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Journal of Mass Spectrometry and Advances in the Clinical Lab logoLink to Journal of Mass Spectrometry and Advances in the Clinical Lab
. 2023 Sep 30;30:38–44. doi: 10.1016/j.jmsacl.2023.09.002

Comparison of liquid chromatography-high-resolution tandem mass spectrometry (MS2) and multi-stage mass spectrometry (MS3) for screening toxic natural products

Ruben Yiqi Luo a,, Kate Comstock b, Caroline Ding b, Alan HB Wu c, Kara L Lynch c
PMCID: PMC10590993  PMID: 37876549

Highlights

  • The utility of MSn in screening toxic natural products was evaluated.

  • A spectral library of 85 natural products was constructed.

  • Samples were analyzed using an LC-HR-MS3 method and the spectral library.

  • MS3 improved identification by in-depth structural information for several analytes.

Keywords: LC-HR-MS3, Natural products, Spectral library, Clinical toxicology

Abstract

Background

Liquid chromatography-high-resolution mass spectrometry (LC-HR-MS) has emerged as a powerful analytical technology for compound screening in clinical toxicology. To evaluate the potential of LC-HR-MS3 in detecting toxic natural products, a spectral library of 85 natural products (79 alkaloids) that contains both MS2 and MS3 mass spectra was constructed and used to identify the natural products. Samples were analyzed using an LC-HR-MS3 method and the generated data were matched to the spectral library to identify the natural products.

Methods

To test the performance of the LC-HR-MS3 method in different sample matrices, the 85 natural product standards were divided into three groups to separate structural isomers and avoid ion suppression effects caused by co-elution of multiple analytes. The grouped analytes were spiked into drug-free serum and drug-free urine to produce contrived clinical samples.

Results

The compound identification results of the 85 natural products in urine and serum samples were obtained. The match scores using both MS2 and MS3 mass spectra and those using only MS2 mass spectra were compared at 10 different analyte concentrations. The two types of data analysis provided identical identification results for the majority of the analytes (96% in serum, 92% in urine), whereas, for the remaining analytes, the MS2-MS3 tree data analysis had better performance in identifying them at lower concentrations.

Conclusion

This study shows that in comparison to LC-HR-MS (MS2), LC-HR-MS3 can increase the performance in identification of a small group of the toxic natural products tested in serum and urine specimens.

1. Introduction

Liquid chromatography-high-resolution mass spectrometry (LC-HR-MS) has emerged as a powerful analytical technology for compound screening in clinical toxicology. It is capable of determining the accurate mass and corresponding molecular formula of an analyte. Following a full scan, specific molecular ions can be selected for fragmentation, and the corresponding product ions can be monitored allowing for tandem mass spectrometry (MS/MS or MS2). This methodology shows excellent performance in the identification of compounds in complex biological matrices.[1], [2], [3] For some instrument platforms, additional generations of product ions can be produced via fragmentation, often referred to as multi-stage mass spectrometry (MSn).[4] MS3 product ions can be generated from an MS2 product ion. In MS3 analysis, as illustrated in Fig. 1, the fragmentation patterns of precursor ions and those of MS2 product ions can be matched to a spectral library that contains both MS2 and MS3 mass spectra for compound identification, providing structural information and confidence in the detection of targets.[5], [6], [7], [8], [9] LC-HR-MS3 could potentially enhance the specificity or detection limit for identifying compounds of clinical interest,[10] specifically in clinical toxicology applications.

Fig. 1.

Fig. 1

Data acquisition and compound identification workflow of the LC-HR-MS3 method.

Natural products are chemical substances produced by living organisms, mainly plants.[11] Many natural products have biological effects on humans and animals, and some of them are used as pharmaceuticals.[12], [13] A comprehensive screening method for toxic natural products is necessary to aid in their identification and to better understand their potential toxic effects in clinical toxicology cases. However, the large number of toxic natural products, including many structural analogs, makes it challenging to develop a comprehensive set of conventional immunoassays to screen them. It is particular due to the fact that an immunoassay lacks a wide coverage of targets and has limited specificity to structural analogs.

Previously we described an LC-HR-MS (MS2) method for the identification of toxic natural products.[3], [14] It is currently unknown whether utilizing LC-HR-MS3 provides enhanced performance for identifying small molecules in clinical toxicology cases in comparison to MS2. To evaluate the potential of LC-HR-MS3 in detecting toxic natural products, a spectral library of 85 natural products containing both MS2 and MS3 mass spectra was constructed using a quadrupole-linear-ion-trap-Orbitrap tandem mass spectrometer. The spectral library focused on alkaloids (79 out of 85 natural products), which represent a major and commonly encountered group of toxic natural products.[15], [16] As clinical toxicology tests are most often performed using blood and urine samples,[17] the study used serum and urine sample matrices spiked with the analytes. Samples were analyzed using an LC-HR-MS3 data-dependent acquisition (DDA) method with the same fragmentation conditions as the spectral library construction. The generated data were matched to the spectral library to identify the natural products in two data processing mechanisms: [1] matching both MS2 and MS3 mass spectra to the spectral library, and [2] matching only MS2 mass spectra to the spectral library.

