Food Forensics: Using Mass Spectrometry to Detect Foodborne

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Food Forensics: Using Mass Spectrometry to Detect Foodborne Protein Contaminants, as Exemplified by Shiga Toxin Variants and Prion Strains. Christopher J. Silva J. Agric. Food Chem., Just Accepted Manuscript • DOI: 10.1021/acs.jafc.8b01517 • Publication Date (Web): 02 Jun 2018 Downloaded from http://pubs.acs.org on June 2, 2018

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Journal of Agricultural and Food Chemistry

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Food Forensics: Using Mass Spectrometry to Detect Foodborne Protein Contaminants, as

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Exemplified by Shiga Toxin Variants and Prion Strains.

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Christopher J. Silva*

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Produce Safety & Microbiology Research Unit, Western Regional Research Center, United

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States Department of Agriculture, Agricultural Research Service, Albany, California 94710,

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United States of America.

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* Corresponding Author (Tel: 510.559.6135; Fax: 510.559.6429; E-mail:

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[email protected])

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Abstract

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Food forensicists need a variety of tools to detect the many possible food contaminants. Due to

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its analytical flexibility, mass spectrometry is one of those tools. Use of the multiple reaction

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monitoring (MRM) method expands its use to quantitation as well as detection of infectious

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proteins (prions) and protein toxins such as Shiga toxins.

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inactivate prions and Shiga toxins; the proteins are digested with proteases to yield peptides

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suitable for MRM-based analysis. Prions are detected by their distinct physicochemical

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properties and by differential covalent modification. Shiga toxin analysis is based on detecting

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peptides derived from the five identical binding B subunits comprising the toxin.

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internal standards are prepared from cloned proteins. These examples illustrate the power of

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MRM, in that the same instrument can be used to safely detect and quantitate protein toxins,

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prions and small molecules that might contaminate our food.

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The sample processing steps

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N-labeled

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Journal of Agricultural and Food Chemistry

Introduction

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As food comes from more diverse sources, in an ever-astonishing variety, and is

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processed to widely varying extents, the possibility for deliberate or inadvertent food

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manipulation or contamination also increases. As a result, food forensicists are faced with

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substantial and evolving challenges. A common form of manipulation is economic substitution

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of more expensive food with less expensive, but similar food. Seafood harvested from around

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the world and often sold to consumers in locations far removed from its harvest is sometimes

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mislabeled accidentally or deliberately.1

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species, such as salmon, is both farmed and wild-harvested. In Europe, marginally cheaper horse

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meat has been mislabeled as modestly more expensive beef or pork.2 Olive oil is sometimes

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adulterated with other cheaper vegetable oils.3-4 It is not surprising that food forensicists would

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need an equally diverse set of tools to test for food substitution.5

Accurate labeling is further complicated when a

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Adulteration for unintentional, natural or economic reasons can cause more serious

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problems. In China, melamine (Figure 1) was used to confound the Kjeldahl-based protein

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analysis to make milk appear more concentrated than it actually was.6-8 Turmeric produced in

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India or Bangladesh and sold in the United States was discovered to be adulterated with lead (II)

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chromate to enhance the color of and increase the weight of the product.9 Ciguatoxin 1B (Figure

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1) is an example of a large and structurally complicated marine toxin that may naturally

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contaminate a variety of seafoods.10 In addition to specific chemicals, food may be contaminated

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with other small molecule toxins, infectious proteins (prions), protein toxins or bacteria that

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produce toxins.11-13 The variety of possible contaminants means that no universal analytical

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method can be used by a forensicist to detect all possible contaminants.5

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The cost of food adulteration or contamination is substantial, both in terms of human

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suffering and economic losses. The consequences of melamine adulteration to the Chinese dairy

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industry and the Chinese economy in general have been substantial.14 The human consequences

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are greater; approximately 294,000 children were sickened, 50,000 required hospitalization and

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at least 6 died.14 In the United States approximately 175,000 cases of Shiga toxin-producing E.

