Formation of the unusual [M+H-11 Da] + ion peak in the collisioninduced dissociation mass spectrum of [M+H] + ion of hydrochlorothiazideHydrochlorothiazide (HCT) is one of the diuretics that is banned in sport by the World Anti-Doping Agency (WADA). In continuation of our diuretics confirmation work for anti-doping purposes, the tandem mass (MS/MS) spectrum of the HCT under low-energy collision-induced dissociation (CID) mass spectrometry with positive electrospray ionization (ESI) was investigated and interpreted in detail. The CID of the protonated HCT at m/z 298 generated the unexpected product ion at m/z 287 corresponding to the + ion of HCT on a 3D-ion trap mass spectrometer (MS). Although it is well known that ions undergo gas-phase rearrangements under low-energy CID conditions, the formation of this unexpected product ion could not be easily explained by the conventional mechanism. [1 -8] Therefore, the aim of the present study is essentially to rationalize the uncommon behavior resulting in the unusual [M+H-11 Da] + ion peak under the lowenergy CID.CID experiments were performed using three MS systems: Agilent 1100 series LC/MSD (3D) ion trap, Thermo hybrid-linear (2D) ion trap/Orbitrap and Sciex API-2000 triple-quadrupole (TQ) mass spectrometers, each equipped with an electrospray interface using nitrogen gas. Samples (10 µg/ml) in MeOH/water/formic acid (50 : 50 : 0.1, vol : vol : vol) solution were infused into the ESI source in a positive ion mode at a rate of 5 µl/min via a syringe pump. For ion traps and the TQ mass analyzer, ion spray voltage was adjusted to 4500 and 5500 V, respectively. Helium and nitrogen were used as collision gases for the tandem mass spectrometric experiments. For accurate mass measurement, highresolution (R = 60 000) and high-accuracy 2D ion trap mass spectrometric analyses were conducted using a Finnigan LTQ Orbitrap mass spectrometry (Thermo Fisher Scientific Inc., MA, USA) operated in a positive-ion electrospray mode, whereas others followed the 2D ion trap mass spectrometer.The MS/MS spectrum of the protonated HCT (m/z 298) on the 2D-ion trap MS is depicted in Fig. 1(A). Representative fragment ions of HCT were observed at m/z 287, 281 and 269, and the product ions at m/z 281 and 269 could be rationalized by the neutral loss of NH 3 (17 Da) and NH CH 2 (29 Da), respectively. As shown in Fig. 1(B) and (C), the product ion at m/z 269 was not observed in the 3D-ion trap MS and it was shown to have a relatively high intensity on TQ MS. Among these product ions, we were especially interested in the ion at m/z 287 corresponding to the unusual + ion. In order to examine the origin of the unexpected ion at m/z 287, the respective ions at m/z 287 and 269 were isolated and then subjected to collisional activation in 2D-ion trap MS. As shown in Fig. 2, the attempt to isolate the ion at m/z 269 was unsuccessful, and the ion at m/z 287 was constantly present. When the ion at m/z 269 regenerated by the CID of the ion at m/z 287 was isolated, the same result was observed. Consequen...