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Acta Pharmaceutica Sinica. B logoLink to Acta Pharmaceutica Sinica. B
. 2021 Feb 26;11(6):1469–1492. doi: 10.1016/j.apsb.2021.02.017

Insight into chemical basis of traditional Chinese medicine based on the state-of-the-art techniques of liquid chromatography−mass spectrometry

Yang Yu a,b,, Changliang Yao a,, De-an Guo a,b,
PMCID: PMC8245813  PMID: 34221863

Abstract

Traditional Chinese medicine (TCM) has been an indispensable source of drugs for curing various human diseases. However, the inherent chemical diversity and complexity of TCM restricted the safety and efficacy of its usage. Over the past few decades, the combination of liquid chromatography with mass spectrometry has contributed greatly to the TCM qualitative analysis. And novel approaches have been continuously introduced to improve the analytical performance, including both the data acquisition methods to generate a large and informative dataset, and the data post-processing tools to extract the structure-related MS information. Furthermore, the fast-developing computer techniques and big data analytics have markedly enriched the data processing tools, bringing benefits of high efficiency and accuracy. To provide an up-to-date review of the latest techniques on the TCM qualitative analysis, multiple data-independent acquisition methods and data-dependent acquisition methods (precursor ion list, dynamic exclusion, mass tag, precursor ion scan, neutral loss scan, and multiple reaction monitoring) and post-processing techniques (mass defect filtering, diagnostic ion filtering, neutral loss filtering, mass spectral trees similarity filter, molecular networking, statistical analysis, database matching, etc.) were summarized and categorized. Applications of each technique and integrated analytical strategies were highlighted, discussion and future perspectives were proposed as well.

KEY WORDS: Liquid chromatography−mass spectrometry, Qualitative analysis, Traditional Chinese medicine, Data acquisition, Data post-processing

Abbreviations: BS, background subtraction; CCS, collision cross section; CE, collision energy; CID, collision-induced dissociation; cMRM, conventional multiple reaction monitoring; DDA, data-dependent acquisition; DE, dynamic exclusion; DIA, data-independent acquisition; DIF, diagnostic ion filtering; DM, database matching; EL, exclusion list; EMS, enhanced mass spectrum; EPI, enhanced product ion; FS, full scan; HCD, high-energy C-trap dissociation; IDA, information dependent acquisition; IM, ion mobility; IPF, isotope pattern filtering; ISCID, in-source collision-induced dissociation; LC, liquid chromatography; LTQ-Orbitrap, linear ion-trap/orbitrap; MDF, mass defect filtering; MIM, multiple ion monitoring; MN, molecular networking; MRM, multiple reaction monitoring; MS, mass spectrometry; MTSF, mass spectral trees similarity filter; NL, neutral loss; NLF, neutral loss filtering; NLS, neutral loss scan; NRF, nitrogen rule filtering; PCA, principal component analysis; PIL, precursor ion list; PIS, precursor ion scan; PLS-DA, partial least square-discriminant analysis; QqQ, triple quadrupole; QSRR, quantitative structure retention relationship; Q-TRAP, hybrid triple quadrupole-linear ion trap; RT, retention time; SA, statistical analysis; sMRM, scheduled multiple reaction monitoring; TCM, traditional Chinese medicine; UHPLC, ultra-high performance liquid chromatography

Graphical abstract

This review summarized the mechanisms and applications of various data acquisition and data post-processing techniques of liquid chromatography−mass spectrometry (LC−MS) in qualitative analysis of traditional Chinese medicine (TCM).

Image 1

1. Introduction

As the quintessence and treasure of China, traditional Chinese medicine (TCM) has taken on the responsibility to prevent and treat human diseases for millennia, and the excellent therapeutic effects of TCM have also been proved through the long historical clinical practice1. For this reason, TCM has always been inspiring scientists around the world and employed as an ideal library for development of drugs and dietary supplements2. However, disparate from mono-component Western medicines, the constituents of TCM are complex and yet undisclosed, thus leading to the vague mechanisms of action3 and hampering the worldwide adoption of TCMs, especially in the Western world. Therefore, it is of vital importance to conduct more in-depth research for a better understanding of the chemical complexity of TCM, especially those closely related with the pharmacological activities and toxicities. However, on the one hand, a large number of minor and trace components exhibiting predominant biological activities cannot be detected with an ordinary approach; on the other, the compounds in TCM are usually one or multiple types of secondary metabolites, and the metabolites of the same type are structurally similar and hard to differentiate because of the common biosynthetic pathways. Accordingly, the number and structural variety of metabolites constitute a great analytical challenge in terms of detection and identification.

Combining the separation capacity of liquid chromatography (LC), especially the ultra-high performance liquid chromatography (UPLC), and remarkable selectivity and sensitivity of mass spectrometry (MS), the hyphenated analytical platform (LC−MS) shows significant advantages in analyzing complex chemical systems and has become one of the most powerful tools for analysis of TCM4. In an endeavour to explore the structural variety of metabolites, the first step is to acquire as much LC−MS information as possible, and the second step is to convert LC−MS data into chemical information. Between these two steps, except for the stationary phase development of LC5 and hardware enhancement of MS instrumentations6, the fast-developing MS data acquisition and data post-processing techniques also play a pivotal role7,8.

Data acquisition methods by LC–MS can be roughly classified into data-independent acquisition (DIA) method and data-dependent acquisition (DDA) method. Typical DIA methods may provide production information in a non-selective manner without prior knowledge of the ions of interest. Featured with full coverage of MS1 and MS2 spectra in one injection, DIA methods maximally avoid the loss of MS information and possess satisfactory reproducibility and quantitative performance9. However, it is a daunting task to precisely assign the product ions generated by DIA methods to their precursor ions especially when the co-eluting compounds exist, due to the complex spectra and the lost link between MS1 and MS2, as well as requirements for more complicated deconvolution and data processing algorithms to further interpret the acquired MS data10. In a DDA method, a survey scan (usually full scan, FS) is first launched, and if certain criteria are met, further MS/MS (or MSn) scan will be automatically triggered7. The diverse criteria set up in DDA methods provide customized solutions, taking advantages of the intrinsic chemical characteristics and fragmentation behaviors of the target compounds. In contrast to the DIA data, the structural information could be easily elucidated from DDA data, especially with the help of data post-processing techniques.

Even though plenty of researches and applications of LC−MS techniques in TCM qualitative analysis have been reported, it is still short of relevant reviews, with only several categorizing different compound classes and citing some representative examples of analyzing these compounds in TCM and TCM prescriptions4,11, 12, 13, 14. Therefore, summary of universal and applicable techniques in TCM analysis are in urgent need. This review primarily focused on the applications of the advanced MS data acquisition and data post-processing techniques (Fig. 1), as well as integrated analytical strategies in qualitative analysis of TCM. Mechanisms of these techniques were firstly introduced, followed by representative applications. It is anticipated that this review would render a comprehensive reference for future research with regard to the metabolites identification in TCM complex systems.

Figure 1.

Figure 1

Data acquisition and data post-processing techniques of LC−MS in TCM qualitative analysis. PIL, precursor ion list; DE, dynamic exclusion; PIS, precursor ion scan; NLS, neutral loss scan; MRM, multiple reaction monitoring; MDF, mass defect filtering; BS, background subtraction; IPF, isotope pattern filtering; DIF, diagnostic ion filtering; NLF, neutral loss filtering; MTSF, mass spectral trees similarity filter, MN: molecular networking; SA, statistical analysis; DM, database matching.

2. Data acquisition techniques

2.1. Data-independent acquisition techniques

Typical DIA modes include AIF (all ion fragmentation) mode of Orbitrap system (Thermo Fisher Scientific, CA, USA)15, MSE (elevated energy MS) and SONAR mode of Q-TOF system (Waters, MA, USA)16,17, MSALL and SWATH™ (sequential window acquisition of all theoretical mass spectra) mode of Triple TOF system (AB SCIEX, CA, USA)18,19. Among them, AIF acquisition mode allows all the precursor ions of defined range into the HCD (high-energy C-trap dissociation) cell for fragmentation15. MSALL is similar to MSE which involves two scan functions, one is at low collision energy (CE), collecting intact molecular ion information with a wide mass range. The other one obtains product ion data using higher CE (fixed or ramped), which is useful for structural elucidation16. However, even though the aforementioned DIA modes avoid missing MS/MS information of minor or trace components in TCM, the defects of complex MS/MS spectra resulting from co-eluting ions still restricted the prevalent use of DIA techniques in TCM qualitative analysis. Luckily, different manufacturers have been devoted to improving the performance of DIA modes through instrument enhancement. For example, newly-developed SWATH™ acquisition mode allows the fragmentation of all ions across a given mass range in sequential narrow selection windows, thus retaining the benefits of both selectivity and scan speed20. While SONAR acquisition mode operates in a similar way, when the resolving quadrupole slides over a selected mass range during each MS scan with collision cell alternating between high and low CE from scan to scan, and the software aligns to associate the precursor and product ions in different data channels. Besides, the application of ion mobility (IM) technique also helps obtain relatively clean and high-quality MS/MS spectra by enhanced separation of co-eluting ions based on their sizes, shapes and charge states21.

Different DIA-based strategies have been developed for TCM analysis. For example, MSALL was applied in identification of triterpene saponins in Acanthopanax senticosus leaves by simultaneously collecting all the precursor ions ([M+H]+, [M+NH4]+ and [M+Na]+) and product ions with ramped CE on an AB SCIEX QTOF system, while SWATH mode as a complementation for co-eluting ions22. To characterize lanostane-type triterpene acids in Poria cocos, UPLC−IM−MSE method was used to obtain multi-dimensional information including retention time, drift time and mass-to-charge ratio (m/z), where UPLC was for preliminary separation, whilst IM for identification of co-eluents by aligning precursor ions and corresponding product ions with the same drift time23.

