Outdoor
air pollution, a spatially and temporally complex mixture,
is a human carcinogen. However, ambient measurements may not reflect
subject-level exposures, personal monitors do not assess internal
dose, and spot assessments of urinary biomarkers may not recapitulate
chronic exposures. Nucleophilic sites in serum albuminparticularly
the free thiol at Cys34form adducts with electrophiles.
Due to the 4-week lifetime of albumin in circulation, accumulating
adducts can serve as intermediate- to long-residence biomarkers of
chronic exposure and implicate potential biological effects. Employing
nanoflow liquid chromatography-high-resolution mass spectrometry (nLC-HRMS)
and parallel reaction monitoring (PRM), we have developed and validated
a novel targeted albumin adductomics platform capable of simultaneously
monitoring dozens of Cys34 adducts per sample in only 2.5
μL of serum, with on-column limits of detection in the low-femtomolar
range. Using this platform, we characterized the magnitude and impact
of ambient outdoor air pollution exposures with three repeated measurements
over 84 days in n = 26 nonsmoking women (n = 78 total samples) from Qidong, China, an area with a
rising burden of lung cancer incidence. In concordance with seasonally
rising ambient concentrations of NO2, SO2, and
PM10 measured at stationary monitors, we observed elevations
in concentrations of Cys34 adducts of benzoquinone (p < 0.05), benzene diol epoxide (BDE; p < 0.05), crotonaldehyde (p < 0.01), and oxidation
(p < 0.001). Regression analysis revealed significant
elevations in oxidation and BDE adduct concentrations of 300% to nearly
700% per doubling of ambient airborne pollutant levels (p < 0.05). Notably, the ratio of irreversibly oxidized to reduced
Cys34 rose more than 3-fold during the 84-day period, revealing
a dramatic perturbation of serum redox balance and potentially serving
as a portent of increased pollution-related mortality risk. Our targeted
albumin adductomics assay represents a novel and flexible approach
for sensitive and multiplexed internal dosimetry of environmental
exposures, providing a new strategy for personalized biomonitoring
and prevention.