Chemosphere 133 (2015) 6–12 Contents lists available at ScienceDirect Chemosphere journal homepage: www.elsevier.com/locate/chemosphere Urinary bromophenol glucuronide and sulfate conjugates: Potential human exposure molecular markers for polybrominated diphenyl ethers Ka-Lok Ho a, Man-Shan Yau a, Margaret B. Murphy a,⇑, Yi Wan b,1, Bonnie M.-W. Fong c,d, Sidney Tam c, John P. Giesy a,b,e,f,g,h, Kelvin S.-Y. Leung d, Michael H.-W. Lam a,⇑ a State Key Laboratory for Marine Pollution, Department of Biology and Chemistry, City University of Hong Kong, Hong Kong Special Administrative Region Department of Biomedical Veterinary Sciences and Toxicology Centre, University of Saskatchewan, Canada Division of Clinical Biochemistry, Queen Mary Hospital, Hong Kong Special Administrative Region d Department of Chemistry, Hong Kong Baptist University, Hong Kong Special Administrative Region e Department of Zoology and Center for Integrative Toxicology, Michigan State University, USA f School of Biological Sciences, The University of Hong Kong, Hong Kong Special Administrative Region g Department of Zoology and Center for Integrative Toxicology, Michigan State University, East Lansing, MI, USA h State Key Laboratory of Pollution Control and Resource Reuse, School of the Environment, Nanjing University, Nanjing, People’s Republic of China b c h i g h l i g h t s g r a p h i c a l a b s t r a c t Parallel blood and urine samples were collected from 100 donors in Hong Kong. Levels of selected BP glucuronide and sulfate conjugates in urine were determined. Their levels were found to correlate well with that of PBDEs in blood plasma. Our results suggest that BP conjugates can be useful markers for PBDE exposure. a r t i c l e i n f o Article history: Received 10 October 2014 Received in revised form 18 February 2015 Accepted 1 March 2015 Available online 24 March 2015 Handling Editor: Andreas Sjodin Keywords: Bromophenols Polybrominated diphenyl ethers Metabolites Exposure molecular markers a b s t r a c t One possible source of urinary bromophenol (BP) glucuronide and sulfate conjugates in mammalian animal models and humans is polybromodiphenyl ethers (PBDEs), a group of additive flame-retardants found ubiquitously in the environment. In order to study the correlation between levels of PBDEs in human blood plasma and those of the corresponding BP-conjugates in human urine, concentrations of 17 BDE congeners, 22 OH-BDE and 13 MeO-BDE metabolites, and 3 BPs in plasma collected from 100 voluntary donors in Hong Kong were measured by gas chromatograph tandem mass spectrometry (GC–MS). Geometric mean concentration of RPBDEs, ROH-BDEs, RMeO-BDEs and RBPs in human plasma were 4.45 ng g1 lw, 1.88 ng g1 lw, 0.42 ng g1 lw and 1.59 ng g1 lw respectively. Concentrations of glucuronide and sulfate conjugates of 2,4-dibromophenol (2,4-DBP) and 2,4,6-tribromophenol (2,4,6-TBP) in paired samples of urine were determined by liquid chromatography tandem triple quadrupole mass spectrometry (LC–MS/MS). BP-conjugates were found in all of the parallel urine samples, in the range of 0.08–106.49 lg g1-creatinine. Correlations among plasma concentrations of RPBDEs/ROH-BDEs/ ⇑ Corresponding authors at: Department of Biology and Chemistry, City University of Hong Kong, Tat Chee Avenue, Kowloon, Hong Kong Special Administrative Region. Tel.: +852 3442 6888; fax: +852 3442 7406 (M.B. Murphy). Department of Biology & Chemistry, City University of Hong Kong, Tat Chee Avenue, Kowloon, Hong Kong Special Administrative Region. Tel.: +852 3442 7329; fax: +852 3442 0522 (M.H.-W. Lam). E-mail addresses: mbmurphy@cityu.edu.hk (M.B. Murphy), bhmhwlam@cityu.edu.hk (M.H.-W. Lam). 1 Present address: Laboratory for Earth Surface Processes, College of Urban and Environmental Sciences, Peking University, Beijing, People’s Republic of China. http://dx.doi.org/10.1016/j.chemosphere.2015.03.003 0045-6535/Ó 2015 Elsevier Ltd. All rights reserved. K.-L. Ho et al. / Chemosphere 133 (2015) 6–12 Human blood plasma Human urine 7 RMeO-BDEs/RBPs and BP-conjugates in urine were evaluated by multivariate regression and Pearson product correlation analyses. These urinary BP-conjugates were positively correlated with RPBDEs in blood plasma, but were either not or negatively correlated with other organobromine compounds in blood plasma. Stronger correlations (Pearson’s r as great as 0.881) were observed between concentrations of BDE congeners having the same number and pattern of bromine substitution on their phenyl rings in blood plasma and their corresponding BP-conjugates in urine. Ó 2015 Elsevier Ltd. All rights reserved. 1. Introduction Polybrominated diphenyl ethers (PBDEs), a class of brominated flame retardants (BFRs), have aroused considerable public concern because of their resistance to environmental degradation, especially for lower brominated congeners, their tendency to bioaccumulate and potential adverse effects on health of humans (de Boer et al., 2000; Hooper and McDonald, 2000; Alaee et al., 2003; Guvenius et al., 2003; Henrik and Birger, 2010). In 2009, the Penta- and Octa-BDE commercial mixtures were listed as persistent organic pollutants (POPs) under the Stockholm Convention (Eljarrat and Barceló, 2011). Despite international efforts on the restriction of their production and usage, PBDEs are likely to remain in the global ecosystem for a considerable period of time because of their slow rate of degradation for lower brominated