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coli (STEC) occurred yearly from 2000-2008.15 The economic cost of a single outbreak in 2006

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was estimated to be $200 million (2006 $US).16 The STEC outbreak that occurred in 1992 cost

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the company $160 million in lost sales (1992 $US) and a 30% drop in its stock price.17 More

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than 8300 school children were affected by the 1996 STEC outbreak in Sakai, Japan.18 In 2011,

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an STEC outbreak in Germany sickened more than 3800 people.19

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encephalopathy (BSE), a prion disease of domestic cattle, devastated British agriculture.20 Its

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human form, variant Creutzfeldt-Jakob disease (vCJD), has killed at least 230 people.21 It is

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clear that in addition to being challenging, food forensics is crucial to human health.

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Bovine spongiform

In practice, mass spectrometry is a multiplex analytical tool that is used to detect an

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astonishingly diverse range of contaminants.11

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contaminants, such as melamine and a suite of pesticide residues.22

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aflatoxin B1, microcystin-LR, tetrodotoxin, ciguatoxin 1B, and other shellfish toxins (Figure 1)

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are also readily detectable by mass spectrometry.13, 23-26 The development of newer ionization

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methods has permitted the detection of whole proteins by mass spectrometry. Sector instruments

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allow for the “filtering” of molecules based on their molecular weights. The multiple reaction

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monitoring (MRM) method exploits these properties to allow the detection and quantitation of

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small amounts of specific small molecules in complex mixtures.27 The MRM method is not

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suited for the direct analysis of proteins, but it can be used to analyze peptides derived from

It has been used to detect small molecule

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Mycotoxins, such as

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those proteins after they have been digested with proteases, such as trypsin or chymotrypsin.

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This also provides greater confidence that a protein has been correctly identified when more than

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one peptide derived from it can be detected. Mass spectrometry can potentially provide more

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information about potential food contaminants than any other method.

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Prions represent a novel detection challenge, since they are infectious proteins.28 The

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research standard for prion detection is the bioassay.29 It can be used to establish that the sample

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material is infectious and that it causes the lesions characteristic of a prion disease.30 Incubation

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times for prion diseases vary from two months to several years, which precludes using bioassay

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as a routine detection method.29 Cell-based systems have been used to amplify prions, but not all

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prions amplify in cell culture.31

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hematoxylin and eosin stained fixed tissue slice, or the presence of prions stained by

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immunohistochemistry, are also diagnostics used by regulatory agencies to demonstrate the

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presence of prions and the damage that they cause in sheep and domestic cattle.

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Unfortunately, pathological changes are only observable in the later stages of the disease.34-35

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Western blotting is also used by regulatory agencies to rapidly diagnose prion diseases.32-33

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Prions have been detected using prion amplification methods related to protein misfolding cyclic

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amplification (PMCA).36 Not all prions amplify using these approaches and prion amplification

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techniques also spontaneously produced infectious prions from bacterially derived recombinant

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PrP (rPrP).37 Mass spectrometry remains the most sensitive means of directly detecting prions,

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without the use of bioassay.38 In principle, mass spectrometry can also be used to detect the

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prions amplified by techniques such as PMCA sooner, thereby permitting more rapid detection

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of prions.

The presence of appropriate vacuolization (spongiform) in a

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Shiga toxins are large multi-component toxins produced by phage-infected bacterial food

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contaminants. There are a variety of means to detect Shiga toxins to determine the source of

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contamination.39 Regulatory agencies focus on the E. coli serotypes (vide infra) associated with

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toxin production.40-41 Shiga toxins have been detected using animal bioassay and cell assay.42-45

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While these methods are sensitive, they cannot distinguish among the possible Shiga toxins,

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unless the molar amount of Shiga toxin present in the sample is already known. Shiga toxin

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production is also inferred by the presence of specific virulence genes.46

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methods have been widely used to detect and distinguish among the Shiga toxins.47-56 To detect

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any new Shiga toxins using antibodies, new antibodies need to be developed. Top down mass

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spectrometry is also used to detect Shiga toxins. 57-62 An MRM-based approach has advantages

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over these other methods in that it can be used to both distinguish among types and variants of

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Shiga toxins and quantitate them (vide infra).63-64

Antibody based

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MRM can also be used to analyze proteins following digestion with proteases, such as

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trypsin or chymotrypsin, to yield a characteristic set of small molecule peptides.27 By using this

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approach, forensicists can apply mass spectrometry to protein toxins such as Shiga toxins, which

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are enzymatic toxins.

