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Clinical Chemistry 44: 2511-2515, 1998;
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(Clinical Chemistry. 1998;44:2511-2515.)
© 1998 American Association for Clinical Chemistry, Inc.


Drug Monitoring and Toxicology

Identification of 6-methylmercaptopurine derivative formed during acid hydrolysis of thiopurine nucleotides in erythrocytes, using liquid chromatography–mass spectrometry, infrared spectroscopy, and nuclear magnetic resonance assay

Thierry Dervieux and Roselyne Boulieua

a Address correspondence to this author at: Université Claude Bernard Lyon 1, Institut des Sciences Pharmaceutiques et Biologiques, Département de Pharmacie Clinique, de Phamacocinétique et d'Evaluation du Médicament, 8 avenue Rockefeller, 69373 Lyon Cedex 08, France. Fax 04 78 77 71 58.


   Abstract
Top
Abstract
Introduction
Materials and Methods
Results and Discussion
Conclusion
References
 
6-Thioguanine and 6-methylmercaptopurine (Me6-MP) nucleotides are the two major thiopurine metabolites of azathioprine found in erythrocytes. During the acid hydrolysis required for the conversion of thiopurine nucleotides into their free bases, Me6-MP was converted into a compound that could be analyzed on a Purospher RP18-e column with dihydrogen phosphate-methanol buffer as eluent. The pH of the acid extract strongly influenced the conversion of Me6-MP into its derivative. The Me6-MP derivative was identified using liquid chromatography–mass spectrometry and infrared and nuclear magnetic resonance spectrometric methods. During the acid hydrolysis of thiopurine nucleotides in erythrocytes, Me6-MP undergoes degradation, leading to 4-amino-5-(methylthio)carbonyl imidazole.


   Introduction
Top
Abstract
Introduction
Materials and Methods
Results and Discussion
Conclusion
References
 
Azathioprine is a thiopurine drug coadministered with cyclosporine and corticosteroids to prevent allograft rejection after transplantation (1). The immunosuppressive properties are related to intracellular conversion into thiopurine nucleotides via hypoxanthine guanine phosphoribosyl transferase, leading to 6-thioguanine nucleotides (6-TGNs),1 and methylation of 6-thioinosine monophosphate via thiopurine methyltransferase, leading to methyl 6-methylmercaptopurine (Me6-MP) nucleotides (2). However, the relationship between thiopurine nucleotides and the immunosuppressive and/or myelosuppressive effect of azathioprine remains unclear in vivo. Some studies have implicated high 6-TGN concentrations in erythrocytes in the myelosuppressive effect of azathioprine when the homozygote allele for thiopurine methyl transferase deficiency is expressed (3); another study, however, did not found any relationship between 6-TGNs in erythrocytes and myelosuppression induced by azathioprine (4).

Few HPLC methods have been developed for the simultaneous determination of nonmethylated and methylated thiopurine nucleotides of azathioprine in erythrocytes (5)(6)(7). In those methods, the bases were liberated from the nucleotide moiety by acid hydrolysis in sulfuric (5)(6) or perchloric acid (7).

In the method described by Lennard and Singleton (5) Me6-MP liberated from the nucleotide moiety was converted into a compound that could be extracted by phenyl mercury acetate adduct formation like 6-thiopurines. The Me6-MP derivative formed was extracted with recoveries <40%.

We previously reported (7) a reversed-phase HPLC method for the analysis of 6-TGNs and Me6-MP nucleotides in erythrocytes. The sample treatment procedure based on deproteinization by perchloric acid is simple and exhibits mean analytical recoveries of 84%. Here we propose to investigate the structure of the Me6-MP derivative formed during the acid hydrolysis step using liquid chromatography–mass spectrometry (LC–MS) and infrared (IR) and nuclear magnetic resonance (NMR) spectrometric methods.


   Materials and Methods
Top
Abstract
Introduction
Materials and Methods
Results and Discussion
Conclusion
References
 
reagents and stock solutions
Me6-MP, 6-methylmercaptoribonucleoside (Me6-MPR), and sodium bicarbonate were obtained from Sigma Chemical Co. Methanol, potassium dihydrogen phosphate, and perchloric acid were obtained from Merck. For experiments, stocks solutions of Me6-MP and Me6-MPR were prepared in 0.1 mol/L hydrochloric acid and stored at -80 °C.

apparatus and chromatographic conditions for analysis of Me6-MP AND THE Me6-MP DERIVATIVE
The liquid chromatograph consisted of a model 510 pump connected to a model 960 photodiode array detector and a Wisp 715 solvent delivery system, all from Waters.

