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Clinical Applications of Mass Spectrometry - RCPA

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<strong>Mass</strong> spectrometry<br />

1.Principles and<br />

2.<strong>Clinical</strong> <strong>Applications</strong><br />

Pr<strong>of</strong> F G Bowling<br />

Director <strong>of</strong> Biochemical Diseases<br />

Mater Children’s Hospital<br />

Brisbane, AUSTRALIA


Overview<br />

‣ <strong>Mass</strong> spectrometry is an analytical technique that identifies the chemical composition <strong>of</strong> a<br />

compound or sample based on the mass-to-charge ratio <strong>of</strong> charged particles.<br />

‣ A sample undergoes chemical fragmentation, thereby forming charged particles (ions). The ratio <strong>of</strong><br />

charge to mass <strong>of</strong> the particles is calculated by passing them through electric and magnetic fields in<br />

a mass spectrometer.<br />

‣ The design <strong>of</strong> a mass spectrometer has three essential modules:<br />

• an ion source, which transforms the molecules in a sample into ionized fragments;<br />

• a mass analyzer, which sorts the ions by their masses by applying electric and magnetic fields; and<br />

• a detector, which measures the value <strong>of</strong> some indicator quantity and thus provides data for calculating the<br />

abundances <strong>of</strong> each ion fragment present.<br />

‣ The technique has both qualitative and quantitative uses, such as<br />

• identifying unknown compounds,<br />

• determining the isotopic composition <strong>of</strong> elements in a compound,<br />

• determining the structure <strong>of</strong> a compound by observing its fragmentation, quantifying the amount <strong>of</strong> a<br />

compound in a sample,<br />

• studying the fundamentals <strong>of</strong> gas phase ion chemistry (the chemistry <strong>of</strong> ions and neutrals in a vacuum), and<br />

• determining other physical, chemical, or biological properties <strong>of</strong> compounds<br />

‣ The technology is frequently used as the definitive method for molecules analysed routinely by<br />

other methods in Pathology Laboratories, but<br />

‣ Because <strong>of</strong> advances in technology it is now replacing many <strong>of</strong> those older methods in routine use.<br />

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1.Principles<br />

<strong>Mass</strong> spectrometry<br />

‣ method for determining the mass <strong>of</strong> molecules<br />

by producing and analysing charged species<br />

‣ measures the mass to charge ratio (m/z) <strong>of</strong> ions.<br />

‣ USES:<br />

• analyser:<br />

•To identify unknown molecules,<br />

•To elucidate structure & chemical<br />

properties<br />

• detector:<br />

•To quantify known materials<br />

3


‣ <strong>Mass</strong> Spectrometer<br />

• INLET SYSTEM<br />

MS Instrumentation<br />

• ION SOURCE: form gas-phase ions from sample,<br />

• ANALYSER: separate ions based on their mass-to-charge<br />

ratio (m/z),<br />

• DETECTOR: measure the abundance <strong>of</strong> the ions according<br />

to m/z.<br />

• DATA OUTPUT: mass spectrum<br />

Relative abundance<br />

m/z<br />

4


Ionisation<br />

‣ Molecules gain or lose electrons such that they acquire a<br />

positive or negative charge<br />

‣ ionisation process can produce<br />

• molecular ion: same molecular weight and elemental<br />

composition <strong>of</strong> the starting analyte<br />

• fragment ion: corresponds to smaller piece <strong>of</strong> the analyte<br />

molecule<br />

‣ Common molecular ion products <strong>of</strong> ionisation<br />

• Molecular ions M + or M -<br />

• Protonated molecules [M + H] +<br />

• Simple adduct ions [M + Na] +<br />

‣ Different ionisation techniques depending on chemical &<br />

physical properties <strong>of</strong> molecule <strong>of</strong> interest<br />

5


Electron Ionisation (EI)<br />

‣ Suitable for volatile organic compounds<br />

‣ Gaseous sample molecules bombarded with<br />

beam <strong>of</strong> energetic electrons<br />

‣ Results in loss <strong>of</strong> electrons from sample,<br />

formation <strong>of</strong> radical cation<br />

• M + e - M +· + 2e -<br />

‣ EI mass spectra contain intense fragment ion<br />

peaks and much less intense molecular ion peaks<br />

6


Chemical Ionisation (CI)<br />

‣ suitable for volatile, more polar compounds<br />

‣ excess <strong>of</strong> reagent gas is firstly ionised by EI, then<br />

introduced to sample<br />

‣ ion molecule reactions occur between ionised<br />

reagent gas molecules and volatile analyte<br />

neutral molecules to produce analyte ions.<br />

‣ Pseudo-molecular ion MH + (positive ion mode)<br />

or [M-H] - (negative ion mode) + few fragment<br />

ions produced<br />

‣ main reagent gases used: Ammonia, Methane,<br />

and Isobutane<br />

7


Fast Atom Bombardment (FAB)<br />

‣ Used for large compounds with low volatility (eg peptides,<br />

proteins, carbohydrates)<br />

‣ sample mixed with a non-volatile matrix and attached to end <strong>of</strong><br />