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pathogenic proteins whose pathology is enciphered in their conformation. Identifying Shiga

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toxins represents a challenge to detect and distinguish among closely related known proteins and

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to adapt that technique to the detection of novel Shiga toxins as they are discovered. In the case

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of prions, the challenge is to detect and distinguish among protein conformations. How MRM

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has been used to accomplish both goals is described.

In addition, they can use MRM to detect the presence of prions,

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Multiple reaction monitoring (MRM) method

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The multiple reaction monitoring method is a powerful means of analyzing the peptides

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derived from proteins.27 MRM requires the use of sector instruments, which are expensive and

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not well suited for high throughput sample processing.

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identification of suitable peptides, which necessitates an initial qualitative proteomic analysis to

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identify peptides suitable for MRM-based analysis. In addition, synthetic peptides need to be

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prepared and stable-isotope internal standards acquired (vide infra).

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methods have the distinct advantage of greater sensitivity and flexibility. The MRM method

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directly detects molecules, provides more information than is available by other means, and can

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be used to simultaneously detect a variety of diverse molecules (multiplex).

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power of triple quadrupole instruments to apply mass filters which permit selected ions to pass

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on to subsequent sectors and thereby detect only ions that have the user defined properties, while

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discarding the others (Figure 2). Modern sector instruments have cycling times (milliseconds)

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that are much faster than chromatographic elution times (seconds). This means that the rapid

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sequential analysis of multiple ions appears to be simultaneous as samples elute from the

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column. In this way a stable isotope-labeled internal standard can be used to demonstrate that an

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unknown molecule shares the same physicochemical properties, e.g., chromatographic retention

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time and characteristic fragmentation, as the known stable isotope-labeled molecule. A cartoon

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of the triple quadrupole mass spectrometer and the multiple reaction monitoring method is in

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Figure 3. The one drawback to this method is that it detects small molecules and not proteins.

The MRM method requires the

However, MRM-based

It exploits the

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Proteins, however, can be analyzed by MRM, provided that they are cleaved into shorter

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peptides prior to analysis. This is usually accomplished by digestion with a protease, such as

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trypsin. Such procedures are now automated. They involve the reduction of any disulfide bonds

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with a reducing agent, such as dithiothreitol (DTT). The now free thiol groups (S-H) are reacted

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with an alkylating agent, such as iodoacetamide, to yield the corresponding carbamidomethyl

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group (S-CH2-CO-NH2). The covalent carbamidomethyl modification prevents the reformation

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of disulfide bonds. The reduced and alkylated protein is then digested with a protease such as

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trypsin to yield a set of tryptic peptides.

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phosphines, have been used instead of DTT.66-67 Alkylating agents other than iodoacetamide can

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be used covalently modify free thiols.68

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variety of other proteases, such as chymotrypsin or thermolysin.69 Proteins can also be cleaved

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by reagents such as cyanogen bromide. This variety of tools can be exploited to analyze specific

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proteins.70

Other reducing agents, such as water soluble

Reduced and alkylated proteins can be cleaved by a

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The resulting set of peptides is analyzed by a qualitative proteomic analysis to identify

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peptides suitable for MRM analysis. Such peptides usually have molecular weights between 500

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and 2,000. Those possessing the most intense signals are candidates for an MRM based analysis.

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Physicochemical properties of the peptides need to be considered. For example, methionines can

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be oxidized to their corresponding sulfoxides and N-terminal glutamines (and to a lesser extent

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glutamate) can spontaneously form N-terminal pyroglutamates in solution.