Me6-MPR and Me6-MP and its derivative were analyzed using a reversed-phase HPLC method described previously (7). The separation was achieved on a Purospher RP18-e (Merck) with a linear gradient elution mode using 0.02 mol/L KH2PO4, pH 3.5, and 400 mL/L 0.01 mol/L KH2PO4, pH 3.5–600 mL/L methanol. The concentration of methanol rose from 0 to 200 mL/L over a period of 10 min. The flow rate was 1.2 mL/min, and the detector was set at 291 nm.

influence of the pH OF THE ACID SUPERNATANT ONMe6-MP DERIVATIVE FORMATION
Lysed erythrocytes (500 µL) to which Me6-MPR was added were rapidly transferred into a tube containing 5 mg of dithiothreitol and deproteinized by addition of 50 µL of 700 mL/L perchloric acid. The deproteinized sample was centrifuged at 3000g for 15 min at 4 °C. The supernatant was then removed, and the pH was adjusted to 0–1.0 with 70 µL of 1 mol/L sodium bicarbonate, pH 13. Aliquots (80 µL) taken after acidification but before the sample was heated, and after acid hydrolysis at 100 °C for 45 min were injected.

preparation of the Me6-MP DERIVATIVE
For IR and NMR experiments, the Me6-MP derivative was prepared according to the following procedure: Me6-MP was dissolved in 1 mol/L hydrochloric acid, and the solution was heated for 45 min at 100 °C. After cooling, the solution was evaporated to dryness at 50 °C. The dry residue was dissolved in water and injected into the HPLC column. The conversion of Me6-MP into its derivative was confirmed through peak retention times and spectral library matching by comparison of unknown peaks to the reference spectrum of a synthesized standard.

lc–ms
LC–MS analysis was carried out using an HP 59980 B Particle Beam coupled to a HP 5989 mass detector, both from Hewlett Packard.

The LC system consisted of a Purospher RP18-e, with 400 mL/L methanol–600 mL/L water as eluent. The flow rate was set at 0.3 mL/min. The carrier gas was helium, and the desolvation room was heated at 60 °C under 400 psi of helium.

The MS conditions were as follows: electron energy was 70 and 200 eV, and the trap current was 300 and 200 µA for electron ionization and chemical ionization, respectively.

1 h and c nmr spectroscopy
The NMR spectrometer consisted of a Brucker model AC 200 (400 MHz). The spectrum was run after addition of D20 and tetramethylsilane as reference signals. The operating frequencies were at 200 and 50 MHz for 1 H and C NMR, respectively.

ir spectroscopy
IR spectroscopy was carried out on a Nicolet 20 SXC. Scans were run from 4000 to 600 cm-1 at a scan rate of 1 cm-1 per second. The spectrum was recorded at a resolution of 4 cm-1.


   Results and Discussion
Top
Abstract
Introduction
Materials and Methods
Results and Discussion
Conclusion
References
 
formation of the Me6-MP DERIVATIVE
Because there are no standards for Me6-MP nucleotides, Me6-MPR was used to evaluate the conversion into the Me6-MP derivative. The percentage of conversion of Me6-MPR into Me6-MP or the Me6-MP derivative during acid hydrolysis was determined by comparison of the peak height of Me6-MPR before heating but after acidification with those obtained after the hydrolysis step.

The conversion of Me6-MP into its derivative appears to be strongly influenced by the pH of the acid extract (Fig. 1 ). The formation of Me6-MP derivative was 100% under the acidic conditions required for the conversion of thiopurine nucleotides into their free bases.



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Figure 1. Influence of the pH of the acid extract on the conversion of Me6-MP ({diamond}) into its derivative ({square}) during the hydrolysis step.

The chromatographic separation of Me6-MP and the Me6-MP derivative, and the location of Me6-MPR are shown in Fig. 2 . The ultraviolet spectra of Me6-MP and its derivative, determined by the photodiode array detector with 1.2-nm resolution, are shown in Fig. 3 .



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Figure 2. Chromatographic separation of Me6-MP and the Me6-MP derivative.

DTT, dithiothreitol; AU, absorbance units.



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Figure 3. Ultraviolet spectra of Me6-MP (1) and the Me6-MP derivative (2).

identification of the Me6-MP DERIVATIVE
LC–MS results.
The molecular weight of the derivative was found to be 157 from the [M + H+] ion (m/z 158) and adduct ions [M + 29] (m/z 186) in chemical ionization mode and the M+ ion (m/z 157) observed in electron ionization mode (Fig. 4 ). The mechanism of fragmentation is described Fig. 5 .



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Figure 4. Mass spectrum of the Me6-MP derivative after electron ionization.



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Figure 5. Mechanism of fragmentation of the Me6-MP derivative.

NMR results.
The 1 H NMR spectrum showed only two peaks, at 2.3 ppm (3 H) and 8.20 ppm (1 H), which were assigned respectively to the methyl group and the proton substituted on the imidazole ring (Fig. 6 ).



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Figure 6. 1H NMR (A) and 13C NMR (B) spectra of the Me6-MP derivative.

The C NMR spectrum showed five peaks: at 12.76, 111.13, 133.04, 150.63, and 184.21, which were assigned to CH3, SCO, and C at positions 2, 4, and 5 of the imidazole ring, respectively.

