Fragmentation patterns Clozapine metabolites Clozapine Several fragment ions were identified in the MS/MS experiments for clozapine. Fragment ions at m/z 296, 282, 270, 268, 255, 243 and 227 were identified as the fragmentation products of methylpiperazine. Fragment ion at m/z 208 is likely to be originated from loss of C5H9N from methylpiperazine, together with a loss of HCl (i.e. loss of HCl from the ion at m/z 243). Fragment ion at m/z 192 was originated similarly by loss of HCl from the ion at m/z 228. Fragment ion at m/z 101 was identified as charged methylpiperazine, and ion at m/z 84 via further loss of NH3 from the ion at m/z 101. RM1 Metabolite RM1 was identified as cysteine conjugate of clozapine. Fragment ion at m/z 359 had lost cysteine by scission of the S-CH2 bond (loss of C3H5NO2) and fragment ion at m/z 302 had lost C3H7N from fragment ion at m/z 359. Fragment ion at m/z 327 was intact clozapine. RM2 Metabolite RM2 was identified as dechlorinated glutathione conjugate. Fragment ion at m/z 469 resulted from the loss of pyroglutamate (i.e. loss of C5H7NO3 = 129 u), and fragment ion at m/z 412 from additional loss of C3H7N from the methylpiperazine. Fragment ion at m/z 268 resulted from the loss of glutathione by the S-CH2 bond and C3H7N from the methylpiperazine. Fragment ion at m/z 515 resulted from the loss of C5H9N from the methylpiperazine. RM3 & RM4 Based on accurate masses, metabolites RM3 and RM4 were identified as glutathione conjugates of clozapine and they had very similar fragmentation pattern. For RM3, fragment ion at m/z 549 resulted from the loss of C5H9N from the methylpiperazine. Fragment ion at m/z 503 resulted from loss of pyroglutamate (-129 u) from glutathione and the ion at m/z 359 from loss of glutathione moiety except the sulphur. Fragment ion at m/z 446 resulted from loss of pyroglutamate (m/z 503) combined with the loss of C3H7N from methylpiperazine, while the ion at m/z 302 resulted via loss of C3H7N from methylpiperazine from the m/z 359. Fragment ion at m/z 84 was from the methylpiperazine and was the same as in clozapine. RM5 & RM6 GSH-conjugates RM5 and RM6 were formed via addition of one extra oxygen atom to clozapine together with the glutathione conjugation reaction and had similar fragmentation patterns. In the MS/MS experiments, fragment ions at m/z 630, 519, 302, 117, 99 and 70 were identified for both metabolites. Ion at m/z 630 resulted from cleavage of water, ion at m/z 519 from cleavage of pyroglutamate from glutathione, and fragment ion at m/z 501 (for RM6 only) originated from combination of these two fragmentation reactions. Ions at m/z 117, 99 and 70 were fragments from methylpiperazine and revealed that biotransformation site for the extra oxygen was located in the methylpiperazine-ring. Fragment ion at m/z 302 resulted from cleavage of the S-CH2 bond and the loss of C3H7NO from the methylpiperazine. It indicates that the oxygen is most likely close to the tertiary nitrogen in the methylpiperazine. This is supported by fragment ion at m/z 444 in the spectrum of RM6, resulting from the loss of C3H9NO from the methylpiperazine and a loss of pyroglutamate. M1 Stable metabolite M1 was formed via dealkylation by the loss of CH2CH2 from the methylpiperazine-moiety. M1 produced fragment ions at m/z 