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transformations would result in the signal of a single peptide to be spread among two or more

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different chemical analogs of that peptide.

Such chemical

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Once a set of suitable peptides has been identified, the instrument parameters for the

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triple quadrupole can be optimized for each peptide. The precursor ion is determined from the

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qualitative analysis.

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increasing the collision energy of the carrier gas and monitoring the resulting fragmentation of

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the peptide. The values m/z of the most intense product ions become the mass filters for the third

The optimal fragmentation conditions are determined empirically by

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quadrupole.

This process is repeated for the remaining peptides.

This results in the

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identification of an analyte peptide, which is the one with the most intense signal. The other

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peptides can be used to confirm the presence of the progenitor protein. The protease digestion

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yields a characteristic set of peptides, which can be used to quantitate and confirm the presence

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of the progenitor protein, often in the attomole (10-18 mole) range.

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Standard molecular biology techniques can be used to conveniently generate stable

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isotope-labeled internal standards for the peptides optimized for MRM analysis.63, 71 A desired

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gene is cloned into an appropriate vector and overexpressed in a suitable E. coli host. This

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permits the convenient production of proteins and permits the generation of internal standards. If

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the E. coli host is grown in minimal medium supplemented with an essential nutrient that is

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highly enriched (99.7%) with 15N (e.g., such as 15NH4Cl), then all the nitrogen-bearing molecules

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synthesized by that E. coli will also be highly enriched with

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(14N) nitrogen. Digestion of purified proteins produced in this way would yield

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peptides enriched with the 15N-label. The extent of isotopic incorporation is dependent upon the

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isotopic purity of the 15NH4Cl and the number of nitrogens present in the peptide. Peptides used

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in the work cited in this review contain between 10 and 21 nitrogens. Between 96 and 93%

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(respectively) of such peptides would be expected to contain exclusively 15N, with the remainder

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comprising molecules containing mostly 15N, save for one 14N. Thus, 15N-enriched peptides can

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be used as internal standards to identify and quantitate the peptides present in a sample.

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N instead of natural abundance 15

N-labeled

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The mass filter settings will exclude the portion of molecules containing the various

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natural abundance stable isotopes. The proportion of internal standard peptides or peptide

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fragments containing one 14N will be excluded by these mass filters. Analyte peptides derived

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from samples containing naturally occurring

13

C (~1% natural abundance) are similarly

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excluded. The calibration curves establish an empirical relationship between synthetic analyte

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peptides containing only

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digestion of the isotopically (15N) enriched proteins, containing only

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relationships are linear over a 100-fold range and have excellent correlation coefficients.

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C and the internal standard peptides, derived from the protease 15

N. In practice, such

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Prions

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Prions are pathological proteins that cause transmissible spongiform encephalopathy

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(TSE), a fatal neurological disease.28,

72

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incubation, and a comparatively short symptomatic period, followed by death. The human TSEs

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are Creutzfeldt-Jakob disease (CJD),73-74 kuru,75 Gerstmann–Sträussler–Scheinker (GSS)

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disease,76 and fatal familial insomnia (FFI).77-78

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spongiform encephalopathy (BSE) when they consume BSE-contaminated feed.79 BSE is the

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only known zoonotic prion disease. The human form of BSE is called variant Creutzfeldt-Jakob

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(vCJD) disease.80 Sheep scrapie is transmitted among domestic sheep and is the oldest known

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TSE, first described in the middle of the 18th century.81-82 Transmissible mink encephalopathy

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(TME) is a prion disease transmitted to farmed mink by contaminated feed; the last outbreak of

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TME was in 1985.83 Chronic wasting disease (CWD) is a prion disease of cervids (white-tailed

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deer, mule deer, elk, moose, European moose, red deer, and reindeer) and the only one naturally

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transmitted among wild animals.84-86 More recently a camel prion disease (CPD) has been

