the

analyses. The polarity of the electrospray interface was continuously switched between

positive and negative polarity, i.e. the instrument performed one scan in the positive ion

mode followed by one scan in the negative ion mode.

Table 3. 4: The HRMS parameters for the RP-HPLC and HILIC analyses.

HRMS-Parameters

RP-HPLC HILIC-HPLC

Resolution 70,000 70,000 AGC target 3 × 106 1 × 106

Maximum inject time 200 ms 200 ms Scan range 100-1200 m/z 75 – 1125 m/z

18

HESI Source parameters

RP-HPLC HILIC-HPLC

Sheat gas flow rate 35 35 Aux gas flow rate 10 10

Sweep gas flow rate 1 0 Spray voltage (kV) 4.00 4.00

Capillary temperature 250°C 250°C S-lens RF level 50.0 50.0

Heater temperature 300°C 300°C

3.3.5 Linear ion trap mass spectrometry (ITMS)

In order to acquire MS2 data of most metabolites HILIC was also performed in

connection with a linear ion trap mass spectrometer (ITMS). The HPLC-ITMS instrument used

consisted of a Finnigan LTQ linear ion trap mass spectrometer coupled to a Finnigan

Surveyor MS Pump Plus and Autosampler Plus (all Thermo Fisher Scientific Inc., Waltham,

MA, USA). The ITMS was run in the full-scan mode in the mass range 75-1125 m/z.

Simultaneous fragmentation of the three most intense ions was achieved using data-

dependent scanning. Ions above an intensity threshold of 5 × 104 were isolated with a 2 m/z

isolation width; the activation Q was set to 0.25, and the activation time was set to 30 ms for

fragmentation with a relative fragmentation energy of 35 units (i.e L/min).

3.4 MASS SPECTROMETRY DATA PROCESSING

3.4.1 Raw data file conversion

In order to make the Xcalibur raw data files available for automatized processing in

MZmine (see below) they were converted into the mzML standard mass spectrometry data

format using ProteoWizard (http://proteowizard.sourceforge.net/). The file converter splits

the raw data files into two new files, containing either the data from positive or negative

ionization. ProteoWizard also centroids the data.

3.4.2 Data processing in MZmine

MZmine 2 is an open-source software for mass-spectrometry data processing, with

the main focus on LC-MS data58. The processing of the data has been done separately for the

positive and the negative ionization mode. All the processing steps were, however, identical

for each set of data, except for the peak list filtering and the identification (see below). In

this study, MZmine version 2.10 has been used.

19

3.4.2.1 Peak detection/ peak picking

This step is crucial and consists itself of three steps, the mass detection, the

chromatogram building and the deconvolution of peaks59. Mass detection generates a list of

masses (ions) for each data file. All data points above the specified noise level are detected

as m/z peaks (ions) and all those below this intensity level are ignored58 60. The set

parameters can be found in Table 3. 5.

Table 3. 5: MZmine parameters for mass detection.

Mass detection

Criteria Parameter settings

Mass detector Centroid Noise level 5.0 × 103

MS level 1

During chromatogram building, ion chromatograms were extracted for each m/z with

a span over a predefined minimum peak width. These chromatograms are assembled in

peak lists for each data file meaning that a peak list is created for each sample containing

extracted chromatograms for every ion above the set threshold (Table 3.5).

(http://mzmine.sourceforge.net/features.shtml(03-05-2015))

Table 3. 6: MZmine parameters for chromatogram building.

Chromatogram building

Criteria Parameter settings

Minimum time span (min) 0.2 min Minimum height 5 × 104

m/z tolerance 0.0010 m/z or 5.00 ppm

Some of the constructed chromatograms may contain several peaks due to structural

isomers. Chromatogram deconvolution separates these into individual chromatograms

ideally containing only one single peak. Table 3. 7 shows that the ‘local minimum search’

algorithm has been used, which attempts to identify local minima as border points between

individual peaks in the chromatogram58 60.

20

Table 3. 7: MZmine parameters for chromatogram deconvolution.

Chromatogram deconvolution

Criteria Parameter settings

Algorithm Local minimum search Chromatographic threshold 1 %

Search minimum in RT range (min)

0.4 min

Minimum relative height 5 % Minimum absolute height 5 × 104

Minimum ratio of peak top/edge 5 Peak duration range (min) 0.2-5

3.4.2.2 Deisotoping

Following peak detection, all the peaks were deisotoped. The aim of the deisotoping

is to remove chromatograms that arise from isotope peaks thereby reducing the data set.

The deisotoping algorithm tries to find the most qualified charge state for each peak by

comparing the number of identified isotopes for each charge. Peaks are regarded as isotopes

when they comply for the predefined RT tolerance and m/z tolerance limits for a given

charge state. The applied parameters for deisotoping are shown in Table 3. 8. The isotope

pattern is generated for the charge state with the highest number of detected isotopes.

Then, the highest isotope is kept in the peak list, while the other isotopes were removed60.

Table 3. 8: MZmine parameters for deisotoping.

Isotopic peaks grouper

Criteria Parameter settings

m/z tolerance 0.0010 m/z or 5.00 ppm Retention time tolerance 0.1 absolute (min)

Maximum charge 2 Representative isotope Most intense

3.4.2.3 Peak list alignment

Peak list alignment aims to match corresponding peaks from separate data files into

one new aligned peak list. When this has been done, the new aligned peak list will contain

several rows and several columns. Each column represents one individual file and every row

represents one peak (“metabolic feature”) that has been matched to the corresponding

peaks in the other files60. A representation of such an aligned (and gap filled) peak list is

shown in Figure 3. 4. The chosen alignment algorithm was the ‘RANSAC aligner’, and the

parameters can be found in Table 3. 9.

21

Table 3. 9: MZmine parameters for peak list alignment.

Peak list alignment

Criteria Parameter settings

Algorithm RANSAC aligner m/z tolerance 0.001 m/z or 5ppm

Retention time tolerance after correction

0.8 min

Retention time tolerance 0.8 min RANSAC iterations 15 000

Minimum number of points 20.00 % Threshold value 2

Linear model No

3.4.2.4 Gap filling

The peak list alignment is never perfect, and thus not each peak had been matched

leaving 'gaps’ in peak rows for some samples. In some cases this is because a peak remained

undetected by the previous algorithms, e.g. due to errors in the alignment or insufficient

peak detection. Such errors are accounted for by a process called “gap filling” (Figure 3. 4).

In this case the ‘same m/z and RT range gap filler’ has been applied to detect the potentially

missing peaks and to add these to the aligned peak lists (Table 3. 10). The ranges for the m/z

and retention time for the gap filling process are automatically defined according to the

already detected peaks in the same row60.

Figure 3. 4: Screenshot of MZmine 2.10 showing the aligned and gap filled (and filtered) peak list. Every row represents a metabolic feature with its corresponding m/z and extracted ion chromatogram. The columns with colored dots represent individual samples (i.e. blank, QC and test samples). Green dots represent detected features, yellow dots represent features that were only detected during gap-filling and red dots represent undetected features (not shown in the figure).

22

Table 3. 10: MZmine parameters for gap filling.

Gap filling

Criteria Parameter settings

Algorithm Same m/z and RT range gap filler m/z tolerance 0.0010 m/z or 5.00 ppm

After the gap filling, peaks that also were present in all blank samples at an intensity

of approximately 5%, or higher, relative to the QC samples were deleted as it could be

anticipated that these were due contamination.

3.4.2.5 Peak list filtering

During peak list filtering, rows which do not comply with the set criteria, are removed

from the peak list (Table 3. 11). In this study, the peak list filtering was carried out in order to

remove peaks, which were only detected in a rather low number of samples (<45) and in

order to exclude peaks in the beginning of a chromatogram that lack chromatographic

resolution60.

Table 3. 11: MZmine parameters for peak list filtering.

Peak list filtering

Criteria Parameter settings

Algorithm Rows filter Minimum peaks in a row 45

Minimum peaks in an isotope pattern

1

m/z range RP: 100-1200 m/z

HILIC: 75-1125 m/z RT range 3 – 40 min

Peak duration range 0.2 – 5 min

3.4.2.6 Identification

This identification step consisted of two individual tasks, the ‘adduct search’ and the

‘peak complex search’. The adduct search function in MZmine aims to find possible

predefined adducts in the peak list, e.g. formate or solvent adducts (Table 3. 12). Adducts

have been identified by two important criteria. Criterion 1 requests that the mass difference

between the adduct and the original ion must be equal to one of the chosen adducts and

criterion 2 requests that the RT of the original ion and the ion of the adduct must be the

same60.

23

Table 3. 12: MZmine parameters for identification.

Adduct search

Criteria Parameter settings

Algorithm Adduct search RT tolerance 0.2 absolute (min)

Adducts

positive mode: Na, K, NH4 and ACN+H negative mode: HCOO and ACN+H

m/z tolerance 0.0010 m/z or 5.00 ppm Maximum relative adduct peak

height 50 %

As ions have the ability to form an ion complex a ‘peak complex search’ has been

carried out (Table 3. 13). In order to be identified as a complex, the following two criteria

needed to be fulfilled: First, the RT for both the complex ion and the separated ions must be

the same, and also the m/z of the ion complex must be equal to the sum of the m/z of the

separate ions, taken the mass change caused by ionization into account60.

