Abstract
Air pollution, tobacco smoke, and red meat are associated with renal cell cancer (RCC) risk in the United States and Western Europe; however, the chemicals that form DNA adducts and initiate RCC are mainly unknown. Aristolochia herbaceous plants are used for medicinal purposes in Asia and worldwide. They are a significant risk factor for upper tract urothelial carcinoma (UTUC) and RCC to a lesser extent. The aristolochic acid (AA) 8-methoxy-6-nitrophenanthro-[3,4-d]-1,3-dioxolo-5-carboxylic acid (AA-I), a component of Aristolochia herbs, contributes to UTUC in Asian cohorts, and in Croatia, where AA-I exposure occurs from ingesting contaminated wheat flour. The DNA adduct of AA-I, 7-(2′-deoxyadenosin-N6-yl)-aristolactam I, is often detected in patients with UTUC, and its characteristic A:T-to-T:A mutational signature occurs in oncogenes and tumor suppressor genes in AA-associated UTUC. Identifying DNA adducts in the renal parenchyma and pelvis caused by other chemicals is crucial to gaining insights into unknown RCC and UTUC etiologies. We employed untargeted screening with wide-selected ion monitoring-tandem mass spectrometry (wide-SIM/MS2) with nanoflow liquid chromatography/ Orbitrap mass spectrometry to detect DNA adducts formed in rat kidneys and liver from a mixture of 13 environmental, tobacco, and dietary carcinogens that may contribute to RCC. Twenty DNA adducts were detected. DNA adducts of 3-nitrobenzanthrone (3-NBA), an atmospheric pollutant, and AA-I were the most abundant. The nitrophenanthrene moieties of 3-NBA and AA-I undergo reduction to their N-hydroxy intermediates to form 2′-deoxyguanosine (dG) and 2′-deoxyadenosine (dA) adducts. We also discovered a 2′-deoxycytidine AA-I adduct and dA and dG adducts of 10-methoxy-6-nitro-phenanthro-[3,4-d]-1,3-dioxolo-5-carboxylic acid (AA-III), an AA-I isomer and minor component of the herbal extract assayed, signifying AA-III is a potent kidney DNA-damaging agent. The roles of AA-III, other nitrophenanthrenes, and nitroarenes in renal DNA damage and human RCC warrant further study. Wide-SIM/MS2 is a powerful scanning technology in DNA adduct discovery and cancer etiology characterization.
Graphical Abstract

Introduction
The kidney performs many essential functions, including controlling volume status, maintaining electrolyte and acid-base balance, and releasing hormones that regulate blood pressure. The kidney also plays a pivotal role in eliminating exogenous drugs and toxicants; however, renal oxidases and reductases may also bioactivate carcinogens, leading to nephrotoxicity and cancer.1,2 The National Toxicology Program (NTP) has conducted over 500 rodent bioassays on chemicals, of which 69 induced renal tubule cancer adenomas and carcinomas and a small number of transitional cell tumors of the renal pelvis.3 Some chemicals assayed include atmospheric pollutants, occur in the diet, or arise in tobacco smoke; others are pro-oxidants, which are linked to DNA damage and human RCC risk through epidemiology studies,4–10 mechanistic studies in cell culture or animal models.11,12 The pattern of renal tumor occurrence in rodents is similar to that observed in humans, where over 80% of diagnosed renal tumors originate from the epithelium of the renal tubule cells.13 Gender differences have been observed in RCC, with male rodents being often more susceptible. The metabolic processing of chemicals may cause some of these gender differences in susceptibilities.14,15 RCC also occurs nearly twice as often in men as in women in the USA.13 Obesity and hypertension are also risk factors for RCC.16 Kidney cancer represents about 3.7% of all cancers in the United States; however, the chemicals that damage the human renal genome are mainly unknown.
DNA adducts occur through exposure to xenobiotics, their reactive metabolites, or endogenous electrophiles formed by oxidative stress. Some DNA adducts induce genetic mutations and potentially contribute to cancer development. Exposure to aristolochic acid I (AA-I) occurs by consumption of Arisolochia herbaceous plants, which are used for medicinal purposes in Asia and worldwide, or in the Balkans by consumption of wheat flour contaminated with comingling Aristolochia herbs or via contamination of the cultivation field soil.17,18 The role of AA-I DNA adducts-induced mutations in cancer driver genes in UTUC and RCC is well documented.6,19–25 There is limited data on other mutation-inducing DNA adducts present in the human kidney. 8-Oxo-2′-deoxyguanosine (8-oxo-dG) and 8-oxo-2′-deoxyadenosine (8-oxo-dA) are two markers of oxidative DNA damage; both lesions occur in the human kidney. However, the levels of these oxidative adducts were not significantly different between medulla-RCC and non-RCC patients or between pelvis-UTUC and pelvis-non-UTUC groups.26 In the same study, the investigators reported a reduction in the global level of 5-hydroxymethyl-2′-deoxycytidine in the non-tumoral urinary tract mucosa of urothelial carcinoma patients, which may impact epigenetic events in renal cancer development.
There is a critical need to characterize the human kidney DNA adductome to identify the chemical agents that damage the genome and lead to nephrotoxicity and cancer development. Identifying renal DNA adducts can provide further insight into the etiologies of RCC and UTUC, especially in countries with low exposure to AA. Targeted and untargeted adductomics screening are powerful approaches to identify and quantify DNA adducts formed from various agents.27–30 Targeted adductomics screening analyzes for known DNA adducts associated with a particular DNA-damaging agent or class of agents. This approach requires prior knowledge of the potential adducts formed by the chemicals of interest. Untargeted adductomics screening is a broader analysis that aims to identify and characterize known and unknown DNA adducts without prior knowledge of their structures.31 This approach utilizes advanced mass spectrometry-based methods to detect and measure a wide range of adducts in the DNA. Untargeted adductomics can provide valuable insights into the overall adduct profiles induced by DNA-damaging agents and help discover novel adducts that may be associated with cancer etiology.
In this study, we have applied our untargeted, data-independent (DIA) wide-selected ion monitoring/tandem mass spectrometry (wide-SIM/MS2) technology to screen for DNA adducts by Orbitrap followed by wSIM-City software for data analysis of DNA adduct formation in kidneys and liver of rats dosed with a mixture of 13 environmental, tobacco, and dietary carcinogens that might contribute to human renal and liver DNA damage. 28,32–34 The chemical structures of 24 DNA adducts known to be formed by these carcinogens are reported in Table S1. Our study aims to determine the sensitivity of the wide-SIM/MS2 scanning technology and the breadth of coverage of DNA adducts formed in rat kidneys and liver, where many procarcinogens undergo bioactivation. We also employed targeted MSn scanning and constant neutral loss data-dependent acquisition (DDA-CNL/MS3) scanning to characterize DNA adducts further,27,35–37 and investigated the “gas-phase fractionation” (GPF) approach with ion trap MS2 combined with Orbitrap MS2/MS3.28,34,38 These MS scanning technologies screen for the neutral loss of the 2′-deoxyribose (dR) moiety (116.0473 Da) from the adducted 2′-deoxynucleosides (dN) during collision-induced dissociation (CID) or higher-energy C-trap dissociation (HCD). The resultant aglycone ions ([M+2H-dR]+ = [BH2]+) are the principal product ions of most chemically stable DNA adducts.27,28,31,39–41
Materials and Methods.
Materials.
Calf thymus DNA (CT DNA), DNase I (Type IV, bovine pancreas), Benzonase ultrapure powder (Santa Cruz Biotechnology, Dallas, TX, 500 Ku, sc-391121C, reconstituted at 300 u/μL in 20 mM Tris HCl, pH 8.0, 2 mM MgCl2, and 20 mM NaCl, 50% glycerol). Alkaline phosphatase (Escherichia coli), nuclease P1 (from Penicillium citrinum), RNase A (bovine pancreas), Rnase T1 (Aspergillus oryzae), proteinase K (Tritiachium album), ethanol for molecular biology (200 proof), Tris-HCl, bis-Tris, 4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid (HEPES), EDTA, Na2HPO4, β-mercaptoethanol (βME), isoamyl alcohol, and chloroform were purchased from Sigma-Aldrich (St. Louis, MO). Bond Elut C18 SPE cartridges (100 mg/mL) were from Agilent (Santa Clara, CA). Phosphodiesterase I (Crotalus adamanteus venom) was purchased from Worthington Biochemicals Corp. (Newark, NJ). Acrylamide (99% pure), 8-methoxy-6-nitrophenanthro-(3,4-d)-1,3-dioxolo-5-carboxylic acid (aristolochic acid I, (AA-I)) was obtained from Sigma Aldrich. AA-I was provided as a powder extracted from the stem of Aristolochia contorta (Jilin Province, China, product number: A5512, batch number: WXBD0062V, and reported at 90% purity by HPLC/UV). 4-Aminobiphenyl (4-ABP, 98% purity), benzo[a]pyrene (B[a]P, 96% purity), dimethylnitrosamine (DMNA, 93% purity), 2-naphthylamine (2-NA, 95% purity), 2-nitrofluorene (2-NF, 98% purity), and o-toluidine (o-tol 98% purity) were purchased from Sigma Aldrich. 3-Nitrobenzanthrone (3-NBA, 95% purity) was from Finetechnology-ind., Hubei, China. 2-Amino-1-methyl-6-phenylimidazo[4–5-b]pyridine (PhIP, 99% purity), 2-amino-3,8-dimethylimidazo[4,5-f]quinoxaline (MeIQx, 98% purity), 2-amino-9H-pyrido[2,3-b]indole (AαC, 99% purity), and 2-amino-3-methyl-9H-pyrido[2,3-b]indole (MeAαC, 97% purity) were purchased from Toronto Research Chemicals (North York, ON, Canada). [13C10]-dG (99% isotopic purity), [15N5]-dG, and [15N5]-dA (>98% isotopic purities) were purchased from Cambridge Isotope Laboratory (Tewksbury, MA). Optima™ LC-MS grade H2O, CH3OH, CH3CN, formic acid (FA), Dimethyl sulfoxide (DMSO), and HCl (1.0 N stock solution) were purchased from Fisher Chemical Co. (Pittsburgh, PA). Chromacol 03-FISV LC-MS vials were from Thermo Scientific (Waltham, MA). 9-Methoxy-6-nitro-phenanthro-[3,4-d]-1,3-dioxolo-5-carboxylic acid (AA-VII) and 10-methoxy-6-nitro-phenanthro-[3,4-d]-1,3-dioxolo-5-carboxylic acid (AA-III) were provided by Dr. Francis Johnson, Stony Brook University.42
The alkylated DNA adduct O6-methyl-2′-deoxyguanosine (O6-MedG) and its tri-deuterated homolog O6-[2H3]-MedG was synthesized as reported.43 The bulky aromatic DNA adducts N-(2′-deoxyguanosin-8-yl)-4-ABP (dG-C8–4-ABP), [13C10]-dG-C8–4-ABP; N-(2′-deoxyguanosin-8-yl)-AαC (dG-C8-AαC), [13C10]-dG-C8)-AαC; N-(2′-deoxyguanosin-8-yl)-MeIQx (dG-C8-MeIQx), [13C10]-dG-C8-MeIQx; N-(2′-deoxyguanosin-8-yl)-PhIP (dG-C8-PhIP), [13C10]-dG-C8)-PhIP; 10-(2′-deoxyguanosin-N2-yl)-7,8,9-trihydroxy-7,8,9,10-tetrahydrobenzo[a]pyrene (dG-N2-B[a]P), [13C10]-dG-N2-B[a]P; 7-(2′-deoxyadenosin-N6-yl) aristolactam I (dA-N6-AL-I), [15N5]-dA-N6-AL; 7-(2′-deoxyguanosin-N2-yl) aristolactam I (dG-N2-AL-I), [15N5]-dG-N2-AL-I; 7-(2′-deoxyadenosin-N6-yl) aristolactam II (dA-N6-AL-II), [15N3]-dA-N6-AL-II; 7-(2′-deoxyguanosin-N2-yl) aristolactam II (dG-N2-AL-II), and [15N3]-dG-N2-AL-II were synthesized as described.35,44–47 N-(2′-Deoxyguanosin-8-yl)-2-NA (dG-C8–2-NA), 1-(2′-deoxyguanosin-N2-yl)-2-NA (dG-N2-2-NA), 1-(2′-deoxyadenosin-N6-yl)-2-NA (dA-N6-2-NA), and [1,3,NH2-15N3]-dA-N6-2-NA were synthesized as reported.48 2-(2′-Deoxyguanosin-N2-yl)-3-aminobenzanthrone (dG-N2-3-ABA), N-(2′-deoxyguanosin-8-yl)-3-aminobenzanthrone (dG-C8-N3-ABA) and 2-(2′-deoxyguanosine-8-yl)-3-aminobenzanthrone (dG-C8-C2–3-ABA) were provided by Dr. Goncalo Gamboa da Costa, National Center for Toxicological Research, Jefferson, AR and Dr. Raji Singh, Leicester Cancer Research Centre, University of Leicester, UK.49
Animal studies:
SAS Fischer 344 male rats were purchased from Charles River Lab (Wilmington, MA.) Animals were acclimated for one week under standard housing conditions on an AIN-76A diet. The animals were 10 weeks of age, and the average body weight at the start of the experiment was 185 ± 10 g. The animals were given an i.p. dose of a 13-carcinogen cocktail (0.465 ml DMSO containing each chemical at a concentration of 0.4 mg/mL), and the negative control animals received an i.p. injection of 0.465 mL DMSO. Five rats were used for DNA adductomics in the kidney of untreated and 13-carcinogen-dosed animals, and there were three untreated rats and four rats of the 13-carcinogen-dosed animals analyzed for liver DNA adducts. The list and structures of chemicals assayed are depicted in Scheme 1. The animals were given food and water ad libitum. The animals were euthanized with CO2 at 24 h post-treatment. The liver and kidney were retrieved, rinsed three times in fresh, chilled phosphate-buffered saline (PBS) containing 10 mM BME, flash frozen on dry ice, and stored at −80 °C until DNA isolation.
Scheme 1.

Chemical structures of 13-carcinogen mixture dosed to the rats
Isolation and Enzymatic Digestion of DNA.
The tissues (~40 mg wet weight) were thawed on ice and homogenized in 2 mL of TE buffer (50 mM Tris-HCl pH 8.0 and 10 mM EDTA containing 10 mM βME) using a blade homogenizer (Pro Scientific, Oxford, CT). The homogenates were centrifuged at 3,000 g at 4 °C for 10 min. The nuclei pellet was digested with RNase A (150 μg) and RNase T1 (1.5 μg) for 1.5 h on a thermomixer at 37 °C, 900 rpm, followed by the addition of 0.1 vol of 10% SDS, and 0.4 mg proteinase K for 2 h. Protein was removed by adding chilled Puregene protein precipitation solution (250 μL) containing 10 mM βME (Qiagen, Germantown, MD), and residual lipids were removed from the supernatant by extraction with chloroform/isoamyl alcohol (24:1). DNA was precipitated by adding 0.1 vol. of 5 M NaCl followed by 1.5 volume of cold isopropanol and stored at −20 °C overnight. The DNA was retrieved by centrifugation, and the DNA pellets were washed twice in 70% ethanol/30% water. The DNA was briefly dried by vacuum centrifugation and reconstituted in LC-MS grade water. The DNA amount was estimated by UV spectra, assuming 1 unit of A260 was equivalent to 50 μg of double-stranded DNA.
