About bioassay of Oximes:? New isolation alternatives from biomatrices? Chromatographic separation issues? Reserve on using MS or MS/MS detection

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State of the art: xime-type AChE Reactivators: Wide use as antidotes in organo phosphorous compounds poisoning; Synthesis of new congeners; Intense studies on their transfer through BBB; Intense studies on structure properties relationships; Intense studies on dose effects correlation; About bioassay of ximes:? ew isolation alternatives from biomatrices? Chromatographic separation issues? Reserve on using MS or MS/MS detection

ur main goals: 1. (ESI) - MS and MS/MS behavior of ximes; 2. Study of chromatographic retention of ximes through: - HILIC mechanism; - Double (duet!) cation exchange / RP mechanism; - Ion Pair formation mechanism with use of perfluorurated ion pair reagents; - 3. Isolation of ximes from biomatrices: - Reevaluation of Protein Precipitation procedure through AC addition; - Isolation of ximes by means of Ionic Liquid 4. Bioassay validation (matrices: plasma and whole blood)

Target Compounds: 2-PAM Mw = 137.16 H H bidoxime Mw = 288.31 H H HI-6 Mw = 288.31 H 2 H H + K075 Mw = 298.35 K074 Mw = 300.36 H H H H K027 Mw = 286.34 K048 Mw = 300.36 H 2 H 2 H H 2 H + H 2 H HLo-7 Mw = 331.33 K203 Mw = 298.35

Target Compounds: 4 categories: a. 1 pyridinium ring + 1 aldoxime moiety; b. 2 pyridinium rings + 2 aldoxime moieties; c. 2 pyridinium rings + 1 aldoxime moiety + 1 amide moiety; d. 2 pyridinium rings + 2 aldoxime moieties + 1 amide moiety Linkers between pyridinium rings: a. Ether b. Hydrocarbonate saturated (different lengths) c. Hydrocarbonate unsaturated (different lengths)

MS spectra: i.e. bidoxime x10 5 2.8 2.6 2.4 2.2 2 1.8 1.6 1.4 1.2 1 0.8 0.6 0.4 0.2 0 135.2 144.3 H H CH H 257.2 287.2 309.2 60 80 100 120 140 160 180 200 220 240 260 280 300 320 340 360 380 400 420 440 460 480 500 Counts vs. Mass-to-Charge (m/z) H a +

MS/MS spectra: bidoxime m/z = 309 [M - 2H + ]a + m/z = 158 100 m/z = 135 22 a + H m/z = 287 [M - H + ] + HC m/z = 135 100 m/z = 105 30 m/z = 253 8

MS/MS spectra: bidoxime m/z = 257 [M - H + -. ] +. HC m/z = 105 100 m/z = 144 H [M] 2+ m/z = 136 100 m/z = 123 80 HC H H m/z = 135 70 m/z = 123 28 H m/z = 79 80 HC m/z = 93 45 m/z = 105 45 m/z = 119 28

MS spectra AChE Group reactivator [M 2+ ] [M-H + ] + [M-H + -. ] +. [M-. -H 2 ] +. [M-PymCHH] + [M-PymCH 2 ] + A PAM - - - - - - bidoxime 30 100 15 - - - B K074 100 60 - - - - K075 40 - - - 100 - Hi-6 6 2 100-25 - C K027 45 100 - - - - K048 80 100 - - - - K203 25 - - - 100 100 D HLo-7 20 10-100 - 45 Group AChE reactivator [M-CH 2 PymCHH] + [M-2H + ]a + [M-H + ]a + 3H 2 A PAM - - 100 bidoxime 25 10 - B K074 - - - K075 - - - Hi-6 - - - C K027 - - - K048 - - - K203 - - - D HLo-7 - - -