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discovered in Algeria that appears to be transmitted among domesticated camels in a manner

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analogous to that of CWD and not through feed.87

TSEs are characterized by a long asymptomatic

Domestic cattle are infected with bovine

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Journal of Agricultural and Food Chemistry

Prions (PrPSc) cause disease by inducing a normal cellular prion protein (PrPC) to adopt

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the prion conformation.71,

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Both PrPC and PrPSc possess identical covalent structures and

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only differ in their conformation.89 PrPC is a highly conserved monomeric protein of uncertain

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function (Figure 4).91-92 It is soluble in non-denaturing detergents and its secondary structure is

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comprised of α-helices, unstructured regions, and a small amount of β-sheet (Figure 5).93 In

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contrast, the pathogenic (PrPSc) conformation is multimeric, insoluble in non-denaturing

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detergents, and has no known biological function (Figure 5).28 A large body of spectroscopic

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evidence supports the hypothesis that the secondary structure of PrPSc is composed of β-sheet

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and unstructured regions, with no α-helices.94 Additional spectroscopic evidence suggests that

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the β-sheet secondary structure is contained in a tertiary β-helical structure known as a four rung

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β-solenoid.95-98

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paired and intertwined protofilments.97 PrPC has no resistance to proteinase K (PK) while PrPSc

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has some resistance.28 The difference in resistance to PK is presumed to be due to the β-sheet

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secondary structure. Detecting and distinguishing among protein conformations is challenging.99

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Although resistance to PK digestion is associated with PrPSc there is considerable

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variation among the different strains and even among the different sizes of multimers in a given

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prion strain.103-104 Prions can be differentially sedimented by ultracentrifugation into populations

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of smaller multimers that are PK sensitive and larger multimers that are PK resistant.105 Even

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though one fraction is PK resistant and the other fraction is PK sensitive, both are infectious and

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possess the same primary, secondary, and tertiary structures.106

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monomers present in the PrPSc multimer, resistance to PK is thought to be related to the presence

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of β-sheet secondary structure.95, 98

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adapted scrapie, are much more sensitive to PK than are other hamster-adapted strains, even

These β-solenoids are stacked and interlocked to form a quaternary structure of

In addition to the number of

Some prion strains, such as the drowsy strain of hamster-

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though each strain is composed of the same PrPC monomers, albeit in different conformations.107-

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108

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strains.71 The same is true of the prions that cause chronic wasting disease in elk.71 This means

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that PK resistance is not always a reliable means of distinguishing between PrPSc and PrPC.

The prions associated with scrapie are more sensitive to PK digestion than are other prion

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The normal cellular prion protein (PrPC) is a glycolipoprotein. It possesses a single

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disulfide bond. It has two sites that are variably glycosylated with large glycans, so the protein is

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a mixture of diglycosylated, monoglycosylated, and unglycosylated proteins.109-111 There is

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considerable variation in the composition of the sugars comprising the glycans.111 The protein

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has a glycosylphosphatidylinositol (GPI) anchor.112 The sugar composition of the GPI anchor

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also varies.113-114 Although the protein sequence remains constant, the variations in the sugar

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composition of the glycans and the saccharide portion of the GPI anchor means that

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comparatively few of the PrPC molecules have the same molecular weight, which complicates a

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mass spectrometry-based analysis of the whole prion protein.

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Prion nomenclature can be confusing. In this review, PrP refers to the prion protein, PrPSc refers to the infectious

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regardless of conformation, glycosylation or GPI anchor.

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conformation or isoform. PrPC refers to the natively expressed normal cellular prion protein

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conformation, which is not infectious. Recombinant PrP (rPrP) is expressed in E. coli, so it has

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no glycosylation or GPI anchor, but does possess a disulfide bond.