2. Materials and methods

2.1. Chemicals and reagents

Among the 85 natural product standards, 9 (bufotenine, cathinone, coniine, cotinine, dihydrokavain, ephedrine, mitragynine, pseudoephedrine, yangonin) in either dry powder or solution state were purchased from Cerilliant (Round Rock, TX), and all the other 76 natural product standards in dry powder state were purchased from ChemFaces (Wuhan, China). The complete list of the 85 natural products can be found in Table 1. LC-MS grade methanol (MeOH), acetonitrile (ACN), and water were purchased from Fisher Scientific (Waltham, MA). Pooled drug-free serum was purchased from Bio-Rad (Hercules, CA), and pooled drug-free urine was purchased from UTAK Laboratories (Valencia, CA).

Table 1.

The compound identification results of the 85 natural products in urine and serum samples using the LC-HR-MS3 analysis. If a compound at a certain concentration was identified by both the MS2-MS3 tree data analysis and MS2 data analysis, the corresponding cell is marked green. The cell is marked yellow if a compound was identified by only the MS2-MS3 tree data analysis, or it is blank if a compound was identified by neither of them. The difference between the match scores (MS2-MS3 tree data analysis minus MS2 data analysis) is written in each cell (blank if the compound was not identified).

graphic file with name fx1.gif

2.2. Sample preparation

Natural product standards were dissolved in 1:1 ACN: dimethyl sulfoxide to 0.50 mg/mL and then diluted in a sample diluent (1:1:2 mixture of MeOH, ACN, and 5.0 mM ammonium formate in water, added with 0.05 % formic acid) to 1.0 μg/mL for spectral library construction.

To test the performance of the LC-HR-MS3 method in different sample matrices, the 85 natural product standards were divided into three groups to separate structural isomers and avoid ion suppression effects caused by co-elution of multiple analytes, as indicated in Table 1. The grouped analytes were spiked into drug-free serum and drug-free urine to produce contrived clinical samples. A series of serum samples were made at analyte concentrations of 0.50, 1.0, 2.5, 5.0, 10, 25, 50, 100, 250, and 500 ng/mL, and a series of urine samples were made at analyte concentrations of 1.0, 2.5, 5.0, 10, 25, 50, 100, 250, 500, and 1000 ng/mL.

For serum samples, 125 µL serum was mixed with 375 µL acetonitrile. The sample was centrifuged at 13000 rpm for 10 min, and 400 µL supernatant was taken and dried under nitrogen flow at 37 °C. The sample was reconstituted in 50 µL sample diluent. For urine samples, 100 µL urine sample was mixed with 400 µL sample diluent.

2.3. LC-HR-MS3 method

The LC-HR-MS3 method utilized an Orbitrap ID-X Tribrid mass spectrometer coupled with a Vanquish UHPLC (Thermo Fisher Scientific, San Jose, CA). LC separation was carried out using an Accucore C18 column (2.1 mm × 100 mm, 2.6 µm particle) with gradient elution (mobile phase A: 5 mM ammonium formate in water with 0.05 % formic acid; mobile phase B: MeOH: ACN 1:1 with 0.05 % formic acid). The column temperature was set at 35 °C. The sample injection volume was set at 5 µL, and the autosampler temperature at 10 °C. For MS analysis, ESI positive ion mode was selected, the spray voltage was set at 3.4 kV, the ion-transfer capillary temperature at 300 °C, sheath gas flow rate at 40, aux gas flow rate at 10, aux gas heater temperature at 375 °C, RF lens level 45.

DDA was implemented in scan cycles, each of which consisted of the following steps: (1) a full-scan with a scan range m/z 100–1000 at 120 K resolution, (2) higher-energy C-trap dissociation (HCD) fragmentation of a precursor ion followed by MS2 product-ion scan with auto mass range at 30 K resolution, and (3) HCD fragmentation of a MS2 product ion followed by MS3 product scan with auto mass range at 7.5 K resolution. In step (2), the top 10 abundant precursor ions in a full-scan were selected with an isolation window of 1.5 m/z and assisted collision energy optimization was employed to automatically pick a normalized HCD energy value from 20, 35, 45, 55, and 65. The assisted collision energy optimization was implemented in the linear ion trap in the mass spectrometer, which had a higher scan speed than the Orbitrap mass analyzer. An inclusion list with the mass-to-charge ratios of all the analytes was referenced during the full-scan to increase the detection capability for the compounds of interest. The inclusion list can be expanded if more compounds are added to the spectral library, but it should be noted that if more than 10 analytes co-elute in the LC-HR-MS3 method, only the 10 most abundant analytes will be selected from a full-scan for fragmentation. In step (3), the top three MS2 product ions were selected with an isolation window of 2 m/z and a normalized HCD energy of 30 was used. To ensure high mass accuracy, EASY-IC internal mass calibration was employed.

