Structure determination of disease associated peak AAA from l-Tryptophan implicated in the eosinophilia-myalgia syndrome

Toxicol Lett. 2018 Jan 5:282:71-80. doi: 10.1016/j.toxlet.2017.10.012. Epub 2017 Oct 14.

Abstract

The eosinophilia-myalgia syndrome (EMS) outbreak of 1989 that occurred in the USA and elsewhere was caused by the ingestion of l-Tryptophan (L-Trp) solely manufactured by the Japanese company Showa Denko K.K. (SD). Six compounds present in the SD L-Trp were reported to be case-associated contaminants. However, "one" of these compounds, Peak AAA has remained structurally uncharacterized, despite the fact that it was described as "the only statistically significant (p=0.0014) contaminant". Here, we employ on-line microcapillary-high performance liquid chromatography-electrospray ionization mass spectrometry (LC-MS), and tandem mass spectrometry (MS/MS) to determine that Peak AAA is in fact two structurally related isomers. Peak AAA1 and Peak AAA2 differed in LC retention times, and were determined by accurate mass-LC-MS to both have a protonated molecular ion (MH+) of mass 343.239Da (Da), corresponding to a molecular formula of C21H30N2O2, and possessing eight degrees of unsaturation (DoU) for the non-protonated molecule. By comparing the LC-MS and LC-MS-MS retention times and spectra with authentic synthetic standards, Peak AAA1 was identified as the intermolecular condensation product of L-Trp with anteiso 7-methylnonanoic acid, to afford (S)-2-amino-3-(2-((S,E)-7-methylnon-1-en-1-yl)-1H-indol-3-yl)propanoic acid. Peak AAA2 was determined to be a condensation product of L-Trp with decanoic acid, which produced (S)-2-amino-3-(2-((E)-dec-1-en-1-yl)-1H-indol-3-yl)propanoic acid.

Keywords: Case-associated; Contaminants; Dietary supplements; Eosinophilia myalgia syndrome; Peak AAA.

MeSH terms

  • Chromatography, High Pressure Liquid
  • Dietary Supplements
  • Drug Contamination*
  • Eosinophilia-Myalgia Syndrome / chemically induced*
  • Humans
  • Mass Spectrometry
  • Tandem Mass Spectrometry
  • Tryptophan / adverse effects
  • Tryptophan / analogs & derivatives*
  • Tryptophan / chemistry*
  • Tryptophan / isolation & purification

Substances

  • Tryptophan