MS/MS spectra Analyte Precursor Ion (m/z) Product Ions [m/z(r.a.)] PAM 213 91 (100) 287 135 (100) 105 (30) 257 135 (70) 123 (28) 105 (100) bidoxime 144 136 (100) 123 (80) 119 (28) 105 (45) 93 (45) 79 (80) 309 253 (8) 158 (100) 135 (22) 299 177 (100) 160 (70) 133 (37) K074 150 128 (90) 119.5(100) 136 (22) 106 (30) 79 (18) 175 157 (10) 131 (100) 53 (15) K075 149 175 (60) 159 (20) 118.5 (83) 127 (90) 105 (33) 78 (100) 257 135 (15) 118 (100) 107 (11) HI-6 144 136 (100) 123 (50) 107 (80) 79 (70) 285 241 (6) 163 (100) 149 (60) K027 144 163 (60) 149 (10) 121 (100) 136 (60) 106 (63) 93 (25) 79 (30) 299 177 (100) 160 (30) 133 (10) 106 (8) K048 150 177 (15) 163 (6) 136 (30) 128 (100) 105 (18) 93 (4) 79 (8) 175 157 (14) 131 (100) 117 (10) 53 (95) K203 149 175 (40) 127 (100) 106 (25) 78 (70) 54 (60) 330 208 (57) 178 (27) 161 (90) 148 (22) 121 (100) 300 178 (25) 161 (100) 150 (10) 123 (8) HLo-7 208 121 (100) 165.5 150 (50) 136.5 (100) 122 (75) 106 (48)

MS/MS spectra CCLUSIS MS (ESI) IIZATI & FRAGMETATI the Decalogue 1. First rule: there are no rules! 2. Linkers between pyridinium rings are influencing ionization more than the substitution of the rings. 3. Molecular ions [M 2+ ] are always conserved / transferred from the source, but with significant differences in yields. 4. Pseudo molecular ions [M-H + ] + are generally formed in the ion source (exception made when a double bond is present in the linker). 5. Stable adducts may be formed within the source (PAM, bidoxime). 6. CID preferentially occurs on [M 2+ ] precursor ions. 7. CID of [M 2+ ] precursor ions may produce a charge loss (m/z of product ions higher than the m/z of the precursor). 8. CID is less intense when pseudo molecular ions [M-H + ] + are chosen as precursors. 9. CID fragmentation generally arises at higher extent (low m/z are produced). 10. Surprisingly, conservation and transfer of ionized structures occurs with relatively low yields.

MS spectra Compound ame Precursor Ion MS1 Res Product Ion MRM transitions MS2 Res Dwell Fragmentor Collision Energy Cell Accelerator Voltage Polarity PAM 213.3 Wide 91.2 Wide 200 100 15 7 Positive bidoxime 287.2 Wide 135.1 Wide 200 100 15 7 Positive K074 150.4 Wide 119.9 Wide 200 100 15 7 Positive K075 149.4 Wide 127.4 Wide 200 100 15 7 Positive HI-6 257.3 Wide 118.2 Wide 200 100 15 7 Positive K027 285.2 Wide 163.3 Wide 200 100 15 7 Positive K048 299.3 Wide 177.2 Wide 200 100 15 7 Positive K203 149.3 Wide 78.2 Wide 200 100 15 7 Positive HLo-7 300.4 Wide 161.1 Wide 200 100 15 7 Positive

Chromatographic Separation HILIC mode Chromatographic Column: Luna 3u HILIC (lot 5540-13; S.. 459421-1; P.. 00F-4449-B0) 150 mm L x 2 mm i.d. x 3 m d.p. Temperature: 25 o C Mobile Phase: Solvent A: 50 mm aqueous ammonium formate buffer ph = 3.2 Solvent B: Acetonitrile Elution: Gradient Gradient profile: 0 2 min: 95% B; 12 min: 90% B Flow rate: 0.8 ml/min Injection volume: 1 L ptimized conditions!

Chromatographic Separation HILIC mode UV trace; 300 nm; mau Mixture K203 K027 K075 HLo-7 K048 HI-6 bidoxime K074 Pam 0 2.5 5 7.5 10 12.5 15 17.5 20 22.5 min

Chromatographic Separation Mixed mode: SCX / RP (Duet!) Chromatographic Column: Hypersil Duet C18/SCX (lot 150/11054; S.. 12100899G4; P.. 34405-154630) 150 mm L x 4.6 mm i.d. x 5 m d.p. Temperature: 25 o C Mobile Phase: Solvent A: 200 mm aqueous ammonium formate buffer ph = 3 Solvent B: Acetonitrile Elution: Isocratic Composition: Solvent A / Solvent B Flow rate: 0.8 ml/min Injection volume: 1 L Si... Si... S 3 -

Chromatographic Separation Mixed mode: SCX / RP (Duet!) UV detection, 300 nm; mau 25 Pam 20 15 10 5 HLo-7 bidoxime K075 K074 K027 / K203 K048 HI - 6 0 0 5 10 15 20 25 30 min Better selectivity compared with HILIC! Long chromatographic run! The pair K027/K203 unresolved!