DNA (20 μg) in 5 mM Bis-Tris buffer (pH 7.1, 100 μL containing 10 mM MgCl2) was spiked with isotopically labeled internal standards at 5 adducts per 108 nucleotides (nts) levels before the digestion: [13C10]-dG-C8–4-ABP, [13C10]-dG-C8-AαC, dG-C8-[2H3C]-MeIQx, [13C10]-dG-C8-PhIP, [13C10]-dG-N2-BPDE, [15N5]-dG-N2-AL-I, [15N5]-dA-N6-AL-I, [15N3]-dG-N2-AL-II, and [15N3]-dA-N6-AL-II. DNA samples were digested using a thermomixer at 37 °C, 900 rpm. Benzonase (300 U) and nuclease P1 (0.12 U) were added, and the incubation was done for 3.5 h, followed by adding phosphodiesterase 1 (3.2 mU) and alkaline phosphatase (40 mU) at 37 °C for 18 h. The digestion solutions were precipitated with 3 vol of ethanol and stored at −20 °C for 2 h. The precipitated enzymes were removed by centrifugation at 20,000 g at 4 °C for 10 min. The supernatant containing the unmodified nucleosides and DNA adducts was dried by vacuum centrifugation, reconstituted in 1:1 H2O:DMSO (25 μL), sonicated, centrifuged at 21,000 g for 5 min, and transferred to silylated borosilicate glass inserts for LC-MS analysis. Online trapping was employed to remove non-modified 2′-deoxynucleosides.28,50 Four μg of DNA was assayed by wide-SIM/MS2 and CNL/MS3, and 2.4 μg DNA was assayed for targeted MS2 and MS3. For O6-MedG analysis, DNA (20 μg) was spiked with O6-[2H3]-MedG at 5.0 adducts per 108 nts, employing the same digestion conditions reported above for the aromatic DNA adducts.51 Oasis HLB cartridges (30 mg) were conditioned with CH3OH with 0.1% CH3CO2H, followed by LC-MS grade water containing 0.1% CH3CO2H (1 mL) before DNA digests were applied to the SPE cartridge. The SPE cartridges were washed with LC-MS grade water containing 0.1% CH3CO2H (1 mL), followed by 10% CH3CN in water containing 0.1% CH3CO2H (1 mL), and O6-MedG was eluted with CH3OH (1 mL). After drying by vacuum centrifugation, the SPE eluents were reconstituted in LC-MS grade water (25 μL), and 2.4 μg equivalent of DNA was assayed by targeted MS2.
Mass Spectrometric and Nanoflow Liquid Chromatographic Analysis of DNA Adducts.
The non-polar aromatic DNA adduct analyses were performed on an UltiMate 3000 RSLC nano UHPLC System interfaced with an Orbitrap Fusion Tribrid MS (Thermo Fisher Scientific, Waltham, MA). Chromatography was performed using integrated column-emitters (75 μm ID × 200 mm, 10 μm orifice) from CoAnn Technologies, LLC (Richland, WA) and custom packed with Luna C18 stationary phase (5 μm particle size, 120 Å, Phenomenex Corp. Torrance, CA), and mounted in a Nanospray Flex ion source (Thermo Fisher Scientific, Waltham, MA). The LC solvents were (A) 0.05% HCO2H in H2O and (B) 0.05% HCO2H in 95% CH3CN. The DNA digests were injected on Thermo Acclaim PepMap trap cartridge RP C18 (0.3 × 5 mm, 5 μm particle size, 100 Å, Thermo Fisher Scientific, Waltham, MA) used to trap the aromatic DNA adducts present in the DNA digest. The trap column was washed with solvent A for 4 min at a 12 μL/min flow rate by the loading pump to remove the polar, non-modified nucleosides. After trapping, the adducts were back-flushed onto the analytical column at a flow rate of 0.6 μL/min for 1 min, then decreased to a flow rate of 0.3 μL/min, and a linear gradient commenced from 1% B and reached 99% B at 40 min. The column was held for 5 min at 99% B, followed by a 1 min gradient to 1% B over 1 min with a 6 min equilibration before commencing a new analysis. These conditions were employed for targeted and untargeted DNA adduct analyses of non-polar aromatic DNA adducts.
The samples for O6-MedG analysis were directly injected into a UChrom C18 column (0.75 μm ID X 150 mm 3 μm particle size) from Premier LCMS (Penn Valley, CA). The column was interfaced with an EASY-Spray™ source (Thermo Fisher Scientific, Waltham, MA). The LC solvents were (A) 0.01% HCO2H in H2O and (B) 0.01% HCO2H in 95% CH3CN. The flow rate commenced at 0.30 μL per min and was held at 99% A for 4 min, then linearly increased to 12% B at 12 min, where the flow was decreased to 0.15 μL per min. The gradient increased linearly to 35% B at 33 min, then reached 99% B at 36 min, and held at 99% B for 4 min at a flow rate of 0.30 μL before returning to 99% A at 1 min and held for 6 min before commencing a new run.
General Orbitrap MS source parameters.
The source parameters were as follows: spray voltage, 2200 V (positive ion mode); ion transfer tube temperature, 275 °C; quadrupole isolation; isolation window wide-SIM (m/z 64), Orbitrap resolution, 120,000 (fwhm) at m/z 200; RF-lens, 40% (bulky aromatic and O6-MedG adducts). The data were acquired by Xcalibur™ version 4.4 (Thermo Fisher Scientific, San Jose, CA).
Targeted Data MS2 and MS3 Acquisition of DNA Adducts:
The DNA adduct levels were estimated by single-point calibration employing the aglcones’ areas produced by the targeted LC/MS2 divided by the area of the isotopically labeled internal standards or surrogate internal standards. Adduct structures of the aglycone were characterized at the MS3 scan stage.28,48 The MS2 ion transitions [M+2H–dR]+ used to construct the extracted ion chromatograms (EICs) for adduct quantifications are: O6-MedG (m/z 282.1 → 166.0729) and O6-[2H3]-MedG (m/z 285.1 → 169.0912); dG-C8–2-NA and dG-N2-2-NA (m/z 409.2 → 293.1145); dA-N6-2-NA (393.2 → 277.1196) and [1,3,NH2-15N3]-dA-N6-2-NA (m/z 396.2 → 280.1108); dA-C8–4-ABP (419.2 → 303.1353); dA-N6-2-AF (m/z 431.226 → 315.1353); dG-C8–4-ABP and dG-N2-N4-ABP (m/z 435.1 → 319.1302 ), [13C10]-dG-C8–4-ABP (445.2 → 324.1470); dG-C8–2-AF and dG-N2-AF (m/z 447.2 → 331.1302); dG-C8-AαC (m/z 449.2 → 333.1207), [13C10]-dG-C8-AαC (m/z 459.2 → 338.1375); N-(2′-deoxyguanosin-8-yl)-MeAαC (m/z 463.2 → 347.1363); dG-C8-MeIQx (m/z 479.2 → 363.1425), [13C10]-dG-C8-MeIQx (m/z 489.2 → 368.1593); dG-C8-PhIP (m/z 490.2 → 374.1470), [13C10]-dG-C8-PhIP (m/z 500.2 → 379.1640); dG-C8-N3-ABA/dG-N2-3-ABA (m/z 511.2 → 395.1251); 2-(2′-deoxyadenosin-N6-yl)-3-aminobenzanthrone (dA-N6-3-ABA, (m/z 495.2 → 379.1302); dG-C8-N3-ABA and dG-N2-3-ABA (511.1 → 395.1251); dA-N6-AL-I (m/z 543.2 → 427.1149); [15N5]-dA-N6-AL-I (m/z 548.2 → 432.1001); dG-N2-AL-I (m/z 559.2 → 443.1098); dG-N2-B[a]PDE (m/z 570.2 → 257.0959, 285.0916, 454.1510), [13C10]-dG-N2-B[a]PDE (m/z 580.2 → 257.0959, 285.0916, 459.1678). The normalized AGC was 200%, and the maximum injection time was 54 ms for the MS2 and MS3 scan events. The HCD normalized CE was 20% for all adducts at the MS2 scan stage, except for dG-N2-B[a]P which was set at 15% HCD. The HCD-normalized CE was 40% for all DNA adducts at MS3. The quadrupole isolation was set at 2 m/z for MS2 and 3 m/z for MS3. The resolution was 30K for both scan events. All EICs were constructed with a 10 ppm mass tolerance window.
Untargeted DNA Adductomics Screening by wide-SIM/MS2.
Wide-SIM/MS2 DNA adductomics technique screens for putative DNA adducts by monitoring the co-elution of the modified nucleoside precursor ions ([M+H]+) in the wSIM scan mode and their corresponding aglycone ions ([BH2]+) produced by the loss of [M+2H-dR]+ under HCD fragmentation at the MS2 scan stage.28 The wide-SIM/MS2 method employed GPF and comprised of 10 scan events, where the odd-numbered events were wide-SIM scans, and the even-numbered events were MS2. Each wide-SIM event had an isolation width of 64 m/z (including a 2 m/z overlap on both ends of the isolation ranges), screening a mass range of m/z 328–632. The sequential MS2 scan events fragmented all ions in the same mass range with a product ion detection ranging from m/z 100 to 650 for MS2 data acquisition. The quadrupole isolation mode was used. The normalized AGC was 3000%, the maximum injection time was 246 ms, and the resolution was 120K. For MS2, the normalized AGC target was 2000%, and the maximum injection time was 118 ms. The HCD was 25% (normalized), except for the SIM window centered at m/z 600, which screens for dG-N2-B[a]P, where a stepped HCD of 10 and 15% was employed to maximize the signal for the aglycone of dG-N2-B[a]P.34 The resolution was 60K, scanning from m/z 100 – 650. There was a substantial carryover for several hydrophobic DNA adducts of 3-NBA and AA of high abundance, which could result in cross-contamination of untreated control samples with the 13-carcinogen treated samples. Therefore, the samples were not randomized. The untreated DNA samples were assayed first, followed by the 13-carcinogen-treated samples. A blank injection of 1:1 H2O:DMSO was injected before commencing the analysis of the untreated samples and before assaying the DNA of the dosed animals.
Generation of a Mass Inclusion List for DDA-CNL/MS3 screening.
The untreated (N = 5 for the kidney, N = 3 for the liver) and 13-carcinogen-dosed animals (N = 5 for the kidney and N = 4 for the liver ) were each pooled to have a single pooled control and treated sample per organ. These samples were then assayed by wide-SIM/MS2 to generate a targeted mass inclusion list for DDA-CNL/MS3. The mass inclusion lists consisted of high-confidence score adducts identified in 13-carcinogen-treated samples with a minimum mean intensity of precursor ion of 5000 and a minimum aglycone intensity of 10,000 counts, observed in both pooled treated replicates. Putative DNA adducts were filtered to have scores > 0.95 and peak shape correlations > 0.6 (Pearson correlation coefficient of precursor and aglycone peak intensities).34 The putative DNA adducts were further filtered and required a minimum number of scans > 4 in which the neutral loss was detected. The ratios of the MS2/MS1 intensities were filtered for >0.5 and <10 ratios, and the putative adducts passing these criteria were then filtered further based on statistics (log2-fold change differences >1 over the untreated samples).
DDA-CNL/MS3 scanning methods.
Four different DDA-CNL/MS3 analyses were performed. Method 1 was conducted by untargeted scanning (no mass inclusion list). The method employed an exclusion list of background ions with retention times generated by injection of an enzyme digest without DNA using the “Background Exclusion” mode of the AcquireX feature of the operating software. Method 2 used two separate mass inclusion lists of putative DNA adducts obtained from pooled wide-SIM/MS2 data at log2-fold changes >1 over the background adduct levels in untreated rats (p-values <0.05). Mass List 1 contained the 32 DNA adducts, including previously reported DNA adducts of the 13-carcinogen mixture listed in Table S1. Several additional DNA adducts of aromatic carcinogens (IQ, dG-C8-IQ; AA-II, dG-N2-AL-II, and dA-N6-AL-II) and isotopically labeled [15N3 and 15N5] internal standards of AA-I and AA-II were also screened. These additional DNA adducts were included to demonstrate the specificity of the DDA-CNL/MS3 screening. The internal standards were spiked at 5 adducts per 108 nts and were positive controls. Mass List 2 was comprised of 60 (for kidney) and 58 (for liver) other putative DNA adducts tentatively identified by the pooled wide-SIM/MS2 analysis, including five DNA adducts on Mass List 1 for cross-checking. DDA scanning priority was given to those putative adducts on Mass List 1. Method 3 employed untargeted scanning with GPF (GPF-DDA-CNL/MS3); no mass inclusion and background ion exclusion lists were used. Unlike Methods 1 and 2, the entire scan range was divided into 5 different GPF scan ranges to mimic the wide-SIM ranges used for wide-SIM/MS2 analysis. The MS2 detection was conducted with the ion trap, followed by criteria-based Orbitrap MS2 (upon observing the neutral loss of dR −116.1 ± 0.2 Da in the ion trap MS2), followed by MS3. Method 4 employed the same GPF and the MS2/MS3 scheme of Method 3 and included the Mass List 1 from Method 2. These DDA-MS method parameters are summarized in Figure S1.
The DDA-CNL/MS3 methods 1 and 2 contained an MS scan window from m/z 297.5 to 602.5 followed by a data-dependent MS2 (ddMS2) scan for ions with an intensity between 2.5 × 103 and 5.0 × 106 with a charge state of 1 or undetermined. The SIM scan mode setting (m/z 297.5 – 602.5) was employed because it permitted a higher AGC setting of 3000% to detect low abundant ions. In contrast, the full scan mode AGC setting maximum was 1250% and was less sensitive (unpublished observations, N. Ragi and Turesky). The resolution was 120K, and the maximum injection time was 246 ms. The MS2 scan events employed a normalized AGC of 200%, and the maximum injection time was 100 ms. The MS2 quadrupole isolation window was at 1.6 m/z. The HCD energy was 20% for all DNA adducts except for dG-N2-B[a]P, which was on mass list 1, and the HCD was 12%. The targeted loss inclusion was 116.0473 Da with a 15 ppm tolerance. A dynamic exclusion of 15 s was employed to eliminate the continuous fragmentation of the same adduct precursor if the MS2 event was scanned 3 times within 30 s (with a mass tolerance of 15 ppm) and isotopes excluded. Only ions above the 2% threshold (relative intensity) were triggered for the MS3 scan event. For MS3, the AGC was 400%, the maximum injection time was 200 ms, and the MS3 isolation window was 3 m/z. The scan range m/z was 100 – 600, and the resolution was 30K for MS2 and MS3 scan events. The data-dependent cycle time was 1.5 s, allowing for MS3 scans on the three most abundant ions detected on the mass list.