2.2. Data-dependent acquisition techniques

Traditionally, in a DDA method, precursor ions were selected for fragmentation according to their signal abundances in MS1 scans. However, there could be a stochastic nature to data acquisition as TCM mixtures become more complex. In addition, only fragmentations of the top-n precursor ions were available. As a result, it often encounters obstacles in comprehensively detecting minor or trace components in TCM and systematically characterizing metabolites of the same type. Since the multiple types of constituents in a certain TCM are closely related to one or more common biosynthetic pathways, they could be structurally classified into several chemical families according to the same carbon skeletons or substructures with varieties in substitutional groups. Therefore, MS fragmentation patterns of chemically similar compounds usually displayed the same neutral losses, product ions, or other characters. Accordingly, various DDA techniques targeting one-type or multi-types of metabolites, and covering the trace metabolites have been developed.

2.2.1. Precursor ion list

In a precursor ion list (PIL) experiment, only (or preferred) target ions contained in the list can be scanned to trigger multistage fragmentations. PIL-based acquisition thus becomes a commonly used DDA technique with high selectivity, sensitivity and efficiency in discovery and characterization of target compounds. Unlike conventional DDA method that automatically fragments the top-n abundant ions, MS/MS or MSn data are acquired regardless of their peak abundances, overcoming the drawback of neglecting minor components in TCM extracts.

In a PIL-based acquisition, the key is to establish a sample-specific PIL, based on molecular features of m/z value or a combination with retention time24. One of the most widespread approach is collecting previous phytochemical reports for further structural prediction. With the loss or addition of different substitutional groups to certain core substructures in accordance with the biosynthetic pathways, the molecular formulas of these derivatives are predicted, correspondingly, molecular weights and theoretical parent ions can be calculated. PIL constructed in this way encompasses both known and predicted compounds, thus greatly increasing the coverage and improving the selectivity of detecting expected compounds in TCM. Another approach, is using various data mining techniques to explore the potential metabolites, such as mass defect filtering (MDF)25, 26, 27, neutral loss filtering (NLF)28,29 and molecular networking (MN)30. Their principles and applications in qualitative analysis of TCM are discussed in depth in Section 3.

For example, some compound-specific PILs were generated by summarizing the reported natural compounds, and applied in profiling of components in Carthamus tinctorius L. (safflower)31, Ligustri Lucidi Fructus32, etc. Besides, based on compound prediction, aglycones substituted by 2–7 hydroxyl and methoxyl groups were included in a PIL, achieving targeted screening of 135 polymethoxylated flavonoids when analyzing the sample of Citrus reticulata Blanco on a hybrid linear ion-trap/Orbitrap (LTQ-Orbitrap)33. Another PIL constructed by the arrangement of different substitutional groups to tanshinol was also used to characterize polymeric phenolic acids in Salvia miltiorrhiza34.

One successful application of generating PIL with data post-processing techniques is conducted by a FS-based untargeted metabolomics approach35. This method displays great advantages in analyzing complex systems, as no prior knowledge of the sample is necessary. Besides, separating a long PIL into several individual ion lists based on m/z value or time point can drastically avoid data loss and reduce duty cycle of the instumentation34. There is evidence showing that DDA triggered by time-staggered PIL exhibited superior selective advantages in activating MS/MS acquisition of co-eluting ions compared to the conventional DDA35. In summary, PIL-MSn, especially the time-triggered mode, displays excellent superiority in acquiring the fragmentation information of target ions, thereby enhancing the selective detection of target components in TCM.

2.2.2. Dynamic exclusion

Contrary to PIL−MS/MS technique which preferentially trigger MS/MS fragmentation of predefined ions in list, exclusion list (EL)-based acquisition methods improve the selectivity and sensitivity of characterization by entering an EL of masses that will be ignored for MSn analysis, exhibiting great advantages in removing background interfering ions and non-targeted ions, and showing potentials in exposing more novel compounds36. Except for abundant interfering ions, there will always be target components that completely overlap when analyzing TCM complex systems regardless of the optimized chromatographic separation conditions. Under these circumstances, only the top-n intense ions can be selected for fragmentation, and MS/MS information of less abundant co-eluting ions will escape the detection. Dynamic exclusion (DE) provides a solution for this problem by temporarily putting a mass over the defined threshold into an EL for a selected period of time after its MS/MS spectrum is acquired, enabling less abundant ions to be analyzed rather than repeated scans of the abundant ions37. For this reason, DE is frequently set to improve the detection coverage in TCM qualitative analysis, especially for detecting those less abundant co-eluting ions25,26,28,38.

The advantages of DE were fully illustrated by screening the polymethoxylated flavonoids from Citrus reticulata Blanco33. Compared with FS, FS-PIL and FS-DE on LTQ-Orbitrap, FS-PIL-DE acquisition was found to be most powerful in triggering MS/MS fragmentations. Its superiority in acquiring the MSn information was further confirmed by another study for screening indole alkaloids from Uncaria sinensis26.

Appropriate DE parameters are also essential for MS data acquisition. Because they are closely related to the chromatographic peak width, optimal chromatographic conditions should be investigated to minimize the differences in the peak widths of different retention times34. Besides, short repetition time and long exclusion time could minimize MS information loss of a complex system but potentially miss the fragmentation of the neighboring isomers. Therefore, a coordination of these two parameters is always a necessity for the better data quality.

2.2.3. Mass tag

In a mass tag dependent acquisition, the parent ions with certain mass differences were recognized as mass partners, and selected to trigger MSn fragmentation. The mass partners can be produced by introducing isotopically labeled compounds, such as chrysin-d0 and chrysin-d5 with a mass difference of 5 Da. The technique of mass tag can largely improve signal-to-noise ratios and data quality in detection of tagged compounds, including reactive metabolites39 and modified peptides40. Mass tag technique can be performed on LTQ-Orbitrap and applied to selectively detect phosphopeptides and N-glycopeptides with an in-source collision-induced dissociation (ISCID) energy on. After the m/z values of the charged ions in MS1 spectra were determined and converted into masses, mass partners that differed in the mass of defined mass tag and with intensity above the defined threshold, were selected to trigger MS2 acquisition with the ISCID off40.

Recently, expanding applications of mass tag can be found in TCM qualitative analysis, especially for targeted screening of components that can easily undergo in-source fragmentations. For example, malonylginsenosides from three Panax species were targeted screened out by defining mass tag of 43.9898 Da with an ISCID energy of 40 V, corresponding to the elimination of CO241. In addition, by applying ISCID of 50 V and mass tag of 46.0055 Da (referring to formic acid), neutral ginsenosides from three Panax species were also successfully classified and characterized42. In summary, mass tag-oriented acquisition has unique advantages in selectively screening the target components in TCM with a high coverage and introducing less false positives.

2.2.4. Precursor ion scan

Precursor ion scan (PIS) can be realized in a triple quadrupole (QqQ) mass spectrometer. Ions within a defined mass range are scanned in the first quadrupole (Q1), fragmented in the collision cell (q2), and then one specific product ion is selected in the third quadrupole (Q3)43. This acquisition mode allows selective screening of compounds with identical product ions, and is popular in metabolites identification44, lipidomics study45. Besides, PIS also shows great potential in characterization of various TCM components. Its advantage lies in requiring little prior-knowledge about the exact structure of compounds.

Facilitated with PIS technique, target compounds that are expected to produce the same product ions can be screened out, such as the esters, saponins, flavonoids, etc. For example, benzoyl substituted diterpenoid alkaloids with diagnostic benzoyl ion at m/z 10546; caffeoylquinic acid derivatives with diagnostic product ion of m/z 191 referring to quinic acid anion47; oplopane-type sesquiterpenoids with ions at m/z 215 and 217, and bisabolane-type sesquiterpenoids with ions at m/z 229 and 23148. Besides, glycosyl-conjugated compounds could also be easily detected using characteristic ions corresponding to their core structures and sugar moieties. As an example, triterpene saponins in Glycyrrhiza yunnanensis with saccharide chains of glucuronic acid (GluA) and rhamnose (Rham) were detected using ions at m/z 351 [2GluA−H] and 497 [2GluA+Rham−H]49. Polyoxypregnane and its glycosides were identified from Marsdenia tenacissima (Roxb.) Wight et Arn., using characteristic ions at m/z 329 and m/z 273, corresponding to the aglycone core and sugar moiety at C-3 position, respectively50. And characteristic ions of 153+/151 were used to identify glycosyl-free flavonoids and then the related glycosyl-conjugated flavonoids were further searched using ions of the identified glycosyl-free flavonoids in PIS mode51.

PIS-information dependent acquisition (IDA)-enhanced product ion (EPI) mode implemented on a hybrid triple quadrupole-linear ion trap (QTRAP) mass spectrometer is more effective in rapid detection and characterization of certain types of analytes than experiments on QqQ, due to an additional MS/MS fragmentation. It was applied to rapidly identify phenolic constituents in Danhong injection using six diagnostic ions, they are m/z 197 ([M−H]), 179 ([M–H–H2O]), 135 ([M–H–H2O–CO2]), 123 ([M–H–H2O–2CO]) generated from danshensu-related compounds, 137 ([M–H]) and 108 ([M–H–CHO]) generated from protocatechualdehyde-related compounds52. Wider applications of PIS-IDA-EPI in TCM qualitative analysis include identification of naphthalenyl glycosides and amino naphthoquinones in Juglans cathayensis53, coumarins in Glehniae Radix54, phenylethanoid glycosides, iridoids, and lignans in Cistanche deserticola and C. tubulosa55, and so on.