Table 3. 13: MZmine parameters for complex search.

Peak complex search

Criteria Parameter settings

Algorithm Peak complex search

Ionization method ESI positive: M-H+

ESI negative: M-H-

RT tolerance 0.2 absolute (min) m/z tolerance 0.0010 m/z or 5.00 ppm

Maximum complex peak height 50 %

3.4.3 File export and normalization

After finishing the data processing in MZmine the remaining peak lists were exported

and saved as .csv files, which can be read by Microsoft Excel. Then, the following steps have

been carried out for both .csv files (from positive and negative ionization) before they were

combined into one file.

The blank samples were deleted and the data arranged so that the columns containing

metabolite peak areas from QC samples were in front, followed by the samples from

controls and finally the samples of the affected workers. The columns were arranged in

exactly the same way for the positive and the negative data set. The normalization was

24

performed by dividing the peak area of a certain metabolic feature by the sum of peak areas

for all the features in one sample.

The positive and the negative data set were finally combined and subjected to

multivariate statistical analyses.

3.5 DATA ANALYSIS

The software Simca (version 14, Umetrics, Umeå, Sweden) was used for the multivariate

statistical analyses (MVA) of the data sets obtained from HILIC-HRMS and RP-HPLC-HRMS. By

using principal component analysis (PCA) and orthogonal partial least squares projections –

discriminant analysis (OPLS-DA), the data could be visualized and analyzed.

The transposed data table from Microsoft Excel was copied into Simca and the first row,

containing a row ID and polarity, was defined as the ‘primary ID’. The second row and the

third row, which contained information on the m/z and the RT, respectively, were defined as

secondary ID’s.

3.5.1 Principal component analysis (PCA)

For unsupervised PCA in order to reveal the total variation of the dataset, all

variables were unit variance scaled (UV), which means that all variables have been centered

and divided by its standard deviation computed around the mean61. The scores for the

affected workers, the controls and the QC samples colored differently for better

visualization.

3.5.2 Orthogonal partial least squares – discriminant analysis

Supervised discriminatory analysis was performed to reveal potential markers of

response in sewage workers relative to the control group. The variables were pareto-scaled

(Par) for OPLS-DA, which means that the variables have been centered and divided by the

square root of the standard deviation of the mean. The QC samples were excluded from the

analysis.

3.5.3 Identification of potential metabolite markers

Metabolic features that contributed most to the discrimination of the affected

sewage workers and the control group were selected from the S-plot and variable-of-

importance (VIP) plot, which visualizes and scores the contribution of the loadings (i.e.

25

metabolic features) to the OPLS-DA model (cfr. 4.3). Potential metabolic markers for which

the relative standard deviation within the QC samples or in one of the groups exceeded 30%

were excluded. A two-tailed T-test was then performed using MS Excel in order to test if the

difference of the potential metabolic marker was statistically significant, and the significance

level was set to 0.05%.

The elemental composition of the remaining potential metabolite markers was

determined in Xcalibur using both positive and negative mode data. Mass uncertainty was

set to 3 ppm and obtained elemental compositions were verified using isotope peaks.

Elements included were C, H, O, N, P, Cl, Na and S. Elemental compositions were searched

against PubChem, Chemspider, Metlin, HMDB and KEGG online databases. The identity of

potential metabolite markers was further verified from MS2 fragmentation spectra.

26

4 RESULTS AND DISCUSSION

4.1 SAMPLE SELECTION AND SAMPLE PREPARATION

The sewage worker study had not originally been designed for a metabolomics study

and the sample set might thus not be suited for an untargeted metabolomics approach.

Instead, the original aim was to survey the impact of such a working environment on the

concentration of pneumoproteins in the serum of these workers as well as lung function,

primarily because of the expected exposure of sewage workers to endotoxins and bacteria in

sewage dust62. In that investigation, all workers had to complete a questionnaire, an

interview and a basic medical examination. Based on this, they have been divided into an

affected group and a control group (cfr. 3.1). For our investigation, 50 samples from the

affected group and 21 samples from the control group had been chosen based on the

concentration of C-reactive protein (CRP) in the samples. For selection of samples from the

affected group, samples from individuals with the highest concentration of CRP were

chosen.

In the preparation of serum samples, methanol had been used in a 3:1 (vol/vol) ratio

for the deproteinization (cfr. 3.2.1). The use of this solvent in this ratio is proven to be very

efficient in the removal of proteins at room temperature23. Want et al. examined the use of

different protein precipitation methods, including different organic solvents and acids to

heat denaturation, in order to find the method that is the most efficient for using in

metabolite profiling studies. This investigation demonstrated that the use of pure methanol

or methanol/acetone mixtures were best suited as they retained most reproducible

features, but at the same time removed proteins efficiently. Furthermore, methanol is cheap

and uncomplicated to use11.

Two different types of chromatographic columns have been applied in this study for

RP-HPLC and HILIC. These types of columns exhibit orthogonal selectivity, meaning that

metabolites with a low to medium polarity will have higher retention on the former, while

highly polar metabolites will have higher retention on the latter column63 64. The used HILIC

column differs from the used RP columns in that the stationary phase comprises of a

zwitterionic sulphobetaine-functionalized polymer instead of a rather lipophilic

octadecylsilanol-particle. A unique selectivity is the consequence of weak electrostatic

27

interactions between the sulphobetaine-stationary phase and polar analytes. This type of

column fits excellent for highly polar compounds, which are barely retained on the RP

column65. Thus, HILIC has the advantage of improving the retention of hydrophilic

compounds64 66.

The first set of samples, which has been applied for the HILIC column, was ready for

use after the deproteinization step (cfr. 3.2.1). For this type of column, a high level of organic

solvent was needed in order to get better separation and better peak shapes. Thus, the

methanol present in these samples, didn’t need to be evaporated. Given that a RP column

has been used for the other set of samples, these samples needed to be highly aqueous on

the contrary. Therefore, this set required some additional steps to remove the methanol and

to resolve the content in an aqueous solvent.

Besides the preparation of two different sample sets for the two chromatographic

approaches, also a QC sample (i.e. Quality Control) and a blank sample were prepared both

for HILIC-HRMS as well as RP-HPLC-HRMS. The purpose of the blank samples was their use

for the identification of “background features“, while the purpose of the QC samples was to

monitor instrumental drift. In this study, the QC sample has been a pooled QC, and the use

of this kind of QC is favorable due to its high appropriateness, but yet might not always be

possible to include in a metabolomics study23 67. A pooled QC contains an aliquot of each

test sample, and for that reason it represents more or less an average of the composition of

all the test samples, both qualitatively and quantitatively23 67.

In untargeted metabolomics studies, just like this one, the QC samples are principally

used to evaluate the potential drift of the instrument68. Another important reason for the

utilization of QC’s is that they could be implemented at the start of the batch in order to

condition the analytical platform23 68 69.

4.2 LC-HRMS ANALYSES AND DATA PROCESSING

In this investigation, two different types columns with different selectivity have been

applied in order to achieve chromatographic separation for a wide range of metabolites. As

already mentioned in section 4.1, the applicability of RP-HPLC is limited for highly polar

compounds. However, biological fluids such as serum contain polar compounds, e.g. amino

acids and carnitines, that will be better retained by HILIC63 64 70. In fact, RP-HPLC was

28

originally widely used in connection with HRMS, but recently the use of HILIC gains more

interest as the selection of stationary phases increases70 71.

Serum samples are a complex mixture of different types of compounds. This means

that good separation of all these compounds with different polarities can’t take place in an

isocratic mode. Therefore, HPLC has been used with a multi-step gradient mode for both

types of columns. The multi-step gradient for the HILIC column (cfr. 3.3.3) started with a high

proportion of organic mobile phase, and the proportion of aqueous mobile phase was

gradually increased in the course of the chromatographic run. In case of the RP-HPLC, the

gradient started with a high proportion of aqueous mobile phase (cfr. 3.3.2), while the

proportion of organic mobile phase was gradually increased in the course of the

chromatographic run.

Using an untargeted LC-HRMS approach yields a very high number of potential

metabolic features. It is impossible to handle such a high number of features manually.

MZmine typically extracted more than 10,000 potential metabolic features from the raw

data. During the processing this number was reduced to about 1,500 features. The data

processing itself is explained in section 3.4.2. One of the final steps of the processing is an

alignment step. This enabled the direct comparison of samples within one method. An

example of an aligned and gap filled peak list is shown in Figure 3. 4.

The principal aim with the normalization of data (cfr. 3.4.3), prior to multivariate

statistical analysis (MVA), was to correct for the observed instrumental drift (cfr. 4.6).

4.3 MULTIVARIATE DATA ANALYSES

The data set was visualized and analyzed by unsupervised principal component analysis

(PCA) and supervised orthogonal partial least squares projections – discriminant analysis

(OPLS-DA). These techniques offer dimension reduction and reveal associations between

data6 64. This section is based on the analysis of the original raw data set from HPLC-HRMS

analyses performed at the University of Strathclyde, Glasgow.

