Analysis of Acrylamide and Glycidamide in Dried Blood Spot of Smokers Using Ultra-High-Performance Liquid Chromatography–Tandem Mass Spectrometry

Yahdiana Harahap,1,2 Afaf Amma Lahilla,1 Anastasia Sharon Jautan,1 Amiral Hafidz,1 Sunarsih Sunarsih3 1Faculty of Pharmacy, Universitas Indonesia, Depok, Indonesia; 2Faculty of Military Pharmacy, Republic of Indonesia Defense University, Bogor, Indonesia; 3Dea Medika Clinic, Bogor, IndonesiaCorrespondence: Yahdiana Harahap, Email yahdiana@farmasi.ui.ac.idIntroduction: Acrylamide is a genotoxic substance that can be found in cigarette smoke. Acrylamide is metabolized by the CYP2E1 enzyme in the body to form glycidamides, an epoxide that is reactive to DNA and can form carcinogenic adducts. Therefore, exposure to acrylamide can potentially cause cancer. This study aims to analyze the levels of acrylamide and glycidamide in dried blood spot samples of smokers using propanamide as an internal standard and non-smokers as the control subjects.Methods: Dried blood spot samples were extracted using the protein precipitation method and then analyzed by liquid chromatography-tandem mass spectrometry. Mass detection was performed using positive type electro spray ionization and multiple reaction monitoring type with m/z 72.0> 55.02 for acrylamide, 88.1> 45.0 for glycidamide, and 74.0> 57.1 for propanamide as the internal standard.Results: Acrylamide and glycidamide levels in the dried blood spot sample of smokers ranged between 3.91 – 10.25 μg/mL and 1.006– 3.58 μg/mL, respectively. Data of the non-smokers on acrylamide and glycidamide levels were 0.75– 3.16 μg/mL and 0– 0.91 μg/mL.Discussion: The significant value of acrylamide and glycidamide between smokers and non-smokers was p < 0.05, which showed that there is a significant difference between acrylamide and glycidamide concentration in smokers and non-smoker subjects. The results of this study suggest that dried blood spots can be used to determine acrylamide and glycidamide levels in humans. Theoretically, acrylamide and glycidamide concentration should correlate to each other; however in reality, there are other factors (such as CYP2E1 polymorphism, dietary intake, etc) that can cause variation in their respective concentration.Keywords: acrylamide, dried blood spot, glycidamide, LC-MS/MS, smoker