2.2.5. Neutral loss scan

In the neutral loss scan (NLS) mode of QqQ and QTRAP, ions within a defined mass range are scanned in the first quadrupole (Q1), fragmented in the collision cell (q2), and then Q3 scan range shifts by Δm to a low mass, which corresponds to a specific neutral loss (NL) of every potential precursor ion43, e.g., 162 Da corresponding to glucose. It is widely used for specific screening of modified metabolites that can undergo neutral eliminations, and also highly selective and sensitive to profile and characterize various specific conjugated components in TCM, as well as discovery of new compounds.

Because O-glycosides can easily undergo the NL of sugars, NLS was used to profile glycosides with different aglycones in tobacco leaves56. NL-IDA-EPI scan mode was employed to screen glycosyl flavonoids in Astragali Radix with NL of 162 or 179 Da for screening of flavonoid aglycones that tended to form protonated or ammoniated glycosides, respectively57. Triterpene saponins in Glycyrrhiza yunnanensis were profiled using adducts-targeted NL-EPI by monitoring NL of 17 Da (referring to NH3) and 46 Da (referring to HCOOH) generated from their ammonium and formic acid adducts, respectively58. Sulfated flavonoids in Flaveria were detected by a NL of 80 Da (representing SO3) in negative mode59. And iridoids, lignans, and phenylethanoid glycosides in Cistanche deserticola and C. tubulosa were screened with NL of 162 Da (glucose residue or a C9H6O3 group), 146 Da (coumaroyl group) and 176 Da (feruloyl groups)55. In addition, NLS was also enabled in high-resolution LTQ-Orbitrap, as the exact mass of the neutral loss can be used to screen the targets more accurately. For instance, malonylginsenosides were screened from nine Ginseng extracts with NL set at 43.9898 Da, corresponding to loss of a CO2 unit from malonyl group41. Steroids substructures of dicarboxylic acid conjugated bufotoxins in Venenum bufonis were obtained by a NL-based MS3 acquisition in positive ion mode with neutral masses of seven dicarboxylic acids38.

2.2.6. Multiple reaction monitoring

Multiple reaction monitoring (MRM) mode is a typical scan mode operated in QqQ and QTRAP. By applying an appropriate CE, certain parent ions detected in Q1 cell can fragment in q2 cell and generate product ions passing through Q3 cell. Under optimal MS conditions, MRM-based acquisition, by simultaneously monitoring specific parent ion and corresponding product ion with the highest intensity, can drastically improve the selectivity and sensitivity of target components in TCM.

MRM scan mode was adopted to screen out 77 flavonoid glycosides in the flower of Carthamus tinctorius L.60, identify 80 triterpenes in Alismatis Rhizoma61, etc. MRM-IDA-EPI scan on a QTRAP mass spectrometer was also utilized to identify 27 major components (18 diterpenoids, 6 phenolic acids, and 3 flavonoids) in Isodon serra62, characterize 421 flavonoids in Astragali Radix57, verify the structures of all tentative curcuminoids in turmeric63, and screen ginsenosides in Ginseng, American Ginseng and their processed materials64.

However, the increasing number of analytes monitored in a single run will result in lower sensitivity of detection, because either the dwell time for each transition will be reduced and unable to accumulate sufficient signal for each transition, or the cycle time for each MS scan will increase, decreasing the data points of each peak65. Scheduled MRM (sMRM, or dynamic MRM) offers an option to increase the number of MRM transitions without compromising the data quality, by monitoring every sMRM transition in a defined range of retention time66. The superiority of sMRM over conventional MRM (cMRM) was proved by detection of components in a TCM mixture made up of eight commonly used TCM67, and more analytes could be detected using sMRM than cMRM method.

Multiple ion monitoring (MIM) mode could be considered as a special type of MRM mode, with a minimal collision energy applied in q2 cell, thus the product ion monitored in Q3 cell is identical to the parent ion in Q1 cell. In general, suitable ion transitions in an MRM method are designed based on the prior-knowledge of the fragment patterns of the parent ion, causing great challenges to screen unknown compounds. MIM method can overcome these limitations and be used to detect potential compounds regardless of their fragmentation patterns, thus playing an important role in targeted monitoring of compounds of interest in TCM, and can be served as a complementary approach for MRM68. For example, in order to identify naphthoquinones in Juglans cathayensis, MIM-EPI method was conducted based on 36 different molecular weights of all reported naphthoquinones from family Juglandaceae, stepwise MIM-EPI with a wide specified mass range (150.0–700.0 Da) was conducted for discovery of untargeted naphthoquinones, and segmented stepwise MIM-EPI with a narrow specified mass range was used for identification of certain types of naphthoquinones53. Another strategy integrating predefined MRM, step-wise MIM, and EPI scans was also proposed to universally screen the hydrophilic substances in Shenfu injection, and a total of 157 hydrophilic compounds were detected, 154 of which were identified as amino acids, nucleosides, organic acids, carbohydrates, etc.69.

3. Data post-processing techniques

Conventionally, the structures of compounds were manually elucidated based on their MS fragmentation patterns, which requires laborious spectral assignments and produces somewhat experience-based results. Similar to the DDA techniques, newly-developed data post-processing techniques take full advantages of the same neutral losses, product ions, or other characters produced by MS/MS fragmentation. In addition, the MS characters in FS, such as mass defect, can also be a clue for compound recognition. In contrast to the DDA techniques, different data post-processing techniques can be applied to the same MS data for different purposes without reacquisition of the MS data. For example, the MS data of Carthamus tinctorius L. acquired by LTQ-Orbitrap was explored for both the quinochalcone C-glycosides70 and flavonoid O-glycosides71 with versatile data mining strategies, showing the advantages of data post-processing techniques on recycling of MS data. In a word, various data post-processing techniques can greatly simplify the manual interpretation process of the MS data, providing more conveniences, evidences and higher accuracy for TCM qualitative analysis.

3.1. Mass defect filtering

The calculation of the mass defect is conducted by the mass difference between the exact mass and nominal integer mass of different elements, in this way, each molecule can be described with a unique exact mass and mass defect based on its elemental composition72. Therefore, structural analogues sharing similar core substructure with various chemical substituted groups will have very similar mass defects, and the limited differences are only corresponded to the different substituted groups. Based on this fact, mass defect filtering (MDF) technique is developed and used as a specific filtering criterion to selectively pick out certain compounds or compound classes in a complex mixture. For example, a target class of endogenous substances, or parent drug and its metabolites73,74 in a complex biological sample within an allowable mass defect range. In addition, MDF is also a powerful tool to expedite the screening process of different components contained in TCM and to generate cleaner profiles by providing more distinct and specific information75.

Classic MDF algorithms, including fixed MDF algorithms with a rectangular coverage area and linear gradient MDF algorithms with a parallelogram coverage area76, can be conveniently realized by some commercial software such as Peakview77, Metabolynx XS78, Metworks79 and MetID80. And both the mass range and the mass defect range can be defined for automatic exclusion of irrelevant ions from complex matrices. For example, a mass defect filter (mass range: 367.5 ± 65.5 Da; mass defect: 186 ± 40 mDa) was established using Metworks, which not only encompassed all free indole alkaloids in Uncaria rhynchophylla, but also distinguished indole alkaloids from triterpenic acids (mass range: 453–649 Da, mass defect: 333–413 mDa) and other components79. Besides, stepwise MDF approach which divides the mass defect range or mass range into multiple mass defect windows or mass windows were proved to improve the signal to noise ratio of the target peaks, and polymethoxylated flavonoids were successfully screened from the leaves of Citrus reticulata Blanco81. The strategy combining a single MDF window (mass range: 267–418 Da; mass defect: 0.04–0.12 Da) for methoxylated flavonoids, and multiple MDF windows (mass range/mass defect: 337–398 Da/0.08–0.12 Da; mass range/mass defect: 483–604 Da/0.10–0.18 Da; mass range/mass defect: 629–810 Da/0.13–0.23 Da) for three classes of chlorogenic acids was also successfully constructed and applied in Folium Artemisiae Argyi82.

However, because the distribution space of target compounds established by a classic MDF strategy usually covers a quite large area, increasing the possibility of false positives, several in-house polygonal MDF techniques have been developed to narrow down the distribution space and focus more on the target ions. A modified MDF strategy, termed as “five-point screening” MDF strategy was proposed to rapidly screen saponins in Panax notoginseng83. Every selected ion of notoginsenosides was distributed in the region depicted by five points (integer mass as x and decimal mass as y), and the “IF” function of the Microsoft excel platform was used to pick out every potential ion distributed in this region in the.xls documents. Compared with the classic MDF, this modified approach effectively removed more putative spaces and thus increasing the screening efficiency. Another polygonal MDF algorithm established by a relatively compact octagonal region was also used to screen target alkaloids in Uncaria sinensis, as well as enable three novelty levels classification: known, unknown-but-predicted, and unexpected26. The region established by eight vertexes were generated by a two-dimensional distribution plot of the mass range (Da) and the mass defect range (mDa) of the known and unknown-but-predicted molecules, and multiple “IF” equations representing the octagonal region were edited in Microsoft Excel to rapidly screen the alkaloid components. This modified MDF algorithm greatly enhanced the accuracy in screening target components, and more importantly, enabled the discovery of novel compounds.