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conformation as PrPC. Regardless of name, all prion proteins (PrPC, PrPSc, rPrP, and PrP) have

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the same protein sequence and possess a single disulfide bond.

rPrP has the same

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Unlike the natively expressed monomeric PrPC, prions are multimeric.103 This means that

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the PrPSc multimeric complex needs to be denatured before it can be analyzed by mass

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spectrometry. Denaturing in concentrated guanidine hydrochloride (GuHCl) is an effective

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method of inactivating prions.115 Methanol precipitation of these solutions removes the GuHCl

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which would interfere with subsequent analysis and concentrates the protein contained in the

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sample.38 In this way prions can be analyzed without contaminating instruments.

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Prion proteins are irregularly glycosylated with glycans of varying composition, so

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simple analysis of the whole protein is intractable.109-111 Instead the inactivated PrPSc can be

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reduced, alkylated, and then digested with trypsin to yield a set of characteristic tryptic or

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chymotryptic peptides suitable for MRM-based analysis.116-117 The required internal standards

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can be conveniently generated from recombinant

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once in the prion protein, so peptides can be used to demonstrate the presence of PrPSc and

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quantitate the amount of PrPSc present in the sample.38,

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permits researchers to quantitate covalent modifications of PrPSc, such as methionine oxidation

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(Figure 6).71,

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polymorphisms present in PrPSc from heterozygous sheep naturally infected with classical or

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atypical scrapie.65, 119 MRM permits the straightforward detection and quantitation of a protein

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that otherwise would be extremely difficult.

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15

N-labeled PrP.71 Each peptide occurs only

116-117

Such peptide-based analysis

This approach was used to quantitate the relative proportion of PrP

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Prions are known to infect and thereby contaminate the tissues of variety of food animals.

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The prototypical prion disease is scrapie in sheep.81 The classical form of the disease was

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described in the 18th century and perhaps even earlier.82 It is readily transmitted among sheep

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and goats. A more recent form of scrapie, atypical scrapie, was first described in the late 20th

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century.120 Its epidemiology is consistent with a sporadic origin.121 Based on analysis of human

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consumption of sheep, there is no evidence that scrapie is transmissible to humans (zoonotic).122-

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123

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moose).124 It was first identified as a prion disease in 1978 and there is no epidemiological

Chronic wasting disease (CWD) is a prion disease of wild and farmed cervids (deer, elk

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evidence that it is zoonotic.125 BSE transmitted to domestic cattle by the consumption of BSE

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contaminated feed is referred to as classical BSE.126 The atypical forms of BSE (H-type or L-

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type) are consistent with a very rare sporadic origin. The human manifestation of BSE is variant

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Creutzfeldt-Jakob disease (vCJD), which is distinguishable from CJD.80

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Different prions or strains, having characteristic phenotypes, are formed from the same

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refolded PrPC.127 Furthermore, these prion strains replicate their properties in a given host.128

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For example, if a sheep is infected with a BSE prion, the resulting prions are potentially zoonotic

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even though they propagate in a sheep, whereas scrapie prions propagated in a sheep are not

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zoonotic, despite the sheep expressing the same PrPC sequence as the one infected with BSE.128

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Classical BSE (cBSE) is transmitted to cattle by consumption of BSE-contaminated feed, while

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atypical BSE is thought to be a spontaneous disease.129-130 Sheep can be infected with classical

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scrapie, which is acquired by transmission from a scrapie-infected sheep or by contact with a

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scrapie-contaminated environment.81 The atypical form of scrapie, like BSE, is thought be a rare

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spontaneous disease.121 There are varieties or strains of prions, and each can replicate its own

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phenotype, which means that prions have the capacity to respond to selection pressures, i.e., they

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can evolve.

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among the prion strains.