congeners, and the fact that large amounts of manufactured goods containing PBDEs are still in use (Harrad et al., 2006; Betts, 2008). Thus, the continuous monitoring of accumulation of PBDEs in humans is still important for the accurate assessment of their risk to public health at national and international levels. The most frequently adopted approach to monitor human exposure to PBDEs is the direct quantification of selected BDE congeners and their hydroxylated (OH-BDEs) and methoxylated (MeO-BDEs) species in blood/serum (Athanasiadou et al., 2008; Turyk et al., 2008; Roosens et al., 2009; Wang et al., 2012), and human breast milk (Sudaryanto et al., 2008; Schuhmacher et al., 2009, 2013; Toms et al., 2009; Shi et al., 2013). Other human tissues such as hair, kidney, lung, liver and adipose tissues have also been used (Covaci et al., 2008; Zhao et al., 2008, 2009; Zheng et al., 2014). However, collecting human tissue samples from people for chemical/biochemical analysis and risk assessment is an intrusive operation and difficult to achieve in large-scale population-wide or national surveys. While sampling of human hair and breast milk can be considered non-intrusive processes, they face other limitations, such as the ease of exogenous contamination of hair samples (Morris et al., 2012; Barbosa et al., 2013) and the gender and age distribution restrictions of sampling breast milk (Landrigan et al., 2002). Alternatively, sampling of human urine is simple, quick and non-intrusive, making it much easier to obtain urine samples from a large number of voluntary donors within a community for large-scale surveys. Occurrence of metabolites of selected BDE congeners in urine of mammalian animal models has already been well established in several toxicokinetic studies (Hakk and Letcher, 2003; Chen et al., 2006; Sanders et al., 2006). These metabolites are mainly glucuronide and sulfate conjugates of dibromophenols (DBPs) and tribromophenols (TBPs), probably because of their lower molecular weight (relative to their parent BDE congeners) that facilitates their renal removal. Our research team has previously reported the synthesis, purification, and characterization of glucuronide and sulfate conjugates of bromophenols (BP) and has developed an analytical protocol for their determination in human urine (Ho et al., 2012). A preliminary survey on 20 voluntary donors revealed the presence of at least one of these BP-conjugates in their urine. In this study, we examined the correlation between concentrations of PBDEs/OH-BDEs/MeO-BDEs/BPs and in blood plasma and BP-glucuronide and -sulfate conjugates in urine of humans. A total of 100 matched samples of plasma and urine were collected from volunteer donors in Hong Kong, China. The objective of this work was to evaluate whether glucuronide and sulfate conjugates of BPs in human urine are suitable molecular markers for the assessment of population exposure to PBDEs. 2. Experimental 2.1. Safety precautions All necessary precautions were taken during the handling of samples of blood and urine. Double latex gloves, facemasks and eye-protection goggles were worn at all times during handling, spiking and transfer of samples from humans. All spent samples of urine were collected after analysis in separate capped containers with proper clinical waste labels. Both spent samples and used personal protection items were treated as clinical waste and were collected and disposed of in accordance with the ‘‘Code of Practice for the Management of Clinical Waste’’ issued by the Environmental Protection Department of the Hong Kong SAR Government. 2.2. Sample collection All studies that involved human tissues and body fluids were conducted in accordance with guidelines of the Research Ethics Committee of City University of Hong Kong after proper approvals were given by the Committee. Parallel samples of human plasma and urine (n = 100; 50 from male and 50 from female donors) were collected from voluntary donors during March to July 2010 by registered doctors and nurses at Queen Mary Hospital, Hong Kong. Besides their gender and age, no other personal information of those voluntary donors was collected. The age range of the volunteers was from 16 to 93 years of age (mean ± SD: 54.9 ± 21.9 years). These donors were subdivided into different age groups for comparison: age 16–25 (n = 11); age 26–35 (n = 15); age 36–45 (n = 12); age 46–55 (n = 14); age 56–65 (n = 15); age 66–80 (n = 13) and age > 80 (n = 20). Samples of whole blood were collected using the standard phlebotomy technique in vacutainer tubes containing sodium heparin anticoagulant (Vacuette, Greiner bio-one, GmbH, Austria). Whole blood was then centrifuged at 1500g for 25 min. Plasma was removed from the top of the tube. Morning-first urine samples were collected in 100 mL sterilized glass bottles and stored at 80 °C within 15 min of sampling until analysis. Urine from each donor was subdivided into three replicate samples before lowtemperature storage. All samples were carefully labeled and documented. Upon analysis, samples were thawed, and 10 mL of each sample was retained for creatinine content determination (D’Haese et al., 1985). Creatinine determination was conducted by a kinetic colorimetric assay based on the modified Jaffe method using the Roche Modular System (Roche Diagnostics, IN, USA), with an analytical range between 360 and 57 500 mmol L1. 8 K.