IR results.
The IR spectrum of the Me6-MP derivative is shown in Fig. 7 . The spectrum indicated a thioester group (absorption band, 1662 cm-1). The vibration bands at 1552 and 1451 cm-1 can be attributed to the imidazole group, with a band at 850 cm-1 corresponding to CH of the imidazole ring.



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Figure 7. IR spectrum of the Me6-MP derivative.


   Conclusion
Top
Abstract
Introduction
Materials and Methods
Results and Discussion
Conclusion
References
 
LC–MS analysis suggests that the Me6-MP derivative corresponds to 4-amino-5-(methylthio)carbonyl imidazole. This structure was fully consistent with NMR and IR data. This proposition is in accordance with the action of acid on the 6-methylthio derivatives of purines described by Albert (8) in 1969.

Thus, our results show that Me6-MP liberated from the nucleoside in erythrocytes during the hydrolysis step undergoes a degradation under acidic conditions, leading to 4-amino-5-(methylthio)carbonyl imidazole. This last compound is stable under the acidic conditions required for the hydrolysis of thiopurine nucleotides into their free bases (7).

Using the hydrolysis step described above, we have determined the Me6-MP derivative in erythrocytes from organ transplant patients under azathioprine therapy. In all erythrocyte samples analyzed, only the Me6-MP derivative was recovered on the chromatograms, which confirms the complete conversion of Me-6MP into its derivative.

4-Amino-5-(methylthio)carboxy imidazole can be analyzed easily on a Purospher RP18-e column as reported previously (7), using a simple sample treatment procedure with recoveries >84% .


   Acknowledgments
 
We thank A. Alamercery, M. Desage, and J. Vatton for technical assistance. We also thank J.J. Barieux, D. Page, and L. Legleut for helpful discussions.


   Footnotes
 
Département de Pharmacie Clinique, de Phamacocinétique et d'Evaluation du Médicament, Université Claude Bernard Lyon 1, Institut des Sciences Pharmaceutiques et Biologiques, 8 avenue Rockefeller, 69373 Lyon Cedex 08, France, and Hôpital Neuro-Cardiologique, Pharmacie, 59 boulevard Pinel, 69394 Lyon Cedex 03, France.

1 Nonstandard abbreviations: 6-TGN, 6-thioguanine nucleotide; Me6-MP, 6-methylmercaptopurine; LC–MS, liquid chromatography–mass spectrometry; IR, infrared; NMR, nuclear magnetic resonance; and Me6-MPR, 6-methylmercaptoribonucleoside.


   References
Top
Abstract
Introduction
Materials and Methods
Results and Discussion
Conclusion
References
 

  1. Simmonds RL, Canafax DM, Fryd SF, Asher NL, Payne WD, Sutherland DR, Narajan JS. New immunosuppressive drug combination for mismatched related and cadaveric renal transplantation. Transplant Proc 1986;18:76-81. [Medline] [Order article via Infotrieve]
  2. Lennard L. The clinical pharmacology of 6-mercaptopurine. Eur J Clin Pharmacol 1992;43:329-339. [ISI][Medline] [Order article via Infotrieve]
  3. Anstey A, Lennard L, Mayou SC, Kirby JD. Pancytopenia related to azathioprine–an enzyme deficiency caused by a common genetic polymorphism: a review. J R Soc Med 1991;85:752-776. [ISI][Medline] [Order article via Infotrieve]
  4. Boulieu R, Lenoir A, Mornex JF, Bertocchi M. Intracellular thiopurine nucleotides and azathioprine myelotoxicity in organ transplant patients. Br J Clin Pharmacol 1997;43:116-118. [Medline] [Order article via Infotrieve]
  5. Lennard L, Singleton H. High-performance liquid chromatographic assay of the methyl and nucleotide metabolites of 6-mercaptopurine: quantification of red blood cell 6-thioguanine nucleotide, 6-thioinosinic acid and methylmercaptopurine metabolites in a single sample. J Chromatogr 1992;58:383-390.
  6. Erdman G, France L, Bostrom B, Canafax M. A reversed phase high performance liquid chromatographic approach in determining total red blood cell concentrations of 6-thioguanine, 6-mercaptopurine, methylthioguanine and methylmercaptopurine nucleotides in a patient receiving thiopurine therapy. Biomed Chromatogr 1990;4:47-51. [ISI][Medline] [Order article via Infotrieve]
  7. Dervieux T, Boulieu R. Simultaneous determination of 6-thioguanine and methyl 6-mercaptopurine nucleotides of azathioprine in red blood cells by HPLC. Clin Chem 1998;44:551-555. [Abstract/Free Full Text]
  8. Albert A. 1,2,3,4,6-Penta-azaindens (8-azapurines). Part VII. Degradation by acid of the 6-methyl-thio-derivatives of 8-azapurines and purines to thiol esters such as 4-amino-5-(methyl thio) carbonyl-1,2,3-triazole and the corresponding imidazole. J Chem Soc 1969;6:2379-2385.



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