TABLE 3

Cyanide-trapped reactive metabolites detected by high-resolution mass spectrometry after incubation of multiple substrates (100 μM) with NADPH-fortified HLM (1 mg/ml) for 90 min in the presence of NaCN (1 mM)

DrugConjugateUnit Resolution m/zProposed CompositionAccurate m/zMass Error
ppm
ClozapineCL1334P + CN + O-Cl334.1656−3.5
Embedded ImageCL2368P + CN + O368.1275−0.8
CL3368P + CN + O368.1275−0.8
CL4a352P + CN352.1328−0.2
CL5338P + CN-CH2338.1160−3.6
IndinavirIN1b578P + dealkylation + O+CN + CH2578.33502.2
Embedded ImageIN2b562P + dealkylation + CN + CH2562.34022.5
KetoconazoleKE1572P + CN + ON.D.N.A.
Embedded ImageKE2556P + CN556.1481−6.7
NefazodoneNE1b415P + dealkylation + O+CN + CH2415.24520.0
Embedded ImageNE2b399P + dealkylation + CN + CH2399.25050.5
NE3527P + CN + 2ON.D.N.A.
NE4511P + CN + ON.D.N.A.
NE5511P + CN + ON.D.N.A.
NE6495P + CNN.D.N.A.
NE7511P + CN + ON.D.N.A.
NE8495P + CNN.D.N.A.
NicotineNI1a188P + CN188.1184−1.9
Embedded ImageNI2a188P + CN188.1184−1.9
ProchlorperazinePR1415P + CN + O415.13610.5
Embedded ImagePR2431P + CN + 2O431.13130.9
PR3415P + CN + ON.D.N.A.
PR4a399P + CN399.14100.0
PR5a399P + CN + 14N.D.N.A.
PR6429P + CN + 2ON.D.N.A.
PR7a399P + CNN.D.N.A.
  • N.D., not detected; N.A., not applicable.

  • a Potential metabonate.

  • b Metabonate.