The first step was the visualization of data sets in unit-variance scaled PCA score scatter

plots (Figure 4. 1 and Figure 4. 2). It was not possible to observe any clear separation

between the affected and the control samples in the PCA plots including PC1 and PC2 (Figure

29

4. 1 and Figure 4. 2). The variation in the observations explained by the first two PC’s was

relatively low, i.e. 26% and 21% for RP-HPLC- and HILIC-HRMS (Table 4. 1). In order to

maximize the predictive ability, Q2, of the models 11 PC’s were necessary to include for the

two instrumental methods (Table 4. 1). The necessity of such high numbers of principal

components for a maximum predictive ability indicates a weak model and low correlation

between variables and observations. Furthermore, Q2 remained relatively low keeping in

mind that according to the literature this parameter should be larger than 0.5 for ‘good’

models72 73. However, PCA groups the samples solely on the information in the

measurement data, and the two different study-groups, i.e. the controls and the affected,

were not specified24 74. Thus, the model has been used to detect inherent trends within the

data64. PCA is also a good method to detect possible outliers that could affect the data64. A

Hotelling’s T2 outlier test is part of the PCA score scatter plot in SIMCA and reveals strong

outliers. In the unit-variance scaled PCA score scatter plots of the normalized data sets from

HILIC-HRMS and RP-HPLC-HRMS three or two outliers can be seen, respectively (Figure 4. 1

and Figure 4. 2). The argumentation about the QC’s in PCA score-plots can be found in

section 4.6.

Table 4. 1: : Summary of statistical measures from unsupervised PCA of the normalized, original dataset obtained from RP-HPLC- and HILIC-HRMS at the University of Strathclyde, Glasgow. The variance explained by PC 1 + PC 2 is defined but also the maximum variance that can be explained by PC’s.

PCA-X (UV)

PC R2X(cum)a Q2(cum)b

RP GLASGOW PC 1 + PC 2 0.261 0.157

PC 1 – PC 11 0.595 0.268

HILIC GLASGOW PC 1 + PC 2 0.209 0.103

PC 1 – PC 11 0.545 0.225 a Fraction of the variation explained by the model

b Predictive ability of the model

Figure 4. 1 Score scatter plot from unsupervised, unit variance scaled PCA for the normalized data set from RP-HPLC-HRMS obtained at the University of Strathclyde, Glasgow. Colors represent: red, affected workers; blue, control samples; green, QC samples. Observations outside the ellipse are strong outliers from the Hotelling’s T

2 test.

30

The PCA score scatter plot of the normalized, original data set from HILIC-HRMS

obtained at the University of Strathclyde, Glasgow showed two strong outliers, identified by

the Hotelling’s T2 test (Figure 4. 2) Interestingly, the outliers observed in the RP-HPLC-HRMS

data set were different from those observed in the HILIC-HRMS data set. The QC samples did

not cluster together in the PCA score plots indicating instrumental drift. Thus, the

normalization of the data did not correct entirely for instrumental drift indicating that

individual features in the samples did not drift equally during the analyses.

Figure 4. 2: Score scatter plot from unsupervised, unit variance scaled PCA for the normalized data set from HILIC-HRMS obtained at the University of Strathclyde, Glasgow. Colors represent: red, affected workers; blue, control samples; green, QC samples. Observations outside the ellipse are strong outliers from the Hotelling’s T

2 test.

OPLS-DA was used for the selection of possible biomarkers in the sewage workers.

This is a supervised MVA method , which means that it correlates data to a certain property

such as ‘affected’ or ‘controls’ in this case75. OPLS-DA has been carried out by using pareto

scaling. Pareto scaling is very similar to unit variance scaling. However, in pareto scaling the

square root of the standard deviation is used as the scaling factor, and not the standard

deviation itself as in unit variance scaling. By using pareto scaling, large fold changes are

decreased more than small fold changes, and thus the large fold changes are less

dominant76. The QC samples were excluded from the OPLS-DA, since this type of MVA has

the intention to obtain information about the variance and covariance between the affected

and control groups. The QC samples, representing an ‘average’ of the entire data set

obviously cannot contribute to this.

The OPLS-DA score scatter plot for the RP-HPLC-HRMS data set is shown in Figure 4.

3. These plots are, in the same way as PCA score scatter plots, based on the summarization

31

of observations77. The plot shows some separation between both groups. However, from the

plot it can also be seen that the differentiation between the groups was not complete. This

indicated a weak model which was further confirmed by the following statistical measures:

The model explained 48.6 percent of the variation between both groups (i.e.

R2Y(cum))(Table 4. 2). However, a negative number for the predictive ability of the model,

Q2, shows an especially poor fit and any identification of putative marker metabolites based

on the model must be handled with care77.

Figure 4. 3 Score scatter plot from supervised OPLS-DA (pareto scaling) of the observations from RP-HPLC-HRMS performed at the University of Strathclyde, Glasgow. Colors represent: blue, affected workers; green, control samples.

The OPLS-DA score scatter plot for the HILIC-HRMS data set is shown in Figure 4. 4. At

first sight, this looks slightly better than the same score scatter plot from the RP-HPLC-HRMS

data set. Table 4. 2, showing selected statistical measures of the model supports that this

model is significantly stronger than the above, as indicated by a higher R2Y(cum). Also, the

higher predictive ability of the model, Q2, and thus the smaller difference between Q2 and

R2Y(cum) support a stronger model.

Figure 4. 4: Score scatter plot from supervised OPLS-DA (pareto scaling) of the observations from RP-HILIC-HRMS performed at the University of Strathclyde, Glasgow. Colors represent: blue, affected workers; green, control samples.

32

Exclusion of the outliers in RP-HPLC-HRMS (S114, S146, 02_S127) and HILIC-HRMS

(S196, S109) based on the PCA plots, resulted in slightly better values for R2X, R2Y and Q2

(Table 4. 2). In the first case, observing an improvement for the negative predictive ability of

the model, but the fit still remains very weak. In HILIC-HRMS, also an increase could have

been noticed, but in this case an extra component had been included to achieve the

maximizing of the Q2. In general, this correction resulted in an insignificant small

improvement and even more, new outliers were revealed in the new score-plots.

Investigation of the S-plots, corrected for the outliers, did not change the selection of

putative biomarkers for further identification. Therefore, there had been continued with the

complete sample set.

Table 4. 2: Comparison of statistical measures for supervised OPLS-DA models obtained from RP-HPLC-HRMS and HILIC-HRMS data sets obtained at the University of Strathclyde, Glasgow.

OPLS-DA (PAR)

PC R2X(cum)a R2Y(cum)b Q2(cum)c

RP GLASGOW PC 1 + PC 2 0.237 0.486 -0.0344 RP GLASGOW

adjusted for outliers PC 1 + PC 2 0.243 0.512 0.0236

HILIC GLASGOW

PC 1 + PC 2 0.220 0.589 0.302

HILIC GLASGOW

adjusted for outliers PC 1 – PC 3 0.262 0.831 0.356

a Fraction of the variation explained by the model

b Fraction of the variation between both groups explained by the model

c Predictive ability of the model

In order to select putative metabolic markers of exposure, the S-plots for both OPLS-

DA models were studied77. An S-plot is a loadings plot visualizing and scoring the variables

(i.e. metabolic features) according to their significance for the model77. S-plots have been

constructed out of the pareto scaled OPLS-DA models. The potential metabolic markers of

exposure were selected according to their location in the S-plot (Figure 4. 5 and Figure 4. 6).

This type of loadings plot combines the modelled covariance (p[1]-axis) and the modelled

correlation (p(corr)[1]-axis) from OPLS-DA77. Putative biomarker molecules are characterized

by large variable magnitude and good reliability, and in an S-plot such variables are located

at the bottom left or upper right corner of the plot (Figure 4. 5 and Figure 4. 6)77.

33

Figure 4. 5: S-plot of supervised, pareto scaled OPLS-DA of RP-HPLC-HRMS profiled serum samples run at the University of Strathclyde, Glasgow. The blue and red colored loadings correspond to potential marker metabolites that were selected for T-testing and tentative identification.

Figure 4. 6: S-plot of supervised, pareto scaled OPLS-DA of HILIC-HRMS profiled serum samples run at the University of Strathclyde, Glasgow. The blue and red colored loadings correspond to potential marker metabolites that were selected for T-testing and tentative identification .

Figure 4. 7: Variable Importance Plot (VIP) of supervised, pareto scaled OPLS-DA of RP-HPLC-HRMS profiled serum samples run at the University of Strathclyde, Glasgow. Coloration of variables is according to the S-plot.

34

The Variable Importance Plot (VIP) is a scoring feature of the SIMCA software that

allows verifying the selection of potential metabolite markers from the S-plot. The higher the

VIP score (>1) the more significant is the metabolic feature in complex analysis in comparing

the difference between the two groups. The VIP plot is a coefficient plot that summarizes

the relationship between the X and Y variables, but the algorithm is not known (Figure 4. 7

and Figure 4. 8)78.

Figure 4. 8: Variable Importance Plot (VIP) of supervised, pareto scaled OPLS-DA of RP-HPLC-HRMS profiled serum samples run at the University of Strathclyde, Glasgow. Coloration of variables is according to the S-plot.