-L. Ho et al. / Chemosphere 133 (2015) 6–12 2.3. Sample extraction and preparation Synthesis, purification and characterization of the glucuronide and sulfate conjugates of 2,4-dibromophenol (2,4-DBP) and 2,4,6tribromophenol (2,4,6-TBP), and the analytical protocols for the quantification of PBDEs, OH-BDEs, MeO-BDEs and BPs in human plasma and the BP-conjugates in human urine have been described in our previous publications (Hovander et al., 2000; Qiu et al., 2009; Ho et al., 2012). Details on materials, instrumentation, extraction methods, and QA/QC protocols of this study are given in the Supporting Information. 2.4. Analysis of data All statistical analyses were performed using SPSS 16 (SPSS Inc., Chicago, IL), Prism 2.01 (GraphPad Software, Inc.) and Sigmastat 3.5 (Sigmastat, Jandel Scientific, CA). Normality of data was checked by the Klomogorov-Smirnov test. Logarithm, natural-logarithm, arcsine, square root, reciprocal square root or cubic root transformations were used whenever fit to obtain normally distributed data sets for parametric statistical testing. Student’s t-test was used to compare concentrations of PBDEs, MeO-BDEs, OH-BDEs and BPs, in human plasma samples, and BP-conjugates, in human urine samples, between male and female donors. If data were not normally distributed, a non-parametric Mann–Whitney Rank Sum test was used for the comparison. One-way ANOVA (parametric) or ANOVA on Ranks (non-parametric) tests were used to compare concentrations of the target brominated species in plasma and urine among different age categories. Multivariate linear regression and Pearson product moment correlation analysis were used to examine the influence of concentrations of PBDEs, MeO-BDEs, OH-BDEs, BPs in blood plasma on concentrations of BP-conjugates in urine. A P < 0.05 was considered statistically significant for all statistical measurements. 3. Results and discussion 3.1. Concentrations of PBDEs, OMe-PBDEs, OH-PBDEs and BPs in human plasma Concentrations of RPBDEs, RMeO-PBDEs, ROH-PBDEs and RBPs in plasma, normalized by the plasma lipid weight (lw), are summarized (Table 1). PBDEs were detected in all of the 100 human plasma samples, with RPBDEs ranging from 0.01 to 18.2 ng g1 lw. These concentrations of RPBDEs are quite comparable to those reported in previous studies in other Asian countries (Tan et al., 2008; Zhu et al., 2009; Uemura et al., 2010; Kim et al., 2012), New Zealand (Harrad and Porter, 2007) and some European countries (Thomas et al., 2006; Gómara et al., 2007; Antignac et al., 2009; Kalantzi et al., 2011), but are lesser than those in the population of Northern America (Schecter et al., 2005; Sandanger et al., 2007; Lunder et al., 2010) and those who live near sites where BFR are produced or used in large quantities (Jin et al., 2009), or e-waste disposal/dismantling areas (Bi et al., 2007) (Fig. S1, Supporting Information). Similar to many previous studies on the occurrence of PBDEs in human plasma, BDE-47, 99 and 209 were the most abundant BDE congeners detected in this study, with geometric mean concentrations of 0.55 ng g1 lw; (95% confidence interval: 0.39–0.79 ng g1 lw), 0.33 ng g1 lw (95% confidence interval: 0.23–0.48 ng g1 lw), and 0.47 ng g1 lw (95% confidence interval: 0.35–0.62 ng g1 lw), respectively. There was no significant difference between concentrations of PBDEs in plasma among all age categories (p = 0.736) or gender (p = 0.143). BDE-47 and 99 were the two most frequently detected congeners with a detection frequency of >90%, while <20% of the plasma samples contained BDE-209. This frequency of occurrence of BDE-209 is much less compared to surveys carried out in the US, European countries and Japan. A recent study by Wang et al. (2011) reported greater concentrations and occurrence frequencies of BDE-47 and 99 in seafood from fish markets in Hong Kong. This suggests that food consumption rather than inhalation of indoor dust, an environmental matrix with greater concentrations of BDE-209, might be a more significant exposure route to the residents of Hong Kong. OH-BDEs and BPs were detected in human blood at concentrations similar to those of PBDEs. This is consistent with findings of previous studies (Athanasiadou et al., 2008; Roosens et al., 2009; Qiu et al., 2009; Wan et al., 2010). 6-OH-BDE-47 and 50 -OH-BDE99 were the two most abundant OH-BDE congeners in the human blood plasma samples, with geometric mean concentrations of 0.32 ng g1 lw; (95% confidence interval: 0.23–0.45 ng g1 lw) and 0.06 ng g1 lw (95% confidence interval: 0.03–0.11 ng g1 lw), respectively. Three different BPs, namely 2,4-DBP, 2,4,5-tribromophenol (2,4,5-TBP) and 2,4,6-TBP, were detected in 80% of the plasma samples. The geometric mean concentration of RBPs was 1.59 ng g1 lw (95% confidence interval: 1.34–1.89 ng g1 lw). The occurrence of these three BPs in mouse plasma after exposure to the commercial Penta-BDE mixture DE-71 has been reported by Qiu et al. (2007). In an in vitro study of the metabolism of BDE99 by human hepatocytes, Stapleton et al. (2009) also determined 2,4,5-TBP in the cell extracts, which was deemed to be generated by the catabolic cleavage of the diphenyl ether linkage of the BDE congener. These studies suggest that the diphenyl ether cleavage of PBDEs constitutes one of the sources of BPs (including 2,4DBP and 2,4,6-TBP) in blood plasma. Other sources may include food consumption and exposure to other BFRs. 2,4-DBP and 2,4,6-TBP have been detected in fresh fish samples commonly consumed in Hong Kong (Chung et al., 2003). 