Despite of the great efforts made in exploration of different MDF algorithms, including classic rectangular MDF and modified MDF algorithms, for reducing false positives and expanding the coverage, tedious data processing procedures are required to generate sample-specific target ions. To solve this problem, a raster-MDF screening strategy was implemented by a step-wise PIL with the parent mass width of ±55 mDa, and utilized for screening and characterization of indole alkaloids from Uncariae Ramulus Cum Unicis of multiple botanical origins84. This strategy not only comprehensively extended the coverage of potential indole alkaloids, but also excluded interferences of other components from the genus Uncaria.

3.2. Background subtraction

Background interferences are common in TCM analysis, which could be traced back to all steps of sample preparation procedures such as plasticizers from pipette tips and centrifuge tubes85, or just chemical noise resulting from mobile phases or buffers in LC−MS analytical systems86. To suppress interference of the background noise and obtain relatively clean spectra, BS technique is therefore introduced. It can be implemented manually87, directly in a commercial software (Waters Masslynx, Thermo Scientific Metworks26,88, etc.) by selecting a region with background noise and then subtracting from the original chromatogram, preparing blank samples in the same manner as the test samples for detection and removal of the background interferences, or utilizing some customized programs for further information89.

BS is a useful technique in elimination of background signals, as well as exposure of chemical constituents in TCM, especially those with a low abundance. To identify unknown compounds in Er-xian decoction, signals corresponding to the background interferences were checked manually and excluded from 533 candidate compounds, and finally 240 non-background compounds were extracted87. To comprehensively detect and characterize the chemical constituents in Arnebiae Radix, the obtained total ion chromatogram (TIC) was first processed with BS, and then MDF to filter the background-subtracted ion chromatogram, resulting in characterization of 96 compounds, including 30 with a low abundance88.

3.3. Isotope pattern filtering

Isotope pattern filtering (IPF) technique is specially developed for compounds containing elements of distinct isotopic distribution patterns in mass spectra, such as chlorine, bromine, iodine, etc. With the aid of IPF, compounds containing certain elements can be easily screened out. For instance, an ion with isotopic mass distance of 2 Da and equal isotopic abundance is most likely to correspond to a compound containing one bromine atom. Except for these natural stable isotopes, other isotope-labeled compounds such as 14C, 15N and 18O-labeled compounds are also widely used in tracing and detecting related metabolites90. Compared with traditional IPF implemented by commercially available software (e.g., Metworks), some newly-developed algorithms such as accurate-mass-based spectral-averaging IPF enhances the specificity by inspecting not only the M+2 isotopic ion and M molecular ion, but also the M+1 isotopic ion91.

In recent years, sulfurous compounds with very low abundance in TCM including Pueraria lobata (Willd.) Ohwi (Gegen) and Pueraria thomsonii (Fenge) were detected and characterized by a fine IPF technique92. Despite of the low abundance of 34S signal and the influence of 13C2+18O, this IPF strategy achieved screening of S-containing compounds by defining the accurate mass shift and relative abundance between M+2S (representing the M+2 isotopic ion of 12Cx+21Hy16Oz+134S) and M (representing the molecular ion) as well as M+2OC (representing the M+2 isotopic ion of 12Cx1Hy16Oz32S13C218O) and M in Compound Discoverer software.

3.4. Diagnostic ion filtering

Similar to PIS, diagnostic ion filtering (DIF) provides a criterion for rapid classification of the target compounds that produce the identical product ions, by extracting the relevant ions in the MS/MS or MSn channels. Whereas PIS can only be realized by triple quadrupole like low resolution mass spectrometry, DIF can be applied to high resolution data obtained by QTOF, LTQ-Orbitrap, and Q-Orbitrap, thus leading to high selectivity. In addition to the diagnostic ions, the high-resolution data and abundant fragmentation information drastically increase the identification confidence. DIF has been applied to characterize different types of chemical components in TCM, including saccharides and glycosides93, quinones94, phenylpropanoids82,95, flavonoids96, 97, 98, triterpenes61, triterpenoid saponins22,95,99,100, alkaloids101,102, other compounds such as physalins103, as well as multiple compound classes in the same sample104,105.

To get the diagnostic ions in abundance, different dissociation methods at different energies have been explored on LTQ-Orbitrap. For example, to selectively identify flavonoid O-glycosides from Carthamus tinctorius, combination of two fragmentation modes, CID and HCD, was used for obtaining complementary fragmentation information, including high-mass product ions produced from loss of sugars, low-mass product ions originated from aglycone moieties, as well as intensity ratios of radical aglycone ion species useful for precise elucidation of aglycones and glycosylation patterns71. DIF combined with enhanced separation strategy such as multidimensional LC and IM can greatly expand the peak capacity and enhance sensitivity of characterizing minor components with structural diversity in TCM. An LTQ-Orbitrap approach using DIF of m/z 119.05 (C8H7O) was developed to characterize 163 quinochalcone C-glycosides in Carthamus tinctorius L. by combing offline two-dimensional LC separation70. Another multidimensional analytical strategy combining LC−IM−MSE and LC−IM−MS/MS were established to screen polycyclic polyprenylated acylphloroglucinols using diagnostic ions m/z 165.0182 or/and 177.0182, leading to the successful characterization of 140 targets in Garcinia oblongifolia106.

In addition, DIF has also significantly facilitated the rapid classification and structural elucidation of more complicated multi-components contained in TCM prescriptions, including ginsenosides and lignans in Shenmai injection107, phenolic acids, saponins, diarylhepatonoids and gingerol-related compounds in Guge Fengtong tablet108, flavonoids, ginkgolides, phenolic acids, tanshinones, and saponins in Yindan Xinnaotong soft capsule109, etc. In summary, DIF is an option to filter and classify target ions, as well as remove interfering ions from the raw LC−MS data.

3.5. Neutral loss filtering

Neutral loss filtering (NLF) works by extracting the predicted specific neutral loss between the daughter ions and parent ions. NLF is similar to NLS, and the advantage lies in circumventing the use of multiple injections because of the combination use of multiple filters to identify multiple targets. NLF is promising in untargeted characterization of endogenous modified metabolites with specific neutral loss fragments, such as acetylation, sulfation, glucuronidation, etc.110, and exclusive profiling of phase II metabolites such as GSH conjugates in drug metabolism studies111.

In analysis of TCM, NLF also finds its place in characterization of glycosidic compounds such as flavonoid glycosides71,109, alkaloid glycosides79 and triterpenoid saponins95, acylation compounds such as malonyl ginsenosides99 and diester-diterpenoid alkaloids112, as well as other compounds substituted with certain moieties such as methoxylated flavonoids82, etc. For example, the diester-diterpenoid alkaloids in Aconitum carmichaelii Debx. were determined by the diagnostic neutral losses of 60 28, 32, 18 and 122 Da, corresponding to AcOH, CO, MeOH, H2O and BzOH moieties, respectively112. Besides, NLF of the recognized sugars and acylation (GluA, Glc, Rha, Ace) was conducted for target characterization of flavonoid O-glycosides in Carthamus tinctorius, and some unknown ones (132.04, 86.00 and 71.98 Da for Xyl, Mal, and Oxa, respectively) were also detected and characterized71.

A software named Neutral Loss MS Finder was developed to extract the in-source NL110, and successfully applied in screening the target malonyl-ginsenosides from three Panax species29. Because of the in-source removal of both neutral CO2 and C3H2O3 groups, two NL filters (43.9898 and 86.0004 Da) were set to reduce the false positives and enhance the characterization accuracy, and ultimately, to produce the peak lists containing 156, 130 and 126 target malonyl-ginsenosides in three Panax species, respectively.

3.6. Mass spectral trees similarity filter

Mass spectral trees similarity filter (MTSF) is a data post-processing technique for rapid classification of the unknown compounds by comparing the similarity of mass spectral trees. Commercially available software such as Mass Frontier is usually used to construct mass spectral trees, using HRMS data as the stem of the tree, MS2 data as the bough, and multi-stage MSn data further extended as the branches. After importing MSn data of the template compounds into the software to build the library of MTSF, the similarity scores between the compounds detected in the sample and those in the library can be calculated, and unknown compounds can be classified and characterized by matching with those templates to obtain candidate structures.

Because the mass spectral trees of structural analogs usually exhibit high similarity scores, MTSF technique is widely applied for rapid identification of metabolites in a complicated biological matrix, due to the structural resemblance between the metabolites and corresponding prototype113. Meanwhile, it also reveals great potential to significantly accelerate and simplify the process of discovery and identification of various chemical components in TCM which share the same substructures as template compounds, including flavones, phenylpropanoids, and sphingolipids in Saussurea involucrata114, chlorogenic acids in Duhaldea nervosa115 and Lonicerae Japonicae Flos116, etc. In addition, for TCM prescriptions containing diverse types of compounds, MTSF can also efficiently fish potential components belonging to different compound classes, and rapidly identify both templated compounds and related compounds in Xiao-Xu-Ming decoction117, prenylflavonoid glycosides, alkaloids and phenylpropanoids in Er-xian decoction87. In a word, taking full advantages of MSn information, MTSF is a simple and efficient technique to fish unknown components in TCM complex systems, especially the structural analogs of the template compounds.

