TABLE 1

Identification of amiodarone metabolites in human bile after oral drug administration using UPLC-Q/TOF mass spectrometry

MetaboliteDescriptionRetention TimeFormulaMeasured MassCalculated MassFragment Ions
min[M + H]+
M0Parent18.0C25H29I2NO3646.029646.032372.831, 276.082, 247.078, 245.956, 217.926, 201.094, 119.021, 100.113
M1N-Desethylation − I + H16.2C23H26INO3492.108492.104
M2N-Desethylation + hydroxylation − I + H13.1C23H26INO4508.097508.099437.024, 419.017
M3Parent − C6H13N16.3C19H16I2O3546.925546.927372.858
M44′-Carboxylamiodarone − I + H13.3C25H28INO5550.109550.109276.070, 100.113
M5Hydroxylation − C4H9N21.5C21H20I2O4590.952590.953546.930, 372.818, 217.927, 201.091, 119.013, 91.018
M6-12 × Hydroxylation − C4H9N14.4C21H20I2O5606.943606.948562.924, 544.915, 372.830
M6-22 × Hydroxylation − C4H9N18.6C21H20I2O5606.943606.948562.925, 544.917, 372.828
M7N-Desethylation17.0C23H25I2NO3617.996618.000372.858, 201.090
M8-1N-Desethylation + hydroxylation13.5C23H25I2NO4633.989633.995372.820
M8-2N-Desethylation + hydroxylation13.7C23H25I2NO4633.992633.995372.821, 562.922, 544.908
M8-3N-Desethylation + hydroxylation14.0C23H25I2NO4633.994633.995372.822, 562.923, 544.908
M8-4N-Desethylation + hydroxylation14.4C23H25I2NO4633.997633.995372.821, 562.922, 544.907
M8-5N-Desethylation + hydroxylation14.7C23H25I2NO4633.990633.995372.824
M94′-Carboxylamiodarone + N-desethylation13.4C23H23I2NO5647.975647.974
M10-1N-Desethylation + dihydroxylation11.6C23H25I2NO5649.985649.990372.823, 245.923, 217.928, 119.016, 91.020
M10-2N-Desethylation + dihydroxylation12.0C23H25I2NO5649.988649.990372.822, 245.925, 217.922, 119.013, 91.021
M11-14′-Hydroxylation14.3C25H29I2NO4662.026662.026372.858, 100.113
M11-23′-Hydroxylation14.5C25H29I2NO4662.024662.026372.824, 100.114
M11-3Hydroxylation14.9C25H29I2NO4662.024662.026
M11-4Hydroxylation15.3C25H29I2NO4662.025662.026
M11-52-Hydroxylation15.5C25H29I2NO4662.023662.026372.822, 100.114
M124′-Carboxylamiodarone14.2C25H27I2NO5676.002676.006372.823, 245.926, 217.925, 100.122
M134′-Carboxylamiodarone + glucuronidation − I + H11.9C31H36INO11726.139726.141550.112
M14Hydroxylation + glucuronidation − C4H9N18.1C27H28I2O10766.987766.985590.954, 546.930
M15-1N-Desethylation + hydroxylation + glucuronidation12.2C29H33I2NO10810.028810.027633.998, 562.931, 544.912
M15-2N-Desethylation + hydroxylation + glucuronidation19.6C29H33I2NO10810.027810.027633.997, 372.824
M16N-Glucuronidation16.3C31H37I2NO9822.061822.064646.024
M17N-Desethylation + 4′-Carboxylamiodarone + glucuronidation12.1C29H31I2NO11824.012824.007647.980
M18-1Hydroxylation + glucuronidation12.6C31H37I2NO10838.050838.059662.027, 372.825, 100.113
M18-2Hydroxylation + glucuronidation12.8C31H37I2NO10838.059838.059662.025, 372.823, 100.114
M18-3Hydroxylation + glucuronidation13.0C31H37I2NO10838.060838.059662.028, 372.822, 100.115
M19-14′-Carboxylamiodarone + glucuronidation12.4C31H35I2NO11852.035852.038676.009
M19-24′-Carboxylamiodarone + glucuronidation12.9C31H35I2NO11852.044852.038676.008