Skin
(contact) allergy, the most predominant form of immunotoxicity
in humans, is caused by small electrophilic compounds (haptens) that
modify endogenous proteins. Approximately 20% of the general population
in the Western world is affected by contact allergy. Although the
importance of the hapten–protein conjugates is well established
in the initiation of the immunological reaction, not much progress
has been made regarding identification of these conjugates
in vivo
or exploration of their potential as diagnostic
tools. In this study, the human serum albumin (HSA) and human hemoglobin
(Hb) adductome for three representative contact allergens with different
chemical properties, 1-chloro-2,4-dinitrobenzene (DNCB), 1,2-epoxy-3-phenoxypropane
(PGE), and 2-bromo-2-(bromomethyl)glutaronitrile (MDBGN), were studied.
Plasma and red blood cell lysate were used as a source for HSA and
Hb, respectively. The Direct Peptide Reactivity Assay was used to
investigate adduct formation of MDBGN with nucleophilic moieties and
revealed that MDGBN is converted to 2-methylenepentanedinitrile in
the presence of sulfhydryl groups prior to adduct formation. Following
incubation of HSA and Hb with haptens, an Orbitrap Q Exactive high-resolution
mass spectrometer was used to perform an initial untargeted analysis
to screen for adduct formation, followed by confirmation by targeted
Parallel Reaction Monitoring analysis. Although a subset of adducted
sites was confirmed by targeted analysis, only some of the adducted
peptides showed an increase in the relative amount of the adducted
peptide with an increased concentration of hapten. In total, seven
adduct sites for HSA and eight for Hb were confirmed for DNCB and
PGE. These sites are believed to be the most reactive. Further, three
of the HSA sites (Cys
34
, Cys
62
, and Lys
190
) and six of the Hb sites (subunit α: Val
1
, His
45
, His
72
; subunit β: Cys
93
, His
97
, and Cys
112
) were haptenated already
at the lowest level of hapten to protein molar ratio (0.1:1), indicating
that these sites are the most likely to be modified
in vivo
. To the best of our knowledge, this is the first time that the adductome
of Hb has been studied in the context of contact allergens. Identification
of the most reactive sites of abundant proteins, such as HSA and Hb,
is the first step toward identification of contact allergy biomarkers
that can be used for biomonitoring and to develop better diagnostic
tools based on a blood sample.