270, 244, 227, 208 and 192, which all resulted from fragmentation of the partially degraded methylpiperazine ring and were mostly the same than for clozapine. M2 Stable metabolite M2 was formed via dealkylation by the loss of CH2. Also M2 produced fragment ions matching with clozapine, ie. fragments at m/z 296, 282, 270, 244, 227, 208 and 192, which all resulted from the fragmentation of piperazine part, together with ions at m/z 87 and 70 that were identified as piperazine fragments. M3 Metabolite M3 was formed via hydroxylation/oxidation and dehydrogenation, and produced fragment ions at m/z 313, 296, 243, 227, 192, 113, 87 and 70 in the MS/MS experiments. Ion at m/z 313 originated by loss of CO, while the ions at m/z 296, 227, 243 and 192 were the same as in the spectrum of clozapine. This fragmentation localized the biotransformations to methylpiperazine ring, the ions at m/z 313 and 296 pointing to aldehyde formation in N-methyl. The fragment ion at m/z 113 also supported the localization of biotransformations to methylpiperazine moiety. Fragment ions at m/z 87 and 70 resulted from further fragmentation of the ion at m/z 113 and supported the identification. M4 The accurate mass of metabolite M4 corresponded to clozapine with one additional oxygen atom. In the MS/MS experiments for M4, fragment ions at m/z 312, 286, 243, 208, 105 and 101 were observed. Ion at m/z 243 that corresponded the m/z 227 of clozapine together with additional oxygen, pointing that oxygen had attached to the dibenzodiazepine structure. It is worth noticing that m/z 243 of M4 is not the same as m/z of clozapine (confirmed by accurate mass data, see Fig 2). This was supported also by the ions at m/z 312 and 286, as well as m/z 101 that was intact methylpiperazine similarly than for clozapine. Ion at m/z 208 was a further loss of chlorine from the ion at m/z 243. The ion at m/z 105 had a molecular structure C7H5O, resulting from fragmentation of the non-chlorine containing aromatic ring, together with additional oxygen and the carbon from the 7-membered heterocycle, locating the site of the hydroxylation in M4 to the non-chlorine containing aromatic ring. M5 Metabolite M5 had the same accurate mass as M4 and produced a high number of fragment ions in the MS/MS experiments. Fragment ions at m/z 296, 282, 268, 256, 243 and 227 resulted from fragmentation of methylpiperazine ring, and were mostly the same as in clozapine and lacked oxygen atom, which indicated that oxygen was attached to the N-methyl-part of the methylpiperazine ring. Fragment ions at m/z 208 and 192 were also the same as in the spectrum of clozapine. Fragment ion at m/z 299 resulted from loss of C2H4O from methylpiperazine. Fragment ion at m/z 117 was methylpiperazine ring with additional oxygen atom, and fragment ions at m/z 99, 85, 82 and 70 resulted from the further fragmentation of the ion at m/z 117. The fragmentation pattern of the M5 suggests that the oxygen atom is attached to the methylpiperazine ring and is most likely N-oxide of clozapine. Ticlopidine metabolites Ticlopidine The fragmentation pattern of ticlopidine was investigated in the MS/MS experiments and two fragmentation pathways were identified. The most abundant fragments at m/z 154 and 125, and minor fragments at m/z 99 and 89 all included the