4.4 SELECTION OF POTENTIAL METABOLOMIC MARKERS OF EXPOSURE

The selected features from supervised OPLS-DA were tested for statistical significance

using a two-tailed T-test in excel. The statistical significant (P<0.05) potential metabolic

markers are summarized as m/z and retention time pairs in Table 4. 3 and Table 4. 4

together with their group ratio, as well as the relative standard deviation (RSD) of the

metabolic features in the QC samples and within the two groups. The ratio demonstrates

either upregulation (>1) or downregulation (<1) of the metabolite in the control vs. the

affected group. Features with a poor repeatability, i.e. features with RSD’s > 30 % in the

QC’s were removed. However, where the same feature was identified as a statistically

significant putative metabolic marker in the re-analyses carried out at STAMI, Oslo, it was

not rejected from the original (i.e. University of Strathclyde) list of metabolic markers, even

though they had RSD’s > 30 %.

35

Table 4. 3: Putative metabolic markers selected from the RP-HPLC-HRMS data set.

RP-HPLC Potential

Metabolic Markers

Primary ID

row m/z

Row retention

time (min)

P-value

Ratio Control/affected

%RSD of QC

%RSD of

Control

%RSD of Affected

P1 166.0862 6.82 0.025 0.90 3.74 18.3 14.7 N6 167.0213 3.59 0.037 0.91 2.50 18.1 17.4 P9 182.0812 4.61 0.010 0.86 3.55 20.9 24.0

P33 204.1230 3.38 0.032 0.79 13.3 41.6 44.0 N20 311.1406 11.72 0.001 0.70 4.17 38.9 40.1 P17 313.1544 11.72 0.001 0.69 2.75 43.2 42.4 P89 480.3450 29.14 0.017 1.4 11.7 49.6 29.8 P3 520.3396 26.08 0.020 1.1 2.20 20.8 18.9 P7 522.3552 28.82 0.026 1.1 4.70 21.5 22.1

P53 522.3552 28.15 0.019 1.2 5.58 28.0 29.2 N30 588.3314 26.11 0.023 0.87 1.33 24.9 20.0 N11 617.7375 13.92 0.001 0.77 6.31 29.2 33.2 N15 653.2669 11.79 0.004 0.74 3.73 41.2 39.4

N23 661.2536 13.12 0.033 0.84 6.20 27.5 37.0

N50 862.3950 11.79 2.3E-

05 0.59 4.93 47.1 46.5

N71 942.3451 7.57 1.7 E-

04 0.60 3.38 50.2 54.0

P55 1043.704 28.82 0.037 1.4 7.61 55.3 53.4 N54 1083.663 26.08 0.012 1.2 0.81 25.0 24.3

Table 4. 4: Putative metabolic markers selected from the HILIC-HRMS data set.

HILIC Potential Metabolic Markers

Primary ID

row m/z

Row retention

time (min)

P-value

Ratio Control/affected

%RSD of QC

%RSD of

Control

%RSD of Affected

N34 187.0074 4.57 0.028 1.6 62.5 61.0 108 N27 253.2178 4.09 0.040 0.70 11.8 68.9 68.0 N59 269.2128 3.96 0.046 1.3 49.2 49.1 61.5

N133 287.2311 3.94 3.0E-

07 3.1 49.8 44.5 131

N54 296.2363 3.91 0.031 1.3 49.5 44.1 53.3 N24 297.2440 3.92 0.042 1.4 49.2 52.8 64.4 P4 496.3395 4.97 0.053a 1.1 3.05 15.4 21.0

P10 520.3396 4.94 0.0037 1.2 13.0 22.0 26.6 P23 522.3555 4.89 0.015 1.1 8.51 17.3 29.5 P19 524.3710 4.85 0.022 1.1 3.18 18.3 23.9

P18 760.5854 4.32 0.0056 0.78 6.78 34.9 34.1 P12 786.6006 4.27 0.022 0.83 7.78 33.3 28.4 P39 810.6008 4.22 0.0034 0.77 7.43 37.8 28.8 P77 812.6160 4.23 0.0025 0.62 9.01 69.4 54.5

a The P-value of compound 496.3395 exceeds the limiting value slightly, but has been kept.

36

4.5 TENTATIVE IDENTIFICATION OF METABOLITES

The selection criteria, i.e. P < 0.5 and within-QC and within-group RSD < 30% gave 12

metabolic features that were potential metabolic markers of exposure (Table 4. 7). Two of

these features were significant in both the RP-HPLC-HRMS and the HILIC-HRMS datasets (i.e.

520.3396 and 522.3552) This was regarded as a strong indicator for the group difference

being real rather than simply by chance. However, when the sample preparation and

instrumental analysis was repeated in Oslo, the majority of the features that were identified

as putative metabolic markers in the data sets, obtained in Glasgow, were not identified as

such in Oslo. Only two of the features with m/z 496.3395 and 520.3396 could again be

identified as putative metabolic markers in the HILIC-HRMS data set, obtained in Oslo

(P < 0.5, within-QC and within-group RSD < 30%). Furthermore, four of the putative

metabolic markers from the RP-HPLC-HRMS data set acquired in Glasgow (N20, P17, N11

and N15) showed within-group RSD’s higher than 30%, but were again detected as putative

metabolic markers in the analyses performed in Oslo. These were thus kept in the list of final

putative metabolic markers (Table 4.5).

The elemental composition was determined using the Xcalibur software for all final

putative metabolic markers (Table 4. 7). A QC sample was used in order to extract the mass

spectra of all putative metabolic markers, because the data from these samples should give

the best representation of all features (cfr. 4.1). QC data files from RP were applied for RP

features and QC data files from HILIC for HILIC features. The scan filter during ion extraction

was set according to the polarity mode of the electrospray interface. Each mass spectrum

had been observed in order to find a qualified elemental composition with respect to this

mass spectrum.

The tentative structure determination for the putative metabolic markers is in the

following demonstrated in more detail for the metabolic feature P1 (Table 4. 3 and Table

4.7). This putative metabolic marker afforded ions with m/z of 166.0862 in the positive

ionization mode. Therefore, the scan filter has been set to positive mode. The mass

tolerance for extracting the peak from the full-scan chromatogram was set to 5 ppm (Figure

4. 9). Figure 4. 9 shows the extracted ion chromatogram and the mass spectrum of the

metabolic feature. The mass peak at m/z 166.0862 is regarded as the M peak, while also the

37

isotope mass peaks from exchange of one or two 12C isotopes by 13C can be seen at m/z

167.0892 and 168.0926, respectively (Figure 4.9).

Figure 4. 9: The extracted chromatogram and mass spectrum for the positively ionized metabolic feature with m/z 166.0862.

After mass spectrum extraction, Xcalibur was used to generate conceivable elemental

compositions for the given m/z value. The elements C, H, O, N, P, Cl, Na and S were included

for generation of elemental formulae, and the mass tolerance was set to 3 ppm. When

observing the isotope pattern for feature P1, it was already possible to exclude chlorine

from the elements list, because in this case, a M+2 peak with 30 % intensity compared to the

M peak should be present. Also sulfur could likely be removed from the list as otherwise the

size of the M + 2 peak was expected to increase by approximately 5%. Taking the nitrogen

rule into account, which states that molecules with even molecular mass have zero or an

even number of nitrogen in their formula and molecules with odd molecular mass an odd

number of nitrogen, feature P1 was expected to contain an odd number of nitrogen. The

observed base peak with m/z 166.0862, corresponds to the protonated molecule (positive

ionization) and therefore the measured monoisotopic mass would be 165.0783Da. Based on

the size of the molecule, the expected number for each element was estimated for the

F:\thesis Florence\datafiles\RP-HPLC\QC6 20/02/2015 00:02:43 Q.C

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38

determination of elemental formulae using Xcalibur (Table 4. 5), and in Table 4. 6 the

composed formulas are listed.

Table 4. 5: Overview of the included elements for the calculation of the elemental composition for m/z 166.0862, estimated for their amount.

Elements in use

Isotope Min Max DB eq. Mass

14 N 1 3 0.5 14.003

16 O 0 6 0.0 16.995

12 C 0 20 1.0 12.000

1H 0 30 -0.5 1.008

31 P 0 1 0.5 30.974

Table 4. 6: Possible elemental formulae for m/z 166.0862 calculated in Xcalibur based on the parameters in Table 4. 5.

As feature P1 corresponded to a metabolite with odd molecular mass an odd number

of nitrogens was expected, and thus only the first elemental composition was likely. The

‘delta ppm’ is equivalent to the mass accuracy and shows the difference between the

theoretical and experimental m/z, and a difference of 0.3 ppm can be considered as very

good79. For metabolites with larger m/z values, more theoretical elemental formulae are

expected to be calculated because there are more possibilities for the combination of

chemical elements. A mass spectrum for an ion with the elemental formula C9H12O2N

formula was generated in order to compare the isotope pattern with the authentic mass

spectrum (Figure 4. 10). The simulated mass spectrum resembled the observed mass

spectrum and supporting that the calculated elemental composition was correct.

Based on the m/z value of the base peak and the calculated elemental formula, the

databases PubChem, Chemspider, Metlin, HMDB and KEGG were searched for metabolites

that would comply with these data. Then, the MS2 fragmentation pattern of the metabolite

was studied in order to find out which of the database compounds fits with the

fragmentation pattern of the metabolite. A QC sample was used to acquire MS2 data for the

putative metabolite markers.

Results

Index Formula RDB Delta ppm

1 C9H12O2N 4.5 -0.332

2 C5H15O2N2P 0.0 -2.202

39

Figure 4. 10: Isotope pattern of generated elemental composition (above) compared to isotope pattern of metabolite with m/z 166.0862 (below). The patterns are very similar.