Insights about the mixed retention mechanism: In fact we get HILIC modulated with RP! 16 14 Pam Absolute retention time (min) 12 10 8 6 4 H H S 3 H H H 2 0 0 20 40 60 80 100 AC %...... Si Si

Insights about the mixed retention mechanism Influence of the buffer concentration: 12 Pam Absolute retention time (min) 10 8 6 4 2 0 0 50 100 150 200 250 Ammonium formate concentration

Insights about the mixed retention mechanism Influence of the ph: Absolute retention time (min) 7 6 5 4 3 y = 0.0879x + 4.1128 R 2 = 0.847 Pam 0 1 2 3 4 5 6 7 ph ul of the aqueous solvent

Chromatographic Separation Perfluorinated Ion Pair RP Chromatographic Column: Zorbax Eclipse XDB-C18, Rapid Ressolution (lot B07083; S.. USWA008251; P.. 963967-902) 150 mm L x 4.6 mm i.d. x 3.5 m d.p. Temperature: 25 o C Mobile Phase: Solvent A: 0.15% aqueous Heptafluorobutyric Acid Solvent B: Methanol Elution: Isocratic Composition: Solvent A / Solvent B = 70 / 30 (v/v) Flow rate: 0.8 ml/min Injection volume: 5 L

Chromatographic Separation Perfluorinated Ion Pair RP 1.1 1 0.9 0.8 0.7 0.6 0.5 0.4 0.3 0.2 0.1 0-0.1 x10 2 mau, UV detection, 300 nm HI - 6 K075 ; bidoxime K203 K027 K048 HLo-7 K074 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Pam (min)

Conclusions of chromatographic separation mechanisms Separation Mechanism k of the first eluting peak Duration (min) Co-eluted pairs Pairs with R s <1 Recommended for bioassay Recommended for QC HILIC 0.63 20 1 (HI-6 / K027) 5 - - Duet 0.70 35 1 (K027 / K203) 1 - RP-PFIP 3.88 20 1 (bidoxime / K075) 2

Sample preparation / Protein Precipitation Human Plasma Acetonitrile 600 L H S Human Plasma 400 L Human Plasma 200 L Vortex 10 min/2000 rpm CF 3 Ionic Liquid 200 L Vortex 10 min/2000 rpm Centrifuge 10 min/9000 x g Centrifuge 20 min/9000 x g Supernatant Supernatant Inject Up to 5 L Inject Up to 20 L

Characteristics of the Sample Preparation Methods Matrix Sample Preparation Technique Characteristics HLo-7 K048 bidoxime K027 HI-6 Pam K074 K203 Whole Blood Plasma Plasma S1 S1 S2 Recovery 35.3 37.7 55.3 30.7 40.5 87.6 45.5 40.4 RSD% (n=10) 9.8 8.3 6.4 8.3 7.0 3.2 6.1 9.7 Matrix Effect 101.9 78.8 94.1 72.0 99.0 92.6 81.9 130.5 RSD% (n=6) 0.9 0.7 1.2 0.9 0.6 0.6 0.8 4.1 Recovery 46.1 49.2 89.3 40.8 47.6 119.1 75.3 33.0 RSD% (n=5) 4.4 5.2 4.0 9.1 3.8 3.0 5.7 10.8 Matrix Effect 144.8 143.1 127.8 139.1 111.0 113.2 120.7 187.3 RSD% (n=6) 0.5 0.2 0.8 1.1 1.1 0.5 0.8 1.7 Recovery 14.8 23.5 42.5 30.6 22.8 57.2 43.0 34.4 RSD% (n=5) 0.0 1.6 0.9 2.7 2.7 6.9 1.3 0.2 Matrix Effect 86.8 80.4 86.2 78.5 64.3 81.4 82.9 101.6 RSD% (n=5) 2.2 2.5 2.0 3.0 4.4 0.5 2.1 14.4