chlorine substituted phenyl. Less abundant fragment ions at m/z 138 and 111 were from the tetrahydrothionopyridine moiety. Fragment at m/z 228 resulted from the loss of HCl. RM1 The mass of RM1 corresponded to oxidation + GSH conjugation. Several fragment ions were observed in the MS/MS experiments, the most interesting being at m/z 539, 458 and 410. The ion at m/z 539 resulted from the loss of sulfoxide (SO), the ion at m/z 458 from the loss of pyroglutamate from GSH moiety, and the ion at m/z 410 from the combination of these. Fragment ion at m/z 296 resulted from the cleavage of the glutathione from S-CH2 bond (loss of C10H15N3O6) and loss of water. Fragment ion at m/z 280 results from the loss of entire glutathione, including the sulphur atom. Fragment ion at m/z 232 had additionally lost a sulfoxide. Fragment ions at m/z 154, 125 and 111 were the same as in the spectrum of ticlopidine. RM2 RM2 had an identical mass to that of RM1, it also formed fragment ions at m/z 410 and 232 in the MS/MS experiments, suggesting that also RM2 was formed via Soxide, which was supported by the existence of fragment ion at m/z 386. Fragment ions at 296, 154 and 125 were the same as above. RM3 Also the mass of RM3 corresponded to oxidation + GSH conjugation. RM3 produced a fragment ion at m/z 569 by loss of water, ion at m/z 458 by loss of pyroglutamate, and ion at m/z 440, which resulted from both of these reactions. Fragment ion at m/z 280 resulted from the loss of whole glutathione moiety, and ion at m/z 262 with an additional loss of water. Fragment ions at m/z 154, 125, 111 and 89 were the same as in the spectrum of ticlopidine. Fragment ion at m/z 287 resulted by the loss of C10H14ClN + H2O from the tetrahydrothionopyridine moiety and C5H7NO3 (pyroglutamate) from the glutathione. Any of the core-structure fragment ions did not include the extra oxygen, so that there is no absolute confirmation for the oxidation site, but most likely it is located in the thiophene-moiety, so that m/z 111 formed like for ticlopidine, but with extra loss of water. RM4 The mass of RM4 corresponded to oxidation + GSH conjugation and MS/MS experiments produced fragment ions at m/z 458, 440 and 280, which were the same as in the spectrum of RM3. Fragment ions at m/z 154, 125, 111 and 89 are the same as in the spectrum of ticlopidine. Fragment at m/z 184 resulted from the loss of chlorine substituted phenyl and C9H15N3O7 from glutathione. Fragment at m/z 287 resulted from the loss of C8H10ClN + H2O from ticlopidine part and C5H7NO3 (pyroglutamate) from glutathione. Fragment ion at m/z 434 resulted from the loss of C8H8ClN and fragment ion at m/z 416 from additional loss of water. M1 & M2 Stable metabolites M1 and M2 were formed via mono- and di-dehydrogenations, respectively. Both of these metabolites formed fragment ions at m/z 125, 99 and 89 in MS/MS experiments, which were the same as for ticlopidine. Ion at m/z 136 was detected for M1, which corresponded to the ion at m/z 138 for ticlopidine with dehydrogenation. M3 M3 was formed via hydroxylation with two additional dehydrogenations. Most abundant fragment ion at m/z 125 proved that the reactions occur in the tetrahydrothionopyridine structure, but the exact position was not revealed. Fragment ion at m/z 240 was due to loss of