probe<br />

‣ bombarded with fast beam <strong>of</strong><br />

atoms (neutral inert gas Ar/Xe)<br />

‣ Sample molecules ejected from<br />

matrix, ionised and extracted<br />

into the mass analyser<br />

‣ produces [M+H] + & [M+Na] +<br />

ions<br />

8


Electrospray Ionisation (ESI)<br />

‣ S<strong>of</strong>t ionisation technique suitable for proteins, peptides,<br />

oligonucleotides<br />

‣ Type <strong>of</strong> atmospheric pressure ionisation<br />

‣ Generates mainly multiply charged ions directly from solution<br />

‣ Liquid (solvent + analyte mixture) passed through fine stainless<br />

steel capillary into chamber at atm pressure in presence <strong>of</strong><br />

strong electrostatic field & heated drying gas<br />

‣ Emerging solution dispersed into fine spray <strong>of</strong> charged<br />

droplets all at same polarity<br />

9


Electrospray Ionisation (ESI)<br />

‣ Solvent evaporates away, shrinking droplet size, increasing<br />

charge concentration at droplet’s surface<br />

‣ Droplets explode once charge repulsion overcomes surface<br />

tension<br />

‣ shrinking and explosion continues until individually charged<br />

‘naked’ analyte ions formed.<br />

10


Matrix Assisted Laser Desorption/Ionisation<br />

(MALDI)<br />

‣ analyte co-crystallised with excess <strong>of</strong> matrix compound on<br />

MALDI target<br />

‣ Inserted into MS under high vacuum<br />

‣ Pulsed laser beam (nitrogen UV laser) directed at<br />

matrix/sample spot<br />

‣ Laser energy absorbed by matrix, transferred to analyte<br />

‣ Matrix/analyte desorbed from<br />

surface & ionised<br />

‣ Results in mainly singly charged<br />

ions [M+H] + or [M+Na] + in<br />

positive ion mode<br />

‣ Electric field applied between<br />

sample and extraction grid to<br />

accelerate ions<br />

11


Matrix Assisted Laser Desorption/Ionisation<br />

MATRICES<br />

‣ Nature <strong>of</strong> matrix highly important in MALDI experiment<br />

‣ Functions <strong>of</strong> matrix<br />

• Dilute sample and isolate sample molecules from each other<br />

• Absorb laser light energy and indirectly cause analyte to vaporize.<br />

• Ionise analyte by serving as proton donor or receptor, in both positive<br />

and negative ionisation modes, respectively.<br />

‣ Mostly crystalline compounds<br />

‣ Examples <strong>of</strong> common matrices:<br />

Sinapinic acid<br />

2,5-dihydroxybenzoic<br />

acid<br />

3-Hydroxypicolinic<br />

acid<br />

6-aza-2-thiathymine<br />

large proteins<br />

glycoproteins<br />

proteins<br />

carbohydrates<br />

oligonucleotides<br />

glycoproteins<br />

12


Surface-Enhanced Laser Desorption<br />

Ionisation (SELDI)<br />

‣ Target modified to capture molecule <strong>of</strong> interest within sample<br />

mixture attach antibodies, lectins, DNA<br />

‣ Functions as solid-phase extraction technique<br />

‣ Unbound fragments washed away prior to ionisation<br />

‣ Matrix solution added to enhance laser energy transfer &<br />

analyte ionisation<br />

‣ Laser desorption/ionisation followed by TOF MS<br />

13


<strong>Mass</strong> analysers<br />

‣ Separates the ions generated in ion source<br />

according to mass/charge ratio<br />

‣ Can combine 2 or more analysers in tandem MS<br />

systems<br />

‣ Different types:<br />

• Magnetic sector<br />

• Time-<strong>of</strong>-flight<br />

• Quadrupole<br />

• Ion trap<br />

• Fourier-transform ion cyclotron resonance<br />

14


Time <strong>of</strong> Flight (TOF) analysers<br />

‣ Simplest type <strong>of</strong> mass analyser<br />

‣ virtually unlimited mass range<br />

‣ higher masses lower resolution<br />

‣ potential applied across ion source to extract and accelerate<br />

ions into field-free ‘drift’ zone<br />

‣ ideally ions <strong>of</strong> same mass/charge will have same kinetic energy<br />

‣ time <strong>of</strong> arrival at detector relates to mass <strong>of</strong> ion<br />

