Exposure to acrolein, the smallest
α, β-unsaturated
aldehyde, in humans originates from cigarette smoking and other environmental
sources, food cooking, and endogenous lipid peroxidation and metabolism.
The protein modification caused by acrolein is associated with various
diseases, including cancer, cardiovascular, and neurodegenerative
diseases. In this study, acrolein-modified human hemoglobin was reduced
by sodium borohydride. Thus, three types of modifications, that is,
Schiff base, Michael addition, and formyl-dehydropiperidion adducts,
were converted to the corresponding stable adducts, leading to mass
increases of 40.0313, 58.0419, and 96.0575 Da, respectively. These
stable acrolein-modified hemoglobin peptides were identified by nanoflow
liquid chromatography coupled to a high-resolution nanoelectrospray
ionization tandem mass spectrometry. Among the 26 different types
and sites of modifications, 15 of them showed a dose-dependent increase
with increasing concentrations of acrolein. To investigate the role
of acrolein-induced modifications in smoking and oral cancer, the
15 dose–responsive acrolein-modified peptides, together with
three ethylated peptides previously identified, were quantified in
oral cancer patients, healthy smokers, and healthy nonsmokers. The
results reveal that the relative extents of the Michael-type adduct
at α-Lys-16, α-His-50, and β-Lys-59 are significantly
higher in smokers (oral cancer and healthy) than in nonsmokers. Areas
under the receiver operating characteristic curve of these peptides
range from 0.7500 to 0.9375, indicating the ability to discriminate
smokers from nonsmokers. Additionally, these acrolein-modified peptides
correlate with three ethylated peptides at the N-termini
of α- and β-globin, as well as β-His-77, and with
the number of cigarettes smoked per day. Therefore, measuring the
reduced Michael adducts at α-Lys-16, α-His-50, and β-Lys-59
of hemoglobin from one drop of blood by this sensitive and specific
method may reflect the increase of acrolein exposure due to cigarette
smoking.