2.4. Data analysis

The data analysis for the LC-HR-MS3 results was performed in Mass Frontier software (Thermo Fisher Scientific, San Jose, CA). The results of the LC-HR-MS3 were analyzed in two data processing mechanisms for comparison. In the MS2-MS3 tree data analysis, data were searched against the spectral library constructed using the 85 natural product standards. Extracted ion chromatograms were generated using joint component detection (JCD) mechanism with built-in mass tolerance based on the mass accuracy of the data. The retention time window was set at ± 0.1 min for candidate ion extraction.[18] A candidate ion was scored by matching the precursor ion mass, MS2 mass spectrum, and MS3 mass spectrum to the corresponding data for a particular compound in the spectral library. In the MS2 data analysis, the candidate ion was also scored by matching only the precursor ion mass and MS2 mass spectrum to the spectral library. The match scores were generated by proprietary fitting algorithms. A compound was called positive if the match score was over a threshold of 80, which was determined by systematically analyzing the match scores of known analytes.

3. Results and discussion

When implementing the LC-HR-MS3 method, MS2 and MS3 mass spectra were generated using the Orbitrap ID-X Tribrid mass spectrometer. The MS2 and MS3 mass spectra acquired from one precursor ion are organized in a tree structure in the data analysis software, as shown in Fig. 2. Based on the dissociation reaction mechanisms in mass spectrometry, the in-silico fragmentation prediction tool in the software can annotate the mass peaks in a mass spectrum with predicted chemical structures of product ions. This function can be used to interpret specific features in mass spectra.

Fig. 2.

Fig. 2

The MS2 and MS3 mass spectra acquired from the precursor ion of atropine in the LC-HR-MS3 analysis. The colored circles denote the corresponding MS2 fragment and MS3 mass spectrum.

Using the LC-HR-MS3 method, the compound identification results of the 85 natural products in urine and serum samples were obtained, as shown in Table 1. The match scores using both MS2 and MS3 mass spectra (MS2-MS3 tree data analysis) and those using only MS2 mass spectra (MS2 data analysis) were compared at 10 different analyte concentrations. Additional information about the natural products, including natural sources and biological activities, is also provided in Table 1.(3) Using a match score of 80 as the threshold for compound identification, if a compound at a certain concentration was identified by both the MS2-MS3 tree data analysis and MS2 data analysis, the corresponding cell is marked green. The cell is marked yellow if a compound was identified by only the MS2-MS3 tree data analysis, or it is blank if a compound was identified by neither of them. Five compounds in serum (cannabidiol, cytisine, lobeline, nuciferine, reserpinine) and 11 compounds in urine (arecoline, boldine, catharanthine, cannabidiol, coniine, lobeline, methylisopelletierine, nuciferine, nonivamide, reserpinine, vindoline) at certain concentrations were identified by only the MS2-MS3 tree data analysis. No compound was identified by only MS2 data analysis. The difference between the match scores (MS2-MS3 tree data analysis minus MS2 data analysis) is written in each cell (blank if the compound was not identified). In addition, there were three compounds in serum (dihydrosanguinarine, neferine, tetrandrine) and five compounds in urine (berberine, chelerythrine, coptisine, olaquindox, sparteine) not identified at any concentration, probably due to matrix effect in the screening method. This issue is not uncommon in compound screening and can potentially be solved by establishing specific analytical methods with optimized sample preparation protocols. Besides these compounds, Table 1 shows that the two types of data analysis provided identical identification results for the majority of the analytes (96 % in serum, 92 % in urine), whereas, for the remaining analytes, the MS2-MS3 tree data analysis had better performance in identifying them at lower concentrations. In other words, at higher concentrations none of the analytes required adding MS3 mass spectra to identify them, but adding MS3 mass spectra extended the identification to lower concentrations for a small number of analytes (three compounds in serum, six compounds in urine). In the latter cases, the difference can solely be attributed to the employment of MS3 spectral matching, where the two-level fragmentation in MS3 analysis provided in-depth structural information of analytes to increase the match score. On the other hand, as the contribution of MS3 mass spectra was limited for the majority of the analytes, it was indicated that in general the one-level fragmentation in MS2 analysis could provide sufficient specificity in compound identification.

