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Discrimination of isocyanate exposure from
        amine exposure in biological samples
                                                      Kate Jones & John Cocker
                                                  Health & Safety Laboratory, UK




Abstract
• Isocyanates continue to be one of the leading causes of occupational asthma in the
  UK and biological monitoring is a valuable tool in assessing exposure to isocyanates.
• Current methods can be confounded by co-exposure to diamines.
• Isocyanate-specific lysine conjugates have previously been reported using blood
  samples – we present some preliminary work looking at urine samples.
• Although further development is necessary, it may be feasible to detect isocyanate-
  specific lysine conjugates in urine.
    www.hsl.gov.uk
    AnAn Agency of the Health and Safety
      Agency of the Health and Safety Executive   Executive
Introduction
  •     Biological monitoring for isocyanates is
        becoming increasingly widespread in the UK.
  •     Current methods measure the corresponding
        amine in urine, after hydrolysis of any
        conjugates.
  •     It has become apparent that there may be
        issues distinguishing isocyanate exposures
        from amine exposures in cases where either
        both are used on-site or the amines are
        generated through industrial processes.
  •     As the hazards of each (isocyanates are
        respiratory sensitisers, amines are skin
        absorbed and some are carcinogenic) are
        different and require different control
        solutions, discrimination of the exposures is
        required.
© Crown Copyright 2012
      An Agency of the Health and Safety Executive
Methods
                                                                                                                H 2N


         Using a previously reported methodology1,
         rough standards were prepared by
         incubating HDI with human albumin in
         physiologically-based saline (37oC, 16                                      HO       NH2


         hours).     The standards were then
         incubated overnight (again at 37oC) with                                     O


         pronase E (6 mg/ml) to break down the                                                                         NH


         albumin and release lysine conjugates.                                                            NH


                                                                                                                       O




•     Standards and urine samples from exposed workers (previously analysed
      for isocyanates by measuring the corresponding amine) were concentrated
      and cleaned up using solid phase extraction (Strata X, methanol elution
•     Analysis of lysine conjugates was by LC/MS/MS using a Synergi Hydro-RP
      column (150 x 2.1mm, 4µ, Phenomenex) with a methanol:ammonium
      acetate (10mM with 0.1% acetic acid) gradient. Positive electrospray mass
      spectrometry using multiple reaction monitoring was used for detection.
                                                        1Sabbioni   G, Gu Q, Vanimireddy LR. Biomarkers. 2012;17(2):150-9
    © Crown Copyright 2012
         An Agency of the Health and Safety Executive
Results

                                                                                                   1800 0


                                                                                                   1600 0


                                                                                                   1400 0


                                                                                                   1200 0




                                                                   H D I_ L y s in e ( a r e a )
                                                                                                   1000 0


                                                                                                    800 0


                                                                                                    600 0


                                                                                                    400 0


                                                                                                    200 0


                                                                                                        0
                                                                                                            0   50   100                    150    200   2 50

                                                                                                                     T o t a l H D A (n m o l/l)




 a) rough standard of HDI-lysine, b) HDA incubated with albumin,
 c) positive HDA urine sample, d) non-detected HDA urine sample



© Crown Copyright 2012
     An Agency of the Health and Safety Executive
Conclusions
       •      We have demonstrated that HDI can conjugate to albumin and
              form a releasable lysine conjugate, which is specific to HDI (the
              corresponding amine, HDA, does not form this conjugate).
       •      Some positive HDA urine samples from HDI-exposed workers
              also demonstrate this lysine conjugate. In cases where the lysine
              conjugate has been detected there appears to be a correlation
              with the total HDA detected in urine.
       •      Further work is needed using a synthesised and characterised
              standard.
       •      Additional work is ongoing to:
                – analyse more samples
                – determine whether HDI is bound to albumin or lysine in urine (or
                  both)
                – investigate why some positive HDA samples showed no HDI-lysine
                  conjugate
                – look at other isocyanates (where lysine conjugates have already
                  been demonstrated by others in blood samples)

© Crown Copyright 2012
     An Agency of the Health and Safety Executive

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Kate Jones - Discrimination of Isocyanate Exposure from Amine Exposure in Biological Samples

  • 1. Discrimination of isocyanate exposure from amine exposure in biological samples Kate Jones & John Cocker Health & Safety Laboratory, UK Abstract • Isocyanates continue to be one of the leading causes of occupational asthma in the UK and biological monitoring is a valuable tool in assessing exposure to isocyanates. • Current methods can be confounded by co-exposure to diamines. • Isocyanate-specific lysine conjugates have previously been reported using blood samples – we present some preliminary work looking at urine samples. • Although further development is necessary, it may be feasible to detect isocyanate- specific lysine conjugates in urine. www.hsl.gov.uk AnAn Agency of the Health and Safety Agency of the Health and Safety Executive Executive
  • 2. Introduction • Biological monitoring for isocyanates is becoming increasingly widespread in the UK. • Current methods measure the corresponding amine in urine, after hydrolysis of any conjugates. • It has become apparent that there may be issues distinguishing isocyanate exposures from amine exposures in cases where either both are used on-site or the amines are generated through industrial processes. • As the hazards of each (isocyanates are respiratory sensitisers, amines are skin absorbed and some are carcinogenic) are different and require different control solutions, discrimination of the exposures is required. © Crown Copyright 2012 An Agency of the Health and Safety Executive
  • 3. Methods H 2N Using a previously reported methodology1, rough standards were prepared by incubating HDI with human albumin in physiologically-based saline (37oC, 16 HO NH2 hours). The standards were then incubated overnight (again at 37oC) with O pronase E (6 mg/ml) to break down the NH albumin and release lysine conjugates. NH O • Standards and urine samples from exposed workers (previously analysed for isocyanates by measuring the corresponding amine) were concentrated and cleaned up using solid phase extraction (Strata X, methanol elution • Analysis of lysine conjugates was by LC/MS/MS using a Synergi Hydro-RP column (150 x 2.1mm, 4µ, Phenomenex) with a methanol:ammonium acetate (10mM with 0.1% acetic acid) gradient. Positive electrospray mass spectrometry using multiple reaction monitoring was used for detection. 1Sabbioni G, Gu Q, Vanimireddy LR. Biomarkers. 2012;17(2):150-9 © Crown Copyright 2012 An Agency of the Health and Safety Executive
  • 4. Results 1800 0 1600 0 1400 0 1200 0 H D I_ L y s in e ( a r e a ) 1000 0 800 0 600 0 400 0 200 0 0 0 50 100 150 200 2 50 T o t a l H D A (n m o l/l) a) rough standard of HDI-lysine, b) HDA incubated with albumin, c) positive HDA urine sample, d) non-detected HDA urine sample © Crown Copyright 2012 An Agency of the Health and Safety Executive
  • 5. Conclusions • We have demonstrated that HDI can conjugate to albumin and form a releasable lysine conjugate, which is specific to HDI (the corresponding amine, HDA, does not form this conjugate). • Some positive HDA urine samples from HDI-exposed workers also demonstrate this lysine conjugate. In cases where the lysine conjugate has been detected there appears to be a correlation with the total HDA detected in urine. • Further work is needed using a synthesised and characterised standard. • Additional work is ongoing to: – analyse more samples – determine whether HDI is bound to albumin or lysine in urine (or both) – investigate why some positive HDA samples showed no HDI-lysine conjugate – look at other isocyanates (where lysine conjugates have already been demonstrated by others in blood samples) © Crown Copyright 2012 An Agency of the Health and Safety Executive