The databases gave several suggestions for the structure of the metabolite e.g.

phenylalanine, benzocaine, 3 amino-phenylpropionic acid (which would be identical to

phenylalanine) etc. The ring double bond equivalent (RDB) of the neutral equivalent of P1

was 5 (cfr. Table 4. 6) suggested that the molecule could have a benzene ring and a carbonyl

group as in phenylalanine. Examination of the fragmentation spectrum revealed a major

product ion at m/z 120, corresponding to loss of 46 Da, and a minor product ion at m/z 149

(Figure 4. 11). The −46 Da loss, attributed to loss of the carboxyl group as formic acid, which

is diagnostic for the presence of a carboxylic acid. (Figure 4. 11). The latter product ion can

be explained by the presence of an amine function in the structure.

For all other final putative metabolic markers the chromatograms, mass spectra and

MS2 product ion spectra are shown in the appendix. However, the obtained mass spectral

data for the remaining putative metabolic markers will be briefly discussed in the following

sections (Table 4. 7).

164 165 166 167 168 169 170 171 172

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171.9931169.9774168.0903 171.1493169.0861164.5456 165.0524165.9160

167.5485166.2571

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C 9 H12 O2 N: C 9 H12 O2 N1

pa Chrg 1

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QC8#143-166 RT: 1.44-1.65 AV: 12 T: FTMS + p ESI Full ms [80.00-1200.00]

40

Figure 4. 11: Product ion spectrum from HILIC-ion trap mass spectrometry and possible explanation for the observed product ions for the metabolite with m/z 166.0862, tentatively identified as phenylalanine.

Another metabolic feature, which was identified as a putative metabolic marker

afforded negatively charged ions with m/z 167.0213. Provided this m/z corresponds to the

deprotonated molecular ions the metabolite contains an even number of nitrogen atoms, if

any. However, the mass spectrum was noisy, and it was therefore difficult to identify an

isotope pattern (Figure 7. 1). Furthermore, the elemental formulae returned from

calculations made in Xcalibur were meaningless, and the MS2 product ion spectrum showed

only two ions corresponding to loss of 43 and 44 Da (Figure 7. 2). Thus, the compound

remained unidentified.

The elemental formula C9H12O3N was found to be the most likely for the metabolite

affording positively charged ions with m/z 182.0812 (Table 4. 7). The elemental composition

differed by one oxygen atom to that of the tentatively identified phenylalanine. The MS2

product ion spectrum was likewise similar and showed product ions corresponding to losses

of 17 and 46 Da (Figure 7. 4). These product ions are likely the result of loss of ammonia and

formic acid indicating the presence of amine and carboxylic acid functions. It is thus most

likely that m/z 182.0812 is equivalent to the amino acid tyrosine (4 hydroxy-phenylalanine).

41

The metabolic features m/z 311.1406 and m/z 313.1544 from negative and positive

ionization, respectively, eluted at the same retention time from the RP-HPLC columns (Table

4. 7). The calculated elemental compositions for the two ions were C18H19N2O3 and

C18H21N2O3 showing that the ions were the deprotonated and protonated molecular ions,

respectively. Database searches suggested a phenylalanine-phenylalanine dipeptide for the

elemental formulae. Several of the product ions observed in the MS2 product ion spectrum

supported a phenylalanine dipeptide (Figure 7. 6). For example, the m/z 147 product ion is

likely due to cleavage of the amide linkage between the monomers, and the m/z 164

product ion could arise from fragmentation of the bond on the other side of the amide

linkage resulting in a phenylalanine-amide (Figure 7. 6).

Compound 496.3395 was tentatively identified as 2- or 3-hydroxy-palmitoyl-

glycerophosphocholine (C24H51O7NP) from database searches. First, the formula had been

generated by including at least one nitrogen and no chlorine in the calculations as a result of

observations of the isotope pattern and the molecular mass indicating the presence of an

odd number of nitrogen atoms. The MS2 product ion spectrum showed a major product ion

with m/z 184 likely corresponding to a phosphocholine moiety verifying a phosphocholine-

type phospholipid (Figure 7. 9). Whether the molecule is a 2- or 3-hydroxy compound can

only be found out by comparison to authentic standards.

The m/z 520.3396 metabolic feature was significantly different between the affected

and control workers in both the RP and the HILIC approach from the samples run at the

University of Strathclyde, Glasgow. Calculating the elemental composition revealed

C26H51O7NP as the most probable elemental formula, and again sn-glycero-3-phosphocholine

molecules were suggested in the databases. The elemental composition differed by C2 to a

putative hydroxy-palmitoyl-glycerophosphocholine. The fragmentation pattern showed the

same characteristics as for previous compound (Figure 7. 12), and it could therefore be

concluded that this compound is a similar phospholipid with a longer fatty acid chain. Thus,

m/z 520.3396 is probably a 2- or 3-hydroxy-octadecadienoylglycerophosphocholine.

42

Table 4. 7: Overview of the final potential metabolic markers from untargeted RP-HPLC- and HILIC-HRMS based metabolomics and tentative identification of metabolites based on calculation of the elemental composition and study of MS2 product ion spectra. Superscripts for row m/z mean: 1: significant features from both the RP-HPLC- and HILIC data set from Glasgow, 2: significant features from the RP-HPLC data set with inter-group RSD >30%, but which were identified both in Glasgow and in Oslo, 3: significant features from the HILIC data set both from Glasgow and Oslo, 4: significant feature from HILIC and RP-HPLC data sets from Glasgow and HILIC data set from Oslo.

Primary ID

Row m/z Retention

time Type of

ion Elemental composition RDB

a Delta ppm

Tentative structure Type

P1 166.0862 6.82 [M-H]+ C9H12O2N 5 -0.332 Phenylalanine Amino acid

N6 167.0213 3.60 [M-H]- / / / Unknown /

P9 182.0812 4.61 [M-H]+ C9H12O3N 5 0.166 Tyrosine Amino acid

N20 311.14062 11.72 [M-H]

- C18H19N2O3 10 2.928 Phenylalanine- phenylalanine Dipeptide

P17 313.15442 11.72 [M-H]

+ C18H21N2O3 10 -0.859 Phenylalanine- phenylalanine Dipeptide

P4 496.33953 4.97 [M-H]

+ C24CH51O7NP 1 -0.846

2-hydroxy-palmitoyl-glycerophosphocholine or 3-hydroxy-palmitoyl-glycerophosphocholine

Phospholipid

P3 520.3396

1

(RP) 26.08 [M-H]

+ C26H51O7NP 3 -0.319

2-hydroxy-octadecadienylglycerophosphocholine or 3-hydroxy-octadecadienylglycerophosphocholine

Phospholipid

P10 520.3396

4

(HILIC) 4.94 [M-H]

+ C26H51O7NP 2 -0.319

2-hydroxy-octadecadienoylglycerophosphocholine or 3-hydroxy-octadecadiepnylglycerophosphocholine

Phospholipid

P7 522.3552

1

(RP) 28.82 [M-H]

+ C26H53O7NP 2 -0.413

2-hydroxy-octadecenoylglycerophosphocholine or 3-hydroxy-octadecenoylglycerophosphocholine

Phospholipid

P53 522.3552

1

(RP) 28.15 [M-H]

+ C26H53O7NP 2 -0.413

2-hydroxy-octadecenoylglycerophosphocholine or 3-hydroxy-octadecenoylglycerophosphocholine

Phospholipid

P23 522.3555

1

(HILIC) 4.89 [M-H]

+ C26H53O7NP 2 -0.873

2-hydroxy-octadecenoylglycerophosphocholine or 3-hydroxy-octadeceno0ylglycerophosphocholine

Phospholipid

P19 524.3710 4.85 [M-H]+ C26H55O7NP 1 -0.965

2-hydroxy-octadecanoylglycerophosphocholine or 3-hydroxy-octadecanoylglycerophosphocholine

Phospholipid

N30 588.3314 26.11 [M-H]- C24H48O4N9P2 6 1.070 Unknown /

N11 617.73752 13.92 [M-H]

- / / / Unknown /

N15 653.26692 11.79 [M-H]

- / / / Unknown /

N54 1083.663 26.08 [M-H]- / / / Unknown /

a The ring double bond equivalent is for the neutral molecule.

43

The metabolic feature with m/z 522.3552 was also present in both the RP and the

HILIC approach from the samples run at the University of Strathclyde, Glasgow.

Furthermore, the extracted ion chromatograms showed two closely eluting isomers that

were significantly different between the affected and control workers in both RP-HPLC-

HRMS data sets (Glasgow and Oslo). The calculated elemental formula for m/z 522.3552

(C26H53O7NP) showed that this metabolite contained two hydrogen atoms more than m/z

520.3396, while its MS2 product ion spectrum showed that it was a phosphocholine (Figure

7. 15). This means that the fatty acid chain of the phospholipids likely contained a mono-

unsaturated hydrocarbon chain, and thus was likely a 2- and 3-hydroxy-

octadecenoylglycerophosphocholine.

The MS characteristics for m/z 524.3710 were similar to the latter two, and its

elemental formula (C26H55O7NP) again indicated the presence of two additional hydrogen

atoms relative to m/z 522.3552 (Figure 7. 17). Thus, this metabolite was likely a 2- or 3-

hydroxy-octadecanoylglycerophosphocholine.