2,4,6-TBP has been used as a flame retardant, and population may be exposed to it in a similar way as to PBDEs. There was no significant difference in the concentrations of OH-BDEs and BPs in human plasma between male and female donors (p = 0.749 for OH-BDEs, p = 0.165 for BPs). There were also no significant differences in OH-BDE and BP content in human plasma samples among all the age groups (p = 0.449 for OH-BDEs, p = 0.571 for BPs). MeO-BDEs were also found in human plasma samples. The geometric mean concentration of RMeO-BDEs was 0.42 ng g1 lw (95% confidence interval: 0.31–0.56 ng g1 lw). This concentration is comparable to that revealed in a previous study carried out in Hong Kong (Wang et al., 2012). 6-MeO-BDE-47 and 4-MeO-BDE17 were the two most abundant MeO-BDE congeners, with mean concentrations in human plasma of 0.88 and 0.73 ng g1 lw, respectively. This pattern of occurrence of MeO-BDEs in human plasma samples is different from that observed in the US (Qiu et al., 2009), perhaps because some abundant MeO-BDE congeners (6-MeO-BDE-47, 4-MeO-BDE-17, 2-MeO-BDE-28) were not included in the previous study. There were no significant differences among concentrations of MeO-BDEs in human plasma among all the age groups (p = 0.210), and no statistically significant differences in the concentrations of MeO-BDEs were found between male and female donors (p = 0.702). 3.2. Concentrations of BP-glucuronide and -sulfate conjugates in human urine samples To the best of our knowledge, BP-glucuronide and –sulfate conjugates are not commercially available. Authentic standards of the glucuronide and sulfate conjugates of 2,4-DBP and 2,4,6-TBP for LC–MS/MS determination in this work were obtained via chemical synthesis and liquid chromatographic purification. On the other hand, the presence of conjugates of 2,4,5-TBP in urine samples 9 K.-L. Ho et al. / Chemosphere 133 (2015) 6–12 Table 1 Concentrations (ng g1 lw) of RPBDEs, RMeO-BDEs, ROH-BDEs, and RBPs in human plasma samples (n = 100) from Hong Kong, China. Congeners Human plasma samples Total (n = 100) RPBDEs RMeO-BDEs ROH-BDEs RBPs Male (n = 50) Female (n = 50) GMa (95% CI)b Min–max % of detection GMa (95% CI)b Min–max % of detection GMa (95% CI)b Min–max % of detection 4.45 0.42 1.88 1.59 0.01–18.20 N.D.–6.87 N.D.–8.88 N.D.–7.18 100 89 83 84 5.13 0.44 1.82 1.79 0.12–18.20 N.D.–5.15 N.D.–5.19 N.D.–5.16 100 90 86 92 3.82 0.40 1.94 1.40 0.01–14.18 N.D.–6.87 N.D.–8.88 N.D.–7.18 100 90 80 78 (3.66–5.41) (0.31–0.56) (1.53–2.29) (1.34–1.89) (4.10–6.41) (0.30–0.65) (1.40–2.36) (1.43–2.25) (2.77–5.28) 0.25–0.63 (1.43–2.64) (1.08–3.00) N.D.: not detected. a GM: geometric mean. b CI: confidence interval. was not determined in this study because of the unavailability of 2,4,5-TBP starting material for the synthesis of its conjugates. One or more of the 2,4-DBP- and 2,4,6-TBP-glucuronide and – sulfate conjugates were detected in all of the urine samples, with RBP-conjugates ranging from 0.08 to 106.49 lg g1-creatinine (Table 2). Conjugates of 2,4,6-TBP were the most frequently detected, while the frequency of detection of 2,4-DBP conjugates was around 70%. BP-glucuronides were 5- to 10-fold more abundant than their corresponding BP-sulfates. There were no statistically significant differences in concentrations of BP-conjugates in urine among age groups (p = 0.378 for 2,4-DBP-sulfate; p = 0.558 for 2,4,6-TBP-sulfate; p = 0.25 for 2,4-DBP-glucuronide; and p = 0.976 for 2,4,6-TBP-glucuronide). Alternatively, a statistically significant difference was observed in the urine concentrations of 2,4-DBP-glucuronide between male and female donors (p = 0.038), with concentrations of 2,4-DBP-glucuronide found to be greater in men. A previous study on human urinary bisphenol A (BPA) in Korea also found a similar phenomenon where concentrations of BPA-glucuronides in men were greater than those in women. 3.3. Correlations between BP-glucuronide and -sulfate conjugates and RPBDEs, ROMe-PBDEs, ROH-PBDEs and RBPs Multivariate linear regression analysis was employed to explore the relationship among different forms of BDEs/BPs in blood plasma and BP-conjugates in urine. The standardized regression coefficient b was used to quantify the relationship between BPconjugates and the various determinants. The first regression model was built using the natural log-transformed summation of concentrations of PBDEs, OH-BDEs, MeO-BDEs and BPs, i.e. lnRPBDEs, lnROH-PBDEs, lnRMeO-PBDEs and lnRBPs, in plasma samples as independent variables, and the sum of all four BPglucuronide and -sulfate conjugates, i.e. lnRBP-conjugates, in urine samples as the dependent variable (Table 3). The coefficient of determination (R2) of the regression model established was only 0.223, and the model was significantly affected by both lnRPBDEs and lnRBPs, with their standardized regression coefficients (b) being 0.716 and 0.585 respectively (p < 0.001 for lnRPBDEs and p = 0.013 for lnRBPs). While there might not be simple relation between total concentrations of PBDEs in human blood and that of total BP-conjugates in human urine, we explored correlations among structurally-related organobromine species in blood and in urine. Based on numerous previous in vivo studies on laboratory mice and in vitro studies on human cells, catabolic cleavage of PBDEs at the ether linkage can produce water-soluble glucuronide and sulfate BP-conjugates with the number and