3.7. Molecular networking

Molecular networking (MN) uses a visualized computational strategy for comparison of the MS/MS spectral and calculation of the similarity degree between structural analogs. The major strength of this technique lies in requirements of no prior knowledge of the chemical structures for simultaneous exploration of up to millions (probably billions) of MS2 data118. Developed from early-used MATLAB scripts installed on computers for similarity computation, Global Natural Products Social Molecular networking (GNPS) (http://gnps.ucsd.edu), an open-access online platform, allows even more analysts with no professional bioinformatics background to take advantage of this advanced technique119. Data visualization can be performed either directly online, or offline with Cytoscape120 as well as other visualization tools, where similar MS/MS spectra can be grouped into clusters, and each node represents a unique MS/MS spectrum, connected with edges indicating the cosine similarity between corresponding MS/MS spectra. To help data interpretation, node size and color can also be tuned according to precursor ion intensity and sample origin. Moreover, GNPS can automatically retrieve detected MS/MS spectral against public libraries, allowing rapid identification of molecules that are similar to database records. In addition to known compounds, MN also allows for exploration and identification of potential unknown analogues or compound families based on their MS/MS spectra relatedness with any known compounds. Compared with MTSF, MN is suitable for more LC−MS platforms and attracts wider attentions.

Since the introduction of MN in metabolic profiling of live microbial colonies in 2012121, it has been successfully applied in multiple areas122, such as drug discovery and natural products dereplication123, including microbials124, 125, 126, 127, marine organisms128, 129, 130, fungi131, and plants132, 133, 134, 135, 136. In recent years, MN has also been used in TCM qualitative analysis. For example, offline two-dimensional separation integrated with MN was developed for dereplication and sorted-characterization of 229 bufadienolides in Venenum Bufonis, including two new subclasses137. Rapid recognition of 537 components in Lonicerae Japonicae Flos was also achieved with the help of MN, including a myriad of potential novel structures36. In addition, MN was also applied for identification and exploration of potential chemical markers of Aconiti Lateralis Radix Praeparata before and after processing based on both the compound clusters and node areas138.

3.8. Statistical analysis

In face of complex and large-scale mass spectral data, although several data post-processing techniques such as DIF, NLF, MDF, MTSF and MN have been utilized to facilitate the data interpretation process and enhance the identification accuracy of target compounds in complex samples, it's still a challenge in the aspect of rapid recognition and extraction of potential characteristic ions. Therefore, in order to save time and manpower to dig for attractive compounds, some advanced statistical analysis (SA) techniques have been developed based on the intrinsic relationships between compound structures and MS data. Targeted data with similar characteristics can be classified into the same groups by statistical methods, while compounds of different substructures in TCM are efficiently discriminated. Combined with some diagnostic tools, such as loading plot and variable importance in projection (VIP), rapid recognition of potential characteristic ions can be easily achieved.

SA technique was explored for rapid screening of the minor compounds in Danhong injection139. Firstly, a total of 7157 product ions were extracted from MS/MS spectra of 22 reference standards, and 4 filtering ions specific for compounds in Dan-shen, Hong-hua, and both herbs were selected from 195 common ions. Combined with another 6 diagnostic ions, 117 compounds were finally identified. Besides, SA was also utilized for discovery and global profiling of novel compounds from Curcuma longa140. After targeted detection of 846 terpecurcumins by 12 NL/PIS, principle component analysis (PCA) was used for discrimination of different structures and recognition of potential novel compounds by clustering similar NL/PIS patterns and differentiating distinct NL/PIS patterns. In another example of profiling phenylethanoid glycosides from Magnolia officinalis141, recognition models of partial least square-discriminant analysis (PLS-DA) were established to discriminate both the stereoisomers and the positional isomers using MS2 data of the reference standards, and product ions contributing the most to isomer recognition were picked out according to the ranking order of their VIP values. Finally, PCA analysis was conducted for discrimination of isomers in samples and verification of the selected discriminant ions.

3.9. Database matching

Since manual analysis of massive and informative data generated by LC−MS is a laborious task, which requires a tremendous amount of time and effort, and often generates non-reproducible results, database matching (DM) can significantly improve the efficiency via computer-aided extensive annotation of compounds in complex matrices, and is widely applied in identification of a variety of compounds. DM was accomplished by comparing the exact mass and fragments between the detected compounds and the recorded items in the database. These databases generally include chemical databases using accurate mass or molecular formula, and MS/MS spectral databases such as MassBank142, METLIN143, mzCloud144, HMDB, etc. Since the applications of some open-access online-databases in identification of compounds have already been described in several published reviews145, 146, 147, 148, this review mainly focuses on the in-house databases used in identification of TCM constituents.

Some intelligent software platforms from different manufacturers, including UNIFI23,149, 150, 151, 152, 153, 154, 155, 156, Progenesis QI157, MetWorks158, Compound Discoverer159, SURIUS160, MassHunter161 and PCDL Manager162, play an important part in alleviating the labor for mining structural information from large-scale datasets, by integrating various automated data processing steps. They usually provide accessibility to various online databases and allow creation of a customized database as well, facilitating automatic profiling and identification of chemical components in TCM and more complex TCM formulas155. For example, to rapidly elucidate structures of lanostane analogs and isomers in Poria cocos, LC−IM−MSE data were post-processed with the assistance of UNIFI software, a targeted compound database and a key MS database, resulting in identification of 121 lanostanes23. In a bid to expand the screening coverage of novel compounds in the leaves of P. notoginseng, a predicted metabolites screening approach was implemented in UNIFI, by using four modified groups and one or two steps of modification, increasing the theoretical coverage by 14 times, and finally 945 ginsenosides were discovered, including 662 potential novel ginsenosides154. Another strategy was developed to systematically profile lipids in three congeneric Panax species by searching full MS and fragments information against HMDB and LIPID MAPS, and collision cross section (CCS) information against Metabolic Profiling CCS Library (incorporated in Progenesis QI) and LipidCCS Predictor software157.

Besides, several self-developed automatic data-processing tools can also increase the chemical coverages of traditional databases by creation of in-house databases, enhancing the efficiency and reproducibility in characterization of compounds in TCM. FlavonQ was developed for characterization of flavone and flavonol glycosides by calculation and combination of the common substituted groups of the core structures, and the results obtained by FlavonQ proved to be consistent with those determined conventionally by a sophisticated chemist, but greatly facilitated the data interpretation process in flavonoid research163. Another custom-built software PlantMAT (Plant Metabolite Annotation Toolbox), was also developed for identification of saponins and glycosylated flavonoids by running through various glycosyl, and acyl groups in every possible combination164.

4. Integrated analytical strategies

In majority of the cases, single analytical method is insufficient for the comprehensive characterization of the complex constituents in TCM, since each technique has its own strength and limitations. Therefore, development of integrated analytical strategies is necessary for rapid, accurate and systematic chemical analysis of TCM. The integrated strategies can be developed by integration of different MS instrumentations, or integration of various data acquisition or/and data post-processing techniques, laying the solid foundation for interpretation of the chemical diversity of TCM.

High-resolution mass spectrometers (such as QTOF) with accurate mass measurement of ions are advantageous for untargeted qualitative analysis of TCM. However, extraction of corresponding precursor and product ions from the total ions chromatograms (TICs) could be time-consuming and labor-intensive. On the contrary, QTRAP-MS show its advantages in sensitive detection of target compounds especially co-eluted minor components in TCM by using multiple targeted scanning modes such as MRM, and an EPI scan can also be triggered to acquire fragmentations of the preferred precursor ions. Therefore, QTRAP could act as a complementary tool of QTOF despite of its low resolution. Combination of MS/MS functions of both QTOF and QTRAP have been applied in systematic characterization and targeted identification of triterpenes in Alismatis Rhizoma and the corresponding processed products61, curcuminoids in turmeric63, naphthoquinones in Juglans cathayensis dode53, as well as minor components in TCM formulas such as Baoyuan decoction155.

The integrated use of different DDA techniques is also powerful in identifying unknown trace compounds in TCM. Take QTRAP as an example, it possesses the scan capacities of both QqQ and linear ion trap (LIT), involving MIM, MRM, NLS, PIS, enhanced scans such as EPI and enhanced mass spectrum (EMS), as well as some combined functions, such as PIS-IDA-EPI. By the combined use of MIM-IDA-EPI and PIS-IDA-EPI modes, 41 coumarins were identified from Radix Glehniae54. Besides, integration of different triggered IDA-EPI scans, including those triggered by EMS, NLS, MRM, and PIS scans, lead to the detection of 513 components from Cistanche deserticola and C. tubulosa55. In the study of chemical profiling of Baoyuan decoction, the stepped MIM-EPI and predefined MRM-EPI data acquisition methods were established to pick out potential saponins based on the MS behaviors of authentic compounds, while MIM-EPI and PIS-EPI scanning modes were adapted to comprehensively recognize flavonoids based on various diagnostic product ions, and thus the co-eluted chromatographic peaks were easily distinguished and extracted155.

Compared with individual filtering techniques, integration of different data post-processing techniques also exhibits higher efficiency in classifying multi-type compounds, excluding interference ions, as well as detecting the minor or trace components in TCM. It is illustrated by a strategy integrating different filtering techniques, including MDF and nitrogen rule filtering (NRF) based on MS information, and DIF and NLF based on MS/MS information, to identify two types of components in Artemisiae Argyi Folium, including chlorogenic acids and methoxylated flavonoids82. Results showed that none of a single technique could totally eliminate the interfering ions, whereas the integration of MS and MS/MS-based filtering techniques exerted a complementary effect to remove more interfering ions and expose target compounds. In another example for rapid identification of chemical constituents in Yindan Xinnaotong soft capsule, MDF and DIF were applied to preliminarily classify detected compounds into different chemical families, while NLF were used for characterization of flavonoid glycosides and triterpene saponins substituted with certain sugar units109.