The most likely elemental composition for m/z 588.3314 was C24H48O4N9P2. The databases

did not contain any metabolite with this elemental composition. It was thus not possible to

come up with a suggestion for a structure of this compound.

For the metabolic features m/z 617.7375 and 653.2669, observed in the negative

ionization mode, no meaningful elemental formulae were found. Both molecules were

doubly charged as can be seen from their isotope pattern (Figure 7. 19 and Figure 7. 20)80.

Thus, these metabolites were of high molecular mass allowing for many possible

combinations of chemical elements. The data-dependent scanning did not yield MS2 product

ion spectra for these two metabolic features. Therefore, the identity of these two features

remained unknown.

The 1083.6634 compound wasn’t identified either. This molecule was very large and

therefore there are a lot possible elemental compositions that would fit with the mass

spectra. Since there was no remarkable characteristic in the mass spectrum, there was no

possibility to eliminate elements to include for the elemental composition. Either no

fragmentation spectrum had been found for this molecule.

44

All these observations already gave a thought about the structures of the tentative

biomarkers. Nevertheless, further verification is needed to prove that the findings are

effective. Therefore, the standards of these discovered metabolites should have ordered and

comparisons between the mass spectra and fragmentation patterns of those and the original

ones should have been carried out to make a conclusion. In this case it’s only possible to

demonstrate which compounds they most likely are but no further conclusion could have

been made.

4.6 INSTRUMENTAL DRIFT AND REPRODUCIBILITY

In the beginning, analysis of data had been carried out on the data acquired from the

samples made in Oslo. During the investigation, the decision was made to focus on the

analysis of data found at the University of Strathclyde, Glasgow. Even though both data sets

were subjected to drift, the Oslo samples went unfortunately through two redundant freeze-

thaw-cycles before sample preparation. Suggesting that these data was less trustworthy for

the objective to detect changes in the metabolome compared to data from Glasgow.

Instrumental drift is a typical phenomenon and a major confounding factor in long-term

metabolomics investigations23. Instrumental instability results in poor data quality,

consequently complicating comparison of data between different laboratories or data

collected over time. Drift can also be encountered in the same run81. Principally, this drift is

caused by samples coming into direct contact with components of the analytical platform.

This can lead to changes in retention times and measured response over time by

contaminating or dirtying of the ion source and by changes in chromatographic performance

such as column aging81 82. Increasing analysis times generally lead to increasing drift81.

In order to deal with this drift, normalization of all data sets had been carried out to

improve reproducibility. After these normalization, there could be deduced with the help

from the QC’s that the data sets were still subjected to some instrumental drift. Since both

Oslo and Glasgow data sets were still dominated by this drift after normalization, the

acquired results should be handled cautiously.

The use of PCA score-plots was very useful to acquire practical information about the

QC samples and in general about the instrumental drift. When having a look at the RP PCA

score-plot for samples made in Oslo (Figure 4. 12), there could be noticed that QC1, QC2,

45

QC3 and QC4, were located very far from the other QC’s but in general very far from all

other samples. They were even detected as strong outliers. Another remarkable thing was

that they weren’t clustered. Ideally, the QC samples should have been grouped as a cluster

in the plot, because they all derive from the same vial and thus hold the same content23 67 68.

In section 4.1, there had been described that QC’s are implemented at the start of the batch

in order to condition the analytical platform and counteract for the drift. This was the fact in

our case and is probably the reason why the first QC’s are dispersed and isolated from the

others. Therefore QC1 until 4 could have been excluded68 69.

A new score-plot (Figure 4. 13), where the first QC’s weren’t taken into account, had

been constructed in order to analyze the variability of the remaining essential QC’s without

the influence of the others. Drift between these essential QC’s could have been established.

Since the QC’s were periodically analyzed throughout an analytical run (cfr. 3.3.1), it is

presumable that all samples are affected by this drift.

Figure 4. 12: Score scatter plot from unsupervised, unit variance scaled PCA for the normalized data set from RP-HPLC-HRMS obtained in Oslo. The red dots are the affected samples, the blue dots are the control samples and the green dots are the QC samples.

Figure 4. 13: Score scatter plot from unsupervised, unit variance scaled PCA for the normalized data set from RP-HPLC-HRMS obtained in Oslo. Because of conditioning of the analytical platform, redundant QC1, QC2, QC3 and QC4 have

46

been excluded. The red dots are the affected samples, the blue dots are the control samples and the green dots are the QC samples.

Figure 4. 14 for example, shows the PCA-X score-plot from the Oslo samples that had

been run through the HILIC column. The same remarks about the first QC’s and about the

drift, like in previous score-plot (Figure 4. 13) could have been confirmed. Except for the fact

that unexpectedly the QC’s have now been located more in the center of the plot and that

the QC’s are located less far from each other. So the instrumental drift is probably more

pronounced when using RP compared to HILIC.

Figure 4. 14: Score scatter plot from unsupervised, unit variance scaled PCA for the normalized data set from HILIC-HPLC-HRMS obtained in Oslo. The red dots are the affected samples, the blue dots are the control samples and the green dots are the QC samples.

There is existence of imaginable solutions to solve the complications about this

instrumental drift, in order to obtain consistent results. One of them is based on

fragmenting the study into small blocks68 83. Zelena et al. described that it was favored to

employ analytical blocks with less than 90 samples to provide better results82. This

recommendation is not applicable in our case because the study contained less than 90

samples. Another one applies labeled internal standards of the analytes of interest. This one

is apparently impractical because all of the analytes are of interest in our untargeted

analysis82. Therefore, Sysi-Aho et al. suggested optimized multiple internal standards in case

of untargeted metabolomics studies, which enables the correction of each feature according

to the best fit from the internal standard collection82 84. Real time monitoring of the systems

performance finally, allows instant corrections to be made, which would be highly

advantageous in order to achieve stable and high quality data over time81.

47

5 CONCLUSION

In this study, 13 different metabolites have been revealed as potential metabolic

markers in sewage workers by comparing serum samples with a control group based on an

untargeted HPLC-HRMS metabolomics approach. This study thus also demonstrated the

potential of this technique for research in occupational health.

The major problem encountered was related to the presence of instrumental drift. Even

though efforts were done to counteract for this instrumental drift such as including a pre-

run for instrument equilibration and normalization of the raw data, the insurmountable

occurrence of instrumental drift, could not entirely be avoided nor corrected for. This is

likely the principal reason for the observed inconsistency of the results when the analyses

were repeated. Future research should thus focus on minimizing the problems related to

instrumental drift. Since the potential metabolic markers have solely been identified

tentatively the identity of their structures still needs be compared with authentic standards.

48

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55

7 APPENDIX

In this part, the chromatograms, the mass spectra, the calculated mass spectra out of

the potential elemental formula and the fragmentation spectra could be found.

Figure 7. 1: The extracted chromatogram and mass spectrum for metabolites affording negatively charged ions with m/z 167.0213. For this molecule, no elemental composition has been found.

Figure 7. 2: Product ion spectrum from HILIC-ion trap mass spectrometry for the metabolite with m/z 167.0213.

F:\thesis Florence\datafiles\RP-HPLC\QC5 19/02/2015 08:55:21 Q.C

RT: 0.0000 - 2.0879

0.0 0.5 1.0 1.5 2.0

Time (min)

0

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10

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20

25

30

35

40

45

50

55

60

65

70

75

80

85

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tive A

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0.4261 NL: 3.58E3

Base Peak m/z=

167.0205-167.0221

F: FTMS - p ESI Full

ms [80.00-1200.00]

MS QC5

QC5 #39-44 RT: 0.41-0.45 AV: 3 NL: 5.98E4

T: FTMS - p ESI Full ms [80.00-1200.00]

167.0 167.5 168.0 168.5 169.0

m/z

0

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tive A

bundance

169.0860

168.0809

167.0703

166.9926

167.1430 169.0131

169.1335

169.4228167.4941

20150416fgESIneg doubleplay #3910-3912 RT: 11.08-11.09 AV: 2 NL: 2.26E3F: ITMS - c ESI d Full ms2 [email protected] [50.00-180.00]

50 60 70 80 90 100 110 120 130 140 150 160 170 180

m/z

5

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Re

lativ

e A

bu

nd

an

ce

124.0

167.1

123.2

56

Figure 7. 3: The extracted chromatogram and mass spectrum for metabolites affording positively charged ions with m/z 182.0812. The simulated isotope pattern for C9H12O3N is shown for comparison with the original isotope pattern.

Figure 7. 4: Product ion spectrum from HILIC-ion trap mass spectrometry for the metabolite with m/z 182.0812.