The GPF-DDA-CNL/MS3 methods 3 and 4 contained an MS scan from m/z 297.5 to 602.5 split into five scan segments with an isolation width of 64 m/z as done for wide-SIM/MS2 (m/z 298–362, m/z 358–422, m/z 418–482, m/z 478–542, and m/z 538–602) with quadrupole filtering. The resolution was 120K, a maximum injection time of 250 ms, an AGC setting of 1000%, and a lock mass of 371.10124 m/z enabled. Ions within an intensity range between 2.5 × 103 and 1.0 × 106 were available for data-dependent MS2 detection in the ion trap using the rapid scan rate with a quadrupole isolation of 1.6 m/z, HCD collision energy of 25%, a maximum injection time of 35 ms, and an AGC setting of 2000%. Dynamic exclusion was used with a 5 s duration, masses tolerances of ± 10 ppm, and isotopes excluded. MS2 fragmentation with Orbitrap detection was performed for those ion trap MS2 events for which a targeted loss inclusion (dR −116.1 ± 0.2 Da ) and relative intensity threshold of 5% criteria was met. MS2 fragmentation in the Orbitrap was performed with the same parameters as the ion trap, except a maximum injection time of 50 ms was used, and the Orbitrap resolution was 15K. MS3 fragmentation was triggered upon observation of the accurate-mass neutral loss of 2′-deoxyribose (-dR: 116.0473 Da, 5 ppm) upon MS2 fragmentation in the Orbitrap. MS3 fragmentation was performed with HCD with a normalized collision energy of 40%, maximum injection time of 50 ms, and Orbitrap detection at a resolution of 15K. The data-dependent cycle time for each of the five scan ranges was 0.6 s.
Analysis of DNA Adductomics Data Using the wSIM-City Algorithm.
The Thermo MS .raw data files were converted to the mzML and .MGF centroided data formats using Proteowizard v.3.0.19098 (2019–4-8) msconvert.exe raw file converter with the following command: “msconvert --filter ‘peakPicking true 1-’--simAsSpectra -- <rawfile name>”. The search algorithm for wSIM-City was provided with these mzML files as input. The statistical analysis and peak choosing processes are automated by the wSIM-City R library package.34
DNA Adducts and Post-search Alignments, and DNA Adduct Scoring Criteria.
wSIM-City searches were completed using the following parameters: delta_search_mass = −116.0473, ppm_tol = 20, rt_tol = 0.1, mzmin = 135, mzmax = 634, and mzwid = 0.1.34 The MS1 and MS2 m/z value intensity signals for each DNA adduct and its aglycone ([BH2]+) were based on the observed maximum intensity peak detected for a given pair of Precursor – aglycone peak pairs detected within the neutral loss ppm tolerance window.34 A custom R script was then applied to the peak intensity signals to assign the EIC peaks, using the matched filter algorithm from the R XCMS library,52 to detect the aglycone and precursor ion EICs within a 6-second retention time tolerance of each other. The MS2 signals were employed in the remaining data alignment processes and statistical analysis since they typically have better signal-to-noise ratios than the precursor ions in wide-SIM scan mode.34
Putative DNA adducts were scored using the calculated difference in m/z values between the precursor ions and the aglycones ([BH2]+), accounting for the dR loss (−116.0473 Da, C5H8O3). Molecular formula (MF) were calculated within a 5 ppm mass error for the m/z of both the precursor and the aglycone peaks and was used as filtering criteria for DNA adducts, keeping those precursor and aglycone peaks with an MF difference of -C5H8O3 = 0. The refined list of adducts were then filtered by the observed ratio of the maximum MS2 over MS1 peak intensities (MS2/MS1 ) >0.5 and < 10. Peaks detected across the twice double-injected pooled treated and untreated samples were aligned with the create_ref_table and join_align functions, using a retention time tolerance (rt_tol) = 0.5 and parts per million tolerance (ppm_tol) = 10.34
Untargeted Data filtering and downstream statistics.
Statistics were completed using the R v4.3.1 programming language.53 The wSIM-City algorithm was used to generate the mass inclusion list of putative DNA adducts from the pooled samples in the wide-SIM/MS2 analysis described in Generation of a Mass Inclusion List for DDA-CNL/MS3 screening to select the precursor and aglycone ion pairs from the individual replicates of the kidney (N = 5) and liver (N = 4) from treated animals. Some MS2 signals were missing across sample replicates. Therefore, a low random value near the minimum MS2 detected intensity was used to impute any missing value and to calculate new p-values (Student’s t-test, one-sided, equal variances) and log2-fold changes (treatment/over control), principal components analysis (PCA), and the production of the volcano plots. The putative DNA adducts not present in at least 50% of the carcinogen-dosed group with a minimum mean signal intensity of 10,000 ion counts at MS2 for either untreated or carcinogen-dosed animals were filtered out to reduce false positive data.
Results
Selection of chemicals.
The 13 chemicals selected for study (Scheme 1) are based upon findings from NTP long-term rodent bioassays, mechanistic studies in rodents,11,12 or epidemiological studies linking genotoxicants in the environment, tobacco smoke, and dietary exposures to an increased risk of RCC, UTUC, or other urological cancers.4,5,8,10,20,25 The major DNA adducts formed by these carcinogens are shown in Table S1. The DNA adduct structures range from low molecular weight alkylated adducts formed with DMNA and acrylamide to bulky adducts formed with aromatic amines, heterocyclic aromatic amines (HAAs), polycyclic aromatic hydrocarbons (PAHs), nitro-PAHs, and AA-I. As described below, DNA adducts were screened by wide-SIM/MS2 followed by targeted MS3 or CNL/MS3 scanning to obtain MS3 product ion spectra to support adduct identities.
Wide-SIM/MS2 and DDA-CNL/MS3 adductomics scanning technologies and the wSIM-City Algorithm.
We employed nanoflow liquid chromatography and nanoelectrospray ionization coupled to Orbitrap MS using our untargeted DIA wide-SIM/MS2 DNA adductomics scanning technology and wSIM-City algorithm to identify DNA adducts formed with the 13 carcinogen cocktail mixture.28,34 Wide-SIM/MS2 is a data-independent acquisition (DIA) scanning method. The wide-SIM scan event captures all precursor ions, and the ensuing MS2 scan event covers all the fragment ions, including the aglycones. GPF was employed to increase the sensitivity of the analysis and simplify the spectra.28,48 However, the MS1 spectra remain a complex set of ions comprised of DNA adducts present at trace levels along with many other components from the background enzyme digest matrix, buffers, and chemicals co-purified with the DNA, which are present at much higher abundance than DNA adducts. The MS2 spectra contain multiple fragment ions of these components in the wide-SIM/MS2 scan event. Presumed known DNA adducts are visualized using extracted ion chromatograms (EIC) of the precursor ions [M+H]+ in wide-SIM MS scan window, and their corresponding aglycone ions [M+2H-116.0473 Da]+) in the MS2 scan event. Wide-SIM/MS2 allows for retrospective data mining for DNA adducts.28,48 However, manual searching for all potential DNA adducts is labor intensive.
wSIM-City software processes mass spectral data acquired by wide-selected ion monitoring with GPF coupled to MS2 fragmentation.33,34 The wSIM-City algorithm is automated to detect an array of known and unknown putative DNA adducts analyzed by wide-SIM/MS2.34,54 The algorithm aligns the matching precursor ions in the wide-SIM scan event (64 m/z windows), and the co-eluting aglycone ions differing by −116.0473 Da in MS2 scan event with high stringency for mass accuracy. The algorithm also examines matching retention times, relative ion abundances, and peak shape features of the precursor and aglycone ions to rank-score the putative adducts, providing an overall composite score (Figure 1).34 Wide-SIM/MS2 scanning showed superior coverage compared to CNL/MS3 scanning methods for detecting bulky, non-polar aromatic DNA adducts spiked-in calf thymus DNA.28 Wide-SIM/MS2 scanning also allows for semi-quantitation of adducts if stable isotopically labeled internal standards are present. However, unequivocal adduct identification requires an independent targeted MS3 or DDA-CNL/MS3 analysis, where unknown putative DNA adducts can also be further characterized by their MS3 spectra.
Figure 1.

Identification of DNA adducts using wide-SIM/MS2 and wSIM-City. (A) Mechanism of 2′-deoxyribose loss of the modified DNA nucleoside under HCD. (B) Scanning method for detecting DNA adducts by high-resolution mass spectrometry (HRMS) showing multiple MS1 and MS2 isolation windows utilized for each duty cycle. (C) A scheme for the wSIM-City algorithm and (D) wSIM-City performing neutral loss search for 2′-deoxyribose loss and subsequent plotting of precursor [M+H]+ and aglycone [BH2]+ ions.
The untargeted DDA-CNL/MS3 screening method in real-time selects the topmost abundant ions in the full scan spectra for fragmentation. Those precursor ions that have lost 116.0473 Da (± 15 ppm) to form the presumed aglycone ion undergo an MS3 scan event. The putative adduct is then placed on an exclusion list for a specific time to eliminate its continual fragmentation. DDA-CNL/MS3 scanning provides rich spectral data about the adduct structures with MS2 and MS3 fragmentation data in a single run, an advantage over wide-SIM/MS2 scanning. Employing a mass list of DNA adducts with prioritized scanning can improve the detection frequency of low-abundance DNA adducts by targeted CNL/MS3 (vide infra).
Identification of Known and the Discovery of Unknown Aristolochic Acid DNA Adducts by Wide-SIM/MS2 employing the wSIM-City Algorithm.
AA-I is one of the 13 carcinogens dosed to rats; it is a potent DNA-damaging agent and a rodent renal carcinogen.55 The power of wide-SIM/MS2 scanning methodology in untargeted DNA adduct discovery is shown in the EIC profiles of the wide-SIM and MS2 scan events of the 13 carcinogen-treated rats. Automated by wSIM-City extracts precursor and aglycone m/z peak intensities for each scan that showed a detected neutral loss of dR within 5 ppm mass tolerance immediately following the precursor ion scan (Figure 2). The EICs of the precursor ion peaks ([M+H]+) of dG-N2-AL-I at m/z 559.1572 (tR 25.7 min) and dA-N6-AL-I at m/z 543.1623 (tR 28.70 min) are shown in the wide-SIM scan and the corresponding co-eluting aglycone ions ([BH2]+) for dG-N2-AL-I at m/z 443.1098 and dA-N6-AL-I at m/z 427.1149 are shown in the MS2 scan (Figure 2). There are also two putative dG-AL-I isomers (tR 25.2 and 26.6 min) and an abundant, presumed isomer of dA-AL-I (tR 27.1 min), based on the accurate m/z values for precursor and aglycone ions. The targeted MS3 spectra of the dA-AL-I and the proposed dA-AL-I isomer have the two characteristic product ions attributed to the ionized AL-I moiety. The ion at m/z 292.0602 ([C17H10NO4]+) is formed by inductive cleavage of the dA-N6-C7-AL bond, resulting in the neutral loss of adenine [C5H5N5 135.0545 Da] with the positive charge retained on the AL moiety. The second fragment ion at m/z 293.0677 occurs by homolytic cleavage of the dA-N6-C7-AL bond to form the AL radical cation ([C17H11NO4]•+) (Figure 3).47 The targeted MS3 spectra of dG-N2-AL-I (tR: 25.7 min) and the first proposed isomeric dG-AL-I adduct (tR 25.0) display similar fragmentation patterns and also contain ions attributed to the charged AL moiety at m/z 292.0602 and 293.0677. The MS3 fragmentation pattern similarities among these modified nucleobases suggest that bond formation of these novel AA adducts occurs at the N2-dG and N6-dA atoms and the C7-AL atom; however, adduct formation at other sites of the AL moiety cannot be excluded (Figure 3).
Figure 2.

Wide-SIM/MS2 and wSIM-City identification of known AA-I and novel AA DNA adducts in kidneys of untreated and 13-carcinogen-mixture treated rats 24 h after dosing. The precursor ions are depicted with black sticks, and the aglycones are depicted with red sticks. The arrows point towards the internal standards [15N5]-dA-N6-AL-I and [15N5]-dG-N2-AL-I. The top two rows represent dA-N6-AL-I and dG-N2-AL-I and their putative isomers, and the bottom two rows show [15N5]-dA-N6-AL-I and [15N5]-dG-N2-AL-I. The EIC data are from wSIM-City automated identification of the precursor and aglycone m/z peak intensities for each scan that showed a detected neutral loss of dR within a 5 ppm mass tolerance in the scan immediately following the precursor ion scan.
Figure 3.

MS3 spectra dA-N6-AL-I, dG-N2-AL-I, proposed novel dG-AL-I isomer and proposed dG- and dA-AA-III isomer adducts.
The second putative dG-AL-I isomer (tR 26.6 min in Figure 2) was detected in rat kidneys but at very low levels in rat liver. This adduct undergoes less HCD fragmentation than the other AA-I DNA adducts, and the characteristic ions of the ionized AL moiety at m/z 292.0602 and m/z 293.0677 are not observed in the MS3 spectrum (Figure 3). The MS3 product ion base peak at m/z 428.0864 is attributed to the loss of the CH3• radical from the aglycone ([BH2-CH3]•+), followed by ions at m/z 411.0841 attributed to the loss of CH3OH [BH2-CH3OH]+; and m/z 401.0759 due to the losses of the CH3• and HCN ([BH2-CH3-HCN]•+) (Figure 3). A recent study characterized the decomposition of N-sulfooxy-AL-I, an AA-I-activated form of AA-I,56 by electron spin resonance, identifying a sulfate radical and two radicals centered at the N6 and C7 atoms of the AL-I moiety.57 In the presence of dG, the homolytic cleavage of the N-sulfooxy-AL-I bond was predicted to produce multiple carbon and nitrogen-centered radicals of AA-I and dG, resulting in multiple dG-AA-I adducts.57 Indeed, four novel dG-AL-I adducts were detected by the reaction of N-sulfooxy-AL-I with dG in vitro; their structures remain to be elucidated.57 In contrast, the heterolysis of the N–OSO3 bond of N-sulfooxy-AL-I forming the proposed reactive AL-I nitrenium/carbenium ion produces only dG-N2-AL-I and dA-N6-AL-I, which is most commonly accepted mechanism of AA-I DNA adduct formation.58 Many activated aromatic amines, HAAs, and nitro-PAHs form DNA adducts predominantly at the C8 or N2 positions of dG and, to a lesser extent, at the C8 and N6 positions of dA.59 The structure of the putative dG-AL isomeric adduct (tR 26.3 min in Figure 2) is uncertain. Notably, 3-NBA, a structurally related genotoxicant of AA-I, forms an uncommon adduct with dG, where bond formation occurs between C2 atom of the benzanthrone ring and the C8 atom of guanine to form dG-C8-C2–3-ABA.60 Based on the MS3 fragmentation pattern of this novel dG-AL isomer (tR 26.6 min in Figure 2, and mass spectrum in Figure 3), we hypothesize a stable carbon-carbon bond may have formed between dG and the C atom of the AL moiety of this novel dG-AL-I isomer, similar to that reported for the dG-C8-C2–3-ABA adduct.60
Another putative AA adduct was detected by wSIM-City. The precursor ion occurred at m/z 519.1510, and its aglycone was at m/z 403.1037, with the EICs shown in Figure 4. The molecular weight of this adduct is consistent with the mass of an adduct formed between the activated AA-I and dC. The targeted CNL/MS3 product ion spectrum of the aglycone contains fragment ions at m/z values of 388.0794, 386.0770, and 371.0533, attributed to the losses of [BH2-CH3]•+, [BH2-NH3]+, and [BH2-NH3-CH3]•+, respectively. The ion at m/z 292.0602 is assigned as the charged AL moiety, occurring by the neutral loss of cytosine from the aglycone [BH2-C4H5N3O]+ (Figure 4). The MS3 spectrum of this adduct is consistent with the proposed 7-(deoxycytidin-N4-yl) aristolactam I (dC-N4-AL-I) structure. A previous study reported the biomimetic formation of a dC-AL-I adduct upon reacting AA-I with zinc powder in the presence of calf thymus DNA.61 However, to our knowledge, dC-N4-AL-I has not been reported in rodents or human tissues. The mutational signature SBS22 ascribed to AA-I contains low C>G and C>T base pair mutations, which could implicate the dC-N4-AL-I adduct in AA-I mutagenesis and warrants study.25
Figure 4.