relative position of the bromine-substituents resembling that of the corresponding parent BDE congeners. Thus, correlations between concentrations of PBDEs/MeO-BDEs/ OH-BDEs/BP with 2,4-dibromo and 2,4,6-tribromo substitution in the blood plasma samples and the glucuronide and sulfate conjugates of 2,4-DBP/2,4,6-TBP in urine were investigated (Tables 4a and 4b). The R2 values increased to 0.744 (lnR2,4-DBP-conjugates) and 0.707 (lnR2,4,6-TBP-conjugates), which suggests that the refined regression models better explained the variability of the dependents. They also gave better standardized coefficients (b): 4.34 for lnR2,4-dibromo-BDEs and 3.23 for lnR2,4,6-tribromoBDEs, revealing much stronger relationships between R2,4-dibromo-BDEs/R2,4,6-tribromo-BDEs in human plasma and their corresponding BP-conjugates in urine. All the variance inflation factors (VIFs) of the independent variables were <2, indicating the absence of multicollinearity in the regression models. Thus, our results revealed strong relationships between BP-glucuronide and -sulfate conjugates in human urine and R2,4-dibromo-BDEs and R2,4,6-tribromo-BDEs in human blood plasma. On the other hand, their relationships with RMeO-BDEs, ROH-BDEs, or RBPs in blood plasma were of less significance. These results suggest that urinary BP-conjugates in human originated from exposure to PBDEs rather than MeO-BDEs, OH-BDEs or BPs. Pearson product moment correlation was used to evaluate the correlations between natural-log-transformed RBP-conjugates and RPBDEs, RMeO-BDEs, ROH-BDEs and RBPs. Strong relationships were observed between lnR2,4-dibromo-BDEs in human blood vs lnR2,4-DBP-conjugates in human urine and lnR2,4,6-tribromo-BDEs in human blood vs lnR2,4,6-TBP-conjugates in human urine (Pearson’s r = 0.881 and 0.823, respectively; Tables 5a and 5b). These results demonstrate the correlation between urinary concentration of BP-glucuronide and -sulfate conjugates and the level of PBDEs in blood plasma (Figs. 1 and 2). On the other hand, concentrations of urinary BP-glucuronide and -sulfate conjugates do not correlate well with those of lnRMeO-BDEs, lnROH-BDEs and lnRBPs in blood plasma. This suggests that the glucuronide and sulfate conjugates of BPs in human urine may be useful as molecular markers for human exposure to PBDEs. It is arguable that these BP-conjugates may only be able to reflect human exposure to PentaBDEs, but not OctaBDEs and DecaBDE. The apparent half-life of OctaBDEs and DecaBDE in human serum are less than 91 days (Thuresson et al., 2006), which is much shorter than that of 2 years for PentaBDEs (Geyer et al., 2004). Thus, even though the bromophenol conjugates may be more related to PentaBDEs, they can still be useful in revealing long term exposure to PBDEs. Owing to the unavailability of 2,4,5-TBP, correlation between R2,4,5-tribromo-BDEs in human blood and R2,4,5-TBP-conjugates in human urine was not explored in this study. Also, the presence of BDE-glucuronide and -sulfate conjugates in human urine was not determined because of the unsufficient quantity of the corresponding OH-BDEs available for the chemical synthesis of the metabolites. Their aptness as molecular markers for population exposure to PBDEs will have to be addressed in the future. Infants and children were not included in this study because of ethical considerations associated with the collection of their blood and 10 K.-L. Ho et al. / Chemosphere 133 (2015) 6–12 Table 2 Concentrations (lg g1 creatinine) of BP-glucuronide and -sulfate conjugates in human urine samples (n = 100) from Hong Kong, China. Compound Samples of human urine Total (n = 100) 2,4-DBP glucuronide 2,4-DBP sulfate 2,4,6-TBP glucuronide 2,4,6-TBP sulfate Male (n = 50) Female (n = 50) GMa (95% CI)b Min–max % of detection GMa (95% CI)b Min–max % of detection GMa (95% CI)b Min–max % of detection 0.32 0.11 0.87 0.10 N.D.–23.81 N.D.–2.08 N.D.–102.21 N.D.–2.93 71 86 68 94 0.01–23.81 N.D.–2.08 N.D.–102.21 N.D.–2.93 76 88 54 94 N.D.–7.52 N.D.–2.08 N.D.–44.08 N.D.–2.93 66 84 82 94 (0.23–0.44) (0.08–0.14) (0.58–1.30) (0.08–0.13) 0.42 0.10 0.98 0.10 0.27–0.64 (0.07–0.15) (0.51–1.73) (0.07–0.15) 0.21 0.11 0.80 0.10 (0.13–0.34) (0.08–0.17) (0.47–1.38) (0.07–0.14) N.D.: not detected. a GM: geometric mean. b CI: confidence interval. Table 3 Significant independent variables of urinary concentrations of BP-conjugates revealed by multivariate linear regression analysis. R2 Model summary 0.223 Independent variable ba Pb lnRPBDEs lnRMeO-BDEs lnROH-BDEs lnRBPs 0.716 0.063 0.23 0.585 <0.001 0.632 0.239 0.013 Table 4b Significant independent variables of urinary concentrations of 2,4,6-TBP-conjugates revealed by multivariate linear regression analysis. R2 Model summary 0.707 VIFc Independent variable ba Pb VIFc 1.056 1.059 1.041 1.056 lnR2,4,6-Tribromo-BDEs lnR2,4,6-TBP 3.226 0.135 <0.001 0.428 1.005 1005 Dependent value was urinary lnR[BP-conjugates]. b: Standardized regression coefficients, slope from the analysis of the model regression of lnRBP-conjugates versus independent variables. b P-value for the term in the multiple linear regression, P < 0.05, statistically significant. c VIF: variance inflation factor. a urine samples. However, previous studies have revealed an inverted age-dependent accumulation of PBDEs, perhaps because of the dietary preferences, greater frequency of hand-to-month activities and greater metabolic rate of children (Fischer et al., 2006; Lunder et al., 