LLQs acc. to sample prep. procedures Compound S/ / (concentration) Sample Prep. S1 Matrix: Human Plasma S/ / (concentration) Sample Prep. S1 Matrix: Whole Blood S/ / (concentration) Sample Prep. S2 Matrix: Human Plasma HI-6 7.9 / (10) 89.9 / (100) 88.1 / (10) K203 5.4 / (100) 5.2 / (250) 9.5 / (10) K027 5.1 / (100) 7.5 / (100) 5.7 / (10) K048 5.0 / (100) 6.6 / (100) 6.3 / (100) HLo-7 10.5 / (10) 37.1 / (100) 26.4 / (10) bidoxime 9.7 / (10) 65.1 / (100) 74.1 / (10) K075 5.6 / (100) 9.0 / (100) 20.9 / (10) K074 5.9 / (100) 7.7 / (100) 21.7 / (10) PAM 124.4 / (10) 677.2 / (100) 68.7 / (10)

LLQs acc. to sample prep. Procedures Examples: bidoxime x10 2 1 1 1.1 1 0.9 0.8 0.7 0.6 0.5 0.4 0.3 0.2 0.1 0 1 1 S1 (AC) Human Plasma S2 (I.L.) Human Plasma S1 (AC) Whole Blood oise (ASTM) = 9.24; SR (10.731min) = 74.1 (10 ppb) oise (ASTM) = 6.35; SR (11.264min) = 65.1 (100 ppb) +ESI MRM (287.2 -> 135.1) oise (ASTM) = 12.02; SR (10.921min) = 9.7 (10 ppb) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Counts (%) vs. Acquisition Time (min)

LLQs acc. to sample prep. Procedures Examples: K027 x10 2 1 1 1.1 1 0.9 0.8 0.7 0.6 0.5 0.4 0.3 0.2 0.1 0 1 1 S1 (AC) Human Plasma S1 (AC) Whole Blood S2 (I.L.) Human Plasma oise (ASTM) = 8.44; SR (98.962 min) = 5.7 (10 ppb) oise (ASM) = 3.55; SR (9.421 min) = 7.5 (100 ppb) +ESI MRM (285.2 -> 163.3) oise (ASTM) = 5.77; SR (9.116min) = 5.1 (10 ppb) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Counts (%) vs. Acquisition Time (min)

MS/MS and UV detection: Comparison HI - 6 K048 K027 K203 HLo-7 bidoxime K075 K074 Pam UV trace (300 nm) 250 ppb each 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Acquisition Time (min)

MS/MS response stability (PFIP-RP conditions) 1.0E+07 1 ng in column each (plasma matrix) 11.9% Paek Area 1.0E+06 1.0E+05 1.0E+04 9.1% 7.3% 12.2% 11.7% 14.0% 9.7% 6.5% K075 K203 K074 Pam HI-6 K027 bidoxime K048 Hlo-7 13.3% 1.0E+03 0 10 20 30 40 50 60 70 80 90 100 110 Inj. no.

Validation data: Plasma; protein precipitation AC Analyte LLQ (ppb) ULQ (ppb) B S B A S A r xy RSD% min. RSD% max. HI-6 10 10000 75.36 2.17 120.35 96.55 0.9952 0.95 11.19-11.30 9.54 K203 100 10000 2.95 0.09 61.77 108.33 0.9960 2.35 6.86-10.88 7.28 K027 100 10000 7.97 0.23 87.90 277.32 0.9966 2.24 9.30-10.87 7.71 K048 100 10000 8.32 0.23-16.47 272.49 0.9966 0.47 7.60-11.13 6.94 Bias% min. HLo-7 10 10000 77.54 2.65 11.01 1179.25 0.9944 0.24 4.49-14.35 Bias% max. 19.86 (LLQ) bidoxime 10 10000 118.33 4.11 1782.54 1830.71 0.9943 0.31 9.43-12.59 11.75 K075 100 10000 4.19 0.21-142.42 250.58 0.9908 0.25 12.39-14.69 11.96 K074 100 10000 8.35 0.36-118.85 432.62 0.9933 0.73 10.04-12.65 10.30 Pam 10 10000 2266.17 79.83 18003.47 35590.87 0.9941 0.37 11.08-13.40 10.94 Matrix: Plasma; Sample Preparation: protein precipitation with AC; Regression model: Linear, weighted 1/x