wSIM-City EICs of wide-SIM/MS2 analysis of precursor and aglycone ions of a proposed novel dC-N4-AL-I adduct in kidneys and liver of untreated and rats treated with the 13-carcinogen mixture 24 h following dosing. The precursor ions are shown in black, and the aglycone ions are depicted in red. The EIC data are from wSIM-City automated identification of the precursor and aglycone m/z peak intensities within a 5 ppm mass tolerance. The targeted CNL/MS3 spectrum and proposed fragments ions of dC-N4-AL-I are reported from the liver DNA of a 13-carcinogen-treated rat.
The proposed structural assignment dC-N4-AL-I and all other newly identified AA adducts and others are tentative. Large-scale syntheses of the adducts and characterization by NMR are required to elucidate their structures.
Identification of Aristolochic Acid Isomers in Commerical Aristolochia contorta Used For Dosing Rodents.
A commercial Aristolochia herbal extract (A. contorta, Jilin Province, China), not synthetic AA-I, was dosed to the animals. AA-I (8-methoxy) and its demethoxylated derivative 6-nitrophenathrene-[3,4-d]-1,3-dioxolo-5-carboxylic acid (AA-II) are often the primary genotoxic components in Arisolochia herbs.62 However, two other methoxy-substituted 6-nitrophenanthro-[3,4-d]-1,3-dioxolo-5-carboxylic acid moieties, AA-III and AA-VII, also occur in some Arisolochia plants.63 The AA-I was extracted from the stem of this herb by a mixture of methanol and water and provided by the vendor as a powder. The AA-I purity by HPLC-UV was reported to be ~90%. We re-examined the AA-I herbal extract by HPLC using a UV/Vis diode array detector monitoring at 250, 320, and 390 nm (Figure 5). AA-I was the principal component (peak 2, tR 19.31 min), accounting for ~85% of the UV/Vis absorbance at all wavelengths, followed by two minor components, each at about 5 – 8% relative abundance to AA-I. The peak at tR 18.16 min co-eluted with synthetic AA-III and displayed an identical UV/Vis spectrum. AA-III occurs in some Aristolochia herbs, including A. argentina and A. chilensis.63–65 The third peak at tR 19.90 min is unknown; its retention time and UV/Vis spectrum are dissimilar to that of AA-VII (tR 18.68 min, the peak of the reference chemical is not shown).
Figure 5.

HPLC/UV of AA-I (tR 19.31 min) and AA-III (tR 18.16 min) isomers in commercial Aristolochia contorta extract. The synthetic AA-VII has a tR at 18.70 min (peak not shown) and a UV/VIS spectrum distinct from peak 3 at tR 19.90 min in the extract.
The major dA-AL adduct in rat kidneys (tR 27.1 min) and the first eluting dG-AL adduct (tR 25.35) in rat kidneys (Figure 2) have the same retention times as the dA-AL-III and dG-AL-III adducts formed in kidney DNA of mice treated with AA-III and have matching MS3 spectra to those spectra in the rat kidney DNA (unpublished data, R. Turesky, V. Sidorenko, and T. Rosenquist). Assuming AA-I and AA-III have similar molar extinction coefficients and their corresponding isomeric dG-AL and dA-AL adducts have similar electrospray ionization and mass fragmentation efficiencies, the amount of the putative dA-AL-III isomer, based on peak area counts (MS2 stage), is 4.6-fold greater than dA-AL-I, and the amounts of the novel dG-AL-III isomer at tR 25.35 and the dG-AL isomer at 26.66 min, respectively, are 4.1 and 2.5-fold greater than dG-AL-I. Given that the amount of AA-III is ~10-fold lower than AA-I in the herbal extract, DNA adduct formation with AA-III in rat kidneys occurs at ~25 to 40-fold greater levels than those adducts formed with AA-I when normalized per mg of AA isomer dosed/kg body weight at 24 h post-dose treatment.57
Identification of Other Aromatic DNA Adducts in Kidney and Liver by Wide-SIM/MS2.
Wide-SIM/MS2 and the wSIM-City algorithm screened for bulky aromatic DNA adducts of other carcinogens dosed, including 3-NBA, 4-ABP, 2-NA, 2-NF, o-Tol, PhIP, MeIQx, AαC, MeAαC, B[a]P. The dG-C8–4-ABP, dG-C8-MeIQx, dG-C8-AαC, dG-PhIP, and dG-N2-B[a]P adducts were identified in the kidney, liver, or both organs, based on the exact retention times to reference synthetic standards, or by their co-elution with stable isotopically labeled internal standards when available. The presumed dG-N2-N4-ABP isomer and dA-C8–4-ABP adduct were also detected.66,67 Reference standards for these latter two DNA adducts were unavailable. In addition, several DNA adducts of 3-NBA,49,60 2-NF,68 two genotoxicants emitted in diesel exhaust, and renal carcinogens,69,70 and MeAαC, a liver carcinogen, also emitted in diesel exhaust and present in tobacco smoke, were putatively identified.71,72 The dG and dA adducts previously reported for 3-NBA,49 dG-C8-AF,68 and dG-C8-MeAαC73 were detected in the kidneys or liver DNA of 13-carcinogen treated rats. Consistent with previous rodent studies, DNA adducts of o-Tol were not detected,74,75 and only trace levels of 2-NA dG and 2-NA dA adducts were observed by targeted MS2 (unpublished observations, N. Ragi and Turesky).76
3-NBA, like AA-I, contains a nitrophenanthrene moiety. Several DNA adducts of 3-NBA were detected in the wide-SIM/MS2 analysis, employing automated wSIM-City identification. A prominent adduct of dG-ABA (tR 25.08 min) with two minor peaks at tR 25.00 and 25.78 min were detected. (Figure 6). Synthetic dG-ABA reference standards enabled us to identify dG-N2-3-ABA (tR 25.00 min) as the minor and dG-C8-N3-ABA (tR 25.08 min) as the principal dG-ABA adducts, respectively (Figure 6). The targeted MS3 spectra are shown in Figure 7. The analysis shows that the synthetic dG-C8-C2–3-ABA elutes at tR 25.78 min (Figure 6). The dG-C8-C2–3-ABA reportedly occurred at about 1% relative to dG-N2-3-ABA and dG-C8-N3-ABA in rats dosed with 3-ABA.49 This proposed adduct appears as a shoulder peak at tR 25.78 min. However, the low levels and the overlap with the predominating dG-C8-N3-ABA isomer prevented the acquisition of a well-resolved targeted MS3 spectrum to confirm its identity. The major dA-ABA adduct (tR 27.02 min) and a presumed minor dA adduct (tR 24.90 min) were detected. The MS3 spectrum of the principal dA-ABA adduct is consistent with the structure of the previously reported dA-N6-3-ABA adduct (Figure 7).49 The MS3 spectrum of the previously unreported minor dA-ABA adduct contains the same fragment ion as dG-C8-N3-ABA at m/z 231.0800. This product ion is not seen for the other isomeric ABA adducts (Figure S2); this adduct may have formed at the C8 atom of dA and the N3 atom of 3-NBA.
Figure 6.

Wide-SIM/MS2 EICs and wSIM-City identification of 3-NBA DNA adducts in the kidney of untreated and rats treated with the 13-carcinogen mixture 24 h post-dosing. The precursor ions are shown in black, and the aglycone ions are depicted in red. The arrows at tR 25.00 and 25.78 min show where synthetic dG-N2-3-ABA and dG-C8-C2–3-ABA elute. The base peak at tR 25.08 min is the retention time of synthetic dG-C8-N-3-ABA. The major peak is the proposed dA-N6-3-ABA adduct at tR 27.02 min. The minor peak dA adduct at tR 24.90 min is tentatively assigned as dA-C8-N-3-ABA. The EIC data are from wSIM-City automated identification of the precursor and aglycone m/z peak intensities within a 5 ppm mass tolerance.
Figure 7.

Targeted MS3 spectra of 3-ABA DNA adducts.
Representative untargeted wide-SIM/MS2 EIC for DNA adducts of aromatic amines, HAAs, B[a]P-dosed carcinogens in kidney and liver DNA rats automated by wSIM-City are depicted in Figure 8, and the DDA-CNL/MS3 spectra are provided in the supporting information (Figure S2 – Figure S6). The supporting information also provides unfiltered EICs of these precursor and aglycone ions of DNA adduct detected by wide-SIM/MS2 and manually extracted using FreeStyle version 1.8 (Figure S7 – Figure S8) or automated by wSIM-City (Figure S9).
Figure 8.

Wide-SIM/MS2 and wSIM-City EICs of 4-ABP, HAA, B[a]P DNA adducts in kidney DNA of untreated and treated rats given a 13-carcinogen mixture 24 h following dosing The precursor ions are shown in black, and the aglycone ions are depicted in red. The EICs identified by wSIM-City are plotted for dG-C8–4-ABP, dG-C8-AαC, dG-C8-PhIP, dG-N2-B[a]P, and their aglycone m/z peak intensities within 5 ppm mass tolerance.
Estimated Levels of Nitroaromatic, Aromatic Amine, Heterocyclic Aromatic Amine, B[a]P, and O6-MedG Adducts in the Kidney and Liver by Targeted MS2.
The liver is a major organ for the bioactivation of many aromatic amine and HAA procarcinogens by cytochrome P450s (P450 1A2 and P450 2E1);77,78 the kidney also contains oxidases and reductases, including NAD(P)H:quinone oxidoreductase (NQO1), which bioactivate AA-I and 3-NBA.1,58 Following untargeted adduct screening by wide-SIM/MS2, the known and putative DNA adducts were analyzed by targeted MS2 monitoring [M+H]+ → [M+2H-dR]+. A single-point calibration was employed using the internal standards of [13C10]-dG-C8-HAAs, [13C10]-dG-C8–4-ABP, [13C10]-dG-N2-B[a]P, and [15N5]-dA-N6-AL-I and [15N5]-dG-N2-AL-I DNA adducts, the latter of which were used as surrogate internal standards for estimating isomer AA and isomeric ABA DNA adduct levels.
The dG adducts of 3-NBA (incompletely resolved dG-N2-3-ABA/dG-C8-N3-ABA/dG-C8-C2–3-ABA isomers), followed by dA-N6-ABA, the newly discovered dA-N6-AL-III isomer, dA-N6-AL-I, the novel dG-N2-AL-I isomer and O6-MedG were the most abundant DNA adducts formed in rat kidneys (Figure 9). Adduct level estimates were made on nineteen of the 21 DNA adducts detected (dG-C8–2-NA and dC-N4-AL-I were not measured, and the unresolved dG-N2-3-ABA and dG-C8–3N-ABA isomers were measured and combined as dG-3-ABA adducts. Thus, DNA adduct levels were determined for 18 DNA adducts. Striking differences in adduct levels of these carcinogens occurred between the kidney and liver (Figure 10). The levels of the proposed dA-N6-AL-III and dG-N2-AL-III adducts were significantly higher in the kidney than the liver at 24 h post-treatment. In contrast, the dA-N6-AL-I and dG-N2-AL-I levels were not significantly different between these organs. The proposed dC-N4-AL-I adduct was not part of the targeted analysis; the relative ion abundances of the precursor ion and aglycone signal dC-N4-AL-I in wide-SIM/MS2 suggests that the adduct level was about 2-fold higher in the liver than kidney, assuming similar ionization efficiencies in both DNA samples (Figure 5).
Figure 9.

Estimates of DNA adducts in liver and kidney DNA of rats treated with 13-carcinogens 24 h post-dosing. [13C10]-dG-C8–4-ABP was employed to estimate levels of dG-N2-N4-4-ABP and dA-C8–4-ABP; [13C10]-dG-C8-AαC was used to estimate dG-C8-MeAαC and dG-C8-AF; [15N5]-dA-N6-AL-I was employed to estimate dA-N6-AL-III and dA-ABA isomers, and [15N5]-dG-N2-AL-I was used to estimate dG-ABA isomers which were estimated as a “single” adduct due to overlapping peaks.
Figure 10.

DNA adduct levels in kidneys and liver of rats treated with a 13-carcinogen mixture 24 h following dosing. [13C10]-dG-C8–4-ABP was employed to estimate levels of dG-N2-N4-4-ABP and dA-C8–4-ABP; [13C10]-dG-C8-AαC was used to estimate dG-C8-MeAαC and dG-C8-AF; [15N5]-dA-N6-AL-I was employed to estimate dA-N6-AL-III and dA-3-ABA isomers, and [15N5]-dG-N2-AL-I was used to estimate dG-3-ABA isomers. The statistical significance between adduct levels formed in the kidney and liver was done with Welch’s unpaired t-test using Prism 8.4.3 (GraphPad Software, La Jolla, CA). (*P < 0.05; **P < 0.01, ***P < 0.001, ****P < 0.0001)
The dG-ABA and dA-N6-ABA adducts were also significantly higher in the kidneys than in the liver. The dG- and dA adducts of 4-ABP, dG-C8-AαC, and dG-C8-MeAαC were higher in the liver than in the kidney, perhaps by efficient hepatic P4501A2 bioactivation.78–80 In contrast, dG-C8-MeIQx and dG-N2-B[a]P levels were similar in both organs, while the dG-C8-PhIP level was significantly higher in the kidney than in the liver. In contrast to NBA and AA, which form DNA adducts at high levels in the kidney, the proposed dG-C8-AF adduct formed following nitro reduction of 2-NF to the reactive 2-hydroxyaminofluorene intermediate was detected in the liver only at 3.0 ± 0.3 adducts per 109 nts. It was not found in the kidney (<5 adducts per 1010 nts).
DMNA was one of the 13 carcinogens dosed to rats. DMNA undergoes metabolism by P4502E1 to produce a reactive methylating agent to form O6-MedG as the major stable adduct of this procarcinogen.77,81 We employed offline SPE to isolate O6-MedG because it is poorly retained by our online trapping method.43 Quantitative targeted MS2 analysis using the O6-[2H3]-MedG internal standard showed that O6-MedG was 7.6-fold higher in the liver than in the kidney (10.7 ± 2.8 versus 1.4 ± 0.3 adducts per 107 nts, p = 0.0016 ). O6-MedG is one of the predominant adducts formed in the liver and kidneys of rats treated with this 13-carcinogen mixture (Figure 9 and Figure 10). The relative estimates of these different adducts formed in the liver and kidney should be interpreted cautiously since the kinetics of DNA adduct formation and their peak levels were not determined.82 Furthermore, surrogate internal standards were employed for some adducts and could lead to less precise estimates.