2010; Eskenazi et al., 2011; Gari and Grimalt, 2013). Thus, it is worthy to further explore the correlation between plasma PBDEs and urinary BP-conjugates in children. Another area that needs further study is potential ethnic differences in the efficacy of PBDE metabolism. Previous studies have shown that greater glucuronidation of morphine occurred in Chinese people compared to Caucasians (Zhou et al., 1993). Alternatively, ethnic Chinese were less able to metabolize codeine by glucuronidation (Yue et al., 1989, 1991). Results from Goldzieher and coworker have shown that the pattern of glucuronide conjugation as well as oxidative metabolism of estrogens (ethinyl estradiol) differed among Nigerian, Sri Lankan and American populations (Williams and Goldzieher, 1980; Goldzieher and Brody, 1990). Another study of the excretion of N-glucuronide conjugates of nicotine and Table 4a Significant independent variables of urinary concentrations of 2,4-DBP-conjugates revealed by multivariate linear regression analysis. R2 Model summary 0.744 Independent variable ba Pb VIFc lnR2,4-Dibromo-BDEs lnR2,4-Dibromo-MeO-BDEs lnR2,4-Dibromo-OH-BDEs lnR2,4-DBP 4.34 0.0138 0.0682 0.0345 <0.001 0.834 0.547 0.617 1.089 1.071 1.001 1.059 Dependent value was urinary lnR[2,4-DBP-conjugates]. b: Standardized regression coefficients, slope from the analysis of the model regression of lnR2,4-DBP-conjugates versus independent variables. b P-value for the term in the multiple linear regression, P < 0.05, statistically significant; c VIF: variance inflation factor. a Table 5a Correlation coefficients between urinary 2,4-DBP-conjugates and the various PBDEs/ MeO-BDEs/OH-BDEs/BPs in human plasma. Total (n = 100) Male (n = 50) Female (n = 50) r r P r P P lnR2,4-Dibromo-BDEs 0.881 <0.05 0.871 <0.05 0.884 <0.05 lnR2,4-Dibromo-MeO-BDEs 0.080 0.449 0.047 0.77 0.100 0.526 lnR2,4-Dibromo-OH-BDEs 0.095 0.452 0.053 0.743 0.200 0.221 lnR2,4-DBP 0.157 0.187 0.223 0.184 0.102 0.561 Analysis of urinary BP conjugates were conducted after natural-log transformation. Table 5b Correlation coefficients between urinary 2,4,6-TBP-conjugates and the various congeners PBDEs and BPs in human plasma. Total (n = 100) Male (n = 50) Female (n = 50) r r r P P P lnR2,4,6-Tribromo-BDEs 0.823 <0.05 0.820 <0.05 0.834 <0.05 lnR2,4,6-TBP 0.007 0.907 0.06 0.699 0.074 0.655 Analysis of urinary BP conjugates were conducted after natural-log transformation. Dependent value was urinary lnR[2,4-DBP-conjugates]. a b: Standardized regression coefficients, slope from the analysis of the model regression of lnR2,4-DBP-conjugates versus independent variables. b P-value for the term in the multiple linear regression, P < 0.05, statistically significant; c VIF: variance inflation factor. cotinine has shown that people with African origins excreted significantly less glucuronide conjugates than Caucasians (Caraballo et al., 1998; Benowitz et al., 1999). Information on the differences in the metabolism of POPs among ethnic groups is scarce. Matters are further complicated by the differences in the compositions of PBDE mixtures used in different parts of the world, and dietary habits of people. Zota and coworkers (Zota et al., 2008) have shown that PBDE exposure at different regions of the US was different. K.-L. Ho et al. / Chemosphere 133 (2015) 6–12 Fig. 1. Correlation analyses between the concentration of natural logarithmtransformed R2,4-dibromo-BDEs in human plasma and natural logarithmtransformed urinary R2,4-DBP-conjugates. Fig. 2. Correlation analyses between the concentration of natural logarithmtransformed R2,4,6-tribromo-BDEs in human plasma and natural logarithmtransformed urinary R2,4,6-TBP-conjugates. Acknowledgements This work is support by a grant from Research Grants Council of the Hong Kong Special Administrative Region, China [Reference No. CityU 9041623]. Prof. Giesy was supported by the program of 2012 ‘‘Great Concentration Foreign Experts’’ (#GDW20123200120) funded by the State Administration of Foreign Experts Affairs, the P.R. China to Nanjing University and the Einstein Professor Program of the Chinese Academy of Sciences. 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Lam*a 7 8 9 10 11 Supporting Information 12 13 14 15 16 17 18 Page 20 1 19 21 Table of Content 22 Methods 23 Materials and General Procedures 24 Instrumentation 25 Identification and Quantification 26 Quality Assurance and Quality Control 27 28 29 Figures Figure S1. Median concentrations of PBDEs in blood plasma of human blood in various 30 countries. 31 2 References Page 32 33 Methods 34 Materials and General Procedures. 35 All starting materials were purchased from Sigma-Aldrich (St. Louis, MO, USA) and used as 36 received unless stated otherwise. Oasis WAX® (6 mL / 150 mg) and HLB® (6 mL / 200 mg) 37 cartridges were obtained from Waters Corp. (Milford, MA, USA). Dihexylammonium acetate 38 (DHAA) was obtained from Sigma-Aldrich. Standards for polybrominated diphenylethers 39 (PBDE), including BDE-3, BDE-15, BDE-28, BDE-47, BDE-66, BDE-85, BDE-99, BDE-100, 40 BDE-153, BDE-154, BDE-183, BDE-184, BDE-197, BDE-202, BDE-207, BDE-208, BDE-209; 41 recovery spike standard (13C12-BDE-77 and 42 and 43 standards for bromophenols (BP), 2,4-dibromophenol (2,4-DBP), 2,4,5-tribromophenol 44 (2,4,5-TBP) and 2,4,6-tribromophenol (2,4,6-TBP), and five hydroxylated-PBDE (OH-BDE) 45 (4-OH-BDE-42, 3-OH-BDE-47, 5-OH-BDE-47, 5’-OH-BDE-99 and 6’-OH-BDE-99) standards 46 were purchased from