‣ the lower the ion's mass, the greater the velocity and shorter its<br />

flight time.<br />

Source, s<br />

Field-free drift zone, d<br />

Detector<br />

Es = Vs/ls<br />

length = ls<br />

Vs<br />

length = ld<br />

15


Reflectron TOF<br />

‣ Reflecting & decelerating fields at end <strong>of</strong> flight tube<br />

‣ Compensate for difference in flight times <strong>of</strong> same m/z ions with<br />

slightly different kinetic energies<br />

‣ Higher kinetic energy ions penetrate decelerating field further<br />

than ions with lower kinetic energy<br />

‣ Slow ions ‘catch up’ to fast ions <strong>of</strong> same m/z<br />

‣ Decrease spread <strong>of</strong> ion flight times improve resolution<br />

16


Delayed extraction TOF<br />

‣ Delayed extraction in linear mode also used to improve<br />

resolution<br />

‣ Delayed-extraction grid located between the sample target and<br />

the drift-tube entrance grid.<br />

‣ Ions allowed to spread out before the voltage is applied to<br />

accelerate them into the flight tube.<br />

‣ Time delay typically 5 to 20 microseconds<br />

‣ When the delayed extraction voltage is finally turned on, the<br />

lower-velocity ions experience a greater accelerating voltage<br />

than the higher-velocity ions<br />

‣ This reduces the energy spread between molecules that have<br />

the same m/z ratio and therefore reduces peak broadening.<br />

17


Quadrupole (Q) analyser<br />

‣ Four parallel rods with fixed DC & alternating Rf voltages<br />

arranged in a square<br />

‣ Analyte ions directed down centre <strong>of</strong> square<br />

‣ By varying strengths and frequencies <strong>of</strong> magnetic fields, change<br />

defined m/z value that will pass through<br />

‣ Upper limit <strong>of</strong> mass range is<br />

m/z 2200-3000<br />

‣ May operate in two modes:<br />

• Scanning mode<br />

monitoring range <strong>of</strong> m/z ratios<br />

• Selected ion monitoring mode<br />

monitoring selected m/z ratios<br />

18


Ion trap analyser<br />

‣ Consist <strong>of</strong> 3 electrodes forming a chamber<br />

• Ring electrode<br />

• Entrance endcap electrode<br />

• Exit endcap electrode<br />

‣ Ions entering chamber ‘trapped’ by electromagnetic fields<br />

‣ Various voltages applied to trap and eject ions according<br />

to m/z values<br />

19


Triple Quad (Tandem) MS (MS/MS)<br />

‣ Powerful way to obtain structural information<br />

‣ Common example: triple quadrupole<br />

‣ First quadrupole used to select precursor ion<br />

‣ Second quadrupole (Rf only) used as a collision cell for<br />

fragmentation <strong>of</strong> precursor ion (collision induced<br />

dissociation; collision with inert gas)<br />

‣ Third quadrupole generates spectrum <strong>of</strong> resulting product<br />

ions<br />

‣ May use TOF analyser in place <strong>of</strong> third quadrupole<br />

20


2. <strong>Clinical</strong> <strong>Applications</strong><br />

24


Quantitation <strong>of</strong> small molecules<br />

‣ Molecules<br />

• Aminoacids<br />

• Intermediate metabolites<br />

• (Organic acids and<br />

Acylcarnitines)<br />

• Neurotransmitters<br />

• Steroids<br />

‣ Technology<br />

• GC-MS<br />

• LC-MS<br />

• Triple Quad<br />

• Ion Trap<br />

• TOF<br />

• Cytokines<br />

• Xenobiotic (metabolites)<br />

• Vitamins<br />

25


Quantition <strong>of</strong> peptides<br />

‣ Molecule<br />

• Glycoprotein<br />

hormones<br />

• Immunoglobulins<br />

• Protein digests<br />

‣ Technology<br />

• LC -- Ion Trap<br />

• LC – Triple Quad<br />

• LC -- TOF<br />

• (MALDI-TOF)<br />

26


Identification / Quantitation proteins<br />

‣ Molecule<br />

• Glycosylated<br />

Haemoglobin<br />

• Enzymes<br />

• Troponin and other<br />

structural<br />

‣ Technology<br />

• Peptide digest<br />

• LC or Gel fractionation<br />

• Ion Trap<br />

• MALDI<br />

• TOF<br />

‣ Analysis<br />

• Protein databases<br />

• eg MASCOT <br />

27


Identification Micro-organisms<br />

‣ Molecule<br />

• Membrane proteins<br />

• Cell wall glycoproteins<br />

• Surface lipoproteins<br />

• Cytosolic enzymes<br />

‣ <strong>Clinical</strong><br />

• Bacteria<br />

• Viruses<br />

• Protozoa<br />

‣ Technology<br />

• MALDI-TOF<br />

‣ Comment<br />

• Proteomic analysis<br />

performed on isolated<br />

organisms<br />

• Biological fluid<br />

techniques in<br />

development<br />

28


Tissue Imaging<br />

‣ Molecule<br />

• Pathological markers<br />

• Tissue specific proteins<br />

• Tumour markers<br />

• Acute response<br />

• Apoptosis<br />

‣ Technology<br />

• MALDI Imaging <strong>of</strong><br />

• fresh tissue sections<br />

• fixed tissue sections<br />

• including slides<br />

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