DNA Adductomics Analysis by wSIM-City.
wSIM-City was used to profile non-polar and aromatic DNA adducts in the wide-SIM/MS2 data of pooled kidney and liver samples of rats exposed to the 13-carcinogen cocktail and detected many other putative unknown DNA adducts (16678 and 14631 total ion pairs across pooled kidney and liver samples, respectively). Many of these signals were considered noise or false positives caused by poorly defined EICs, unrealistic MS2/MS1 ratios, or artifacts in the data. Based on the mass lists of DNA adducts obtained from the pooled samples, we searched for similarly identified putative DNA adducts by wSIM-City in the individually treated rats (N = 5 for treated and untreated kidneys, and N = 4 for treated liver and 3 for untreated liver controls). These putative DNA adducts identified from the independent wSIM-City search results were extracted using a < 7 ppm mass error and a retention time window of ± 0.5 min. Data were subsequently filtered for missing data (≥ 50% present in the treatment groups), resulting in a table of intensities that included 3956 and 3381 adducts for the kidney and liver samples, respectively. These tables were used to perform principal components analysis and statistics for volcano plots.
The EICs of several known and newly identified DNA adducts, including dA-N6-AL-III, were extracted by automation with wSIM-City (Figures 2, 4, 6, 8). The PCA of the DNA adduct aglycone [M+2H-dR]+ intensities clustered the DNA samples into dosed and undosed (control) groups (Figure 11). Significance testing Student’s (t-test, p < 0.1 log2 FC <−1 or >1) detected 333 significantly altered putative DNA adducts in the kidney (148 are higher in the carcinogen-dosed group) and detected 356 significantly altered putative DNA adducts in the liver (205 were higher in the carcinogen-dosed group). The volcano plots show that many putative DNA adducts of the 13 carcinogens dosed were elevated with p < 0.10 in treated animals) (Figure 11). However, the pooled and individually-dosed animals were assayed by LC-MS at different times. Several DNA adducts initially identified in pooled wide-SIM/MS2 samples were not detected by wSIM-City in the individually treated animals because of retention time differences (> 30 s) and failed to be selected for alignment. For example, low abundance dG-C8-MeAαC and the proposed dC-N4-AL-I adducts were missed in both the liver and kidney, and dG-N2-B[a]P was missed in the kidney. By relaxing the retention time search tolerance, these adducts can be selected for alignment. However, that may introduce considerably more ion pairs within the search tolerance window and potentially reduce the accuracy of the curation. Furthermore, the signals of several low-abundance DNA adducts were not significantly different from the background signals of the control animals in the wide-SIM/MS2 as show in the volcano plots, such as dG-C8-MeIQx (Figure 11). This adduct is above the LOQ value in targeted MS2 but occurs at low levels (1 – 2 adducts per 108 nts). The untargeted wide-SIM/MS2 scanning method is several fold less sensitive than targeted MS2, and the dG-C8-MeIQx signal was only above 10,000 counts in one of the 5 kidney DNA samples but present in 3 of the 4 carcinogen-dosed liver samples. However, the imputation required for statistical analysis caused high variation, resulting in p-values > 0.1. Several other known DNA adducts occurring at low abundances (<1 adduct per 108 nts) also failed to show significant differences from the background signals of the control animals when analyzed by wide-SIM/MS2 analysis.
Figure 11.

Principal components analysis (PCA) and Volcano plots for untargeted DNA adductomic analysis from DNA of kidneys and livers from the control (CTRL) and rats treated (TRT) with a 13-carcinogen mixture 24 h following dosing. The PCA plots are the putative DNA aglycone adduct intensities of A) rat kidney and (B) liver. The data were clustered by PCA using the ropls R library. Black, red, and blue ellipses represent 95% CI ellipses for total, dosed, and control samples. The volcano plots of (C) kidney and (D) liver are reported as −1*log(p value) versus log2 fold change of MS2 intensities for dosed over control groups for DNA adducts present in at least 50% of the dosed group and a mean intensity over 10,000 counts in either the control or carcinogen-dosed groups. Grey dots represent putative DNA adducts detected in the kidney or liver tissues. Red dots show wSIM-City identified and validated known DNA adducts detected. The blue lines mark DNA adduct intensities (as log 2 FC of −1 or 1) and Student’s t-test (p-value < 0.1 expressed as −1 * log (p-value), one-sided, equal variances). Note, the signal intensities for several known DNA adducts identified at low abundance by targeted MS2 in the dosed animals were detected in <50% of the sample by wide-SIM/MS2 and filtered out (p-value >0.1). The DNA adduct signals were manually added back to the volcano plot data for visualization purposes.
Targeted MS3, DDA-CNL/MS3 and GPF-DDA-CNL/MS3 Acquisition.
We employed criteria established in the metabolomics field to identify DNA adducts.83 Confirming DNA adduct identity required co-elution with a synthetic reference standard for retention time and a matching MS3 spectrum of the modified nucleobase. There are many putative adducts of unknown structures. Targeted MS3 scanning provides the most robust and reliable mass spectral data, particularly for low abundance DNA adducts, where spectral averaging across the peak can improve the signal over the background noise and provide cleaner, high-quality MS3 spectra than those obtained with DDA scanning where only one up to several scans are acquired and co-isolated background signals cannot be removed. However, there is a limit to the number of putative DNA adducts that can be targeted for MS3 analysis, although a normalized retention time technique with scheduled MS3 scanning can increase DNA adduct spectral coverage.84 We explored the untargeted DDA approach, which can identify more unknown adducts across the chromatogram than possible with targeted MS3 scanning.
DNA adduct formation resulting from exposure to two polar carcinogens, DMNA and acrylamide, and 11 carcinogens containing aromatic moieties (Scheme 1) was examined using our wide-SIM/MS2 data acquisition with wSIM-City analysis to establish a mass list of putative DNA adducts to prioritize for targeted MS3 and DDA-CNL/MS3 scanning. DMNA forms O6-MedG and several DNA adducts of acrylamide and its reactive epoxide metabolite glycidamide (GA) were previously identified in mice and rats, with higher adduct levels formed for GA.85,86 GA forms N7-(2-carbomyl-2-hydroxethyl)-guanine (N7-GA-Gua) and N3-(2-carbomoyl-2-hydroxyethal)-adenine (N3-GA-Ade). These adducts undergo deglycosylation and were measured as the modified nucleobases in previous studies.85,86 Moreover, even if some portion of the adducts were stable towards our DNA isolation and nuclease digestion procedures, our online trapping method does not appear suitable for analyzing these adducts due to their high polarity. We decreased the starting m/z range to encompass putative acrylamide and GA DNA adducts. However, these adducts were not detected by wide-SIM/MS2 or targeted DDA-CNL/MS3 (unpublished observations, N. Ragi and Turesky). The low molecular weight aromatic amine o-Tol forms several isomeric DNA adducts with dG and dA in vitro, but they were not detected in rodents.74,87 Our untargeted and targeted LC-MS analyses also did not detect o-Tol DNA adducts in rat kidneys or liver. Of the 2-NA adducts, only trace levels of dG-C8–2-NA were detected by targeted MS2, occurring in rat liver at levels of approaching 1 adduct per 109 nts. Nineteen DNA adducts of the nine remaining aromatic carcinogens were identified by targeted MS3 (Table S2). The proposed dC-N4-AL-I was detected by wSIM-City after the targeted MS3 assays had been performed.
We determined the efficacy of detecting these 19 DNA adducts (Table S2) and screening other putative unknown DNA adducts employing DDA-CNL/MS3 and GPF-DDA-CNL/MS3 scanning methods compared to wideSIM/MS2. Some adducts are present in DNA at ~1 adduct per 108 nts or lower. The DDA-CNL/MS3 product ion spectra of representative DNA adducts are reported in Figures S2 – S6. Four DDA-CNL/MS3 scanning strategies were evaluated (see DDA-CNL/MS3 scanning methods in Materials and Methods, and Table S2). With the untargeted DDA-CNL/MS3 analysis (Method 1), 16,663 MS2 and 137 MS3 spectra were acquired on kidney DNA, and 15,926 MS2 and 183 MS3 spectra were obtained from the liver DNA, of which 4 DNA and 5 DNA adducts, respectively, in the kidney and liver, were previously detected by wide-SIM/MS2. High-quality DDA-CNL/MS3 spectra were acquired on dA-N6-AL-I, dG-N2-3-ABA and dG-C8-N-3-ABA, dA-N6-ABA, and dG-C8–4-ABP. With the targeted DDA-CNL/MS3 analysis containing the inclusion mass lists (Method 2), 1640 MS2 and 338 MS3 spectra were acquired from the two mass lists in the kidney, and 1525 MS2 and 504 MS3 spectra were acquired in the liver sample mass lists. Twelve DNA adducts in the kidney and 17 from the liver DNA previously detected by wide-SIM/MS2 displayed high-quality DDA-CNL/MS3 spectra. The untargeted GPF-DDA-CNL/MS3 analysis (Method 3) detected five adducts among the most abundant DNA adducts previously detected by wide-SIM/MS2 in the liver and six in the kidney samples. With the GPF-DDA-CNL/MS3 analysis containing the inclusion mass lists (Method 4), 13 DNA adducts were detected in both the liver and kidney samples. Thus, DDA-CNL/MS3 screening was not as sensitive and comprehensive as the wide-SIM/MS2 with the wSIM-City algorithm, even when employing a background exclusion list.
The DDA-CNL/MS3 detected other putative DNA adducts. Several putative lipid peroxidation DNA adducts were identified;88 however, the precursor ions of many other putative adducts are not reported in our or another comprehensive database.34,89 Many of the DDA-CNL-MS3 spectra were of poor quality; other spectra showed protonated guanine or adenine as fragment ions, but further interpretation is required to propose plausible DNA adduct structures.
GPF and Ion Trap MS2 (GPF-DDA CNL/MS3): A Novel and Promising Approach for DNA Adductomics.
Two significant factors limit the data-dependent screening sensitivity of our DDA-CNL/MS3 approach and, more generally, other trap-based data-dependent screening assays. The first is the trapping capacity of the Orbitrap, which determines the full scan limit of detection of the precursor ions. The second is the rate at which the instrument can scan, which determines the number of detected precursor ions that can be sampled by MS2 fragmentation. Either of these events can be the limiting factor in determining the sensitivity of an assay. In one case, all detected precursor ions can be fragmented, but there may be analytes of interest below the precursor ion limit of detection. In the other case, all precursor ions of interest are detected, but the instrument is not scanning fast enough to sample all the observed precursor ions. It is unclear which of these scenarios is the limiting factor for our standard DDA-CNL/MS3 approach with the samples analyzed in the experiment. Our working hypothesis is that both limiting factors must be addressed to make the methodology capable of screening for all relevant DNA adducts in the in vivo samples.
We sought to improve the full scan sensitivity of our DDA-CNL/MS3 approach by incorporating GPF using the fractionated m/z scan ranges of the SIM window of the wide-SIM/MS2 approach. GPF reduces the mass range of ions entering the Orbitrap, which should result in more detectable ions within the narrower mass range; however, this also means more instrument time is spent acquiring full scan data, and therefore, less time is available for MS2 fragmentation. To offset this aspect, we experimented with using the ion trap for more rapid MS2 data collection and the ability to perform MS2 fragmentation while the Orbitrap is acquiring full scan data. Accurate mass MS2 and MS3 spectra were acquired by performing data-dependent Orbitrap MS2 fragmentation upon observation of the nominal mass loss (± 0.5 Da) of dR (−116 Da) in the ion trap MS2 fragmentation spectra, followed by Orbitrap MS3 fragmentation upon observation of the accurate mass loss (5 ppm) of dR (−116.0473 Da). A comparison of this GPF-DDA CNL/MS3 approach with that of the standard DDA-CNL/MS3 approach is shown in Table S2, and the precursor, CNL/MS2 and MS3 scans across the peaks are shown in supporting information (Figure S10). The GPF-DDA-CNL/MS3 did not outperform the standard approach; however, there were significant additional differences in the method, precluding a direct comparison of the results. Utilizing GPF and/or ion trap fragmentation requires further development and optimization and will be investigated in future efforts.
DDA-CNL/MS3 Data Analysis using the Mass Spectral Database.
The data acquired during DDA-CNL/MS3 analysis is well-suited for DNA adduct identification through our recently completed DNA adduct mass spectral database.90 Our database is available for manual examination and downloading in the .MSP (NIST format)91 and .db (mzVault format, Thermo Scientific)92 formats at the DNA Adduct Portal Web site (https://sites.google.com/umn.edu/dnaadductportal) Our database is available for manual examination and downloading in various formats, including .MSP (NIST format),91 .csv (comma-separated values), and .db (mzVault format, Thermo Scientific)92 at the DNA Adduct Portal website (https://sites.google.com/umn.edu/dnaadductportal). The .MSP format is highly flexible and can be used directly with open-source tools such as NIST MS Search and MS-DIAL.93 and Global Natural Product Social Molecular Networking (GNPS) with molecular spectrum networking to aid in identifying unknowns.93 Also, the .MSP files can be converted to the NIST proprietary format with the free NIST Lib2NIST program (https://chemdata.nist.gov/mass-spc/ms-search/Library_conversion_tool.html) for use in any software using this format. For example, our DDA-CNL/MS3 spectra from liver of the 13-carcinogen-dosed rats were searched against the spectral library produced search results (using NIST MS Search score) found dG-C8-PhIP (score 93.8), dG-C8-MeIQx (score 98.0), dG-C8-AαC (score 83.9), dG-C8–4-ABP (score 87.8) (Figures S2, S4 and S5).