Accustandard (New Haven, Connecticut, USA). All other OH-BDEs, 47 MeO-BDEs (2’-OH-BDE-7, 3’-OH-BDE-7, 4’-OH-BDE-17, 6’-OH-BDE-17, 2’-OH-BDE-28, 48 6-OH-BDE-47, 4’-OH-BDE-49, 49 4-OH-BDE-90, 6-OH-BDE-90, 50 2-OH-BDE-123, 6-OH-BDE-137, 4’-MeO-BDE-17, 6’-MeO-BDE-17, 2’-MeO-BDE=28, 51 5-MeO-BDE-47, 6-MeO-BDE-47, 52 3-MeO-BDE-90, 6-MeO-BDE-90, 3-MeO-BDE-100, 2-MeO-BDE-123, 6-MeO-BDE-137) and 53 glucuronide and sulfate conjugates of 2,4-DBP and 2,4,6-TBP were synthesized by the authors at 54 City University of Hong Kong. Purities of all of the OH-BDEs were greater than 98%.1 All 55 phenolic C12-BDE-138); 13 C12-BDE-139, 13 C12-BDE-209 C6-2,4-dibromphenol were purchased from Wellington Labs (Ontario, Canada). Three were 5’-OH-BDE-99, 4’-MeO-BDE-49, derivatized by 2’-OH-BDE-68, 6’-OH-BDE-99, 2’-MeO-BDE-68, reacting with 6-OH-BDE-85, 3-OH-BDE-100, 6-MeO-BDE-85, N,O-bis(trimethylsilyl) 3 compounds 2’-OH-BDE-66, Page 13 13 56 trifluoroacetamide (BSTFA) with 1% trimethylchlorosaline (TMCS) obtained from Acros 57 Organics (Geel, Belgium). Page 4 58 59 Instrumentation. 60 HPLC-MS/MS 61 Quantification of glucuronide and sulfate conjugates of bromophenols was performed by 62 HPLC–ESI-MS/MS (Agilent 1200 Series HPLC, Agilent Technologies, Waldbronn, Germany) 63 coupled to a MDS Sciex API 3200 QTrap triple quadrupole / linear ion trap mass spectrometer 64 with a Turbo V ion spray source (Applied Biosystems, Foster City, CA, USA). In order to 65 improve sensitivity and selectivity, analytes were detected in Multiple Reaction Monitoring 66 (MRM) mode with a dwell time of 150 ms. The ionization source parameters were as follow: ion 67 spray voltage: -4500kV; curtain gas (N2): 15 psig; collision gas (N2), high; temperature of 68 ionization source, 600oC; ion source gas 1 (nebulizer gas), 60 psig; ion source gas 2 (heater gas), 69 50 pisg. Declustering potential (DP), entrance potential (EP), collision energy (CE) and collision 70 cell exit potential (CXP) of all analytes were optimized to obtain maximum sensitivity. The 71 analytical column was a Waters XBridgeTM C18 2.5 μm 3.0 mm × 50 mm column. A guard 72 column XBridgeTM C18 2.5 μm 3.0 × 20 mm was placed in front of the analytical column. 73 LC separation was accomplished by use of gradient elution at a flow rate of 300 μL/min, 74 with solvent A (5 mM DHAA in Milli-Q) and solvent B (5 mM DHAA in methanol) at the 75 composition of A:B (90:10, v/v) at t = 0 to t = 2 min, changed linearly to A:B (30:70, v/v) over a 76 period of 18 min, then held at such composition for a further 10 min. After the separation, the 77 eluent composition was switched back to A:B (90:10 v/v) and held for 20 min before the next 78 injection. The injection volume was 10 μL. 79 5 GC-NCI-MS Page 80 81 Identification and quantification of all targeted PBDEs, MeO-BDEs, OH-BDEs and BPs 82 were performed by use of gas chromatography (GC, Agilent 7890A) with mass-selective 83 detection (MS, Agilent 5975C with triple axis detector) in electron-capture negative ionization 84 (ECNI) mode, by monitoring at m / z = 79 and 81 for most of the congeners, and at m / z = 486.6 85 for BDE-207, BDE-208 and BDE-209. The GC injector was set to 285 oC with an injecting 86 volume of 2 μL. Lesser brominated BDE congeners (mono- to hexa-substituted BDEs), 87 MeO-BDEs, OH-BDEs and BPs were analyzed by use of a 30 m × 0.25 mm × 0.25 μm DB-5MS 88 column, whereas higher BDE congeners (hepta- to deca-substituted BDEs) were analyzed by a 89 15 m × 0.25 mm × 0.1 μm DB-5HT column. The temperature program for the analysis of lesser 90 brominated BDE congeners and MeO-BDEs was as follows: 110 oC for 5 min; 30 oC / min to 91 240 oC; held for 20 min; 30 oC / min to 280 oC held for 2 min and 30 oC / min to 300 oC; held for 92 30 min. The temperature program for the analysis of more brominated BDE congeners was as 93 follows: 60 oC for 5 min; 10 oC / min to 290 oC; held for 2 min; 20 oC / min to 300 oC; held for 9 94 min. The temperature program for the analysis of OH-BDEs and BPs was as follows: 110 oC for 95 5 min; 20 oC / min to 240 oC for 20 min; 30 oC / min to 280 oC; held for 10 min and finally 30 oC 96 / min to 300 oC; held for 20 min. Total concentrations of different groups of analytes (ΣPBDEs / 97 ΣOH-BDEs / ΣMeO-BDEs / ΣBPs) were reported as the sum of the individual PBDEs / 98 OH-BDEs / MeO-BDEs / BPs congeners quantified. Quantification 101 Targeted PBDEs, OH-BDEs, MeO-BDEs and BRs in human plasma 102 To avoid photo-degradation, samples were kept in amber vials or sampling tubes wrapped 103 with aluminum foil. Neutral and phenolic fractions of extracts of human blood plasma were Page 100 6 99 104 slightly modified from previously described methods.2 Each sample of plasma was transferred to 105 a clean glass tube and known amounts of PBDE recovery standards (13C12-BDE-77 and 106 13 107 Hydrochloric acid (2 mL, 6 M) and iso-propanol (6 mL) were added, followed by 108 homogenization. Each sample was extracted by 3 × 6 mL hexane / methyl tert-butyl ether 109 (MTBE). The organic extracts were combined and washed with 1% potassium chloride solution 110 (3 mL). The combined organic extract was evaporated over a gentle steam of nitrogen and lipid 111 content was determined gravimetrically. Lipid was re-dissolved in hexane (4 mL) and partitioned 112 with potassium hydroxide (2 mL, 0.5 M in 50% ethanol) to ionize the phenolic analytes. PBDEs 113 and MeO-BDEs were separated by 3 × 4 mL of hexane. The aqueous layer was acidified by 114 hydrochloric acid (2 mL, 0.5 M), then phenolic compounds were extracted by 3 × 4 mL of 115 hexane / MTBE (9:1, v/v). The neutral and phenolic fractions were blown down to dryness and 116 reconstituted in 5 mL hexane. The neutral fraction was treated with 5 mL of concentrated 117 sulfuric acid twice to remove any lipids. 