The challenge of prion detection is to not only detect prions, but to distinguish

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Detecting prions using mass spectrometry

317 318

Prions have been extensively analyzed by mass spectrometry.131 As noted previously the

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work has been performed on trypsin or chymotrypsin digests of PrP. 65, 99, 117, 119, 132 The earliest

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work demonstrated that the post-translational modifications present in PrPSc were also present in

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PrPC.71, 89-90 Later, mass spectrometry was used to verify that the composition of the asparagine

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bound glycans and the GPI anchor were similarly varied in both PrPC and PrPSc. The presence

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of significant amounts of β-sheet is presumed to impede PK digestion.95, 98 Mass spectrometry

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has been used to establish the boundaries of the β-sheet structure by determining the identity of

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the truncated peptides remaining after a partial PK digestion. It has been used to determine the

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relative susceptibility of the two polymorphisms present in a heterozygous sheep naturally

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infected with scrapie or the sporadic atypical scrapie. Mass spectrometry has been used to detect

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prions and diagnose prion diseases without the need to digest the sample with PK.

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The conformational changes that occur when PrPC adopts the PrPSc conformation can

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dramatically change the chemical environment of an amino acid contained within the protein.95,

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98

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on the PrP conformation. In principle such a difference in reactivity would result in a covalent

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difference that would remain after PrPSc had been denatured to PrP prior to analysis (Figure 7).

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This conformation dependent difference in reactivity is observed in a lysine that is part of the

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epitope of the 3F4 or the 6D11 monoclonal antibodies (mAb).88 In the PrPC conformation, the

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lysine in the epitope is exposed. In the PrPSc conformation it is a cryptotope or hidden epitope.

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It has been used as part of a conformation dependent immunoassay (CDI) that measures the

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difference in signal intensity from denatured and non-denatured samples.104 The ε-amino group

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of this lysine also reacts readily with N-hydroxysuccinimide esters of carboxylic acids to form

340

the corresponding ε-amide. When the ε-amino group of this lysine is amidated, it is no longer

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recognized by the 3F4 or 6D11 mAbs. The manipulations necessary for these reactions adds 30

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minutes to the analysis time.

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additional structural information it generates. In this way a mAb can be used to measure the

This means that the same amino acid can react differently with the same reagent, depending

This modest addition is more than compensated for by the

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amount PrPSc in a sample without using PK and in the presence of PrPC.88 Mass spectrometry

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was used to observe the reaction of acetic anhydride or tetranitromethane with PrPSc.133

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Mass spectrometry has been used to distinguish among prion strains.99 Often prion

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strains differ in terms of their PK cleavage sites. Mass spectrometry has been used to identify

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these sites and thereby distinguish between scrapie strains in sheep. Another approach exploits

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the reactivity of the ε-amino group of lysine with the N-hydroxysuccinimide ester of acetic acid

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(Ac-NHS). In this example, four of the five prion strains have identical PK cleavage products

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(Figure 8).99 The strains were reacted with fixed concentrations of Ac-NHS for a fixed time.

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The samples were not digested with PK and MRM was used to monitor the extent of acetylation

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for the various lysines in PrP (Figure 9). This was necessary, since the appropriate mAbs to

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detect all lysines in PrP do not exist. The extent of acetylation was different for each of the five

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prions examined, which is consistent with each strain having a characteristic conformation.99

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Mass spectrometry can be used to both detect prions and to distinguish among prion strains.

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Fortunately, the one zoonotic prion disease, BSE, is rapidly disappearing. In 2016 there

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were no cases of classical BSE identified in the United Kingdom, the place where BSE was first

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identified and where the largest number of cases was diagnosed. 134 It is likely that classical BSE

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soon will cease to exist.

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Although CWD and scrapie have not been shown to be zoonotic,

122-123

there is some

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experimental evidence to suggest they have that potential. The zoonotic potential of CPD

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(camels) is not currently known, but will be defined by future work.87 Transgenic mice were

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used to show that some scrapie strains have zoonotic potential.135 Scrapie was successfully

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transmitted to cynomolgus macaques, a relevant human model, suggesting the potential

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zoonosis.136 Squirrel monkeys succumbed to a prion disease after infection with CWD.

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Analogous attempts to infect cynomolgus macaques with CWD failed, suggesting that the tested

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strains of CWD are not zoonotic.

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CWD strains may be transmissible to cynomolgus macaques.140

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appears that the need to monitor prions and prion strains will remain as long as prions exist.