F:\thesis Florence\datafiles\RP-HPLC\QC8 21/02/2015 00:06:05 Q.C

RT: 0.0000 - 40.0118

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1.0653

1.59475.1932 35.2546

31.76835.5282 28.118623.112835.7266

NL: 3.16E6

Base Peak m/z=

182.0803-182.0821

F: FTMS + p ESI

Full ms

[80.00-1200.00] MS

QC8

183.0 183.5 184.0 184.5 185.0 185.5 186.0

m/z

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183.0845

184.0854

185.0888 186.0921

182.9854

184.9859

183.9890183.0629 185.1538184.4857 185.9892183.5285

184.8086

NL:

8.73E4

C9 H12 O3 N:

C9 H12 O3 N1

pa Chrg 1

NL:

9.27E6

QC8#77-156 RT:

0.78-1.56 AV: 40

T: FTMS + p ESI

Full ms

[80.00-1200.00]

20150416fgESIpos doubleplay #4249-4252 RT: 11.61-11.62 AV: 2 NL: 3.48E4F: ITMS + c ESI d Full ms2 [email protected] [50.00-195.00]

50 60 70 80 90 100 110 120 130 140 150 160 170 180 190

m/z

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

Re

lative

Ab

un

da

nce

165.0

136.2

57

Figure 7. 5: The extracted chromatogram and mass spectrum for metabolites affording negatively charged ions with m/z 311.1406. The simulated isotope pattern for C18H19N2O3 is shown for comparison with the original isotope pattern.

Figure 7. 6: Product ion spectrum from HILIC-ion trap mass spectrometry for the metabolite with m/z 311.1406.

G:\thesis Florence\datafiles\RP-HPLC\QC8 21/02/2015 00:06:05 Q.C

RT: 5.23 - 8.39 SM: 5G

5.5 6.0 6.5 7.0 7.5 8.0

Time (min)

0

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

Re

lative

Ab

un

da

nce

6.60

7.05 7.17 7.46 8.227.79

NL: 1.70E7

Base Peak m/z=

311.1390-311.1422

F: FTMS - p ESI

Full ms

[80.00-1200.00]

MS QC8

311 312 313 314 315 316

m/z

0

10

20

30

40

50

60

70

80

90

100

0

10

20

30

40

50

60

70

80

90

100

Re

lative

Ab

un

da

nce

311.1390

312.1424

313.1457 314.1466 315.1500 316.1533

311.1402

312.1436

315.1450313.1467 316.1483314.1330311.9603

NL:

8.10E5

C18 H19 N2 O 3:

C18 H19 N2 O 3

pa Chrg 1

NL:

5.50E6

QC8#655-679 RT:

6.50-6.71 AV: 12

T: FTMS - p ESI

Full ms

[80.00-1200.00]

20150416fgESIneg doubleplay #1374-1377 RT: 4.00-4.01 AV: 2 NL: 4.79E3F: ITMS - c ESI d Full ms2 [email protected] [75.00-325.00]

140 150 160 170 180 190 200 210 220 230 240 250 260 270 280 290 300 310

m/z

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

Re

lative

Ab

un

da

nce

175.1

279.2

164.1

147.1

163.1

267.2

249.3

293.3221.1

295.2223.1 250.2

146.1

58

Figure 7. 7: The extracted chromatogram and mass spectrum for metabolites affording positively charged ions with m/z 313.1544. No MS

2 pattern was found for this compound. The simulated isotope patterns for different compositions have

been shown.

Figure 7. 8: The extracted chromatogram and mass spectrum for metabolites affording positively charged ions with m/z 496.3395. The simulated isotope pattern for C24H51O7NP is shown for comparison with the original isotope pattern.

F:\thesis Florence\datafiles\RP-HPLC\QC6 20/02/2015 00:02:43 Q.C

RT: 0.9327 - 8.4769

1 2 3 4 5 6 7 8

Time (min)

0

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

Re

lative

Ab

un

da

nce

6.6757

6.9304

NL:2.23E8

m/z= 313.1528-313.1560 F: FTMS + p ESI Full ms [80.00-1200.00] MS QC6

312 314 316 318 320

m/z

0

20

40

60

80

100

0

20

40

60

80

100

0

20

40

60

80

100

Re

lative

Ab

un

da

nce

0

20

40

60

80

100

0

20

40

60

80

100313.1547

314.1580

315.1614 317.1656 318.1690 320.1732

313.1540

314.1574316.1532 318.1574 320.1566

313.1548

314.1582

315.1616 316.1678 318.1692

313.1542

314.1576

315.1609 317.1676 319.1719

313.1542

314.1576

315.1606 318.1907 320.1700

NL:8.10E5

C 18 H21 O 3 N2: C 18 H21 O 3 N2

pa Chrg 1

NL:8.27E5

C 10 H25 O 5 N4 S: C 10 H25 O 5 N4 S1

pa Chrg 1

NL:8.49E5

C 1413C H26 O N2 P2:

C 1413C 1 H26 O 1 N2 P2

pa Chrg 1

NL:7.86E5

C 2213C H20 O:

C 2213C 1 H20 O 1

pa Chrg 1

NL:5.74E7

QC6#667-689 RT: 6.60-6.81 AV: 12 T: FTMS + p ESI Full ms [80.00-1200.00]

F:\thesis Florence\...\0327201527 28/03/2015 08:30:11 QC

RT: 1.79 - 7.28

2 3 4 5 6 7

Time (min)

0

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

Re

lative

Ab

un

da

nce

4.82

4.78

5.25 5.443.91 7.196.793.683.142.40

NL: 7.28E8

Base Peak m/z= 495.8395-496.8395 F: FTMS + p ESI Full ms [75.00-1125.00] MS 0327201527

494 496 498 500 502

m/z

0

10

20

30

40

50

60

70

80

90

100

0

10

20

30

40

50

60

70

80

90

100

Re

lative

Ab

un

da

nce

496.3395

497.3427

498.3453494.3241

495.3275

499.3476 502.2923

496.3398

497.3431

498.3465499.3474 501.3541

NL:1.83E8

0327201527#427-504 RT: 4.53-5.27 AV: 39 T: FTMS + p ESI Full ms [75.00-1125.00]

NL:7.52E5

C 24 H51 O 7 NP: C 24 H51 O 7 N1 P1

pa Chrg 1

59

Figure 7. 9: Product ion spectrum from HILIC-ion trap mass spectrometry for the metabolite with m/z 496.3395.

Figure 7. 10: The extracted chromatogram and mass spectrum for metabolites affording positively charged ions with m/z 520.3396 from RP. The simulated isotope pattern for C26H51O7NP is shown for comparison with the original isotope pattern.

20150416fgESIpos doubleplay #1524-2514 RT: 4.29-6.91 AV: 3 NL: 1.22E5F: ITMS + c ESI d Full ms2 [email protected] [130.00-535.00]

150 200 250 300 350 400 450 500

m/z

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

Re

lative

Ab

un

da

nce

502.4

184.2

F:\thesis Florence\datafiles\RP-HPLC\QC6 20/02/2015 00:02:43 Q.C

RT: 0.0000 - 40.0168

0 5 10 15 20 25 30 35 40

Time (min)

0

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

Re

lative

Ab

un

da

nce

19.1797

18.8504

20.8822 27.0935 35.296917.7806

NL:6.41E8

m/z= 520.3370-520.3422 F: FTMS + p ESI Full ms [80.00-1200.00] MS QC6

521 522 523 524

m/z

0

10

20

30

40

50

60

70

80

90

100

0

10

20

30

40

50

60

70

80

90

100

Re

lative

Ab

un

da

nce

520.3398

521.3431

522.3465523.3474

520.3396

521.3429

522.3455523.2983520.4720 522.7948 523.7997

521.2002

521.4757

NL:7.36E5

C 26 H51 O 7 N P: C 26 H51 O 7 N1 P1

pa Chrg 1

NL:8.22E7

QC6#1902-2045 RT: 18.68-20.05 AV: 72 T: FTMS + p ESI Full ms [80.00-1200.00]

60

Figure 7. 11: The extracted chromatogram and mass spectrum for metabolites affording positively charged ions with m/z 520.3396 from HILIC. The simulated isotope pattern for C26H51O7NP is shown for comparison with the original isotope pattern.

Figure 7. 12: Product ion spectrum from HILIC-ion trap mass spectrometry for the metabolite with m/z 520.3396.

E:\thesis Florence\...\0327201527 28/03/2015 08:30:11 QC

RT: 1.53 - 18.81

2 4 6 8 10 12 14 16 18

Time (min)

0

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

Re

lative

Ab

un

da

nce

4.74

7.56

7.907.09 10.12 12.60

NL: 5.35E8

Base Peak m/z= 520.3370-520.3422 F: FTMS + p ESI Full ms [75.00-1125.00] MS 0327201527

519 520 521 522 523 524

m/z

0

10

20

30

40

50

60

70

80

90

100

0

10

20

30

40

50

60

70

80

90

100

Re

lative

Ab

un

da

nce

520.3398

521.3431

522.3465523.3474 524.3507

520.3396

522.3550524.3706

521.3428

523.3588

519.3271

520.0241

520.6513 524.0502521.6079

NL:7.36E5

C 26 H51 O7 N P: C 26 H51 O7 N1 P 1

pa Chrg 1

NL:2.12E8

0327201527#423-472 RT: 4.49-4.95 AV: 25 T: FTMS + p ESI Full ms [75.00-1125.00]

20150416fgESIpos doubleplay #1534-2528 RT: 4.29-6.92 AV: 4 NL: 9.92E4F: ITMS + c ESI d Full ms2 [email protected] [130.00-535.00]

150 200 250 300 350 400 450 500

m/z

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

Re

lative

Ab

un

da

nce

502.4

184.1

61

Figure 7. 13: The extracted chromatogram and mass spectrum for metabolites affording positively charged ions with m/z 522.3552 from RP. The simulated isotope pattern for C26H53O7NP is shown for comparison with the original isotope pattern.