chlorine and was not informative. M4 Metabolite M4 was formed via addition of one oxygen. The most intense fragment ions were at m/z 262, 154 and 125. Again, ions at m/z 154 and 125 point that the oxygen is attached to the tetrahydrothionopyridine structure. Fragment ion at m/z 262 is resulted from the loss of water. The high abundance of m/z 262 indicates that the oxygen is in the aliphatic six-membered ring. M5 Metabolite M5 was also formed via addition of one oxygen and produced fragment ions at m/z 262, 170, 154, 138, 125, 111 and 89. Fragment ion at m/z 125 proved once again that the oxygen is not attached to the chlorine substituted phenyl, and ion m/z 111 pointed that the oxygen is not attached to the tiophene ring either. Fragment ion at m/z 262 resulted from loss of water, and fragment ion at m/z 138 from the loss of C7H7OCl. Accurate mass of m/z 154 matches to structure [C7H8NOS]+, which together with m/z 170 and previously mentioned fragments suggests that M5 is Noxide. M6 M6 was also formed via addition of one oxygen atom, but only fragments at m/z 125 and 89 were identified, which suggests that the oxygen is not attached to the chlorine substituted phenyl. The lack of water cleavage, on the contrary to metabolites M4 and M5, indicates that the oxygen is probably aromatic. M7 M7 was formed via hydroxylation and hydrogenation. Fragment ion at m/z 125 proved that neither of these modifications had occurred in the chlorine substituted phenyl ring. Additionally, the fragment ion at m/z 154 proved that it was not an Noxide. Hydrogenation have most likely occurred either of the double bonds in the tiophene ring, or then the structure contains opening of some of the rings. M8 M8 was formed from hydroxylation reaction. Metabolite M8 produced fragment ion m/z 278, resulting from loss of water. Fragment ions at m/z 170 and 138 resulted from the tetrahydrothionopyridine structure and both contained two oxygen atoms. This suggests that both oxygens are attached to the tetrahydrothionopyridine structure. Fragment ion at m/z 96 contained nitrogen and one oxygen, giving further confirmation that at least one oxygen was close to the nitrogen atom. M9 Also the mass of M9 corresponded to ticlopidine with two oxygen atoms. The most abundant fragment of metabolite M9 was ion at m/z 125, proving that neither of the oxygen atoms were attached to the chlorine substituted phenyl. Fragments at m/z 154 and 89 supported this conclusion. Fragment at m/z 278 was the same as in M8. Fragment at m/z 155 resulted from the loss of chlorine substituted phenyl and nitrogen. Fragment at m/z 137 resulted with additional loss of water. Citalopram metabolites Citalopram In the MS/MS experiments, 5 fragment ions were produced, which were useful in the identification of the metabolites. For citalopram itself, fragment at m/z 307 resulted from cleavage of water, fragment ion at m/z 280 resulted from loss of N(CH 3)2 group, and fragment ion at m/z 262 resulted via further loss of water from m/z 280. Fragment ion at m/z 116 contained the cyanide-substituted benzene, and fragment ion at m/z 109 the fluorine-substituted benzene. M1 Metabolite M1 was formed via N-demethylation and it produced the fragment ions at m/z 280, 262, 116 and 109. In addition, it formed fragment ion at m/z 293, which