Discussion
Matsuda’s laboratory in 2006 was the first to screen for multiple DNA adducts in human tissues.94,95 They showed that the triple quadrupole (QqQ-MS) could screen multiple DNA adducts by monitoring a wide range of SRM transitions ([M + H]+ > [M + 2H −116]+) with single integer m/z increments covering the entire mass range of putative adducts. Many putative DNA adducts were detected in the human esophagus and lung, and some adducts appeared to occur at different levels between the two tissues. It is not known whether these precursor ions are DNA adducts or simply other compounds that underwent the loss of 116 Da in tandem MS. This untargeted technique was also employed in other DNA adductomics applications, including lipid peroxidation DNA adducts in human gastric mucosa.96
Our laboratory extended the field of DNA adductomics by employing the linear ion trap (LIT) MS, which allows for multistage MSn scanning and complete spectral characterization of the DNA adducts.35 The CNL/MS3 scan was performed from the DDA-MS2 acquisitions using an ion count threshold. The loss of dR (116 ± 0.5 Da) was set as the criteria to trigger the subsequent MS3 scan of the top 5 to 10 most abundant ions to obtain the fragmentation spectra. We applied this scanning technology to screen for DNA adducts in human hepatocytes treated with the tobacco carcinogen 4-ABP and in the liver of rats treated with cooked-meat carcinogen MeIQx. This study demonstrated that the DDA-CNL/MS3 scanning mode can be performed with an LIT. Ion trap multistage MSn scanning is a significant improvement over the CNL experiments conducted by QqQ, where the only information attained is that an ion of a given mass underwent the neutral loss of 116 Da in tandem MS. There are several key advantages of using the MS3 over MS2 scan stage for screening DNA adducts. The MS3 scanning provides superior specificity than the MS2 scan stage and, hence, a better signal-to-noise ratio, which is required for measuring low levels of adducts in cellular and tissue DNA.36,41,97 Furthermore, the ability to obtain high-quality MS3 spectra of adducted nucleobases provides robust mass spectral data for identifying DNA adducts in rodents and human tissues.35,36 The MS3 scanning technology has significantly advanced the DNA adductomics field of study. More recently, ion trap and quadrupole (Q)-hybrid instruments, which include Q-trap, Q-time-of-fight (TOF), and Q-Orbitrap-tribrid instruments, have emerged for targeted and untargeted DNA adductomics screening.29,98,99 The advent of the HRAMS LIT-Orbitrap-hybrid MS has further improved the robustness of untargeted DNA adduct screening, and the accurate mass scanning for the neutral loss of dR (116.0473 Da) decreases the number of false positives observed for DDA-CNL/MS3 with the low-resolution LIT.37 HRAMS LIT-Orbitrap-hybrid MS has also been employed in untargeted DDA-CNL/MS3 screening of DNA interstrand crosslinks formed with chemotherapeutic agents,100,101 and most recently DNA-RNA crosslinks.102
The focus of our paper was to determine the sensitivity and breadth of DNA adduct coverage of the wide-SIM/MS2 scanning technology to detect putative DNA adducts formed in rat kidneys and liver from a variety of genotoxicants and to characterize their structures by targeted MS3 and CNL/MS3 scanning technologies.28,34,38 Wide-SIM/MS2 is more comprehensive than the untargeted DDA-CNL/MS3 with lower detection limits for bulky aromatic DNA adducts (Table 2S).28,34,54 Our previous studies using calf thymus DNA spiked with bulky aromatic DNA adducts also showed that wide-SIM/MS2 was more sensitive than DDA-CNL/MS3,28,34 and our wide-SIM/MS2 findings in this animal study support those results. Although future improvements of the GPF and Ion Trap MS2 approach (GPF-DDA-CNL/MS3) may improve DNA adduct coverage by untargeted DDA-CNL/MS3. The wide-SIM/MS2 method and SIM-City algorithm detected 19 DNA adducts in rat liver and kidney treated with the 13-carcinogen mixture. The targeted MS2 analyses showed that DNA adduct levels occurred over a 2,000-fold range: the DNA adducts were estimated at 6 adducts per 106 nts down to 3 adducts per 109 nts employing 4 μg DNA digest assayed on the column. Our technology employs an online trap column to remove the non-modified 2′-deoxynucleosides present at ~million-fold excess to the adducted nucleoside. The large quantities of non-modified 2′-deoxynucleosides can contaminate the source, resulting in a rapid decline in the sensitivity and performance of the Orbitrap. Thus, our approach does not capture all DNA adducts. For example, oxidative DNA damage and polar lipid DNA adducts are not retained on the online trap and are not measured in this assay. An offline SPE approach is required to screen for these classes of DNA adducts.51,88
We previously detected many unknown putative DNA adducts employing wide-SIM/MS2 and characterized several novel lipid peroxidation DNA adducts derived from 4-hyroxy-2-alkenals by DDA-CNL/MS3 in the prostate genome of prostate cancer patients.88 Totsuka and co-workers conducted a DNA adductome study on the human esophagus used DIA with the Quadrupole time-of-flight (QTOF) MS with multiscale entropy (MSE) and detected a DNA adduct of N-nitrosopiperidine, a rodent esophageal carcinogen, among hundreds of other putative DNA adducts of unknown structures.99 The Motwani laboratory employed a wide-SIM/MS2 approach and reported more than 100 putative, unknown DNA modifications in amphipods, which serve as a sentinel species for monitoring chemical pollution in marine sediments in various regions of the Baltic Sea.103 Some putative DNA adducts detected in these studies are likely false positives. However, the findings reveal that the landscape of DNA damage in rodent, marine, and human genomes is complex, with many putative unknown DNA adducts. In our study, we detected many putative DNA adducts in the liver and kidney of rats exposed to 13-carcinogens study by wide-SIM2 with wSIM-City identification (Figure 11); some may be previously unreported DNA adducts of this 13-carcinogen mixture through novel biotransformation pathways,104 or from endogenous chemicals or the result of oxidative stress; others may be false-positives. High-resolution accurate mass MSn scanning is required to characterize the modified nucleobases and to deduce or identify chemical structures. However, identifying and annotating unknown DNA adducts is complex and requires in-silico methods for structure elucidation, which is beyond the scope of our study. Metabolomics and exposomics also have similar challenges, where most chemicals detected are unknown.83
Our analyses show that AA and NBA containing substituted nitrophenanthrene moieties form the highest levels of DNA adducts in the kidneys of treated rats 24 h after an intraperitoneal injection of the 13-carcinogen mixture. In contrast, the levels of dG-C8–2-AF (m/z 447.1775) formed by nitro reduction of 2-NF to the reactive N-hydroxy-2-AF metabolite were relatively low in the kidneys and liver. Some aromatic amines, including 2-AF, undergo N-acetylation; the N2-acetylated dG-C8–2-AF adduct (m/z 489.1881) was not detected.68 The DNA adduct levels formed by aromatic amines, HAAs, and B[a]P were also relatively low in the kidneys compared to AA-I and NBA DNA adduct levels. AA-I is a potent renal carcinogen in humans and is classified as a Group 1 carcinogen by IARC.105 Several nitroarenes, including NBA, are found in diesel and gasoline engine exhausts and classified as Group 2A carcinogens (probably carcinogenic to humans) or Group 2B carcinogens (possibly carcinogenic to humans) by IARC. Gasoline and diesel engine exhaust exposures are associated with increased lung and possibly kidney cancer risks.70,106 Quantitative LC-MS2 measurements showed that the highest levels of NBA DNA adducts were formed in rat lungs, kidneys, and pancreas 48 h after intratracheal installation.49 Similar findings were reported by 32P-postlabeling.107 Under our dose regimen, NBA was the most potent DNA-damaging agent of the 13-carcinogen mixture in the rat kidney and liver.
Based on previous data from our laboratory and others, we expected to detect dA-N6-AL-I and dG-N2-AL-I in the liver and kidneys of the 13-carcinogen-dosed rats.47,82,108 Untargeted wide-SIM/MS2 scanning with the wSIM-City algorithm also discovered the putative dC-N4-AL-I adduct and several major novel DNA adducts formed with the AA-III isomer. The role of dC-N4-AL-I adduct in AA-I mutagenesis requires further study.25 The toxicity data reported on AA-III is limited. Balachandran investigated the structure-activity relationships of 18 AA analogs isolated from A. fangchi and A. contorta in cultured renal LLC-PK1 epithelial cells from the pig.109 The nephrotoxic potential of AA analogs was assessed using the neutral red dye exclusion assay and the induction of caspase 3/7 activity. AA-I was the most toxic analog, followed by AA-II; however, AA-III displayed no toxicity in either assay. The authors concluded that shifting the methoxy group of AA from the 8-position (AA-I) to the 10-position (AA-III) of the phenanthro-(3,4-d)-1,3-dioxolo-5-carboxylic acid makes the compound non-toxic. Our results in the rat model do not support that conclusion. AA-III undergoes bioactivation and is a potent DNA-damaging agent in rat kidneys. The amount of AA-III is ~10-fold lower than AA-I in the herbal extract assayed. Nevertheless, DNA adduct formation with AA-III in rat kidneys occurs at ~25 to 40-fold greater levels than those formed with AA-I when normalized per mg of AA isomer dosed/kg body weight at 24 h post-dose treatment.57 The AA-III isomer preferentially forms dA and dG DNA adducts in the kidney than in the liver. In contrast, the levels of dG-N2-AL-I and dA-N6-AL-I are comparable in the kidney and liver, although the novel putative dG-AL-I isomer was only detected in the kidney (Figure 10). Thus, AA-III may be a more potent DNA-damaging agent than AA-I in rat kidneys. The kinetics of AA-III DNA adduct formation and persistence requires study compared to AA-I to understand the impact of the O-methyl group position on the AA analog genotoxicity in rodents and human kidney cells.82
Only a few reports exist in the literature on AA-III concentrations in Arisolochia plants. AA-III was measured in several Aristolochia species in South America: A. bridgesil, A. argentina, and A. chilensis: the amounts of AA-III reported in roots of A. Chilensis was 196 mg/kg, while AA-I was 32 mg/kg.63–65 Thus, the variation in AA-III levels found in different parts of the plant (root, stem, and fruit) used for medicinal treatments can be significant. Traditional herbal medicines have been used world-wide for treating a variety of ailments.105 Historically, A. chilensis was used as a medicinal plant for women suffering from certain menstrual disorders. Further studies on exposure assessment, genotoxicity, and potential cancer risk of AA-III are warranted.
Conclusion
Our untargeted wide-SIM/MS2 and DDA-CNL/MS3 scanning technologies have identified many DNA adducts in rat kidneys and liver formed with 13 potential human carcinogens. The detection sensitivity for many DNA adducts is less than 1 adduct per 108 nts, assaying 4 μg DNA. Our results show that several substituted nitrophenanthrenes are far more potent DNA-damaging agents than some prototypical aromatic amines, HAAs, or B[a]P in the rat model. Our goal is to continue optimizing and refining wide-SIM/MS2 and DDA-CNL/MS3 scanning technologies, including GPF ion trap fragmentation, to screen DNA damage in human kidneys and other organs and advance our knowledge of potential etiological agents of cancer causation.
Supplementary Material
Funding.
This work was supported by the National Cancer Institute (R01CA220367 and R50CA211256) and the National Institute of Environmental Health Sciences (R01ES0030765, R01ES019564, and U2ES02653). Mass spectrometry was supported by Cancer Center Support Grant CA077598 from the National Cancer Institute. The Turesky laboratory gratefully acknowledges the support of the Masonic Chair in Cancer Causation.
Footnotes
ASSOCIATED CONTENT
Supporting Information.
The Supporting Information is available free of charge at https://pubs.acs.org/10.1021/acs/chemrestox.3c00333.
Supplementary figures and tables. Figures include DDA-CNL/MS3 MS instrument parameters; DDA CNL/MS3 product ion spectra of DNA adducts in the liver of 13-carcinogen dosed animals; MS, MS2 and MS3 scans obtained on dG-C8–4-ABP (kidney), dG-C8-N3-ABA (kidney) and dG-C8-MeIQx (liver) of rats treated with the 13-carcinogen mixture assayed by DDA-CNL/MS3 and GPF-DDA-CNL/MS3; chemical structures of DNA adducts reported for the the 12-carcinogens assayed (Table S1); and the performance of DDA-CNL/MS3 and GPF-DDA-CNL/MS3 in identifying DNA adducts in rat liver and kidneys by untargeted and targeted (mass list) scanning (Table S2).
References
- (1).Perazella MA Renal vulnerability to drug toxicity. Clin. J. Am. Soc. Nephrol. 2009, 4 (7), 1275–1283. [DOI] [PubMed] [Google Scholar]
- (2).Knights KM, Rowland A, and Miners JO Renal drug metabolism in humans: the potential for drug-endobiotic interactions involving cytochrome P450 (CYP) and UDP-glucuronosyltransferase (UGT). Br. J. Clin. Pharmacol. 2013, 76 (4), 587–602. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (3).Lock EA, and Hard GC Chemically induced renal tubule tumors in the laboratory rat and mouse: review of the NCI/NTP database and categorization of renal carcinogens based on mechanistic information. Crit. Rev. Toxicol. 2004, 34 (3), 211–299. [DOI] [PubMed] [Google Scholar]
- (4).Lindblad P, Wolk A, Bergstrom R, and Adami HO Diet and risk of renal cell cancer: a population-based case-control study. Cancer Epidemiol. Biomarkers Prev. 1997, 6 (4), 215–223. [PubMed] [Google Scholar]
- (5).Ljungberg B, Campbell SC, Choi HY, Jacqmin D, Lee JE, Weikert S, and Kiemeney LA The epidemiology of renal cell carcinoma. Eur. Urol. 2011, 60 (4), 615–621. [DOI] [PubMed] [Google Scholar]
- (6).Chow WH, Dong LM, and Devesa SS Epidemiology and risk factors for kidney cancer. Nat. Rev. Urol. 2010, 7 (5), 245–257. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (7).Cho E, Curhan G, Hankinson SE, Kantoff P, Atkins MB, Stampfer M, and Choueiri TK Prospective evaluation of analgesic use and risk of renal cell cancer. Arch. Intern. Med. 2011, 171 (16), 1487–1493. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (8).Daniel CR, Cross AJ, Graubard BI, Park Y, Ward MH, Rothman N, Hollenbeck AR, Chow WH, and Sinha R Large prospective investigation of meat intake, related mutagens, and risk of renal cell carcinoma. Am. J. Clin. Nutr. 2012, 95 (1), 155–162. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (9).Daniel CR, Schwartz KL, Colt JS, Dong LM, Ruterbusch JJ, Purdue MP, Cross AJ, Rothman N, Davis FG, Wacholder S, Graubard BI, Chow WH, and Sinha R Meat-cooking mutagens and risk of renal cell carcinoma. Br. J. Cancer 2011, 105 (7), 1096–1104. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (10).Melkonian SC, Daniel CR, Ye Y, Tannir NM, Karam JA, Matin SF, Wood CG, and Wu X Gene-environment interaction of genome-wide association study-identified susceptibility loci and meat-cooking mutagens in the etiology of renal cell carcinoma. Cancer 2016, 122 (1), 108–115. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (11).Hard GC Mechanisms of chemically induced renal carcinogenesis in the laboratory rodent. Toxicol. Pathol. 1998, 26 (1), 104–112. [DOI] [PubMed] [Google Scholar]
- (12).Radford R, Frain H, Ryan MP, Slattery C, and McMorrow T Mechanisms of chemical carcinogenesis in the kidneys. Int. J. Mol. Sci. 2013, 14 (10), 19416–19433. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (13).Motzer RJ, Bander NH, and Nanus DM. Renal-Cell Carcinoma. New England Journal of Medicine 1996, 335 (12), 865–875. [DOI] [PubMed] [Google Scholar]
- (14).Waxman DJ, and Holloway MG Sex differences in the expression of hepatic drug metabolizing enzymes. Mol. Pharmacol. 2009, 76 (2), 215–228. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (15).Hoivik DJ, Manautou JE, Tveit A, Hart SG, Khairallah EA, and Cohen SD Gender-related differences in susceptibility to acetaminophen-induced protein arylation and nephrotoxicity in the CD-1 mouse. Toxicol. Appl. Pharmacol. 1995, 130 (2), 257–271. [DOI] [PubMed] [Google Scholar]
- (16).https://www.cancer.net/cancer-types/kidney-cancer/risk-factors-and-prevention, (accessed July 1, 2023).