Figure 7. 14: The extracted chromatogram and mass spectrum for metabolites affording positively charged ions with m/z 522.3555 from HILIC. The simulated isotope pattern for C26H53O7NP is shown for comparison with the original isotope pattern.

F:\thesis Florence\datafiles\RP-HPLC\QC6 20/02/2015 00:02:43 Q.C

RT: 0.0000 - 40.0168

0 5 10 15 20 25 30 35 40

Time (min)

0

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

Re

lative

Ab

un

da

nce

20.8050

20.4366

22.5333 26.745417.8780

NL:2.64E8

m/z= 522.3526-522.3578 F: FTMS + p ESI Full ms [80.00-1200.00] MS QC6

522 523 524 525 526 527

m/z

0

10

20

30

40

50

60

70

80

90

100

0

10

20

30

40

50

60

70

80

90

100

Re

lative

Ab

un

da

nce

522.3554

523.3588

524.3621525.3630 526.3664 527.3697

522.3553

523.3587

524.3611522.7950

523.7998

525.3636 526.9607

NL:7.36E5

C 26 H53 O 7 N P: C 26 H53 O 7 N1 P1

pa Chrg 1

NL:3.42E7

QC6#2045-2247 RT: 20.05-22.01 AV: 102 T: FTMS + p ESI Full ms [80.00-1200.00]

F:\thesis Florence\...\0327201527 28/03/2015 08:30:11 QC

RT: 0.00 - 7.28

0 1 2 3 4 5 6 7

Time (min)

0

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

Re

lative

Ab

un

da

nce

4.69

5.25 7.216.71

NL: 2.17E8

Base Peak m/z= 522.3529-522.3581 F: FTMS + p ESI Full ms [75.00-1125.00] MS 0327201527

522 523 524 525

m/z

0

10

20

30

40

50

60

70

80

90

100

0

10

20

30

40

50

60

70

80

90

100

Re

lative

Ab

un

da

nce

522.3509

523.3543

524.3552 525.3585

522.3549

524.3705

523.3587 525.3741

524.2293522.2155 522.4877 524.5029

525.2321523.2177

523.4930

NL:2.07E5

C 26 H52 O 7 N P: C 26 H52 O 7 N1 P1

pa Chrg 1

NL:1.01E8

0327201527#426-469 RT: 4.53-4.93 AV: 22 SB: 92 5.11-6.92 T: FTMS + p ESI Full ms [75.00-1125.00]

62

Figure 7. 15: Product ion spectrum from HILIC-ion trap mass spectrometry for the metabolite with m/z 522.3552.

Figure 7. 16: The extracted chromatogram and mass spectrum for metabolites affording positively charged ions with m/z 524.3710. The simulated isotope pattern for C26H55O7NP is shown for comparison with the original isotope pattern.

20150416fgESIpos doubleplay #1518-2530 RT: 4.29-6.92 AV: 4 NL: 9.92E4F: ITMS + c ESI d Full ms2 [email protected] [130.00-535.00]

150 200 250 300 350 400 450 500

m/z

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

Re

lative

Ab

un

da

nce

502.4

184.1

F:\thesis Florence\...\0327201527 28/03/2015 08:30:11 QC

RT: 0.00 - 7.28

0 1 2 3 4 5 6 7

Time (min)

0

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

Re

lative

Ab

un

da

nce

4.65

5.05 7.135.354.113.41

NL: 2.15E8

Base Peak m/z= 524.3684-524.3736 F: FTMS + p ESI Full ms [75.00-1125.00] MS 0327201527

524 525 526 527 528

m/z

0

10

20

30

40

50

60

70

80

90

100

0

10

20

30

40

50

60

70

80

90

100

Re

lative

Ab

un

da

nce

524.3711

525.3744

526.3778527.3787 528.3820

524.3706

525.3741

526.3766527.3793

524.5028

525.5073

528.3086

NL:7.36E5

C 26 H55 O 7 N P: C 26 H55 O 7 N1 P1

pa Chrg 1

NL:7.69E7

0327201527#415-470 RT: 4.42-4.93 AV: 28 SB: 92 5.11-6.92 T: FTMS + p ESI Full ms [75.00-1125.00]

63

Figure 7. 17: Product ion spectrum from HILIC-ion trap mass spectrometry for the metabolite with m/z 524.3710.

Figure 7. 18: The extracted chromatogram and mass spectrum for metabolites affording negatively charged ions with m/z 588.3314. No MS

2 pattern was found for this compound.

20150416fgESIpos doubleplay #1510-2512 RT: 4.21-6.88 AV: 6 NL: 1.96E4F: ITMS + c ESI d Full ms2 [email protected] [130.00-535.00]

150 200 250 300 350 400 450 500

m/z

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

Re

lative

Ab

un

da

nce

506.4

184.1

F:\thesis Florence\datafiles\RP-HPLC\QC6 20/02/2015 00:02:43 Q.C

RT: 17.74 - 21.08

18.0 18.5 19.0 19.5 20.0 20.5 21.0

Time (min)

0

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

Re

lative

Ab

un

da

nce

19.23

18.94

19.7718.59 20.29 20.4518.4917.85

NL: 4.20E7

Base Peak m/z= 588.3285-588.3343 F: FTMS - p ESI Full ms [80.00-1200.00] MS QC6

588 589 590 591

m/z

20

40

60

80

100

0

20

40

60

80

100

Re

lative

Ab

un

da

nce

20

40

60

80

100588.3253

589.3286

590.3320591.3227

588.3305

589.3338

590.3365588.5066

589.1680

589.5101

588.3299

589.3333

590.3366591.3210

NL:7.10E5

C 27 H42 O 6 N9: C 27 H42 O 6 N9

pa Chrg 1

NL:2.71E7

QC6#1955-1974 RT: 19.19-19.36 AV: 10 T: FTMS - p ESI Full ms [80.00-1200.00]

NL:7.36E5

C 24 H48 O 4 N9 P2: C 24 H48 O 4 N9 P2

pa Chrg 1

64

Figure 7. 19: The extracted chromatogram and mass spectrum for metabolites affording negatively charged ions with m/z 617.7375. No MS

2 pattern was found for this compound.

Figure 7. 20: The extracted chromatogram and mass spectrum for metabolites affording positively charged ions with m/z 653.2669. No MS

2 pattern was found for this compound.

F:\thesis Florence\datafiles\RP-HPLC\QC6 20/02/2015 00:02:43 Q.C

RT: 5.1345 - 24.4502

6 8 10 12 14 16 18 20 22 24

Time (min)

0

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

Re

lative

Ab

un

da

nce

9.3071

9.8162 23.028011.7943 18.413615.33395.5503

NL:4.23E7

m/z= 617.7344-617.7406 F: FTMS - p ESI Full ms [80.00-1200.00] MS QC6

QC6 #912-956 RT: 8.99-9.42 AV: 23 NL: 5.78E6T: FTMS - p ESI Full ms [80.00-1200.00]

618 620 622 624 626 628

m/z

0

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

Re

lative

Ab

un

da

nce

617.7368

618.2380

618.7391

619.2401

628.7270619.7416621.2424 625.2515624.1634

F:\thesis Florence\datafiles\RP-HPLC\QC6 20/02/2015 00:02:43 Q.C

RT: 2.2005 - 30.3997

5 10 15 20 25 30

Time (min)

0

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

Re

lative

Ab

un

da

nce

7.9397

8.23356.5681 12.7706 23.667819.3821

NL:2.30E7

m/z= 653.2636-653.2702 F: FTMS - p ESI Full ms [80.00-1200.00] MS QC6

653 654 655 656 657 658 659

m/z

0

20

40

60

80

100

0

20

40

60

80

100

Re

lative

Ab

un

da

nce

0

20

40

60

80

100653.2669

654.2702

655.2627656.2660 657.2694 658.2618

653.2669

654.2702

655.2627656.2660 657.2694 658.2618

653.2660

653.7674

654.2685

654.7696655.7722 656.7708

NL:6.08E5

C 2313C H49 O 14 N2 P S:

C 2313C 1 H49 O 14 N2 P1 S1

pa Chrg 1

NL:6.08E5

C 3413C H44 O 6 N2 S 2:

C 3413C 1 H44 O 6 N2 S2

pa Chrg 1

NL:5.14E6

QC6#793-816 RT: 7.84-8.06 AV: 12 T: FTMS - p ESI Full ms [80.00-1200.00]

65

Figure 7. 21: The extracted chromatogram and mass spectrum for metabolites affording negatively charged ions with m/z 1083.663. No MS

2 pattern was found for this compound.

F:\thesis Florence\datafiles\RP-HPLC\QC6 20/02/2015 00:02:43 Q.C

RT: 2.2005 - 30.3997

5 10 15 20 25 30

Time (min)

0

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

Re

lative

Ab

un

da

nce

19.1701

18.860119.6536

NL: 1.44E7

m/z= 1083.6580-1083.6688 F: FTMS - p ESI Full ms [80.00-1200.00] MS QC6

QC6 #1938-1998 RT: 19.02-19.60 AV: 31 NL: 2.69E6T: FTMS - p ESI Full ms [80.00-1200.00]

1082 1084 1086 1088 1090 1092

m/z

0

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

Re

lative

Ab

un

da

nce

1083.6624

1084.6665

1085.6688

1086.6716

1087.67481083.2583 1089.4350


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