resulted from the loss of NCH3. M2 Metabolite M2 was identified as doubly demethylated citalopram. M2 produced fragment ions at m/z 279, 280, 262, 116 and 109 in the MS/MS experiments. Fragment ions at m/z 280, 262, 116 and 109 were the same as for citalopram, and the ion at m/z 279 resulted from the loss of NH2. M3 The mass of metabolite M3 matched with citalopram with one additional oxygen, and in the MS/MS experiments fragment ions at m/z 323, 280, 262, 116 and 109 were detected, being all the same than in the spectrum of citalopram. Table S1. Accurate masses for fragment ions. Clozapine P Fragment formula C17H15N3Cl C16H13N3Cl C15H13N3Cl C15H11N3Cl C14H10N3Cl C13H10N3Cl C13H8N2Cl C13H10N3 C13H8N2 C5H13N2 C5H10N m/z calc. 296.0955 282.0793 270.0798 268.0642 255.0563 243.0563 227.0376 208.0875 192.0687 101.1079 84.0813 m/z obs. mDa 296.0956 0.1 282.0784 -0.9 270.0800 0.2 268.0643 0.1 255.0559 -0.4 243.0568 0.5 227.0380 0.4 208.0886 1.1 192.0690 0.3 101.1079 0.0 84.0814 0.1 RM1 C18H20N4SCl C18H20N4Cl C15H13N3SCl 359.1097 359.1114 327.1676 327.1696 302.0519 302.0502 1.7 2.0 -1.7 RM2 C23H27N6O6S C23H29N6O3S C20H22N5O3S C15H14N3S 515.1713 469.2022 412.1438 268.0908 515.1714 469.2003 412.1444 268.0893 0.1 -1.9 0.6 -1.5 RM3 C23H26ClN6O6S C23H28ClN6O3S C20H21ClN5O3S C18H20N4SCl C15H13N3SCl C4H6NO 549.1323 503.1632 446.1054 359.1097 302.0519 84.0449 549.1315 503.1635 446.1056 359.1092 302.0489 84.0450 -0.8 0.3 0.2 -0.5 -3.0 0.1 RM4 C23H28N6O3SCl C20H21ClN5O3S C18H20N4SCl C15H13N3SCl C4H6NO 503.1632 503.163 446.1054 446.1045 359.1097 359.109 302.0519 302.0513 84.0449 84.0451 -0.2 -0.9 -0.7 -0.6 0.2 RM5 C28H33N7O6SCl C23H28N6O4SCl C15H13N3SCl C5H13N2O C5H11N2 C4H8N 630.1902 519.1581 302.0519 117.1028 99.0921 70,0657 630.1893 519.1576 302.0501 117.1032 99.0922 70,0658 -0.9 -0.5 -1.8 0.4 0.1 0.1 RM6 C28H33N7O6SCl C23H28N6O4SCl C23H26N6O3S C20H19N5O3SCl C5H13N2O C5H11N2 630.1902 519.1581 501.1476 444.0897 117.1028 99.0917 630.1886 519.1565 501.1448 444.0872 117.1026 99.0922 -1.6 -1.6 -2.8 -2.5 -0.2 0.5 C4H8N 70,0657 70,0659 0.2 M1 C15H13N3Cl C13H11N3Cl C13H8N2Cl C13H10N3 C13H8N2 270.0798 244.0642 227.0376 208.0875 192.0687 270.0799 244.0643 227.0373 208.0899 192.069 0.1 0.1 -0.3 2.4 0.3 M2 C17H15N3Cl C16H13N3Cl C15H13N3Cl C13H11N3Cl C13H8N2Cl C13H10N3 C13H8N2 C4H11N2 C4H8N 296.0955 282.0793 270.0798 244.0642 227.0376 208.0875 192.0687 87.0922 70.0657 296.0962 282.0769 270.0804 244.0645 227.0379 208.0889 192.0693 87.0922 70.0657 0.7 -2.4 0.6 0.3 0.3 1.4 0.6 0.0 0.0 M3 C17H18N4Cl C17H15ClN3 C15H13N3Cl C13H8N2Cl C13H8N2 C5H9N2O C4H11N2 C4H8N 313.1220 296.0955 270.0798 227.0376 192.0687 113.0709 87.0922 70.0651 313.1218 296.0955 270.0799 227.0382 192.0692 113.0709 87.0927 70.0656 -0.2 0.0 0.1 0.6 0.5 0.0 0.5 0.5 M4 C17H15N3OCl C15H13N3OCl C13H8N2Cl C13H8N2O C7H5O C5H13N2 312.0904 286.0747 243.0325 208.0637 105.0340 101.1079 312.0878 286.0746 243.0341 208.064 105.0343 101.1076 -2.6 -0.1 1.6 0.3 0.3 -0.3 M5 C16H16N4Cl C17H15N3Cl C16H13N3Cl C14H11N3Cl C13H10N3Cl C13H8N2Cl C13H8N2 C5H13N2O C5H11N2 C4H9N2 C5H8N C4H8N 299.1063 296.0955 282.0798 256.0642 243.0563 227.0376 192.0687 117.1028 99.0922 85.0766 82.0657 70.0657 299.1060 296.0952 282.0797 256.0641 243.0559 227.0378 192.0688 117.1028 99.0921 85.0766 82.0655 70.0657 -0.3 -0.3 -0.1 -0.1 -0.4 0.2 0.1 0.0 -0.1 0.0 -0.2 0.0 Ticlopidine Fragment formula P C14H15ClNS C14H13ClNS m/z calc. m/z obs. mDa 228.0847 228.0850 0.4 154.0418 154.0426 0.3 C14H16NOS C13H12SCl C14H14NS C8H9NCl C7H8NS 138.0372 138.0378 125.0153 125.0161 111.0263 111.0272 99.0002 99.0007 89.0391 89.0397 0.3 0.4 0.3 0.8 0.7 RM1 C24H32N4O6SCl C19H25N3O4S2Cl C19H25N3O3SCl C16H24N3O6S C14H15NS2Cl C14H15NOSCl C14H15NCl C8H9NCl C7H6Cl C6H7S 539.1731 458.0975 410.1305 386.1386 296.0334 280.0563 232.0893 154.0418 125.0158 111.0268 539.1744 458.0949 410.1324 386.1381 296.0334 280.0564 232.0883 154.0414 125.0154 111.0272 1.3 -2.6 1.9 -0.5 0.0 0.1 1.0 -0.4 -0.4 0.4 RM2 C19H25N3O4S2Cl C19H25N3O3SCl C16H24N3O6S C14H15NS2Cl C14H15NCl C8H9NCl C7H6Cl 458.0975 410.1305 386.1386 296.0334 232.0893 154.0418 125.0158 458.0945 410.1264 386.1396 296.0312 232.0872 154.0416 125.0154 -3.0 -4.4 1.0 -2.2 -2.1 -0.2 -0.4 RM3 C24H30N4O6S2Cl C19H25N3O4S2Cl C19H23N3O3S2Cl C14H15NS2Cl C11H15N2O3S2 C14H15NOSCl C14H12ClNS C8H9NCl C7H6Cl C6H7S C7H5 569.1295 458.0975 440.0864 296.0334 287.0524 280.0563 262.0457 154.0418 125.0153 111.0263 89.0391 569.1276 458.0985 440.0881 296.0352 287.0513 280.0555 262.0441 154.0431 125.0159 111.027 89.0397 -1.9 1.0 1.7 1.8 -1.1 -0.8 -1.6 1.3 0.7 0.9 0.4 RM4 C19H25N3O4S2Cl C19H23N3O3S2Cl C16H24N3O7S2 C16H22N3O6S2 C11H15N2O3S C14H15NOSCl C8H10NS2 C8H9NCl C7H6Cl C6H7S C7H5 458.0975 440.0864 434.1056 416.0950 287.0524 280.0563 184.0255 154.0418 125.0153 111.0263 89.0391 458.0880 440.0865 434.1073 416.0959 287.0530 280.0577 184.0254 154.0425 125.0157 111.0239 89.0401 1.6 0.1 1.7 0.9 0.6 1.4 -0.1 0.7 0.7 0.9 0.4 M1 C7H6NS 136.0221 136.0224 0.3 C7H6Cl C5H4Cl C7H5 125.0153 125.0160 99.0002 99.0006 89.0391 89.0394 0.7 0.4 0.3 M2 C7H6Cl C5H4Cl C7H5 125.0153 125.0159 99.0002 99.0006 89.0391 89.0397 0.6 0.4 0.6 M3 C14H10NOS C7H6Cl 240.0483 240.0482 125.0153 125.0158 -0.1 0.5 M4 C14H13ClNS C14H10ClNS C8H9NCl C7H6Cl C7H5 262.0452 260.0301 154.0418 125.0153 89.0391 262.0450 260.0306 154.0424 125.0159 89.0394 -0.2 0.5 0.6 0.6 0.4 M5 C14H13ClNS C8H9ClNO C7H8NOS C7H8NS C7H6Cl C6H7S C7H5 262.0452 170.0367 154.0321 138.0372 125.0153 111.0263 89.0391 262.0459 170.0375 154.0330 138.0379 125.0160 111.0272 89.0395 0.7 0.8 0.9 0.7 0.7 0.9 0.4 M6 C7H6Cl C7H5 125.0153 125.0161 89.0391 89.0399 0.8 0.8 M7 C8H9NCl C7H6Cl 154.0424 154.0426 125.0158 125.0158 0.2 0.0 M8 C14H13NOSCl C7H8NO2S C7H8NO2 C6H8NS C5H6NO 278.0406 170.0276 138.0555 126.0377 96.0449 278.0403 170.0275 138.0556 126.0372 96.0452 -0.3 -0.1 0.1 -0.5 0.3 M9 C14H13NOSCl C7H7O2S C7H5OS C7H6Cl C7H5 278.0406 155.0167 137.0061 125.0158 89.0391 278.0406 155.0168 137.0061 125.0157 89.0397 0.0 0.1 0.0 -0.1 0.6 Citalopram Fragment formula P C20H20N2F C18H15NOF C18H13NF C8H6N C7H6F m/z calc. 307.1611 280.1138 262.1032 116.0500 109.0454 m/z obs. mDa 307.1614 0.3 280.1136 -0.2 262.1032 0.0 116.0504 0.4 109.0459 0.5 M1 C19H19N2OF C19H18N2F C18H15NOF C18H13NF C8H6N 311.1560 293.1454 280.1138 262.1032 116.0500 311.1567 293.1458 280.1154 262.1041 116.0504 0.7 0.4 1.6 0.9 0.4 M2 C18H15NOF C18H16N2F C18H13NF C8H6N C7H6F 280.1138 279.1298 262.1032 116.0500 109.0454 280.1142 279.1299 262.1033 116.0501 109.0455 0.4 0.1 0.1 0.1 0.1 M3 C20H22N2O2F C20H20N2OF C18H15NOF C18H13NF C8H6N 341.1665 323.1560 280.1138 262.1032 116.0500 341.1672 323.1560 280.1143 262.1036 116.0504 0.7 0.0 0.5 0.4 0.4