- (17).Grollman AP Aristolochic acid nephropathy: Harbinger of a global iatrogenic disease. Environ. Mol. Mutagen. 2013, 54 (1), 1–7. [DOI] [PubMed] [Google Scholar]
- (18).Chan C-K, Liu Y, Pavlović NM, and Chan W Etiology of Balkan Endemic Nephropathy: An Update on Aristolochic Acids Exposure Mechanisms. Chem. Res. Toxicol. 2018, 31 (11), 1109–1110. [DOI] [PubMed] [Google Scholar]
- (19).Arlt VM, Stiborova M, vom BJ, Simoes ML, Lord GM, Nortier JL, Hollstein M, Phillips DH, and Schmeiser HH Aristolochic acid mutagenesis: molecular clues to the aetiology of Balkan endemic nephropathy-associated urothelial cancer. Carcinogenesis 2007, 28 (11), 2253–2261. [DOI] [PubMed] [Google Scholar]
- (20).Grollman AP, Shibutani S, Moriya M, Miller F, Wu L, Moll U, Suzuki N, Fernandes A, Rosenquist T, Medverec Z, Jakovina K, Brdar B, Slade N, Turesky RJ, Goodenough AK, Rieger R, Vukelic M, and Jelakovic B Aristolochic acid and the etiology of endemic (Balkan) nephropathy. Proc. Natl. Acad. Sci. U.S.A. 2007, 104 (29), 12129–12134. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (21).Jelakovic B, Karanovic S, Vukovic-Lela I, Miller F, Edwards KL, Nikolic J, Tomic K, Slade N, Brdar B, Turesky RJ, Stipancic Z, Dittrich D, Grollman AP, and Dickman KG Aristolactam-DNA adducts are a biomarker of environmental exposure to aristolochic acid. Kidney Int. 2012, 81 (6), 559–567. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (22).Scelo G, Riazalhosseini Y, Greger L, Letourneau L, Gonzalez-Porta M, Wozniak MB, Bourgey M, Harnden P, Egevad L, Jackson SM, Karimzadeh M, Arseneault M, Lepage P, How-Kit A, Daunay A, Renault V, Blanche H, Tubacher E, Sehmoun J, Viksna J, Celms E, Opmanis M, Zarins A, Vasudev NS, Seywright M, Abedi-Ardekani B, Carreira C, Selby PJ, Cartledge JJ, Byrnes G, Zavadil J, Su J, Holcatova I, Brisuda A, Zaridze D, Moukeria A, Foretova L, Navratilova M, Mates D, Jinga V, Artemov A, Nedoluzhko A, Mazur A, Rastorguev S, Boulygina E, Heath S, Gut M, Bihoreau MT, Lechner D, Foglio M, Gut IG, Skryabin K, Prokhortchouk E, Cambon-Thomsen A, Rung J, Bourque G, Brennan P, Tost J, Banks RE, Brazma A, and Lathrop GM Variation in genomic landscape of clear cell renal cell carcinoma across Europe. Nat. Commun. 2014, 5, 5135. [DOI] [PubMed] [Google Scholar]
- (23).Hoang ML, Chen CH, Chen PC, Roberts NJ, Dickman KG, Yun BH, Turesky RJ, Pu YS, Vogelstein B, Papadopoulos N, Grollman AP, Kinzler KW, and Rosenquist TA Aristolochic Acid in the Etiology of Renal Cell Carcinoma. Cancer Epidemiol. Biomarkers Prev. 2016, 25 (12), 1600–1608. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (24).Turesky RJ, Yun BH, Brennan P, Mates D, Jinga V, Harnden P, Banks RE, Blanche H, Bihoreau MT, Chopard P, Letourneau L, Lathrop GM, and Scelo G Aristolochic acid exposure in Romania and implications for renal cell carcinoma. Br. J. Cancer 2016, 114 (1), 76–80. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (25).Das S, Thakur S, Korenjak M, Sidorenko VS, Chung FF, and Zavadil J Aristolochic acid-associated cancers: a public health risk in need of global action. Nat. Rev. Cancer 2022, 22 (10), 576–591. [DOI] [PubMed] [Google Scholar]
- (26).Matsushita Y, Iwashita Y, Ohtsuka S, Ohnishi I, Yamashita T, Miyake H, and Sugimura H A DNA adductome analysis revealed a reduction in the global level of C5-hydroxymethyl-2’-deoxycytidine in the non-tumoral upper urinary tract mucosa of urothelial carcinoma patients. Genes Environ. 2021, 43 (1), 52. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (27).Tretyakova N, Villalta PW, and Kotapati S Mass spectrometry of structurally modified DNA. Chem Rev 2013, 113 (4), 2395–2436. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (28).Guo J, Villalta PW, and Turesky RJ Data-Independent Mass Spectrometry Approach for Screening and Identification of DNA Adducts. Anal. Chem. 2017, 89 (21), 11728–11736. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (29).Villalta PW, and Balbo S The Future of DNA Adductomic Analysis. Int. J. Mol. Sci. 2017, 18 14–33. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (30).Totsuka Y, Watanabe M, and Lin Y New horizons of DNA adductome for exploring environmental causes of cancer. Cancer Sci. 2020, 112 7–15. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (31).Balbo S, Turesky RJ, and Villalta PW DNA adductomics. Chem. Res. Toxicol. 2014, 27 (3), 356–366. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (32).Guo J, and Turesky RJ Emerging Technologies in Mass Spectrometry-Based DNA Adductomics. High Throughput 2019, 8 (2), pii: E13. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (33).Walmsley SJ, Guo J, Wang J, Villalta PW, and Turesky RJ Methods and Challenges for Computational Data Analysis for DNA Adductomics. Chem. Res. Toxicol. 2019, 32 (11), 2156–2168. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (34).Walmsley SJ, Guo J, Murugan P, Weight CJ, Wang J, Villalta PW, and Turesky RJ Comprehensive Analysis of DNA Adducts Using Data-Independent wSIM/MS(2) Acquisition and wSIM-City. Anal. Chem. 2021, 93 (16), 6491–6500. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (35).Bessette EE, Goodenough AK, Langouet S, Yasa I, Kozekov ID, Spivack SD, and Turesky RJ Screening for DNA adducts by data-dependent constant neutral loss-triple stage mass spectrometry with a linear quadrupole ion trap mass spectrometer. Anal. Chem. 2009, 81 (2), 809–819. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (36).Guo J, and Turesky RJ Human Biomonitoring of DNA Adducts by Ion Trap Multistage Mass Spectrometry. Curr. Protoc. Nucleic Acid Chem. 2016, 66 7 24 21–27 24 25. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (37).Balbo S, Hecht SS, Upadhyaya P, and Villalta PW Application of a high-resolution mass-spectrometry-based DNA adductomics approach for identification of DNA adducts in complex mixtures. Anal. Chem. 2014, 86 (3), 1744–1752. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (38).Kennedy J, and Yi EC Use of gas-phase fractionation to increase protein identifications : application to the peroxisome. Methods Mol. Biol. 2008, 432 217–228. [DOI] [PubMed] [Google Scholar]
- (39).Wolf SM, and Vouros P Application of capillary liquid chromatography coupled with tandem mass spectrometric methods to the rapid screening of adducts formed by the reaction of N-acetoxy-N-acetyl-2-aminofluorene with calf thymus DNA. Chem. Res. Toxicol. 1994, 7 (1), 82–88. [DOI] [PubMed] [Google Scholar]
- (40).Farmer PB, Brown K, Tompkins E, Emms VL, Jones DJ, Singh R, and Phillips DH DNA adducts: Mass spectrometry methods and future prospects. Toxicol. Appl. Pharmacol.. 2005, 207 (2 Suppl), 293–301. [DOI] [PubMed] [Google Scholar]
- (41).Goodenough AK, Schut HA, and Turesky RJ Novel LC-ESI/MS/MSn method for the characterization and quantification of 2’-deoxyguanosine adducts of the dietary carcinogen 2-amino-1-methyl-6-phenylimidazo[4,5-b]pyridine by 2-D linear quadrupole ion trap mass spectrometry. Chem. Res. Toxicol. 2007, 20 (2), 263–276. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (42).Attaluri S, Iden CR, Bonala RR, and Johnson F Total synthesis of the aristolochic acids, their major metabolites, and related compounds. Chem. Res. Toxicol. 2014, 27 (7), 1236–1242. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (43).Konorev D, Yao L, and Turesky RJ Multi-DNA Adduct and Abasic Site Quantitation In Vivo by Nano-Liquid Chromatography/High-Resolution Orbitrap Tandem Mass Spectrometry: Methodology for Biomonitoring Colorectal DNA Damage. Chem. Res. Toxicol. 2022, 35 (9), 1519–1532. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (44).Lin D, Kaderlik KR, Turesky RJ, Miller DW, Lay JO Jr., and Kadlubar FF Identification of N-(deoxyguanosin-8-yl)-2-amino-1-methyl-6-phenylimidazo[4,5-b]pyridine as the major adduct formed by the food-borne carcinogen, 2-amino-1-methyl-6-phenylimidazo[4,5-b]pyridine, with DNA. Chem. Res. Toxicol. 1992, 5 (5), 691–697. [DOI] [PubMed] [Google Scholar]
- (45).Turesky RJ, Rossi SC, Welti DH, Lay JJO, and Kadlubar FF Characterization of DNA adducts formed in vitro by reaction of N-hydroxy-2-amino-3-methylimidazo[4,5-f]quinoline and N-hydroxy-2-amino-3,8-dimethylimidazo[4,5-f]quinoxaline at the C-8 and N2 atoms of guanine. Chem. Res. Toxicol. 1992, 5 (4), 479–490. [DOI] [PubMed] [Google Scholar]
- (46).Beland FA, Churchwell MI, Von Tungeln LS, Chen S, Fu PP, Culp SJ, Schoket B, Gyorffy E, Minarovits J, Poirier MC, Bowman ED, Weston A, and Doerge DR High-performance liquid chromatography electrospray ionization tandem mass spectrometry for the detection and quantitation of benzo[a]pyrene-DNA adducts. Chem. Res. Toxicol. 2005, 18 (8), 1306–1315. [DOI] [PubMed] [Google Scholar]
- (47).Yun BH, Rosenquist TA, Sidorenko V, Iden CR, Chen CH, Pu YS, Bonala R, Johnson F, Dickman KG, Grollman AP, and Turesky RJ Biomonitoring of aristolactam-DNA adducts in human tissues using ultra-performance liquid chromatography/ion-trap mass spectrometry. Chem. Res. Toxicol. 2012, 25 (5), 1119–1131. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (48).Guo J, Villalta PW, Weight CJ, Bonala R, Johnson F, Rosenquist TA, and Turesky RJ Targeted and Untargeted Detection of DNA Adducts of Aromatic Amine Carcinogens in Human Bladder by Ultra-Performance Liquid Chromatography-High-Resolution Mass Spectrometry. Chem. Res. Toxicol. 2018, 31 1382–1397. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (49).Gamboa da Costa G, Singh R, Arlt VM, Mirza A, Richards M, Takamura-Enya T, Schmeiser HH, Farmer PB, and Phillips DH Quantification of 3-nitrobenzanthrone-DNA adducts using online column-switching HPLC-electrospray tandem mass spectrometry. Chem. Res. Toxicol. 2009, 22 (11), 1860–1868. [DOI] [PubMed] [Google Scholar]
- (50).Xiao S, Guo J, Yun BH, Villalta PW, Krishna S, Tejpaul R, Murugan P, Weight CJ, and Turesky RJ Biomonitoring DNA adducts of cooked meat carcinogens in human prostate by nano liquid chromatography-high resolution tandem mass spectrometry: identification of 2-amino-1-methyl-6-phenylimidazo[4,5-b]pyridine DNA adduct. Anal. Chem. 2016, 88 (24), 12508–12515. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (51).Chen H, Krishnamachari S, Guo J, Yao L, Murugan P, Weight CJ, and Turesky RJ Quantitation of Lipid Peroxidation Product DNA Adducts in Human Prostate by Tandem Mass Spectrometry: A Method That Mitigates Artifacts. Chem. Res. Toxicol. 2019, 32 (9), 1850–1862. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (52).Tautenhahn R, Bottcher C, and Neumann S Highly sensitive feature detection for high resolution LC/MS. BMC Bioinformatics 2008, 9 504. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (53).Team, R. C. R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. URL https://www.R-project.org/. 2019. [Google Scholar]
- (54).Walmsley S (2019) Workflow to detect DNA adducts in wide-SIM/MS2 DIA data., (https://github.com/scottwalmsley/wSIMCity) [Google Scholar]
- (55).IARC. (2012) In Plants containing aristolochic acid. IARC Monographs on the Evaluation of Carcinogenic pp 347–361, IARC, Lyon, France. [Google Scholar]
- (56).Sidorenko VS, Attaluri S, Zaitseva I, Iden CR, Dickman K, Johnson F, and Grollman AP Bioactivation of the human carcinogen aristolochic acid. Carcinogenesis 2014, 35 (8), 1814–1822. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (57).Li PL, Huang CH, Mao L, Li J, Sheng ZG, and Zhu BZ An unprecedented free radical mechanism for the formation of DNA adducts by the carcinogenic N-sulfonated metabolite of aristolochic acids. Free Radic. Bio.l Med. 2023, 205, 332–345. [DOI] [PubMed] [Google Scholar]
- (58).Stiborova M, Frei E, Schmeiser HH, Arlt VM, and Martinek V Mechanisms of enzyme-catalyzed reduction of two carcinogenic nitro-aromatics, 3-nitrobenzanthrone and aristolochic acid I: Experimental and theoretical approaches. Int. J. Mol. Sci. 2014, 15 (6), 10271–10295. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (59).Beland FA, and Kadlubar FF (1990) Metabolic activation and DNA adducts of aromatic amines and nitroaromatic hydrocarbons, In Handbook of Experimental Pathology.Carcinogenesis and Mutagenesis (Cooper CS, and Grover PL, Eds.) pp 267–325, Springer-Verlag, Heidelberg. [Google Scholar]
- (60).Enya T, Kawanishi M, Suzuki H, Matsui S, and Hisamatsu Y An unusual DNA adduct derived from the powerfully mutagenic environmental contaminant 3-nitrobenzanthrone. Chem. Res. Toxicol. 1998, 11 (12), 1460–1467. [DOI] [PubMed] [Google Scholar]
- (61).Chan W, Zheng Y, and Cai Z Liquid chromatography-tandem mass spectrometry analysis of the DNA adducts of aristolochic acids. J. Am. Soc. Mass Spectrom. 2007, 18 (4), 642–650. [DOI] [PubMed] [Google Scholar]
- (62).Heinrich M, Chan J, Wanke S, Neinhuis C, and Simmonds MS Local uses of Aristolochia species and content of nephrotoxic aristolochic acid 1 and 2--a global assessment based on bibliographic sources. J. Ethnopharmacol. 2009, 125 (1), 108–144. [DOI] [PubMed] [Google Scholar]