Validation data: Whole Blood; protein precipitation AC Analyte LLQ (ppb) ULQ (ppb) B S B A S A r xy HI-6 100 10000 110.17 3.46-1976.85 4149.74 0.9957 1.84 6.88-11.79 9.6 K203 250 10000 3.24 0.12-153.76 200.31 0.9948 1.41 12.71-10.22 10.7 K027 100 10000 6.93 0.17 56.06 208.04 0.9958 2.85 10.79-10.78 8.4 K048 100 10000 7.64 0.19-164.76 223.57 0.9969 1.03 9.68-12.68 13.2 RSD% min. RSD% max. HLo-7 100 10000 60.40 1.76-2614.43 2106.38 0.9959 0.90 9.14-13.98 Bias% min. Bias% max. 19.6 (LLQ) bidoxime 100 10000 104.27 3.07 1744.84 3688.80 0.9962 2.91 7.98-12.89 12.2 K075 100 10000 3.33 0.11-169.90 136.47 0.9951 1.76 15.35 (LLQ) K074 100 10000 6.53 0.26-176.98 307.81 0.9938 2.50 6.70-12.38-9.41 11.2 17.1 (LLQ) Pam 100 10000 2048.48 87.14 16679.66 104564.04 0.9935 1.61 3.98-12.50 12.5 Matrix: Whole Blood; Sample preparation: Protein precipitation with AC; Regression model: Linear, weighted 1/x

Validation data: Plasma; protein trapping by Ionic Liquid Analyte LLQ (ppb) ULQ (ppb) B S B A S A r xy HI-6 10 10000 79.05 1.55 3785.37 691.08 0.9952 1.07 13.95-13.7 10.1 K203 10 10000 6.24 0.19 1136.07 82.94 0.9950 0.43 9.44-14.5 7.5 K027 10 10000 4.20 0.11 322.44 47.75 0.9956 1.41 11.21-8.7 9.6 K048 100 10000 2.40 0.08 372.16 91.85 0.9942 1.43 11.39-9.1 10.9 HLo-7 10 10000 24.65 0.51 2713.34 227.75 0.9966 0.63 12.16-11.2 11.2 RSD% min. RSD% max. bidoxime 10 10000 54.78 1.09 11776.42 485.70 0.9957 0.02 11.80 K075 10 10000 2.40 0.06 918.09 27.10 0.9966 0.07 6.76 Bias% min. -18.7 (LLQ) -17.1 (LLQ) K074 50 10000 3.90 0.11 2154.20 93.62 0.9956 0.41 7.33-10.6 11.4 Pam 10 10000 7575.04 254.92 305924.50 113648.41 0.9949 0.04 2.99-17.8 (LLQ) Matrix: plasma; Sample preparation: Protein trapping with the Ionic Liquid; Regression model: Linear, weighted 1/x Bias% max. 13.1 11.4 13.4

Final Conclusions 1. The bioassay of oximes through PFIP-RP chromatographic separation and (+) ESI-MS/MS detection is feasible. 2. Sensitivity depends on the matrix (i.e. plasma, whole blood) and sample preparation methodology (i.e. protein precipitation through AC addition, protein trapping through ionic liquid addition). 3. Although more sensitive compared to UV detection, MS/MS detection remains surprisingly poor for oximes (low transmission yields in the ion source). 4. PFIP-RP/(+)ESI-MS/MS method for oximes were successfully validated.

I hear, I know; I see, I remember; I do, I understand. Confucius (551-479 B.C.) Esteemed colleagues, Dr. J. Bajgar, K. Kuca, and K. Musilek from the Department of Toxicology of the Faculty of Military Health Sciences, University of Defense, Hradec Kralove, Czech Republic, are gratefully acknowledged for providing us the pyridine oximes K027, K048, K074, K075, K203 used during experiments. Andrei Medvedovici acknowledges the financial support given through the Romanian project PII_ID_PCE_2011_3_0152.