Intelligent DDA techniques allow targeted acquisition of MS/MS or MSn data, improving the sensitivity and selectivity in detection of attractive compounds, while various data post-processing techniques can further simplify the data interpretation process. Therefore, combined approaches which integrate targeted DDA and various data post-processing techniques have great advantages in detection and identification of target components in TCM. A strategy based on LTQ-Orbitrap following offline two-dimensional LC separation was established to systematically analyze five botanical origins of Uncariae Ramulus Cum Unicis, and lead to the ultimate characterization of 1227 indole alkaloids84. In the data acquisition process, a theoretical step-wise PIL (mass range: 310–950 Da; step size: 2 Da) and an optimal parent mass width (±55 mDa), was defined to selectively trigger fragmentations of potential alkaloids, namely step-wise PIL-based raster-MDF scan method. Additionally, different data post-processing techniques were also combinedly used to facilitate structural elucidation, including elemental composition analysis to remove false positives, DIF for subtype classification, DM and fragments annotation for structure characterization. In another example, 537 components were characterized in Lonicerae Japonicae Flos, including an enormous number of new structures36. To reduce the redundant scans and increase the selectivity, an EL was first generated by a two-step polygonal MDF and then used for triggering data dependent-MS/MS scan. To rapidly annotate the known compounds and elucidate those unreported ones, DM and MN were both adopted for the data interpretation process.

All the above-mentioned applications of LC−MS in TCM qualitative analysis were summarized in Table 1. Besides, the selection criteria of each data acquisition and data post-processing technique were also listed in Table 2, including the advantages, limitations, and scope of applications, providing valuable reference for future research on characterization and identification of chemical constituents in TCM. In addition, a decision tree in Fig. 2 also explained how to select appropriate data acquisition/post-processing methods based on the known chemical information, which may help the readers’ practical adoption of the above methods.

Table 1.

Applications of LC−MS in TCM qualitative analysis.