- (63).Priestap HA Minor Aristolochic Acids from Aristolochia Argentina and Mass Spectral Analysis of Aristolochic Acids. Phytochemistry 1987, 26 (2), 519–529. [Google Scholar]
- (64).Urzua A, Olguin A, and Antander R Aristolochic Acids in the Roots of Aristolochica Chilensis, A Dangerous Chilean Medicinal Plant. J. Chil. Chem. Soc. 2013, 58 (4), 2089–2091. [Google Scholar]
- (65).Araya M, Garcia S, and Gonzalez-Teuber M Rapid Identification and Simultaneous Quantification of Aristolochic Acids by HPLC-DAD and Confirmations by MS in Aristolochia chilensis Using a Limited Biomass. J. Anal. Methods Chem. 2018, 2018 5036542. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (66).Beland FA, and Kadlubar FF Formation and persistence of arylamine DNA adducts in vivo. Environ. Health Perspect. 1985, 62 19–30. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (67).Swaminathan S, and Hatcher JF Identification of new DNA adducts in human bladder epithelia exposed to the proximate metabolite of 4-aminobiphenyl using 32P-postlabeling method. Chem. Biol. Interact. 2002, 139 (2), 199–213. [DOI] [PubMed] [Google Scholar]
- (68).Evans FE, Miller DW, and Beland FA Sensitivity of the conformation of deoxyguanosine to binding at the C-8 position by N-acetylated and unacetylated 2-aminofluorene. Carcinogenesis 1980, 1 (11), 955–959. [DOI] [PubMed] [Google Scholar]
- (69).Arlt VM 3-Nitrobenzanthrone, a potential human cancer hazard in diesel exhaust and urban air pollution: a review of the evidence. Mutagenesis 2005, 20 (6), 399–410. [DOI] [PubMed] [Google Scholar]
- (70).IARC Monographs on the Evaluation of Carcinogenic Risks to Humans (2005). Diesel and Gasoline Engine Exhausts and Some Nitroarenes. IARC, Lyon, France. [PMC free article] [PubMed] [Google Scholar]
- (71).Frederiksen H, Frandsen H, and Pfau W Syntheses of DNA-adducts of two heterocyclic amines, 2-amino-3-methyl-9H-pyrido[2,3-b]indole (MeAaC) and 2-amino-9H-pyrido[2,3-b]indole (AaC) and identification of DNA-adducts in organs from rats dosed with MeAaC. Carcinogenesis 2004, 25 (8), 1525–1533. [DOI] [PubMed] [Google Scholar]
- (72).Sugimura T, Wakabayashi K, Nakagama H, and Nagao M Heterocyclic amines: Mutagens/carcinogens produced during cooking of meat and fish. Cancer Sci. 2004, 95 (4), 290–299. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (73).Frederiksen H Two food-borne heterocyclic amines: metabolism and DNA adduct formation of amino-alpha-carbolines. Mol. Nutr. Food Res. 2005, 49 (3), 263–273. [DOI] [PubMed] [Google Scholar]
- (74).Jones CR, and Sabbioni G Identification of DNA adducts using HPLC/MS/MS following in vitro and in vivo experiments with arylamines and nitroarenes. Chem. Res. Toxicol. 2003, 16 (10), 1251–1263. [DOI] [PubMed] [Google Scholar]
- (75).Skipper PL, Kim MY, Sun HL, Wogan GN, and Tannenbaum SR Monocyclic aromatic amines as potential human carcinogens: old is new again. Carcinogenesis 2010, 31 (1), 50–58. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (76).Kadlubar FF, Unruh LE, Beland FA, Straub KM, and Evans FE Formation of DNA adducts by the carcinogen N-hydroxy-2-naphthylamine. Natl. Cancer Inst. Monogr. 1981, (58), 143–152. [PubMed] [Google Scholar]
- (77).Guengerich FP, and Shimada T Oxidation of toxic and carcinogenic chemicals by human cytochrome P-450 enzymes. Chem. Res. Toxicol. 1991, 4 391–407. [DOI] [PubMed] [Google Scholar]
- (78).Turesky RJ, and Le Marchand L Metabolism and biomarkers of heterocyclic aromatic amines in molecular epidemiology studies: lessons learned from aromatic amines. Chem. Res. Toxicol. 2011, 24 (8), 1169–1214. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (79).Guengerich FP Metabolic activation of carcinogens. Pharmacol. Ther. 1992, 54 17–61. [DOI] [PubMed] [Google Scholar]
- (80).Butler MA, Iwasaki M, Guengerich FP, and Kadlubar FF Human cytochrome P-450 PA (P450IA2), the phenacetin O-deethylase, is primarily responsible for the hepatic 3-demethylation of caffeine and N-oxidation of carcinogenic arylamines. Proc. Natl. Acad. Sci. U.S.A. 1989, 86 (20), 7696–7700. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (81).Guengerich FP, Kim DH, and Iwasaki M Role of human cytochrome P-450 IIE1 in the oxidation of many low molecular weight cancer suspects. Chem. Res. Toxicol. 1991, 4 (2), 168–179. [DOI] [PubMed] [Google Scholar]
- (82).Liu Y, Chan CK, Jin L, Wong SK, and Chan W Quantitation of DNA Adducts in Target and Nontarget Organs of Aristolochic Acid I-Exposed Rats: Correlating DNA Adduct Levels with Organotropic Activities. Chem. Res. Toxicol. 2019, 32 (3), 397–399. [DOI] [PubMed] [Google Scholar]
- (83).Schymanski EL, Jeon J, Gulde R, Fenner K, Ruff M, Singer HP, and Hollender J Identifying small molecules via high-resolution mass spectrometry: communicating confidence. Environ. Sci. Technol. 2014, 48 (4), 2097–2098. [DOI] [PubMed] [Google Scholar]
- (84).Cui Y, Wang P, Yu Y, Yuan J, and Wang Y Normalized Retention Time for Targeted Analysis of the DNA Adductome. Anal. Chem. 2018, 90 (24), 14111–14115. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (85).Gamboa da CG, Churchwell MI, Hamilton LP, Von Tungeln LS, Beland FA, Marques MM, and Doerge DR DNA adduct formation from acrylamide via conversion to glycidamide in adult and neonatal mice. Chem. Res. Toxicol. 2003, 16 (10), 1328–1337. [DOI] [PubMed] [Google Scholar]
- (86).Doerge DR, Gamboa da Costa G, McDaniel LP, Churchwell MI, Twaddle NC, and Beland FA DNA adducts derived from administration of acrylamide and glycidamide to mice and rats. Mutat. Res. 2005, 580 (1–2), 131–141. [DOI] [PubMed] [Google Scholar]
- (87).Marques MM, Mourato LL, Santos MA, and Beland FA Synthesis, characterization, and conformational analysis of DNA adducts from methylated anilines present in tobacco smoke. Chem. Res. Toxicol. 1996, 9 (1), 99–108. [DOI] [PubMed] [Google Scholar]
- (88).Guo J, Koopmeiners JS, Walmsley SJ, Villalta PW, Yao L, Murugan P, Tejpaul R, Weight CJ, and Turesky RJ The Cooked Meat Carcinogen 2-Amino-1-methyl-6-phenylimidazo[4,5-b]pyridine Hair Dosimeter, DNA Adductomics Discovery, and Associations with Prostate Cancer Pathology Biomarkers. Chem. Res. Toxicol. 2022, 35 (5), 703–730. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (89).La Barbera G, Nommesen KD, Cuparencu C, Stanstrup J, and Dragsted LO A Comprehensive Database for DNA Adductomics. Front. Chem. 2022, 10 908572. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (90).Walmsley SJ, Guo J, Tarifa A, DeCaprio AP, Cooke MS, Turesky RJ, and Villalta PW A Mass Spectral Library for DNA Adductomics. Chem. Res. Toxicol. 2023, DOI: 10.1021/acs.chemrestox.3c00302. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (91).Horai H, Arita M, Kanaya S, Nihei Y, Ikeda T, Suwa K, Ojima Y, Tanaka K, Tanaka S, Aoshima K, Oda Y, Kakazu Y, Kusano M, Tohge T, Matsuda F, Sawada Y, Hirai MY, Nakanishi H, Ikeda K, Akimoto N, Maoka T, Takahashi H, Ara T, Sakurai N, Suzuki H, Shibata D, Neumann S, Iida T, Tanaka K, Funatsu K, Matsuura F, Soga T, Taguchi R, Saito K, and Nishioka T MassBank: a public repository for sharing mass spectral data for life sciences. J Mass Spectrom 2010, 45 (7), 703–714. [DOI] [PubMed] [Google Scholar]
- (92).Li Y, Zhu W, Xiang Q, Kim J, Dufresne C, Liu Y, Li T, and Chen S Creation of a Plant Metabolite Spectral Library for Untargeted and Targeted Metabolomics. Int. J. Mol Sci. 2023, 24 (3). [DOI] [PMC free article] [PubMed] [Google Scholar]
- (93).Aron AT, Gentry EC, McPhail KL, Nothias LF, Nothias-Esposito M, Bouslimani A, Petras D, Gauglitz JM, Sikora N, Vargas F, van der Hooft JJJ, Ernst M, Kang KB, Aceves CM, Caraballo-Rodriguez AM, Koester I, Weldon KC, Bertrand S, Roullier C, Sun K, Tehan RM, Boya PC, Christian MH, Gutierrez M, Ulloa AM, Tejeda Mora JA, Mojica-Flores R, Lakey-Beitia J, Vasquez-Chaves V, Zhang Y, Calderon AI, Tayler N, Keyzers RA, Tugizimana F, Ndlovu N, Aksenov AA, Jarmusch AK, Schmid R, Truman AW, Bandeira N, Wang M, and Dorrestein PC Reproducible molecular networking of untargeted mass spectrometry data using GNPS. Nat. Protoc. 2020, 15 (6), 1954–1991. [DOI] [PubMed] [Google Scholar]
- (94).Kanaly RA, Hanaoka T, Sugimura H, Toda H, Matsui S, and Matsuda T Development of the adductome approach to detect DNA damage in humans. Antioxid. Redox Signal. 2006, 8 (5–6), 993–1001. [DOI] [PubMed] [Google Scholar]
- (95).Kanaly RA, Matsui S, Hanaoka T, and Matsuda T Application of the adductome approach to assess intertissue DNA damage variations in human lung and esophagus. Mutat. Res. 2007, 625 (1–2), 83–93. [DOI] [PubMed] [Google Scholar]
- (96).Matsuda T, Tao H, Goto M, Yamada H, Suzuki M, Wu Y, Xiao N, He Q, Guo W, Cai Z, Kurabe N, Ishino K, Matsushima Y, Shinmura K, Konno H, Maekawa M, Wang Y, and Sugimura H Lipid peroxidation-induced DNA adducts in human gastric mucosa. Carcinogenesis 2013, 34 (1), 121–127. [DOI] [PubMed] [Google Scholar]
- (97).Jiang Y, Hong H, Cao H, and Wang Y In Vivo Formation and in Vitro Replication of a Guanine–Thymine Intrastrand Cross-Link Lesion. Biochemistry 2007, 46 (44), 12757–12763. [DOI] [PubMed] [Google Scholar]
- (98).Guo Z, Huang S, Wang J, and Feng YL Recent advances in non-targeted screening analysis using liquid chromatography - high resolution mass spectrometry to explore new biomarkers for human exposure. Talanta 2020, 219 121339. [DOI] [PubMed] [Google Scholar]
- (99).Totsuka Y, Lin Y, He Y, Ishino K, Sato H, Kato M, Nagai M, Elzawahry A, Totoki Y, Nakamura H, Hosoda F, Shibata T, Matsuda T, Matsushima Y, Song G, Meng F, Li D, Liu J, Qiao Y, Wei W, Inoue M, Kikuchi S, Nakagama H, and Shan B DNA Adductome Analysis Identifies N-Nitrosopiperidine Involved in the Etiology of Esophageal Cancer in Cixian, China. Chem. Res. Toxicol. 2019, 32 (8), 1515–1527. [DOI] [PubMed] [Google Scholar]
- (100).Stornetta A, Villalta PW, Hecht SS, Sturla SJ, and Balbo S Screening for DNA Alkylation Mono and Cross-Linked Adducts with a Comprehensive LC-MS Adductomic Approach. Anal. Chem. 2015, 87 (23), 11706–11713. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (101).Cooke MS, Chang YJ, Chen YR, Hu CW, and Chao MR Nucleic acid adductomics - The next generation of adductomics towards assessing environmental health risks. Sci Total Environ 2023, 856 (Pt 2), 159192. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (102).Dator RP, Murray KJ, Luedtke MW, Jacobs FC, Kassie F, Nguyen HD, Villalta PW, and Balbo S Identification of Formaldehyde-Induced DNA-RNA Cross-Links in the A/J Mouse Lung Tumorigenesis Model. Chem. Res. Toxicol. 2022, 35 (11), 2025–2036. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (103).Martella G, Gorokhova E, Sousa PFM, Tretyakova NY, Sundelin B, and Motwani HV DNA Adductomics for the Biological Effect Assessment of Contaminant Exposure in Marine Sediments. Environmental Science & Technology 2023, 57 (29), 10591–10603. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (104).Tajima Y, Toyoda T, Hirayama Y, Matsushita K, Yamada T, Ogawa K, Watanabe K, Takamura-Enya T, Totsuka Y, Wakabayashi K, and Miyoshi N Novel o-Toluidine Metabolite in Rat Urine Associated with Urinary Bladder Carcinogenesis. Chem. Res. Toxicol. 2020, 33 (7), 1907–1914. [DOI] [PubMed] [Google Scholar]
- (105).IARC Monographs on the Evaluation of Carcinogenic Risks to Humans (2002). Some Traditional Herbal Medicines, Some Mycotoxins, Naphthalene and Styrene. IARC, Lyon, France. [PMC free article] [PubMed] [Google Scholar]
- (106).Benbrahim-Tallaa L, Baan RA, Grosse Y, Lauby-Secretan B, El Ghissassi F, Bouvard V, Guha N, Loomis D, Straif K, and International Agency for Research on Cancer Monograph Working, G. Carcinogenicity of diesel-engine and gasoline-engine exhausts and some nitroarenes. The Lancet. Oncology 2012, 13 (7), 663–664. [DOI] [PubMed] [Google Scholar]
- (107).Bieler CA, Cornelius MG, Stiborova M, Arlt VM, Wiessler M, Phillips DH, and Schmeiser HH Formation and persistence of DNA adducts formed by the carcinogenic air pollutant 3-nitrobenzanthrone in target and non-target organs after intratracheal instillation in rats. Carcinogenesis 2007, 28 (5), 1117–1121. [DOI] [PubMed] [Google Scholar]
- (108).Bieler CA, Stiborova M, Wiessler M, Cosyns JP, van Ypersele De SC, and Schmeiser HH 32P-post-labelling analysis of DNA adducts formed by aristolochic acid in tissues from patients with Chinese herbs nephropathy. Carcinogenesis 1997, 18 (5), 1063–1067. [DOI] [PubMed] [Google Scholar]
- (109).Balachandran P, Wei F, Lin RC, Khan IA, and Pasco DS Structure activity relationships of aristolochic acid analogues: toxicity in cultured renal epithelial cells. Kidney Int. 2005, 67 (5), 1797–1805. [DOI] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