There were some examples when the MS3 mass spectra allowed for enhanced identification when MS2 mass spectra contained significant background noise. Two examples are shown in Fig. 3. For the natural product vindoline in urine (2.5 ng/ml), the MS2 mass spectrum of the precursor ion of m/z 457.234 contained a significant background peak at m/z 281.172 which resulted in a lower match score, while the MS3 mass spectrum of the MS2 product ion of m/z 188.107 provided a good match score to the spectral library. For the natural product scopolamine in serum (1.0 ng/ml), the MS2 mass spectrum of the precursor ion of m/z 304.154 had multiple background peaks which resulted in a lower match score, while the MS3 mass spectrum of the MS2 product ion of m/z 138.091 matched well to the spectral library. The background peaks in these examples might be fragment ions from other co-eluting substances that formed precursor ions at the same nominal m/z as the analyte. This observation help explain the differences between the match scores (MS2-MS3 tree data analysis minus MS2 data analysis), which were 20 for vindoline and 19 for scopolamine.

Fig. 3.

Fig. 3

Two examples showing that the MS2 mass spectra contained significant background noise while the MS3 mass spectra did not. (Left) For natural product vindoline in urine (2.5 ng/ml), the MS2 mass spectrum of the precursor ion of m/z 457.234 and the MS3 mass spectrum of the MS2 fragment of m/z 188.107. (Right) For natural product scopolamine in serum (1.0 ng/ml), the MS2 mass spectrum of the precursor ion of m/z 304.154 and the MS3 mass spectrum of the MS2 fragment of m/z 138.091.

The employment of MS3 spectra in data analysis also increased the depth of structural characterization and enhanced the differentiation of structural isomers. For example, matrine and lupanine are structural isomers and analogs, and the MS2 mass spectra of the two analytes contained mass peaks at the same m/z values; a single mass peak may correspond to different product ions with various structures but an identical chemical formula. By checking the MS3 mass spectra of the MS2 product ion at m/z 247.180, different MS3 fragmentation patterns were observed, and the two analytes could be differentiated, as shown in Fig. 4. The software interpreted that the MS2 product ions at m/z 247.180 in the two MS2 mass spectra actually had different structures, as denoted in the graphs in Fig. 4. The MS3 fragmentation successfully revealed the structural difference between the two MS2 product ions with the same m/z value. Although in this study matrine and lupanine were separated into different groups for LC-HR-MS3 analysis, this example demonstrated the effectiveness of MS3 fragmentation patterns in differentiating structural isomers. Given that structural isomers may co-exist in actual samples, the use of MS3 can be particularly beneficial in solving clinical toxicology cases.

Fig. 4.

Fig. 4

Differentiation of matrine and lupanine using the MS3 mass spectra of the MS2 fragment of m/z 247.180.

Since the mass spectrometer is able to acquire further fragmentation patterns from MS3 product ions, the use of MS4 mass spectra for compound identification was tested on some natural products but no benefit was identified. This is likely due to the following facts: (1) MS3 product ions mostly represent simple structures at low m/z and further fragmentation did not provide additional value for compound identification; and (2) the scan cycle time in DDA was significantly increased to include MS4 fragmentation, which might reduce the data quality of low-concentration analytes, i.e., missing the chromatographic peak summit or collecting fewer ions for MSn analysis. Thus, in the current experiment settings, it is unnecessary to employ MS4 or higher-stage mass spectra for compound screening.

In clinical toxicology cases, accurate identification of toxins significantly aids in patient management and decreases the need for additional diagnostic evaluations. The potential of MSn has been largely unexplored for the identification of toxins in clinical cases. This study shows that in comparison to LC-HR-MS (MS2), LC-HR-MS3 can increase the performance in identification of a small group of the toxic natural products tested in serum and urine specimens. Further investigations are warranted to fully understand the potential advantages of utilizing MS3 mass spectra for compound identification in clinical toxicology, such as testing other types of toxic natural products and synthetic compounds.

In a broader scope of clinical applications, it is clear that the depth of structural characterization would enrich the information content of clinical markers and significantly enhance the performance of clinical tests. Successful application of MS3 has been reported in clinical research, i.e., tissue imaging and pharmacokinetics.[19], [20] In addition, MSn can be particularly useful for analyzing clinical specimens in which metabolites are not included in the spectral library or co-eluting substances are present. By providing in-depth structural information about analytes, MSn has the potential to complement the current mainstream tandem mass spectrometry and enhance the performance of mass spectrometry in clinical applications.

Declaration of Competing Interest

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

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