TCM sample Mass analyzer Data acquisition technique Data post-processing technique Characterization result Ref.
Acanthopanax senticosus Q-TOF MSAll; SWATH DIF 89 triterpene saponins, along with 14 sapogenins, including 33 potentially new compounds and the first report of malonyl-saponin in genus Acanthopanax 22
Poria cocos Q-TOF IMS-MSE DM; NLF 121 lanostane-type triterpene acids, including three new compounds 23
Yi-Xin-Shu capsule Q-TOF PIL-MS/MS DIF 276 compounds, including 50 lignans, 30 tanshinones, 4 lactones, 18 flavones, 14 phenolicacids, 1 triterpenoid acid, 3 ophiopogonins, 7 astragalus saponins, and 149 ginsenosides 24
Erzhi pill Q-Orbitrap Full MS/PIL/dd-MS2; “If idle-pick others” (IIPO); DE MDF; NLF; DIF 146 components, including 25 triterpenes, 31 flavonoids, 46 iridoids, 16 phenylethanols, 3 coumarins, 12 phenols, and 13 others 25
Uncaria sinensis (stem, leaf, and flower) LTQ-Orbitrap PIL-DE-CID/MS2-HCD/MS3 BS; MDF; DM 158 potentially new alkaloids, including 10 unknown but predicted and 108 unexpected ones 26
Three different parts (the root, stem leaf, and flower bud) of Panax quinquefolius L. Q-Orbitrap Full MS/PIL/IIPO/dd-MS2; DE MDF 347 saponins (147 from root, 173 from stem leaf, and 195 from flower bud), and 157 thereof not ever-isolated from the Panax genus 27
Puerarin lobate (Gegen) LTQ-Orbitrap PIL; DE NLF 66 compounds, including 43 malonates of isoflavone glycoside 28
Panax ginseng, P. quinquefolius, and P. notoginseng LTQ-Orbitrap ISCID-FS; PIL-HCD-MS/MS; DE NLF 101 malonyl-ginsenosides, including 69 from P. ginseng, 52 from P. quinquefolius, and 44 from P. notoginseng 29
Eleutherococcus senticosus leaves LTQ-Orbitrap HCD-MS2; PIL-CID-MS4; FS-MS MN; DM 106 triterpene saponins including 49 potentially new ones 30
Carthamus tinctorius L. (safflower) Q-Orbitrap full MS/PIL/dd-MS2; IIPO; DE Retention behavior; Reference compounds comparison; Elemental composition analysis; Fragmentation pathways interpretation; DM 13 primary metabolites (1 nucleoside, 2 sugars, 5 organic alkali/acids, and 5 amino acids) and 135 secondary metabolites (97 quinochalcone C-glycosides and 38 flavonoids) 31
Ligustri Lucidi Fructus Q-Orbitrap Full MS/PIL/dd-MS2; IIPO; DE; Polarity switching Reference compounds comparison; Elemental composition analysis; Fragmentation pathways analysis; DM 158 components, including 137 in the negative mode and 21 in the positive mode 32
Citrus reticulata Blanco (leaves) LTQ-Orbitrap FS-PIL-DE DIF 135 polymethoxylated flavonoids, including 81 polymethoxyflavones, 54 polymethoxyflavanones or polymethoxychalcones 33
Salvia miltiorrhiza LTQ-Orbitrap PIL-MSn; DE Predicted compounds filtering; Total ion chromatogram filtering; Fragment ion search 190 polymeric phenolic acids, including 18 first detected ones 34
Lonicerae Japonicae Flos Q-Obitrap EL-dd-MS2 DM; MN A total of 537 compounds, including a large number of potential novel structures 36
Venenum bufonis LTQ-Orbitrap FS-DE-MS1; HCD-MS2 (−); CID-MS2 (−); CID-MS3 (−); Product ion-MS4 (−); CID-MS2 (+); NL-MS3 (+) 78 dicarboxylic acid conjugated bufotoxins, including 68 new compounds, 25 types of substructure formulas and seven dicarboxylic acid side chains 38
Roots, leaves, and flower buds of Panax ginseng, P. quinquefolius, and P. notoginseng LTQ-Orbitrap ISCID-FS-MS1; Mass tag/CID-MS2; NLS/HCD-MS3; DE 178 malonylginsenosides 41
Panax ginseng, Panax quinquefolius, and Panax notoginseng LTQ-Orbitrap ISCID-FS-MS1; Mass tag/CID-MS2; Product ion scan/CID-MS3; DE NLF 216 carboxyl-free ginsenosides 42
Processed Aconitum roots (Shengfuzi, Heishunpian, Baifupian, Zhichuanwu, and Zhicaowu) QTOF; QqQ PIS 24 benzoyl-containing alkaloids 46
Cynara scolymus L. Q-TRAP PIS 10 caffeoylquinic acid derivatives 47
Tussilago farfara L. (buds) QqQ; QTOF PIS; Product ion scan 74 oplopane- and bisabolene- sesquiterpenoids, and isolation of 11 compounds 48
Glycyrrhiza yunnanensis QqQ; QTOF NLS; PIS 50 triterpene saponins 49
Marsdenia tenacissima (Roxb.) Wight et Arn. QqQ PIS; FS; Product ion scan DIF; NLF 110 polyoxypregnane and its glycosides 50
Nicotiana tabacum QqQ Two-step PIS 17 flavonoids, including 9 newly identified ones 51
Danhong injection QTRAP EMS-IDA-EPI; PIS-IDA-EPI DM 90 compounds, including 46 salvianolic acids and related phenolic compounds 52
Juglans cathayensis QTRAP; QTOF EMS-EPI; Stepwise MIM-EPI; PIS-EPI NLF 48 naphthoquinones including 24 novel ones 53
Radix Glehniae QTRAP MIM-IDA-EPI; PIS-IDA-EPI 41 coumarins 54
Cistanche deserticola and C. tubulosa QTRAP EMS-IDA-EPI; Predefined MRM-IDA-EPI; PIS-IDA-EPI; NL-IDA-EPI DM 513 components detected, including 379 annotated compounds 55
Tobacco leaves QqQ NLS; Product ion scan DM 64 glycosides, including 39 glycosides linked with monosaccharides, 18 glycosides linked with disaccharides and 7 glycosides linked with trisaccharides 56
Astragali Radix (Huangqi) QTRAP MIM-EPI; PI-EPI; NL-EPI; MRM-EPI Extracted ion chromatogram; DIF; NLF 421 flavonoids 57
Astragali Radix QTRAP NL/PIS-IDA-enhanced resolution-EPI 136 triterpenoid saponins 58
Flaveria (F. robusta, F. pringlei, F. linearis, F. anomala, F. australasica, and F. bidentis) seeds QTRAP NLS 27 sulfated flavonoids 59
Carthamus tinctorius L. Ion trap FS; MSn; MRM DIF; NLF 77 flavonoid glycosides 60
Alismatis Rhizoma and processed Alismatis Rhizoma QTOF; QTRAP FS; MS/MS; MRM DIF; NLF 80 triterpenes including 14 novel compounds; 7 more triterpenes compounds in the processed Alismatis rhizoma 61
Isodon serra QTRAP MRM-IDA-EPI 27 components, including eighteen diterpenoids, six phenolic acids, and three flavonoids 62
Turmeric TripleTOF; QTRAP CID-MS/MS; MRM-EPI BS; DIF; Ring double bond equivalents calculation 96 curcuminoids 63
Ginseng, American ginseng, and processed products QTRAP Step-wise MRM-IDA-EPI; sMRM PCA 221 ginsenosides, including 185 annotated ones 64
Shenfu injection QTRAP Predefined MRM-IDA-EPI; Step-wise MIM-IDA-EPI DM 157 detected hydrophilic compounds, and 154 of which were identified as amino acids, nucleosides, organic acid, carbohydrates, etc.; 40 primary hydrophilic and hydrophobic ingredients including 11 amino acids, 9 nucleosides, 9 aconite alkaloids, and 11 ginsenosides 69
Carthamus tinctorius L. LTQ-Orbitrap FS-MS1; CID-MS2; CID-MS3; DE-HCD-MS/MS DIF; Ring double bond equivalent; Characteristic UV absorption; Diagnostic product ions analysis 163 quinochalcone C-glycosides homologs, including 149 potential new ones 70
Carthamus tinctorius L. LTQ-Orbitrap CID-MS1-MS2-MS3; DE-HCD-MS1-MS2 DIF; NLF; DM 107 flavonoids, including 80 newly reported flavonoid O-glycosides 71
Ophiopogon japonicus Q-TOF; IT-TOF FS; MS1-MS2-MS3 MDF More than 50 ophiopogonins and 27 ophiopogonones 77
Yin Chen Si Ni Tang Q-TOF MSE MDF 62 Aconitum alkaloids 78
Uncaria rhynchophylla LTQ-Orbitrap DE-CID-MS4 MDF; NLF; DIF; DM 92 alkaloids (60 free alkaloids and 32 alkaloid O-glycosides), 56 of which were potential new alkaloids for the Uncaria genus 79
Processed Semen Strychni IT-TOF FS; MS2 and MS3 MDF; DIF 24 dihydroindole-type alkaloids, including 4 that were previously not described 80
Citrus reticulata Blanco LTQ-Orbitrap MS and MS/MS MDF; DIF 81 polymethoxylated flavonoids, including 50 polymethoxyflavones and 31 polymethoxyflavanones or polymethoxychalcones 81
Folium Artemisiae Argyi Q-Orbitrap FS; MS/MS NRF; MDF; NLF; DIF 16 methoxylated flavonoids and 55 chlorogenic acids analogues 82
Panax notoginseng (Sanqi) Q-TOF MS; Auto MS/MS; targeted MS/MS MDF; Characteristic isotopic distribution 234 ginsenosides including 67 potential new ones 83
Five botanical origins of Uncariae Ramulus Cum Unicis LTQ-Orbitrap DE-step-wise PIL-CID/MS2-HCD/MS3 Elemental composition analysis; NLF; DIF; DM 1227 indole alkaloids 84
Er-xian decoction LTQ FT FS; DE-CID-MS2; CID-MS3 MTSF; Discriminant analysis; BS 553 potential compounds and 66 candidates 87
Arnebiae Radix Q-Orbitrap Full MS; MS/MS BS; DM; MDF 96 compounds, 13 of which were confirmed by the reference standards, 30 with a low abundance, and 9 unknowns 88
Pueraria lobata (Willd.) Ohwi (Gegen) and Pueraria thomsonii (Fenge) LTQ-Orbitrap FS; DDA IPF 12 S-derivatives were found, 9 of which were tentatively identified 92
Forsythia suspensa Q-TOF MSE; CID-MS/MS DIF 8 potentially new C6–C2 glucoside conjugates 93
Zicao Q-TOF MS; MS/MS BS; DIF; Characteristic product ion filtering 58 compounds including 32 novel ones 94
Akebiae Fructus Q-TOF MSE Adduct ion filtering; DIF; Characteristic ion filtering; NLF 94 compounds (85 triterpenoid saponins and 9 chlorogenic acids), including 9 types of triterpenoid saponins and 2 types of chlorogenic acid; 50 newly discovered constituents 95
Spatholobus suberectus Q-TOF FS in both positive and negative modes; (−)-MS/MS DM; DIF 38 compounds, including 36 flavonoids and 2 non-flavonoid compounds 96
Scutellaria baicalensis Q-Orbitrap FS; MS/MS DIF 132 compounds, 59 of which were reported for the first time 97
Amphimas pterocarpoides LTQ-Orbitrap FS; MS/MS DIF 21 molecules, 17 of which were found to belong to the targeted chemical groups, including 8 isoflavones, 7 dihydroisoflavones and 2 isoflavone glycosides 98
Roots and berries of raw and steamed American ginseng (P. quinquefolius L.) TOF; Q-TOF FS; CID-MS/MS DIF 70 saponins 99
Fresh and processed ginseng Q-TOF FS; CID-MS/MS DIF; NLF 12 malonyl ginsenosides 100
Uncaria rhynchophylla Q-TOF MS; MS/MS DIF A total of 29 compounds, comprising 18 alkaloids, 6 flavonoids, and 5 quinic acids; 4 novel tetracyclic monoterpenoid oxindole alkaloids (TMOAs) 101
Lycoris spp. (Amaryllidaceae) Q-TOF MS; MS/MS DIF 37 lycorine-type alkaloids, including 16 previously undescribed compounds 102
Calyx of Physalis alkekengi L. var. franchetii (Mast.) Makino Q-TOF MS; MS/MS DIF; NLF 46 physalins, including 20 novel ones 103
Glechomae Herba Q-TOF MS; MS/MS DIF; NLF 120 compounds, including 10 chlorogenic acids, 10 gallic acids, 21 phenylpropionic acids and 77 flavonoids; 65 newly discovered constituents; 4 types of chlorogenic acids, 3 types of galloylglucoses, 3 types of phenylpropionic acid skeletons, and 5 types of flavonoid aglycone skeletons 104
Raw and processed pieces of Rheum palmatum L. Q-TOF (−)-MS; (−)-MS/MS DM; DIF 73 characteristic markers 105
Garcinia oblongifolia QTOF MS/MS; ISCID MS/MS; ISCID combined with TAP fragmentation; IM-MSE; IM-MS/MS DIF 140 potential polycyclic polyprenylated acylphloroglucinols (PPAPs), including 7 pairs coeluting isobaric PPAPs that were indistinguishable by conventional UHPLC−HRMS alone 106
Shengmai injection IT-TOF MS1, MS2, MS3 DIF More than 30 ginsenosides and 20 lignans 107
Guge Fengtong tablet Q-TOF FS DIF 47 components, including 18 phenolic acids, 8 saponins, 14 gingerol-related compounds, and 7 diarylhepatonoids 108
Yindan Xinnaotong soft capsule Q-TOF; QqQ FS; MRM DM; DIF; MDF; NLF 124 compounds, including 44 flavonoids, 31 phenolic acids, 20 tanshi-nones, 16 saponins, 6 ginkgolides, 5 sulfides, camphor and borneol 109
Roots of Aconitum carmichaelii Debx. LTQ-Orbitrap FS; CID-MS2-MS3 NLF 42 diester-diterpenoid alkaloids; 23 potential new compounds, including 16 short chain fatty acyls diester-diterpenoid alkaloids, 4 N-dealkyl diester-diterpenoid alkaloids and several isomers of aconitine, mesaconitine and hypaconitine 112
Saussurea involucrata LTQ FT DE-CID-MS3 MTSF 38 compounds, including 19 flavones, 11 phenylpropanoids and 8 sphingolipids; among them, 7 flavonoids, 8 phenylpropanoids and 8 sphingolipids were identified for the first time in Saussurea involucrate 114
Duhaldea nervosa (Wallich ex Candolle) A. Anderberg LTQ-Orbitrap FS; CID-MS2; DE MTSF 47 chlorogenic acids, including 19 monoacyl-quinic acids, 22 diacyl-quinic acids, and six triacyl-quinic acids 115
Flos Lonicerae Japonicae LTQ-Orbitrap FS; FS-PIL; MIM DM; MTSF; DIF 115 chlorogenic acids attributed to 18 categories, most of which were newly reported 116
Xiao-Xu-Ming decoction LTQ FT FS; DE-CID-MS2; CID-MS3 MTSF 68 compounds among 3362 detected compounds, including 14 templated compounds (reference compounds), 50 related compounds fished by MTSF technique, and 4 unrelated compounds identified by manual method 117
Venenum Bufonis Q-TOF Fast DDA MN 229 bufadienolides, including two subclasses of compounds (bufogeninsconjugated with carboxylic acid and N-heterocyclic bufogenins) which were found in Venenum Bufonis for the first time 137
Aconiti Lateralis Radix Praeparata and its processed products Q-TOF MSE MN 145 diterpenoid alkaloids, including 78 C19 (19 diester-diterpenoid alkaloids, 20 monoester-diterpenoid alkaloids, 7 lipo-diterpenoid alkaloids, 32 amine-diterpenoid alkaloids), 13 C20, and 54 other diterpenoid alkaloids 138
Danhong injection Q-Orbitrap FS SA 117 compounds, including 76 phenolic acids, 20 flavonoids, and 21 other compounds 139
Curcuma longa QqQ NL/PIS SA 846 terpecurcumins (terpene-conjugated curcuminoids), including a number of potentially novel compounds 140
Magnolia officinalis Q-TOF MS; MS/MS DIF; NLF; SA 87 phenylethanoid glycosides, including 14 isomers 141
Ziziphi Spinosae Semen and Ziziphi Mauritianae Semen Q-TOF MSE DM; DIF; NLF 60 target components in Ziziphi Spinosae Semen, including 27 flavonoids, 16 saponins, 10 alkaloids, 6 terpenes, and 1 other, and 53 nontarget components with 40 new deduced components; 132 chemical components in Ziziphi Mauritianae Semen, including 7 additional nontarget new components 149
Peanut stems and leaves Q-TOF MSE DM 283 chemical compounds, including 207 new compounds 150
White and red ginsengs Q-TOF IM-MSE; IM-MS/MS DM 201 ginsenosides, including 10 pairs of co-eluting isobaric ginseng saponins 151
Stems and leaves of Panax ginseng LTQ-Orbitrap DE-CID-MS3; DE-HCD-MS2 NLF; DIF; DM 646 ginsenosides, including 427 which have not been isolated from the genus of Panax L. 152
Five different parts (root, leaf, flower bud, berry, and seed) of Panax ginseng Q-TOF MSE DM 164 compounds 153
Panax notoginseng Q-TOF Fast DDA DM; DIF; NLF 945 ginsenosides, including 662 potentially novel ginsenosides 154
Baoyuan decoction Q-TOF; QTRAP FS-MS1; MSE; Predefined MRM-EPI, MIM-EPI, and PIS-EPI DM; DIF 236 compounds, including 139 saponins, 83 flavonoids, 6 procyanidins, 4 lignans, and 4 diterpenes 155
Paris polyphylla Smith var. yunnanensis (Franch.) Hand. -Mazz and Paris vietnamensis (Takht.) H. Li Q-TOF MSE DM 146 metabolites, including 42 potential new compounds 156
Panax ginseng, P. quinquefolius, and P. notoginseng Q-TOF MSE; HDMSE DM 24 potential lipid markers enabling the simultaneous differentiation of three Ginseng species 157
Cistanche deserticola, C. sinensis, and C. tubulosa LTQ-Orbitrap FS-HRMS; MS/MS; DE DM; Parent mass modification search; DIF; MTSF 69 phenylethanoid glycosides, including 17 new ones 158
Aconitum carmichaelii Debx. Q-TOF MS; MS/MS DM 148 lipo-alkaloids, including 93 potential new compounds and 38 compounds with oxygenated fatty acid moieties 161
Gelsemium elegans Q-TOF MS/MS DM 57 components, including 43 alkaloids, 9 iridoids, 2 steroids, 2 phenolic acids and 1 coumarin 162