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Since mass spectrometry can directly detect prions and distinguish among prion strains without

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using PK,65, 99, 117, 119 it will remain an invaluable analytical tool for the food forensicist.

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137-139

Preliminary work in Canada suggests that Canadian Even though BSE is waning, it

There are other proteins that form amyloids and are found in food.141-142 Foie gras

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contains amyloid.

Researchers have demonstrated that this amyloid can be transmitted to

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vulnerable mice by oral transmission or by intravenous injection. It is not clear if the mouse

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model applies to humans, but it does suggest the possibility that other protein refolding diseases

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may also be transmissible by food.

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provide a direct means of identifying protein conformations.

Fortunately for food forensicists, mass spectrometry may

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Shiga toxins143

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Shiga toxin was originally described, in the 19th century, as a toxin produced by the

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bacterium Shigella dysenteriae.144 Much later, a similar toxin was isolated from cultures of E.

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coli and referred to as type 1 Shiga toxin.44,

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structurally and functionally related toxins, from other cultures of E. coli, that are referred to as

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type 2 Shiga toxins (Figure 10).

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verotoxins and Shiga-like toxins. Now they are all referred to as Shiga toxins.146 They are

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classified into two types of Shiga toxins, type 1 and type 2, based on their amino acid sequence.

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Both toxins are AB5 hexamers, in which the B subunits bind to a target eukaryotic cell and the A

145

Other researchers identified different, but

At various times these toxins have been referred to as

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subunit contains a catalytic domain that causes the death of the eukaryotic host cell.147 Both

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types of toxins can cause serious human disease, but type 2 Shiga toxins are most often

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associated with the more serious symptoms of Shiga intoxication.

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The Shiga toxins produced by Shiga toxin-producing E. coli (STEC) are the major

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virulence factor associated with these food-borne illnesses.149 Shiga toxins are hexameric (AB5)

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proteins (~70kDa) composed of an A subunit (~32 kDa), which contains the catalytic domain,

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and is non-covalently bound to five identical B subunits (~7-8 kDa), which bind to specific

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glycolipids on the surface of target eukaryotic cells.150 The B subunits bind to the saccharide

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portion of the glycolipids globotriaosylceramide (Gb3) and/or globotetraosylceramide (Gb4).151-

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155

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binds to the Gb3 and/or Gb4 glycolipids on a detergent resistant portion of a membrane, then the

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toxin can enter the cell. This binding of the toxin to a cell surface determines which cells are

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affected by the toxin.

Mutations in the B subunits can alter the binding specificity of the B subunits.156 If the toxin

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The binding of the toxin to a eukaryotic cell surface induces the endocytosis of the Shiga

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toxin into the cell.157 The endocytosed toxins are sorted for retrograde trafficking instead of

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lysosomal digestion. Retrograde trafficking moves the toxin through the Golgi apparatus to the

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endoplasmic reticulum. During this process the A subunit is cleaved by a host enzyme (furin)

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and a disulfide bond is cleaved to free the catalytic domain of the toxin (A1). The A1 domain

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contains an N-terminal signal sequence which facilitates its retrotranslocation from the

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endoplasmic reticulum to the cytosol. Once in the cytosol, the A1 domain is free to cleave a

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specific adenine (A4324 in rat) of the 28S rRNA component of the ribosome, thereby halting

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protein synthesis.158-159 A single functioning A1 subunit is sufficient to kill a eukaryotic cell

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(Figure 11).

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A sixteen-year survey (1998-2014) determined that while STEC was associated with only

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2.5% of foodborne illness, it accounted for 13% of hospitalizations, and nearly 11% of the deaths

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associated with foodborne illness.160 Every year approximately 175,000 Americans are infected

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with STEC.15 Most patients (83%) have comparatively mild symptoms, such as severe stomach

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cramps and sometimes diarrhea, but they are not serious enough to require hospitalization.161

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There is often no fever or only a mild one (