13 118 The neutral fraction was concentrated over a gentle stream of nitrogen and cleaned-up by 119 passing the concentrate through multilayer column chromatography with 1 g of anhydrous 120 sodium sulfate on top, followed by 8 g of silica and 8 g of alumina. PBDEs and MeO-BDEs were 121 eluted with 50 mL of a hexane / dichloromethane mixture (3:2, v/v). The organic solvent was 122 evaporated to dryness and the sample was reconstituted to 100 μL with 13C12-BDE-139 added as 123 an internal standard for GC / MS analysis. 124 The phenolic fraction was also concentrated under a gentle stream of nitrogen and clean-up 125 by Florisil column chromatography with 1 g of anhydrous sodium sulfate on top of 5 g of Florisil. 126 OH-BDEs and BPs were eluted with 30 mL of a mixture of dichloromethane and hexane (1:1, 7 C12-BDE-209 and 6’-OH-BDE-17 as surrogate standards were added. Page C12-BDE-138), and 127 v/v). The organic solvent was evaporated to dryness and the phenolic fraction was derivatized 128 with 100 μL of BSTFA with 1% TMCS at 70 oC for an hour. 129 internal standard for GC / MS analysis. 13 C12-BDE-139 was added as the 130 131 Bromophenol conjugates in human urine 132 The extraction method was similar to that reported in our previous work.1a A human urine 133 sample (5 mL) was partitioned with 3 × 5 mL ethyl acetate. The combined organic solution was 134 evaporated to dryness under a gentle stream of nitrogen. Residues were dissolved in 15 mL of 135 0.67 M sodium acetate buffer at pH 5.2. The resultant solution was applied, at a rate of 1 drop 136 s–1, to an Oasis WAX solid-phase extraction (SPE) cartridge that had been preconditioned 137 sequentially by 5 mL of methanol, 5 mL of Milli-Q water, and 5 mL of 2 M sodium acetate 138 buffer at pH 5.2. The loaded WAX SPE cartridge was then washed in turn by 5 mL of 2 M 139 sodium acetate buffer at pH 5.2, followed by 5 mL of methanol. The glucuronide fraction was 140 then eluted with 4 mL of a formic acid/methanol (1:9, v/v) mixture, and the sulfate fraction was 141 eluted with 4 mL of an aqueous ammonia/methanol (1:9, v/v) mixture. The eluates were 142 evaporated to around 100 μL under a gentle stream of nitrogen. 13C6-2,4-dibromphenol (200 μL, 143 500 ng mL–1) was added as an internal standard for LC-MS/MS quantitation. 144 Quality Assurance and Quality Control. 146 Surrogate standards were used to quantify the concentration of all the BDE congeners using 147 mean relative response factors determined from standard calibration during analysis of human 148 plasma samples. PBDE recovery standards (13C12-BDE-77 and 149 surrogates for mono- to hexa-substituted BDEs and MeO-BDEs, 13C12-BDE-209 was used as the C12-BDE-138) were used as 8 13 Page 145 150 surrogate for hepta- to deca-substituted BDEs, and 6’-OH-BDE-17 was used as the surrogate for 151 OH-BDEs and BPs. All equipment was rinsed with acetone and hexane to avoid contamination. 152 One laboratory blank and one matrix spike were analyzed for each batch of 18 samples to 153 check for interferences or contamination from solvent and glassware. The method detection limit 154 (MDL) was established by use of lesser concentrations and a consecutive analysis of the series of 155 n spiked samples (Equation 1). 156 MDL = t × σ 157 (1) 158 159 where: σ is the standard deviation of the data and t is the compensation factor from the Student’s 160 t-Table with n – 1 degrees of freedom at a confidence interval of 95%. Method detection limits 161 (MDLs) for BDEs, MeO-BDEs, OH-BDEs and BPs ranged from 0.007 to 0.24 ng/g l.w. For 162 BDE-207, -208, -209, MDLs ranged from 0.15 to 0.75 ng/g l.w. Recoveries of all targeted 163 analytes were within 88 – 103% while the matrix-spiked recoveries were within 78 – 114%. 164 In the analysis of BP conjugates, procedural blanks and matrix spikes were included in each 165 batch of 10 samples. None of the synthesized BPs conjugates were detected in procedural blanks. 166 MDLs of targeted analytes were assessed by use of the same method as that used for plasma: 167 MDLs 168 2,4-dibromophenyl sulfate and 2,4,6-tribromophenyl sulfate were 2.7, 2.9, 2.9 and 2.2 ng/g 169 creatinine, respectively. Recoveries of the analytes were within the range of 72 to 102% and the 170 %RSD ranged from 4 to 9%. for 2,4-dibromophenyl glucuronide, 2,4,6-tribromophenyl glucuronide, Page 172 9 171 173 310 403 174 175 176 177 178 179 180 181 182 183 184 185 186 *arithmetic mean 187 188 Figure S1. Median concentrations of PBDEs in blood plasma of human blood in various 189 countries. 190 191 194 Page 193 10 192 196 1. (a) Ho, K.L.; Murphy, M.B.; Wan, Y.; Fong, B.M.W.; Tam, S.; Giesy, J.P.; Lam, M.H.W. 197 Anal. Chem. 2012, 84, 9881-9888. (b) Wan, Y.; Wiseman, S.; Chang, H.; Zhang, X.; Jones, 198 P.D.; Hecker, M.; Kannan, K.; Tanabe, S.; Hu, J.; Lam, M.H.W.; Giesy, J.P. Environ. Sci. 199 Technol. 2008, 43, 7536-7542. 200 2. (a) Hovander, L.; Athanasiadou, M.; Asplund, L.; Jensen, S.; Klasson-Wehler, E. J. Anal. 201 Toxicol. 2000, 24, 696-703. (b) Qiu, X.; Bigsby, R.M.; Hites, R.A. Environ. Health Prespect. 202 2009, 117, 93-98. 11 References: Page 195