Table 2.

Selection criteria of data acquisition and post-processing techniques in TCM qualitative analysis.

Technique Advantage Limitation Scope of application
DIA DIA Full coverage of MS1 and MS2 information Loss link between precursor and product ions Acquisition of MS/MS information of minor or trace compounds
DDA PIL Screening of only (or preferred) target ions in the list Miss of novel compounds with new sub-structures or substituted groups Target compounds with predictable molecular weights and/or m/z values
DE Detection of less abundant co-eluting ions Quality loss of MS2 information of abundant ions MS/MS information of both abundant and less abundant compounds in complex samples
Mass tag Selective screening of compounds that undergo in-source fragmentations Not applicable to relatively stable compounds that cannot generate certain in-source fragmentation patterns Compounds that can undergo certain in-source fragmentations with ISCID energy
PIS Requirements of little prior-knowledge about the exact structure of target compounds Miss of compounds without selected product ions Compounds with known specific product ions
NLS Targeted screening of modified or conjugated compounds that undergo neutral eliminations Only compounds with certain neutral eliminations Compounds with certain neutral eliminations
MRM High selectivity and sensitivity in screening target compounds Low resolution and unable to screen unknown compounds without information of parent and product ions Target compounds with known parent and product ions
Data post-processing MDF Selective screening of certain compounds or compound classes and remove of interferences Requirements of a carefully-designed appropriate MDF region Compounds with predictable mass range and mass defect range
BS Elimination of background signals, and exposure of target compounds Poor selectivity of target compounds Severe background interferences
IPF Specific screening of compounds with certain elements Relatively narrow application scope Compounds with distinct isotope pattern
DIF Rapid screening of target compounds that produce identical product ions Miss of compounds without selected product ions Compounds with known product ion
NLF Compounds that undergo neutral eliminations Only compounds with certain neutral eliminations Compounds with specific neutral loss
MTSF Rapid classification and characterization of unknown compounds Need of MSn information for both template compounds and target compounds Target compounds sharing the same sub-structures and similar MSn mass spectra as template compounds
MN Rapid classification and characterization of compounds without prior knowledge of the chemical structures Manual interpretation of detailed structure information of unknown compounds based on the related known compounds Compounds with MS/MS spectra
SA Rapid exploration of intrinsic relationships between compound structures and MS data Further characterization and identification of compounds Recognition of potential characteristic ions, discrimination of different structures and isomers
DM Alleviation of labor for mining structural information from large-scale datasets Limited records in databases and requirements of further manual confirmation Automatic search and annotation of compounds through on-line or in-house databases

Figure 2.

Figure 2

A decision tree that represents a possible way to select an LC–MS based data acquisition/post-processing strategy.

5. Discussion and future perspectives

Despite of the continuous developments of advanced data acquisition and post-processing techniques in TCM qualitative analysis, there still remains drastic challenges to be solved to achieve the ultimate goal of comprehensive chemical profiling and annotation. Firstly, it is virtually impossible to simultaneously detect all the components in one experiment, due to the selectivity and priority of the analytical system. Therefore, arrays of separation techniques differing from conventional reversed-phase LC were developed and combined in either on-line mode or off-line mode165, including hydrophilic interaction liquid chromatography36,152,154, supercritical fluid chromatography137, etc. Besides, IM23,106,157 was also adopted to improve the MS performance. Secondly, to make the full use of typical DIA methods featured with minimum loss of MS information and good reproducibility, more complicated deconvolution and data processing techniques should be developed to further interpret the DIA data. Thirdly, manual annotation and interpretation of the MS data is still a dominant method used, which is labor-intensive and somewhat subjective. Databases of MS spectra of TCM ingredients combined with intelligent software may be an option. Though database search is anticipated to play a pivotal role in matching the known compounds, however, the comprehensive TCM databases of the known compounds are still in serious shortage, let alone the potentially new structures. Therefore, de novo annotation software, especially those considering the biosynthetic pathways may help increase the identification credibility. Fourthly, ambiguous differentiation and identification of the isomers hinder the further application of the acquired data. Common isomer identification strategies involve two aspects. One is associated with the liquid chromatographic separation by comparing the difference of retention time (RT), and various retention time prediction strategies have also been proposed to improve the identification reliability, including logKow (logP) prediction166, ACD/ChromGenius software prediction167, and some quantitative structure retention relationship (QSRR) models such as linear solvation energy relationship, multiple linear regression168, Kernel-based partial least-squares169, artificial neural network170, OPERA-RT model171, etc. The other one is based on the MS information, including fragmentation patterns and intensity of product ions. Besides, SA methods have been applied for recognition of isomers141, and some advanced techniques based on other physicochemical principles have also been explored. For example, the characteristic CE (CE50)172 values and optimal CE (OCE) values which corresponded to the dissociation of chemical bonds were proved to be helpful in isomeric differentiation173,174. In addition, some cutting-edge instrumentations such as LC–infrared ion spectroscopy MS have been introduced and applied to distinguish closely related isomers175, 176, 177.

In summary, based on the recent development and bottlenecks of LC−MS in TCM qualitative analysis, following suggestions are tentatively proposed for the future research. Firstly, because the bioactive components contained in TCM are usually secondary metabolites, which share similar substructures due to the common biosynthetic pathways, in order to achieve targeted characterization of different classes of compounds, more efficient and specific data acquisition and post-processing techniques based on their chemical characteristics, MS fragmentation patterns and other properties are in urgent demand. Next, resorting to the theory of big data analytics and rapid developments of computer science as well as mathematical statistics methods, exploration of high-throughput, high coverage and automatic data analysis strategies become possible. By developing computer and software-aided automatic data processing workflows, MS data interpretation efficiency of TCM complex systems will be dramatically improved. Last but not least, utilization of integrated analytical strategies, combing the advantages of various MS instrumentations, data acquisition and data post-processing techniques, are helpful for comprehensive and systematic analysis of chemical components of TCM.

6. Conclusions

TCM is gaining more and more global attentions because of its effectiveness in preventing and treating human diseases. LC−MS is one of the most powerful tools for TCM qualitative analysis. In this review, the basic principles and applications of a variety of advanced LC−MS-based data acquisition and post-processing techniques were summarized and illustrated for rapid and efficient characterization and identification of various chemical constituents in TCM. These data acquisition techniques include PIL, DE and mass tag based on MS information, PIS, NLS and MRM based on MS/MS information, and data post-processing techniques include MDF, BS, IPF, DIF, NLF, MTSF, MN, SA and DM, each one is indispensable with its unique superiority. Therefore, a brief introduction and applications of the integrated analytical strategies in TCM qualitative analysis were delivered. At last, discussions on the obstacles, possible solutions and future trends of TCM analysis were also provided, laying foundations for future research on the chemical basis of TCM.

Acknowledgments

This work was financially supported by National Key R&D Program of China (2018YFC1707900, 2019YFC1711000, and 2019YFC1711400), National Natural Science Foundation of China (82003938), State Key Program of National Natural Science Foundation of China (81530095), and Qi-Huang Scholar of National Traditional Chinese Medicine Leading Talents Support Program (2018).

Author contributions

Yang Yu wrote the paper. Changliang Yao edited the paper. De-an Guo conceived the review topic and edited the paper.

Conflicts of interest

The authors declare no conflicts of interest.

Footnotes

Peer review under responsibility of Chinese Pharmaceutical Association and Institute of Materia Medica, Chinese Academy of Medical Sciences.

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