Determination of N2-hydroxymethyl-dG adducts in the nasal epithelium and bone marrow of nonhuman primates following 13CD2-formaldehyde inhalation exposure.

Formaldehyde is a ubiquitous chemical that is used in a large number of industrial activities and found in many consumer products. In addition to occupational and environmental exposures, formaldehyde is endogenously produced as part of the one carbon pool and is present in the blood at about 0.1 mM (1). IARC has classified formaldehyde as a carcinogen, causing squamous cell carcinoma in nasal tissue of rats, and nasopharyngeal cancer in humans. There is also limited evidence from epidemiological studies for an association with myeloid leukemia (1–3). The US Environmental Protection Agency has recently released its external review draft Toxicological Review of Formaldehyde-Inhalation Assessment, which is currently under expert review by the National Academy of Sciences. Detailed studies of formaldehyde derived DNA damage are needed to better understand the extent of endogenous and exogenous damage in non-human primates. Initial investigations into the carcinogenicity of formaldehyde found dramatic increases in the incidence of squamous cell carcinomas following long-term exposure to rats at concentrations higher than 6 ppm (4–6). Additional studies in rodents and primates have investigated formaldehyde damage, finding non-linear increases in markers of toxicity and DNA damage (1;7). Studies in rats have provided extensive information regarding formaldehyde derived DNA damage; however, there are significant differences in the structure of nasal passages and disposition of inhaled chemicals between rodents and primates, including humans (8). These differences and oral/nasal breathing patterns make primates a more appropriate model of human exposure. Several models have been developed to simulate formaldehyde derived damage in rodents, primates and humans (1;9;10). Formaldehyde is highly reactive and can covalently bind to both proteins and DNA, forming formaldehyde-DNA monoadducts, DNA-formaldehyde cross-links and DNA-protein cross-links (1;11). The endogenous presence of formaldehyde and the high concentrations normally found in cells result in the endogenous formation of identical DNA adducts, making quantitation of exogenous and endogenous damage problematic. The majority of previous research focused on the detection of DNA-protein cross-links, which primarily relied on physical separation and detection methodologies that either could not adequately differentiate between endogenous and exogenous formaldehyde damage, or could only detect exogenous damage. More recent studies by Lu et al, have utilized a combination of isotope labeled [13CD2]-formaldehyde exposures to rats and quantitation of DNA adducts including N2-hydroxymethyl-dG by mass spectrometry. This allowed unambiguous determinations of exogenous and endogenous formaldehyde derived DNA damage (11). Our laboratory has recently expanded upon these studies, conducting experiments measuring N2-hydroxymethyl-dG using a newly developed more sensitive nano-UPLC-MS/MS method to determine the molecular dosimetry of hydroxymethyl-dG adducts in rats (12). Here, we present the first data using this more sensitive and selective approach for the detection of exogenous and endogenous formaldehyde induced DNA damage in non-human primates. Two groups (n = 4 animals per group) of cynomolgus macaques (Macaca fascicularis) were whole body exposed to either 1.9 or 6.1 ppm [13CD2]-formaldehyde for 2 consecutive days (6 hours per day). At the end of exposure on the second day, the primates were euthanized and necropsy performed within 3 hours. The nasal mucosa from maxilloturbinates and bone marrow were collected, flash frozen in liquid nitrogen and stored at −80°C until analysis. DNA was extracted, reduced with NaCNBH3 to convert N2-hydroxymethyl-dG adducts to more stable N2-methyl-dG adducts. Subsequently, 20 fmol of the internal standard (15N513C10-methyl-dG) was added, DNA digested with DNase I, alkaline phosphatase and phosphodiestersase, followed by the separation of N2-methyl-dG by HPLC and drying of fractions under vacuum. Both endogenous and exogenous N2-methyl-dG were detected and quantitated using a sensitive nano-UPLC-MS/MS method employing select reaction monitoring with a limit of detection of 20 amol on column (Figure S1). In bone marrow and nasal tissue, the presence of both endogenous (m/z 282.2 → 166.1) and exogenous (m/z 285.2 → 169.1) N2-hydroxymethyl-dG adducts, along with the internal standard (m/z 297.2 → 176.1) were monitored, as shown in figure 1. Figure 1 Nano-UPLC-MS/MS Chromatograms. Chromatograms showing exogenous and endogenous N2-hydroxymethyl-dG adduct formation in primate nasal maxilloturbinates (A and B) following 2 days of 6 hour exposures at 1.9 and 6.1 ppm [13CD2]-formaldehyde, respectively. ... The endogenous and exogenous N2-hydroxymethyl-dG levels found in both tissues are summarized in Table 1. In the nasal maxilloturbinate DNA, exogenous N2-hydroxymethyl-dG was present at 0.26 ± 0.04 and 0.41 ± 0.05 adducts/107 dG following the 1.9 and 6.1 ppm exposures, respectively. Endogenous N2-hydroxymethyl-dG adducts were present in the nasal DNA of all animals studied, with an average of 2.24 ± 0.50 adducts/107 dG. Table 1 Endogenous and Exogenous N2-hydroxymethyl-dG levels. In bone marrow, no exogenous adducts were detected, even though ~10-fold higher amounts of DNA were analyzed. Endogenous N2-hydroxymethyl-dG adducts were present at 17.5 ± 2.6 and 12.4 ± 3.6 adducts/107 dG in bone marrow DNA from the 1.9 and 6.1 ppm exposures, respectively. The lack of exogenous adducts with the corresponding presence of endogenous adducts is clearly shown in Figure 1. In contrast to the nasal tissue, much higher numbers of endogenous N2-hydroxymethyl-dG adducts were present in bone marrow. It is unclear why the numbers of endogenous adducts in primates are high, but preliminary evaluations of other tissues were also much higher than was previously found in rats. In a recent study by Lu et al (12), N2-hydroxymethyl-dG exogenous and endogenous adducts were quantified in rats using the same methodology described in this paper following a single 6 hour exposure to labeled formaldehyde. The number of exogenous adducts quantified after a 1 day exposure to rats and a 2 day exposure to monkeys were similar following 1.9 ppm 13CD2O exposure, but were ~2.5 fold lower in primates exposed to 6.1 ppm. This decrease in exogenous adducts, compared to the rat, may be partially explained by the differences in nasal anatomy and breathing patterns between the two species (8). Rats, unlike humans and monkeys are obligate nose breathers, which may explain the higher amounts of exogenous adducts in rat nasal tissue. Additional tissue sites from the nasal and respiratory tract, as well as numerous sites distant to the point of contact were collected at necropsy and will be analyzed for a more comprehensive report on this study to better characterize the distribution of exogenous and endogenous adducts in non-human primates following formaldehyde inhalation exposure. Our new nano-UPLC-MS/MS method permits one to calculate the maximum number of exogenous formaldehyde adducts that could have been missed in a sample of bone marrow. For example, in a 312 µg DNA sample, less than 1 exogenous N2-HO13CD2-dG could be present in a sample that had 13,900 identical endogenous formaldehyde adducts. This provides a unique perspective on the plausibility that inhaled formaldehyde gets to bone marrow and is causally associated with the induction of myeloid leukemia. How could that one exogenous adduct have a biological effect, but the other 13,900 do not? Such data demonstrate the utility of conducting stable isotope exposures when a chemical induces DNA adducts that are identical to endogenous adducts. It also strengthens the arguments supporting the need to consider the biology associated with high numbers of endogenous DNA adducts when extrapolating to risks associated with very low exposures to chemicals. These data clearly show the formation of exogenous formaldehyde adducts in nasal DNA of primates and the lack of formation of exogenous DNA adducts in the bone marrow. Lower amounts of exogenous adducts were found in the nasal tissues of primates exposed to formaldehyde for 2 days, compared to similar studies conducted in rats exposed for one day. Furthermore, primates had much higher endogenous adducts. Primates will have a lower ratio of exogenous/endogenous adduct arising from inhalation exposures, suggesting that risks from inhaled formaldehyde exposures may also be lower. Additional studies are underway on the expanded list of tissues to better characterize the potential for exogenous DNA damage caused by inhalation exposure to formaldehyde in the respiratory tract and distant tissues.